DOCSLIB.ORG

Health Action in Crisis, Uganda: Weekly Epidemiological Report – Week 23, 2Nd - 8Th June 2008

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Health Action in Crisis, Uganda: Weekly Epidemiological Report – Week 23, 2Nd - 8Th June 2008 Health Action in Crisis, Uganda: Weekly Epidemiological Report – Week 23, 2nd - 8th June 2008 1. Completeness of Reporting All district except Kitgum had over 80% completeness in reporting with 7 out of 14 districts registered 100% completeness. Absenteeism of staff and weak management of the district health system were the main reasons for poor reporting by the district. WHO is supporting the office of the DHO to strengthen support supervision to non reporting health units. 2. Disease Trends 2.1 Malaria Diseases Malaria continues to be the leading cause of morbidity in the region. The number of cases of Malaria in Lango sub-region has reduced by 18% in epi-week 23 as compared to epi-week 22. This number is still much higher than the number recorded in the same epi-week in 2007. 48.6% (6617) of the cases of malaria reported in Lango sub-region originated from Lira district. A technical team from MoH and WHO-Kampala visited Lira district to investigate possible outbreak of malaria epidemic in the district, to verify the available response in place and to determine the requirements for responding to the outbreak. This team also investigated the outbreak of a strange disease in Lira district. To date the cumulative number of cases of the “strange disease” is 31 with 1 death (CFR 3.2%). Findings from the team are that cases of the strange disease was originating from two parishes in Apala and Aloi sub-county, because of the scare of the “strange disease” the community initially shunned the use of health centres causing patients to seek treatment late with a complicated picture of malaria, malaria cases are not being treated according to the new treatment policy, poor staffing at the health units has affected disease management, the home management of malaria strategy is non functional and that IRS had not been conducted in the district. The team recommended that additional anti-malarial drugs be dispatched to Lira District and Akura HC II, HBMF strategy be urgently instituted in Lira District through the training of CMDs and supplying them with Coartem so that fever cases are treated promptly within the first 24 hours of onset, train staff in Lira Districts on the new malaria treatment policy. In Oyam district, the weekly number of cases of malaria has continued to decrease beginning from epi-week 20. This could be attributed to the recently concluded IRS with DDT which was completed in Oyam in epi-week 16. See figure I and II for details. Figure I:Weekly incidence of malaria in Lango sub-region in WEEKLY MALARIA TRENDS BY DISTRICT IN LANGO SUB-REGION: 1st January - 8th June 2008 2007 and 2008 8500 8000 Lira Apac Oyam Dokolo Amolatar 18000 120% 7500 7000 16000 100% 6500 14000 6000 12000 80% 5500 10000 5000 60% 4500 8000 4000 # of cases # 6000 40% 3500 % of HU reporting % HU of 4000 3000 20% 2000 2500 Number of reported malaria cases malaria reported of Number 2000 0 0% 1500 1 2 3 4 5 6 7 8 9 1011121314151617181920212223 1000 Epi-week 500 Cases 2007 Cases 2008 % HU reporting 2007 % HU reporting 2008 0 1234567891011121314151617181920212223 Epidemiological week 2.2 Diarrhoea disease The number of cases of dysentery in Lango and Acholi sub-region has remained relatively stable. In Karamoja sub-region the number of cases of dysentery in 2008 is 39% higher than the number recorded in 2007 for the same epi-week. This could be attributed to the fact that in 2007 only 64% of health facilities submitted in their weekly epi-report as compared to 93% in 2008. See figure III and IV below for details. Figure III; Weekly diarrhea incidence Lango sub- Figure IV; Dysentery cases in Karam oja region for the region year 2007 and 2008 140 100% 350 120% 90% 120 300 100% 80% 250 100 70% 80% 200 80 60% 60% 150 50% 60 40% 40% Incidences 100 40 30% 20% HU reporting % of Reported cases 50 20% reporting HU % of 20 0 0% 10% 1 2 3 4 5 6 7 8 9 1011121314151617181920212223 0 0% 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 Epi-week epi-week Incidence 2007 Incidence 2008 Lango 2007 Lango 2008 Lango region 2007 Lango 2008 % HU reporting 2007 % HU reporting 2008 For further information, please contact: Page 1 Dr J.B Tapko, WHO Representative Uganda (a.i.); Tel. +256 41 335500, Mobile +256752728257, Email: [email protected] 2.3 Cholera Kitgum district is on high alert following reports of cholera outbreak in areas of Pajok and Lobone in Southern Sudan. The two areas border Kitgum district. 