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Public Health
The department is mandated to coordinate effective and quality Health Services in the district. Health is mainly in Health infrastructure and District management of health service.
The department is managed by the DHO and other DHT members.

HEALTH UNIT Govt Ownership PNFP Ownership TOTAL
HC IV 2 0 2
HC III 5 2 7
HC II 19 07 26
TOTAL 26 09 35

Public Health fact indicators
About 87.3% of the population lives within 5 Kilometer radius from a Health unit.
Under-five Mortality Rate per 1,000 live births - 137 UDHS (2006)
Infant Mortality Rate per 1,000 live births - 75 UDHS (2006)
Maternal Mortality Rate per 100,000 live births - 435 UDHS (2006)
86.3% of the pregnant mothers are attended by qualified medical personnel
Nutrition (Children < 5 years) is 17.3% for males while 14.4% for females and thus giving the average total of 15.9%
     Stunting - 33% (data for Kabale at 42%, UDHS 2011)
     Under weight - 14% (data for Kabale UDHS 2011)
     Wasting - 5% (data for Kabale UDHS 2011)
     New Acceptors 6804 (2015/2016)
     Revisits 13745(2015/2016)
     94% of currently married women know modern contraceptive methods
     88% of all women know modern contraceptive methods
     Only 10% of currently married women use modern contraceptive methods Years
     Average Age at first sexual intercourse
     Females – 15 years
     Males - 18 years Average Age at first marriage
     females – 21 years
     Males - 24
     % of Female population 15 – 49 married – 62% General Divorce rate - 3.4%

In line with the Health Sector Strategic and Investment Plan (HSSIP), the District recognizes that effective delivery of the Uganda National Minimum Health Care Package (UNMHCP) which will be achieved through Partnerships. Consequently, Rubanda District shall partner with other Government Sectors, Private Sector, PNFPs, PHPs, CSOs and Health Development Partners (HDPs) for the successful implementation of the HSSIP. The Public Private Partnership in Health (PPPH) Policy that was approved during the Joint Review Mission (JRM) of 2012 further strengthens the Partnership principle.

Human Resources for Health (HRH)
The percentage of approved posts filled by health workers is currently at 68.5%. Effort will be made to recruit critical staff like doctors, Midwives, Nurses, Anaesthetists, and Managers at Health Sub-District and Health facilities. In order to motivate and retain staff, the work environment and conditions of service will be improved, more so in hard-to-reach areas. Staff accommodation is inadequate, and effort will be made to narrow this gap.

The District plans to increase HRH productivity by strengthening and rolling out performance management, use of Workload Indicator Staffing Needs (WISN) to address work pressures; and improving leadership and management. The District will also increase HRH accountability through developing institutional capacity in leadership and stewardship and accountability at all levels of the health system. All effort will be made to enhance mechanisms for compliance to ethics, standards, good professional practices and their rights and protection for the health professionals; enhancing patients’/clients’ rights and grievance handling at health facilities. Staff absenteeism is a big problem. The District will reduce health workers’ absenteeism through enhanced monitoring and supervision at all levels of health care.

DPT3 coverage at 97% above the HSSIP target of 88%.
DPT1 – DPT3 dropout rate at -3.7 % compared to the national target of 10%.
BCG coverage at 93.3% compared to a target of 94%
Measles immunization coverage at 86.5% compared to the HSSIP target of 88%.
TT2+ in pregnant women of 52.2% compared to the national target of 75%

Strategies to improve immunization coverage up to 2020 shall include:
Dissemination of the Immunization Policy;
Achieve at least 99% coverage for all routine childhood antigens;
Introduce new vaccines into the routine immunization services: these shall include Rotavirus, Human Papilloma Virus (HPV), Inactivated Polio Vaccine and Meningitis A Vaccines;
Strengthen community participation in immunization services like the existing Community Structures to Reach Every Community (REC);
Achieve and sustain polio eradication, sustain maternal neonatal tetanus elimination and achieve zero measles morbidity;

Reproductive, Maternal, Neonatal and Child Health Services
In order to ensure universal access to these services, Rubanda District has ensured equitable distribution of service points in all villages and sub-counties. Currently, these services are offered up to HC IIs, at Parish level. However, the utilization is still unacceptably low. For instance, though facility deliveries increased, many mothers still deliver at home unsupervised by trained health workers. Some deliver under Traditional Birth Attendants’ (TBA) care.

OPD utilization
Outpatient care remains our mainstay of care, with the majority of cases being communicable diseases.

©copyright rubanda district local government 2020