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PADER DISTRICT: RANKED 53 OUT OF 135 DISTRICTS IN TERMS OF HEALTH SERVICES, PAJULE HC IV AND 5TH MILITARY DIVISION HC IV DELIVERED 1,204 MOTHERS
By Goodluck Musinguzi & Kaslinegladys Lakareber
Ministry of Health has provided shs4,902,469,083 billion to support health workers in over 35 health centres covering the Pader district in Acholi Sub-region. Additional funding under Health Non-wage conditional grant is shs427,483,172 million, primary health care non-wage recurrent for government facilities is shs363,450,354 million, PNFP facility gets shs3 million, while the District Health Office gets shs71 million.
Robert Adebuason, Chief Administrative Officer further received shs202,081,816 million for development as a conditional grant, formula and performance part shs202,000,000 million, district and facility well management shs79,318,000 million, Malaria epidemic review response coordination shs10,514,000 million which is a total of shs99,137,285 million.
The district further got shs179,486,000 million for routine immunization distributed as follows shs130,944,000 million for supporting routine outreaches, shs22,160,000 million for quarterly one-day district stakeholders’ performance review meetings, shs14,080,000 million for sub-county quarterly performance review meeting, shs4,464,000 million for data, shs3,680,000 million support supervision, vaccination distribution and DSFP gets shs4.158,000 million.
With all the above funding the Pader district leaders when interviewed downplayed the funds and the statistics.
Dr Benson Oyoo, the Pader District Health Officer confirms that the Health Department is facing the challenge of understaffing which cannot make half per cent so there should be a need of recruiting more Health workers. However, the Ministry of Health says it’s 63%.
Oyoo assures the public about the latest performance Ranking which shows that Pader district performed worst in the Health department because the district has many barriers. These barriers include poor roads, poor reporting of health cases by Health workers, miscommunication among community members, Negligence of those in charge to supervise other staff, delay of Government drug supply and under drug supply including other Limited Government support of fueling district Ambulance which affects Referral cases because per quarter Pader receives shs2 million only and sometimes may not come on time.
Ministry of Health says Pader is performing well more than the national average, its ranked 53rd. Oyoo blames community members for failing to report cases of death in the communities especially those who visit witch doctors to cure their sickness. He advised community members to avoid the spread of diseases which can be avoided especially malaria by sleeping under treated mosquito nets.
Oyoo added that malaria has been the leading cause of death and applauds all VHTs in the Pader district for doing their Best in helping to offer first aid at the village level, he encourages them to continue responding positively to their duties.
Hon Christopher Komakech the Aruu county MP Pader district says the Ministry of Health has confirmed the upgrade of Awere Health Centre III to IV which will serve at least three-quarters of the population around Awere Sub-county. Komakech stressed that the people of Pader should be patient as he is advocating for a district Hospital which will enhance health service delivery in the district.
Robert Adebuason the Pader District Chief Administrative Officer encouraged Health workers to work hard while serving the community. He said the challenges that include recruitment has been put on hold by the ministry because the Ministry of Finance has not provided funds. But in case they get permission they will be able to recruit at least the required staff efficiently for Health services in the Pader district.
Stella Lalam a resident of Ayam West Awere Sub county agrees that Awere Health III is serving a large population which needs an upgrade she further appreciates the Government for considering the upgrade to HC IV and she believes that this will give them Access to the required Health services. Lalam says Government should work on Roads because sometimes it’s the ones contributing to some death cases especially at night in hard-to-reach areas.
Meanwhile, some health workers should also change their altitude at their workplaces, it’s worst for pregnant mothers during deliveries because some of them can be embarrassed by health workers.
Justin Ocen, Secretary of Health Pader District agrees that Pader is the worst, especially in Health services delivery due to the number of factors that sometimes are from the Ministry of Health like delays in drugs supply, failure of health workers to perform their duties where many after recruited as Government workers start having Mindset of relaxing from Government services and even Locals Report late for Health services, wrong prescriptions and being relaxed about their health status and fail to go back for checkups and control.
NOTE: Under decentralization, Justin Ocen is supposed to supervise health workers on behalf of the Pader District Council not the Ministry of Health Ocen advises locals to take full responsibility in the fight against killer diseases as Government does its best. Ministry of Health says Pader district is one of the best-performing districts compared to others. Human Resource deployment in the Pader district is at 63% with a score of 3 nationally.
Dr Diana Atwine, Permanent Secretary Ministry of Health has asked other implementing agencies to approve the Ministry’s demand for more wages to recruit critical medical staff around the country. She said this on 24th May 2023 while highlighting what the health sector has so far done.
We are promoting telemedicine with Mulago National Referral Hospital so that health centres can use technology to share tests and get interpretations from the National and Regional Referral Hospitals. DPT3 Pader district is at 90% with a score of 5 Nationally. Immunization is the process whereby a child is made immune or resistant to an infectious disease particularly diphtheria, pertussis and tetanus, typically by the administration of three-dosage DTP vaccines.
Coverage with the third dose of diphtheria-pertussis-tetanus vaccine (DPT3) is a widely used indicator of the performance of countries’ routine immunization services. In Uganda, WHO /UNICEF, 2014 estimated that immunization coverage at DPT 3 was only 52%. DPT vaccine is given by injection on the left upper thigh at 6 weeks, 10 weeks and 14 weeks. Various approaches have been applied to understand immunization coverage problems.
TB Case notification is at 57% with a score of 3 nationally, and IPT3 Coverage is at 58% with a score of 6 nationally. Number of pregnant women who sought care at an antenatal clinic (ANC) or who received the three doses of intermittent preventative malaria treatment during pregnancy (IPTp3) among the pregnant women in the community.
ANC 4 Coverage is 54% with a score of 3 nationally, the number of women aged 15-49 years with a live birth in a given time period that received antenatal care four or more times during pregnancy is expressed as a percentage of women aged 15-49 years with a live birth in the same period. (Number of women aged 15-49 years attended at least four times during pregnancy by any provider for reasons related to the pregnancy / Total number of women aged 15-49 years with a live birth) x 100 The indicators of antenatal care (at least one visit and at least four visits) are based on standard questions that ask if and how many times the health of the woman was checked during pregnancy.
Deliveries in health centres are at 57% with a score of 6 Nationally. Pajule health centre IV received a modern operation theatre and maternity ward that were refurbished by Rhites-North Acholi with funds from USAID. The health centre also received an installed solar-powered water supply with an elevated 40,000-liter water tank, a generator house, and a placenta pit.
The US Ambassador to Uganda Natalie Brown expressed satisfaction that the refurbished facilities at Pajule Health Center IV were already having an impact on the population with a 30 per cent increase in services previously provided. Natalie commended the workforce for the momentum they have built for the health centre and urged the workers to not only maintain the new facility but improve it.
Under Five Vitamin A is at 86% score of 4, pregnancy is at 88% score of 4, Art Viral Suppression 64% score of 6, DPTI to MR drop out is 0% score of 10, maternal death reviewed at 39% score of 5, perinatal death reviewed at 22% score 1, VHT/ICCM quarterly report rate 81% score 4, percentage of under 5 dewormed is 104% score 5. The total score is 71 with a national ranking at 53 out of 135.
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