2.4 Acute Flaccid Paralysis (AFP), Three suspected cases of AFP were reported in Oyam district in epi-week 23. Sample sent for investigation at UVRI. Results from the previous samples have not yet been received. Hepatitis E The number of cases of Hepatitis E continuing to rise in Kitgum district, as of 9th June 2008, a cumulative number of 2681 cases of Hepatitis E were registered with 51 deaths (CFR 1.9%). 426 new cases were registered in epi-week 23 as compared to 264 cases in epi-week 22. To date 12 sub counties in Kitgum district namely Agoro, Paloga, Mucwini, Padibe East/West, Orom, Layamo, Kitgum town council, Kitgum matidi, Akwang, Palabek gem and Madi Opei reported cases of Hepatitis E. The weekly number of cases registered continues to rise in Agoro, Padibe, Paloga and Mucwini sub-county, while in Madi Opei the weekly number of cases of Hepatitis E continues to reduce. See figure V and VI for details. Figure V : epi-curve of Hepatitis E cases in Kitgum district 2 5th Figure IV; Disagrigation of cases of Hepatitis E by sub-county October to 4th May 2008 450 Lokung 400 Akwang 350 300 Orom 250 200 Mucw ini 150 Sub-counties 100 Paloga 50 0 Madi Opei 4748495051521234567891011121314151617181920212223 0 200 400 600 800 1000 1200 Ep i- w eek # of cas es # of cases Cumlative # of cases New cases in the w eek WHO and partners has continued to provide financial support, technical support and supported the deployment of staff. As of 9th June 2008, additional 8 clinical officers and 2 comprehensive nurses were deployed in the district to support the response. In Pader district 9 suspected cases of Hepatitis E was reported in 5 sub-counties. Results of confirmatory test from the suspects are still being awaited. WHO is supporting the district in surveillance, case management, community mobilization and coordination of response. 3. Conclusion The performance of Kitgum district in terms of IDSR reporting has deteriorated. Outbreak of Hepatitis E in Kitgum district still continues unabated especially in Agoro, Paloga and Padibe sub-counties which are recording increasing number of cases on weekly basis. WHO is supporting the DHO to conduct IDSR support supervision to all non reporting health units. Stock out of essential anti-malarial drugs, poor health seeking behaviour of the population and poor management of patients with malaria at health facilities are responsible for the outbreak of the “strange disease” in Lira district. MoH, WHO and partners should implement recommendation of the team. 4. Acknowledgements Production of this weekly update has been made possible by contributions from the following partners: For further information, please contact: Page 2 Dr J.B Tapko, WHO Representative Uganda (a.i.); Tel. +256 41 335500, Mobile +256752728257, Email: [email protected] .
Load more

Recommended publications
  • World Bank Document
    Public Disclosure Authorized ENVIRONMENTAL AND SOCIAL MANAGEMENT AND MONITORING PLAN Public Disclosure Authorized Public Disclosure Authorized Ministry of Energy and Mineral Development Rural Electrification Agency ENERGY FOR RURAL TRANSFORMATION PHASE III GRID INTENSIFICATION SCHEMES PACKAGED UNDER WEST NILE, NORTH NORTH WEST, AND NORTHERN SERVICE TERRITORIES Public Disclosure Authorized JUNE, 2019 i LIST OF ABBREVIATIONS AND ACRONYMS CDO Community Development Officer CFP Chance Finds Procedure DEO District Environment Officer ESMP Environmental and Social Management and Monitoring Plan ESMF Environmental Social Management Framework ERT III Energy for Rural Transformation (Phase 3) EHS Environmental Health and Safety EIA Environmental Impact Assessment ESMMP Environmental and Social Mitigation and Management Plan GPS Global Positioning System GRM Grievance Redress Mechanism MEMD Ministry of Energy and Mineral Development NEMA National Environment Management Authority OPD Out Patient Department OSH Occupational Safety and Health PCR Physical Cultural Resources PCU Project Coordination Unit PPE Personal Protective Equipment REA Rural Electrification Agency RoW Right of Way UEDCL Uganda Electricity Distribution Company Limited WENRECO West Nile Rural Electrification Company ii TABLE OF CONTENTS LIST OF ABBREVIATIONS AND ACRONYMS ......................................................... ii TABLE OF CONTENTS ........................................................................................ iii EXECUTIVE SUMMARY .......................................................................................
