IMU, UNOCHA http://www.ugandaclusters.ug http://ochaonline.un.org AMURU DISTRICT: Health Service Accessibility - May 2010

National Standard (Health Facility) 1 VHT per 25-30 households SUDAN 1 HC-II per Parish (Includes 2 minimum staff) - Enrolled Nurse (1) - Mid-wife (1)

- Nursing Assistant (1) MOYO C!! Bibia BIBIA 1 HC-III per Sub-County (Includes 3 minimum staff) KITGUM - Sr. Clinical Officer (1) - Clinical OfficerYUMBE (1) - Mid-wife (2) - Nursing Officer Nursing (1) - Enrolled Nurses (3) OKIDI PACILO - Laboratory Technician (1) - Laboratory Assistant (1)

- Nursing Assistants (3) Pacilo - Health Assistant (1) DC!!

1 HC-IV per County (Includes 23 PARWACHA minimum staff) ATIAK - Sr. Medical Officer (1) Okidi KAL C!! - Medical Officer (1) D C! qÆ! Atiak - Sr. Nursing Officer (2) ADJUMANI - Nursing Officer Nursing (1) PUPWONYA - Nursing Officer Mid-wife (4) - Nursing Officer Psychiatric (1) Pogo C!! - Enrolled Psychiatric (1) PALUKERE MARACHA - Enrolled Nurses (3) Palukere -(NYADRI) Enrolled Mid-wife (8) DC!! - Nursing Assistants (5) - Clinical Officer (1) POGO PAWEL - Clinical Officer - Eye (1) - Health Inspector (4) C! - Laboratory Technician (2) Pawel C!! - Assistant VCO Officer (1) DC! - Theatre Assistant (2) Olinga Bira

KAL ! - Laboratory Assistant (2) PABBO DC!! C! C! - Health Assistant (2) PARUBANGA

1 Hospital per District (Includes DC!! Apaa Pabbo

! Pabbo ! C! following minimum staff) C! Otong C! LABALA C!! - Public Dental Officers (2) St.AugustineC!! GAYA - Medical Officers (4) Cou - Dispensers (2) DC!! Odokonyero qÆ - Sr Mid-wife Officers (5) PALWONG ARUA Jengari C! - Nursing Officers - Nurse (17) ACWERA C!! DC! - Nursing Officers - Mid-wifery (3) AGWAR- GURUGURU Guru Oberabic YUGI - Enrolled Psychiatrics (2) C!! Guru

! - Enrolled Nurses (46) C! COKE C!! PAILYEC Parabongo C! - Enrolled Mid-wife (25) OKUNGEDI D AMURU LAMOGI GULU

! - Nursing Assistants (15) MutemaDC!! C! C! Okungedi - Clinical Officers (5) GIRAGIRA OBOO C! - Radio-graphers (2) DC!! Omee1 Olwal

Awer! - Orthopedic Officers (2) TORO C!! C! C! Amuru Kaladima - Aneasthetic Officers (2) ACWA Labongogali ! PALEMA C! C!! PAGORO C! LOLIM GR !

!

PAGAK D C! ! - Theatre Attendants (2) C!Amuru C! C! PAMUCA Keyo D C! - Laboratory Technicians (2) C! C! Panokrac C! Source: Local government C!! LACOR C! C!C! PANOKRACH C!C!C!C! staffing Norms, HSSP2, 2005 - C! C! C! C! 2010, District Office. PANGU ALERO PANYABONO C!! DC! C! ALERO GR KAL Langol BWOBONAM C! ALERO Good C! ! D C!Lyliango Sheperd C! D C!! C! C!! Alero C! PAIBWOR

AMURU C!Otwee! AMAR ! D Coo DC Rom PANGORA C!! C! Koch PADUNY KULUAMUKA COOROM C!

PAROMO ! Goma LATORO ! ! St. Andrew's C! Anaka HospitalqÆC!! C!St. Francis Anaka Wi Anaka C!! VCT C! DC! Latoro AGONGA ORUM D C!! PAWATOMERO ANAKA C!

