Health

The Health System in Nebbi district is made of two (2) Health Sub district of Padyere and Nebbi Municipality:

Padyere HSD has 24 Health Units comprising of two (2) hospitals, one (1) HCIV, 9 HCIII and 11 HCII. The private sector is poorly developed with only Shower Foundation HC III in Nebbi Municipal.

Human Resource

In the Public Sector we have 333 Health Workers.

Environmental Health (Inspectorate)

The Section is staffed with one ADHO (Environmental Health), one (1) Health Inspector, and 19 Health Assistants, giving at least one (1) staff per Sub County.

Health Education

The health education is characterized by Staffing deficiency; with no 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.

Performance

S/N Indicator Financial Year performance National target
2015/2016 2016/2017
1 Proportion of mothers attending antenatal care four (ANC4th visits) 50.1% 45% 50.1% 55%
2 Proportion of under one year children immunized with measles 75.1% 78.7% 75.1% 90%
3 Proportion of under year children immunized with third dose of PCV 83.6% 86.9% 83.6% 90%
4 Proportion of pregnant mothers who received the second dose of fansidar for malaria prophylaxis 59.9% 65.8% 59.9% 60%
5 Proportion of mothers who delivered at health facilities 73.5% 66.1% 73.5% 75%
6 Number of maternal deaths at health facilities 15 32 131/100,000
7 Latrine coverage 80% 78% 80% 90%
8 Proportion of malaria cases confirmed 69.6% 60.1% 69.6% 80%
9 TB treatment success rate 47.8% 50.9% 47.8% 85%
10 HMIS reporting 92% 98.4% 80%

Reproductive Health

All HC III offer Reproductive Health services including antenatal and delivery.

HIV/AIDS services

Comprehensive Services are available at (12) Health Units of Nebbi Hospital, Angal Hospital, Pakwach HC IV and all the HC111.

Supervision

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.