    [Show full text]
  • Food Security and Livelihoods Assessment Lango Sub-Region
    April 2011 Food Security and Livelihoods Assessment Lango Sub-region Uganda ACF USA, Food Security and Livelihoods Assessment, April 2011 Uganda TABLE OF CONTENTS Executive summary ........................................................................................................................................................ 5 1. Background ......................................................................................................................................................... 11 1.1. Purpose of the survey ................................................................................................................................ 11 1.2. Methods of the survey ............................................................................................................................... 12 2. Findings of the survey ......................................................................................................................................... 13 2.1. Demographic information .......................................................................................................................... 13 2.2. Household Dietary diversity and food sources .......................................................................................... 19 2.3. Household expenditures ............................................................................................................................ 25 2.4. Income sources and household assets ......................................................................................................
    [Show full text]
  • Otuke District Local Government
    CALL TO ACTION THE REPUBLIC OF UGANDA NUTRITION CHALLENGES/ GAPS CALL FOR ACTION RESPONSIBLE Otuke District Nutrition coordination committee Otuke was also supported to conduct a Food GOVERNANCE AREA OFFICE (DNCC), seven (7) Sub counties and One Security and Nutrition Assessments (FSNA). OTUKE DISTRICT LOCAL GOVERNMENT Coordination and Weak coordination mechanisms of Partner mapping required to know who DNFP, CAO Town council trained on multi sectoral nutrition FSNA data was not available previously partnerships: nutrition actions at all levels. is where and doing what. DNCC/SNCC ADVOCACY BRIEF ON STRENGTHENING NUTRITION GOVERNANCE FOR MULTI-SECTORAL RESPONSE implementation for improved nutrition unavailable therefore this first FSNA data will members need to be oriented on their outcomes. be used as a baseline to compare progress roles and responsibilities in achievement of health, nutrition and WASH The district conducted quarterly DNCC meetings Establish joint planning and strategic indicators in subsequent FSNAs. Annual FSNAs and support supervision activities aimed at coordination mechanisms amongst will be conducted to assess annual progress. strengthening the accountability framework for partners in the district to reduce on Multisectoral nutrition actions implemented in The Otuke DNCC has been trained on nutrition duplication of resources and achieve sustainable results Otuke district. governance and supported to use reporting templates and monitoring tools previously Systems capacity Lack of clarity on nutrition sensitive Orientation
    [Show full text]
  • WHO UGANDA BULLETIN February 2016 Ehealth MONTHLY BULLETIN
    WHO UGANDA BULLETIN February 2016 eHEALTH MONTHLY BULLETIN Welcome to this 1st issue of the eHealth Bulletin, a production 2015 of the WHO Country Office. Disease October November December This monthly bulletin is intended to bridge the gap between the Cholera existing weekly and quarterly bulletins; focus on a one or two disease/event that featured prominently in a given month; pro- Typhoid fever mote data utilization and information sharing. Malaria This issue focuses on cholera, typhoid and malaria during the Source: Health Facility Outpatient Monthly Reports, Month of December 2015. Completeness of monthly reporting DHIS2, MoH for December 2015 was above 90% across all the four regions. Typhoid fever Distribution of Typhoid Fever During the month of December 2015, typhoid cases were reported by nearly all districts. Central region reported the highest number, with Kampala, Wakiso, Mubende and Luweero contributing to the bulk of these numbers. In the north, high numbers were reported by Gulu, Arua and Koti- do. Cholera Outbreaks of cholera were also reported by several districts, across the country. 1 Visit our website www.whouganda.org and follow us on World Health Organization, Uganda @WHOUganda WHO UGANDA eHEALTH BULLETIN February 2016 Typhoid District Cholera Kisoro District 12 Fever Kitgum District 4 169 Abim District 43 Koboko District 26 Adjumani District 5 Kole District Agago District 26 85 Kotido District 347 Alebtong District 1 Kumi District 6 502 Amolatar District 58 Kween District 45 Amudat District 11 Kyankwanzi District
    [Show full text]
  • Lira District
