The Health System in Nebbi district is made of 2 Health Sub districts- Jonam and Padyere:
Jonam HSD has 18 Health Units and Padyere HSD has 22 Health Units. The private sector is poorly developed with only Shower Foundation HC III in Nebbi Town Council, Noah Clinic in Pakwach Town Council.
In the Public Sector we have 468 Health Workers. This is against an expected Norm of 646 health workers.
Environmental Health (Inspectorate)
The Section is staffed with one ADHO (Environmental Health), three (3) Health Inspectors, and 35 Health Assistants, giving at least one (1) staff per Sub County. However we are far from the norm of 1 Health Assistant per Health Unit. This has led to challenges of Sanitation related diseases among others Cholera and Dysentery.
The health education is characterized by Staffing deficiency; with only one (1) Assistant Health Educator. This means enough can’t be done in the area of Health Education and Promotion which is needed to reduce disease burden.
Focus is on Health Education in the areas of: Sanitation, Family Planning, Antenatal Care and Safe Delivery, Nutrition, School Health and Immunization.
Outpatient coverage currently stands at 1.2 while deliveries stand at 70%. The third dose of Penta-valent vaccine is at 96% while intermittent prophylactic therapy 2 (IPT2) is at 57%. Fourth antenatal attendance stands at 45%
All HC III offer Reproductive Health services including antenatal and delivery.
Comprehensive Services are available at (19) Health Units of Nebbi Hospital, Angal Hospital, Pakwach HC IV and all the HC111.
Support Supervision is done at various levels:
District Health Team does Integrated Quarterly Support Supervision and Technical Supervision for various programme areas to Health Sub districts and Health Units,
Health Sub districts are expected to do Monthly support Supervision to the Health Units,
Health Centres III are expected to supervise HC IIs in their Sub counties.
However this has not been achieved at the HSD and HC III level due to inadequate resources both Human and financial
Essential Medicines and Health Supplies (EMHS)
Regularity of deliveries of EMHS by National Medical Store (NMS) has greatly improved overall, but the quantities remain inadequate leading to stock out especially in the busy health units as the quantities delivered do not consider the demand.