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HIGHER LOCAL GOVERNMENT STATISTICAL ... - Mbarara District

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Table 3.4: Environmental Health Staff<br />

HEALTH SUB-DISTRICT<br />

(HSD)<br />

Health Inspectors Health Assistants<br />

KASHARI<br />

9 Sub-counties<br />

1 8<br />

RWAMPARA<br />

5 Sub-counties<br />

1 5<br />

MBARARA MUNICIPALITY<br />

3 Divisions<br />

2 1<br />

DISTRICT HQS 1 0<br />

3:4:3 Health Promotion and Education:<br />

This is a cross – cutting yet underlying activity to source delivery. With advert of FM Radio Stations and<br />

other Mass Media Health Promotion and Education has been intensified aimed at creating awareness in<br />

the community towards better preventive, curative, health seeking and switching behaviour and utilization<br />

of existing services.<br />

Every health workers, political and civic leader is always called to participate. For example Nutrition<br />

indicators have been improved, stunting, underweight, wasting and out right severe malnutrition has<br />

markedly reduced.<br />

3:4.4 Drugs, Drugs Inspection and Drug Shops:<br />

Essential medicines and Supplies have significantly been in stock in most of Public Health Units. The<br />

district procures drugs from Joint and National Medical Stores from the ring fenced Primary Health Care<br />

(PHC) and Credit Line funds.<br />

There is an alternative source of drugs from private owned drug shops that are regularly supervised by<br />

National Drug Authority and the <strong>District</strong> Drug Inspector.<br />

3:4.5 Vector Control Activities:<br />

The objective of these activities is to mobilize the community for Vector borne diseases control, and<br />

vector identification. Indoor residual spraying of mosquitoes is being encouraged particularly in Boarding<br />

Schools where most of the Children these days are found, however individual homesteads are also<br />

sprayed. A coordinated implementation of home based management of fever program for less than five<br />

years children has been undertaken. A total of 50,445 children have been treated by community drug<br />

distributors. 72,364 mosquito nets have been distributed. This has resulted in reduction of malaria in the<br />

said group. However lack of equipment and supplies makes it difficult to carry vector control activities.<br />

3:4:6 T.B / Leprosy Control:<br />

<strong>Mbarara</strong> <strong>District</strong> has 29 and 14 T.B treatment and diagnostic health units respectively. In a period of July<br />

2008 to March 2010 a total of 939 T.B Cases have been reported. 64% of them are males. 60% of the totals<br />

are HIV/AIDS positive. This makes case finding efficiency for <strong>Mbarara</strong> <strong>District</strong> being above 90% compared<br />

to the National of 70%. However 30% of the T.B Cases diagnosed come from neighbouring districts who<br />

often seek care from <strong>Mbarara</strong> Regional Referral Hospital. It is important to note defaulter rate is high (45%)<br />

and CB dots coverage is only 22%. T.B program is poorly funded by the district and yet the disease is on<br />

the increase.<br />

At present there are no recorded cases of leprosy, this is mainly because of stigmatisation.<br />

36

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