    National Population and Housing Census 2014 Area Specific Profiles Lira District April 2017 National Population and Housing Census 2014 Area Specific Profiles – Lira District This report presents findings of National Population and Housing Census (NPHC) 2014 undertaken by the Uganda Bureau of Statistics (UBOS). Additional information about the Census may be obtained from the UBOS Head Office, Statistics House. Plot 9 Colville Street, P. O. Box 7186, Kampala, Uganda; Telephone: +256-414 706000 Fax: +256-414 237553; E-mail: [email protected]; Website: www.ubos.org Cover Photos: Uganda Bureau of Statistics Recommended Citation Uganda Bureau of Statistics 2017, The National Population and Housing Census 2014 – Area Specific Profile Series, Kampala, Uganda. National Population and Housing Census 2014 Area Specific Profiles – Lira District FOREWORD Demographic and socio-economic data are useful for planning and evidence-based decision making in any country. Such data are collected through Population Censuses, Demographic and Socio-economic Surveys, Civil Registration Systems and other Administrative sources. In Uganda, however, the Population and Housing Census remains the main source of demographic data, especially at the sub-national level. Population Census taking in Uganda dates back to 1911 and since then, the country has undertaken five such Censuses. The most recent, the National Population and Housing Census 2014, was undertaken under the theme ‘Counting for Planning and Improved Service Delivery’. The enumeration for the 2014 Census was conducted in August/September 2014. The Uganda Bureau of Statistics (UBOS) worked closely with different Government Ministries, Departments and Agencies (MDAs) as well as Local Governments (LGs) to undertake the census exercise.
    [Show full text]
  • Lira District HRV Profile.Indd
    THE REPUBLIC OF UGANDA Lira District Hazard, Risk and Vulnerability Profi le 2016 Lira District Hazard, Risk and Vulnerability Profi le i ii Lira District Hazard, Risk and Vulnerability Profi le CONTENTS Contents ..................................................................................................................... iii List of Figures ............................................................................................................. iv List of Tables ............................................................................................................... iv Acronyms.....................................................................................................................v Acknowledgment ....................................................................................................... vii Executive Summary...................................................................................................viii Introduction ..................................................................................................................1 Objectives ....................................................................................................................1 Methodology ................................................................................................................1 Brief overview of the district.........................................................................................4 Location and size.........................................................................................................4
    [Show full text]
  • Emergency and Humanitarian Action (EHA), Uganda Weekly Activity Report
    Emergency and Humanitarian Action (EHA), Uganda Weekly Activity Report I. General Situation a. Political, Social and Security; • DRC; Joint incursion on LRA base in Garamba by the armed forces from DRC, Sudan Week 11, and Uganda has ended. 1st bunch of Uganda soldiers have returned to Uganda. Report indicates that the incursion has succeeded in reducing the strength of LRA by 80%. • 9th to 15th March Acholi and Lango sub-region; the region is calm; population movement from IDP to 2009 village of origin is ongoing. • Karamoja sub-regio; Cattle raids by armed Karamojong worriers reported. The region is in security phase III. b. Main Events of Interest/Concern for Health • Mop up mass Polio immunization campaign was successfully conducted in Amuru district in epi-week 11 • Preparation for the first round of mass Polio immunization campaign is ongoing in 29 high risk districts in Uganda. II. Analysis and Health Consequences (Health Problems and Needs of Affected Population) Malaria: Lango; Lira district continues to report higher number of cases of clinical malaria in 2009 as compared to 2008. Apac district reports lower numbers of clinical malaria in 2009 as compared to 2008. See figure I below for details. Acholi, Kitgum and Pader districts continue to register low number of cases of clinical malaria in 2009 as compared to 2008. See figure II below. Highlights Polio immunization campaign was successfully conducted in Amuru district. Coverage of 150% was registered. Plans to conduct first round of Polio vaccination in 29 districts in Uganda from 23rd to 26th April is progressing well. Karamoja sub-regions; The number of cases of clinical malaria reported and the trend in 2009 is similar to that of 2008 for the same epi-week.