C!Aparanga! Purongo C!! YWAYA C! PATIRA PABIT PABALI C! KAL C!! Todora Lii TODORA C!! NEBBI PURONGO LII OYAM MURCHISON KOCH FALLS NP GOMA NP

Health Accessibility by Sub-County in Amuru District Total Amuru Atiak Lamogi Pabbo Alero Anaka Purongo Koch Goma Total Population (2010 Projection) 220300 36,100 33,700 46,900 52,500 16,500 OYAM 15,700 8,300 10,600 Paraa Paraa Safari Total No. of Parish by Sub-county 51 6 8 8 6 6 6 5 6

! C!! C! Lodge No.of Operational Health Facility by Sub-county 37 4 3 6 7 4 4 6 3 Total Area by Sub-county (Sq.Km.) 8395.75 1309.91 1184.20 372.66 757.50 1338.45 236.20 1892.45 1304.38 Non-populated area - water body/game reserve/nat park (Sq.Km 3239.21 848.04 1.56 0.00 0.00 668.62 0.00 1503.02 217.96 Populated area in the Sub-county (Sq.Km.) 5156.54 461.87 1182.64 372.66 757.50 669.83 236.20 389.43 1086.42 Area Access within 5km health buffer (%) 39.01% 55.29% 17.27% 96.98% 37.34% 31.67% 64.87% 93.82% 16.27% Summary of Health Facilities in Amuru District *Total Area Access within 5km health buffer (Sq.km.) 2011.39 255.35 204.28 361.42 282.85 212.14 153.21 365.35 176.78 Mar-09 May-10 Total Area Not Access within 5km in the sub-county (Sq.Km.) 3145.15 206.52 978.36 11.24 474.65 457.69 82.99 24.08 909.64 No.of Functional Health Centres 33 37 No.of Parish touched by 5km Access health buffer 48 6 7 8 5 6 6 5 5 BULIISA No.of Parish without Operational Health Facilities 24 of 51 2 of 6 5 of 8 3 of 8 1 of 6 4 of 6 4 of 6 2 of 5 3 of 6 % Populated Area accessible within 5km Distance 33% 39% * Accessible area calculated based on Total Populated Area (i.e. excluded other area, such as water body, game reserve, and national park) No.of Parishes without operational HCs 24 of 51 24 of 51 Source: Population (National Population Projection 2009, UBOS), No.of Parish (Based on UBOS Boundary), Other (Calculated using GIS Technique)

Uganda Overview Notes: Data Sources: This map is a work Legend 1. Total number of parish touched by 5 km in progress. Please Admin Boundaries - UBOS 2006 contact the IMU/ Pie (Ratio of Approx Area) access buffers, and approximate ratio of Road Network - FAO, District, Ocha Sudan D Non-Functional (11 Nos.) Motorable Road Ocha as soon as access area within sub-County are Settlements/IDPs - Humanitarian Agencies possible with any Access Health Facility and thematic - corrections. D Planned (1 No.) Lakes/Water Body derived by using GIS technique. 5 km DHO/WHO/AVSI/IRC, May 2010 No Access radius circle is equivalent to 78.57 sq.km (Verified and updated by DHO, 1 June 2010) Under Construction ( ) area (using formula A = Pie*R*R). Map Disclaimer: Congo D National Boundary 5km Access buffer (Dem. Rep) (~ 1 - 1.5 hrs walk 2. Approximate area falls inside 5 km The boundaries and names Functional Health Facility District Boundary shown and the designations to any HC) zones are treated as accessible & falls Draft C! outside are treated as not accessible. used on this map do not imply HC-II (27 Nos.) K official endorsement or LabelSub-County Boundary Kenya 3. Accessibility is based on aerial distance. acceptance by the C! HC-III (8 Nos.) 08164 Assumed that people travel most direct United Nations. Label Parish Boundary Kilometers qÆ HC-IV (1 No.) route in plain area. Map Prepare Date: 25 May 2010 (IMU/UNOCHA) Update Date: 04 June 2010 Tanzania qÆ Hospital (1 No.) 4. Pie size is graduated by total area of Rwanda sub-County. File: UG-Health-67_A3_04June2010_Amuru District Health Service Accessibility - May 2010 (nk)