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Kaberamaido
District |
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Health Sector
Mandate of the Health department
The department is mandated to ensure the attainment of a good standard of health by all people in the district in order to promote a healthy and productive life. The national health plan guides districts to achieve equity through increased access to the minimum health care package, quality of health care, efficiency, accountability and transparency.
The department undertakes to attain regular outreach services from all health units with a focus on activities for childhood immunisation and health education for health promotion and disease prevention. Furthermore, the policy of government is to identify under-served areas with the intention of constructing Health Centre IIs at parish level. In order to take advantage of the existing NGO services, support to them has been accorded by the central government.
Health Sector Goal
To improve the health status of the people of Kaberamaido by reducing morbidity (sicknesses) and mortality (death) from major causes of ill-health and existing disparities, so as to contribute to poverty eradication and social and economic development thus improving quality of life of the people of Kaberamaido district.
Health infrastructure
The health services are delivered through Health Centres II, III and IV at Parish, Sub County and County level respectively, according to where they are situated. The nature of the services ranges from preventive, promotional, out patient curative, maternity, in patient health services, emergency surgery and blood and other transfusions. However, infrastructure gaps still exist as shown in the table below. These include 1 H C IV, 8 H/C III and 6 Health Centre II at the parishes.
Health infrastructure
| Category | Government | NGO | Private | Total | Existing Gap |
| Hospitals | 0 | 1 | 0 | 1 | 1 |
| Health Center IV | 1 | 0 | 0 | 1 | 1 |
| Health Center III | 7 | 1 | 0 | 8 | 1 |
| Health Center II | 4 | 3 | 0 | 7 | 26 |
| Health Center II | 2 | 0 | 0 | 2 | 23 |
Source: Kaberamaido Health Sector HMIS Data Base FY 2006-2010
Staff accommodation
Staff accommodation is one of the difficulties the health sector is facing. However, there is a deliberate effort by government to construct staff houses. This effort is, however, not adequate to meet the need. This is one of the contributing factors to the high staff turn over in the district.
A staff house at Bululu Health Centre III in Bululu sub-county constructed under PHC Development
1. Performance Review 2008/2009-2009/2010:
1.1 Progress by the Health Department towards the achievement of PEAP objectives (FY 2008/09 – 2009/10 up to December 2009)
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No. |
Activity |
Comment |
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1 |
Percentage of deliveries taking place in health facilities |
This has been gradually improving over the years. In the FY 2006/2007 deliveries in health facilities stood at 28% and slightly went up to 31% in FY 2008/09.The low deliveries can be attributed to a number of factors among which include presence of TBAs ,poor referral facilities,poverty,distance to facilities etc. |
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2 |
Proportion of approved posts filled by trained health workers |
This is expected to ensure deliveries of diverse health services. It has also improved over the years. The constraints being ceiling limits and difficulty in attracting certain cadres of health workers such as Clinical officers and laboratory staff. Currently standing at 76.4% up from 51% in the FY 2007/08. |
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3 |
District average HIV- sero prevalence rate as captured from ANC surveillance |
The district specific prevalence currently stands at about 5.4%.PMTCT services have been scaled down to HCIII level and HIV care services are now provided in two main centers of Lwala Hospital and Kaberamaido HCIV |
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4 |
OPD utilization |
This has hit the 143% mark. The district now serves clients beyond its catchment population from all the neighbouring Districts thus the high OPD utilization per person. However the quality of care needs to be improved by improving the funding which is insufficient currently. |
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5 |
DPT3/HepB + Hib |
Immunization of children is one of the child survival strategies and it makes a contribution to (PEAP) .Last years figure of 101% was above the expected target of 100% due mobilization and accelerated activities citing child days plus bi annual activities |
Progress in Key Indicators 2008/2009-2009/2010
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Indicator |
2008/2009 |
2009/2010 (As at 31st Dec.2009) | ||||
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Baseline |
Target |
Achieved |
Baseline |
Target |
Achieved |
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% of approved posts filled by trained health personnel |
51.0 % |
80.0% |
76.4 % |
76.4% |
85.0% |
76.4% |
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% of ANC attendance |
120.0% |
100.0% |
103.0% |
103.0% |
100.0% |
102.0% |
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% of Facilities with stock outs of key drugs in FY |
48.0% |
65.0% |
54.0% |
54.0% |
70.0% |
45.0% |
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% of Children < 1yr receiving 3 doses of DPT3 |
94.0% |
100.0% |
101.0 % |
101.0% |
100.0% |
102.0% |
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Contraception prevalence rate |
3.6% |
7.0% |
5.6% |
5.6% |
7.5% |
5.4% |
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% of deliveries taking place in health facilities |
28.0% |
40.0% |
30.1% |
30.1% |
50.0% |
29.0% |
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OPD utilization in Gov’t & PNFP units |
127.0% |
100.0% |
143.0% |
143.0% |
100.0% |
126.0% |
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Latrine Coverage |
41.0% |
70.0% |
48.0% |
48.0% |
75.0% |
N/A |
Basic Indicators
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Indicator |
Current Level (District) |
National Bench Mark (Recommended) | ||||||||||
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DPT3 Immunization Coverage |
101% |
95% | ||||||||||
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BCG Immunization coverage |
120% |
95% | ||||||||||
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OPV3 Immunization Coverage |
100% |
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