    [Show full text]
  • Post-War Economic Opportunities in Northern Uganda
    Post-war economic opportunities in northern Uganda Implications for women’s empowerment and political participation Josephine Ahikire Aramanzan Madanda Christine Ampaire July 2012 Understanding conflict. Building peace. About International Alert International Alert is a 26-year old independent peacebuilding organisation. We work with people who are directly affected by violent conflict to improve their prospects of peace. And we seek to influence the policies and ways of working of governments, international organisations like the UN and multinational companies, to reduce conflict risk and increase the prospects of peace. We work in Africa, several parts of Asia, the South Caucasus, the Middle East and Latin America and have recently started work in the UK. Our policy work focuses on several key themes that influence prospects for peace and security – the economy, climate change, gender, the role of international institutions, the impact of development aid, and the effect of good and bad governance. We are one of the world’s leading peacebuilding NGOs with more than 159 staff based in London and 14 field offices. To learn more about how and where we work, visit www.international-alert.org. This publication has been produced with financial support of the Swedish International Development Cooperation Agency (SIDA). The contents of this document are the sole responsibility of International Alert/EASSI and can under no circumstances be regarded as reflecting the position of SIDA. About EASSI The Eastern Africa Sub-Regional Support Initiative for the Advancement of Women (EASSI) is a sub- regional civil society organisation established in 1996 to facilitate systematic follow up of the Platforms for Action emanating from the Fourth World Conference on Women held in Beijing, China, in 1995.
    [Show full text]
  • Lira District Local Government Councils' Scorecard FY 2018/19
    lirA DISTRICT LOCAL GOVERNMENT council SCORECARD assessment FY 2018/19 lira DISTRICT LOCAL GOVERNMENT council SCORECARD assessment FY 2018/19 L-R: Ms. Rose Gamwera, Secretary General ULGA; Mr. Ben Kumumanya, PS. MoLG and Dr. Arthur Bainomugisha, Executive Director ACODE in a group photo with award winners at the launch of the 8th Local Government Councils Scorecard Report FY 2018/19 at Hotel Africana in Kampala on 10th March 2020 with 89 parishes and 751 villages. By 1.0 Introduction 2020, Lira’s population is projected to be This brief was developed from the scorecard at 465,900; 230,400 male and 248,100 report titled, “The Local Government female (UBOS, 2018). Councils Scorecard FY 2018/19. The Next Big Steps: Consolidating Gains of Decentralisation and Repositioning the 1.2 The Local Government Councils Local Government Sector in Uganda”. Scorecard Initiative (LGCSCI) The brief provides key highlights of the The main building blocks in LGCSCI are performance of elected leaders and the principles and core responsibilities of Council of Lira District Local Government Local Governments as set out in Chapter during the FY2018/19. 11 of the Constitution of the Republic of Uganda, the Local Governments Act (CAP 1.1 Brief about the district 243) under Section 10 (c), (d) and (e). The scorecard comprises of five parameters Lira district is located in the northern part based on the core responsibilities of of Uganda; bordered by Dokolo district in the local government Councils, District the south, Apac district and Kole district in Chairpersons, Speakers and Individual the west, Pader district and Otuke district Councillors.
    [Show full text]
  • Public Information and Outreach in Uganda Calendar of Activities – September 2009
    Public Information and Outreach in Uganda Calendar of activities – September 2009 Overall Objective: To increase understanding of the ICC, its mandate and activities in Uganda amongst diverse constituencies by: ‐ Conducting meetings in towns and villages of the most affected communities, by the conflict ‐ Creating partnership amongst NGOs ‐ Conducting outreach for women ‐ Meeting with Law University Lecturers ‐ Meeting with University Student leaders ‐ Meeting with different District and Security Officials ‐ Meeting with the Chairperson, Acholi Parliamentary Group Activity Date Place Summary Means of Verification Women’s Meeting in 8 September Dzaipi sub‐ Organised meeting to ‐ Standard Adjumani district county, provide accurate evaluation Adjumani information and updates form. district, Madi about the mandate and ‐ Feedback sub‐region, activities of the International from the northern Uganda Criminal Court. field ‐ Monthly 65 women attended the reports. session Interactive session 9 September Adjumani town Organised an interactive Standard with NGOs operating council, two‐hour session with civil evaluation in Adjumani district Adjumani society organisations in form district, Madi Adjumani district to provide sub‐region, updates on the Court’s Activity northern Uganda activities and listen to report concerns. Audience: 43 people Women’s Meeting in 9 September Adjumani town Organised session in ‐ Standard Adjumani district council, partnership with Adjumani evaluation Adjumani town council to provide form. district, Madi accurate information and ‐ Feedback sub‐region, updates about the mandate from the northern Uganda and activities of the field International Criminal ‐ Monthly Court. reports. Audience: 102 women Participated in 9 September German Trained radio producers and Monthly International Justice Technical Service journalists about the work, reports. Radio Training (GTZ) Offices in mandate and activities of the Workshop Kampala district, Court and how best to cover central Uganda the situation in northern Uganda.
    [Show full text]
  • Synthesis of an Evaluation Survey in Seven Sub-Counties of Lira, Apac and Soroti Districts
    Research Project on Decentralised Market Information Services in Uganda Final Report Synthesis of an Evaluation Survey in Seven Sub-counties of Lira, Apac and Soroti Districts Ulrich Kleih, Geofrey Okoboi, Monica Janowski, Godfrey Omony, Benson Taiwo, Dennis Bisase July 2005 This report is an output from a research project funded by the United Kingdom Department for International Development (DFID) for the benefit of developing countries. The views expressed here are not necessarily those of DFID. Crop Post-Harvest Research Programme – Project R8250 IITA/ Radio DFID / PMA / Foodnet Lira CPHP NAADS AT (U) NRI Decentralised Market Information Services – Evaluation Survey, Final Report TABLE OF CONTENTS ACKNOWLEDGEMENTS 5 SUMMARY 6 INTRODUCTION 8 Background to the Survey 8 Methodology of the evaluation survey 8 LIVELIHOODS CONTEXT 10 Farming systems 10 Soil fertility 11 Livestock 12 Fishing 12 Constraints to farming 12 Marketing System 14 Constraints to Marketing 17 Suggestions to improve the marketing system 18 Sources of market information 19 Group formation 20 Effects of insecurity on Agricultural Production and Marketing 21 THE USE OF RADIO TO ENCOURAGE GROUP FORMATION AND 23 MARKETING Context 23 The Production of Together to Market 24 Findings of monitoring and evaluation surveys in relation to 26 Together to Market radio spots Who listened to Together to Market? 26 Did they listen individually or in groups? 28 Which spots did informants remember hearing? 28 Which topics did informants like best? 29 What did informants think of the
    [Show full text]
  • Weekly Epidemiological Report – Week 24, 9Th - 15Th June 2008
    Health Action in Crisis, Uganda: Weekly Epidemiological Report – Week 24, 9th - 15th June 2008 1. Completeness of Reporting All district had over 80% completeness of reporting with 6 out of 14 districts registering 100% completeness. In Kitgum district only 57.7% of health facilities reported on time. Staff absenteeism and weak management of the district health system are the main reasons for continuing poor performance by the district. WHO is supporting the office of the DHO to strengthen support supervision and to provide on job training of health staff in non reporting units. 2. Disease Trends 2.1 Malaria Diseases Malaria continues to be the leading cause of morbidity in the region. In Lango sub-region the weekly incidence of malaria in 2008 is 32% higher than that for 2007. Lira district accounted for 51.8% (7,796) of cases of malaria reported in the sub-region originated. The most affected sub-counties in Lira district are Apala and Aloi. Lira district with support from WHO-field office in Lira has deployed 4 additional health workers to the sub-county, provided RDT to aid diagnosis, provided additional drugs for fist line treatment of malaria, conducted community meeting with VHTs, distributed 570 ITNs to most affected people and constituted task force in 5 sub-counties for control of malaria. In Oyam district, malaria incidence has decreased from 1836 in epi-week 20 to 1,312 in week 24. In Apac district, the weekly incidence of malaria over the last three weeks drop from 4300 in epi week 22 to 3,400 in epi week 24.
    [Show full text]