Transcript SOUTH WEST ZONE MEETING

SOUTH WEST ZONE MEETING
MWANZA PRESENTION
6th December, 2013
DISTRICT PROFILE
No
Item Description
Mwanza
1
Total Population
100,997
2
Population <1
3
Population <5
5,050
17,169
4
Population >5
83,828
5
Population for WCBA
23,229
6
Expected pregnancies
5,050
7
Health facilities
4
PRIORITY AREA
2013-2014
•
•
•
•
Child Health.
Maternal health.
Neonatal Health
HIV/AIDS including TB
OBJECTIVES
• Decrease % of <5 children mortality rate from 106/1000 to
100/1000 by 2015
– To increase fully immunized < 1 children from 76%% to 90% by 2014
– To increase % of health workers with ETAT Skills from 35% to 66% by
2014
– Increase % of malnutrition cure rate from 84% to 100% by 2014
• Decrease maternal mortality rate from 312/100,000 to
250/100,000 by 2015
– Increase % of deliveries by skilled personnel from 98% to 100% by
2014
– To increase % of contraceptive rate among women of child bearing age
from 43% to 60% by 2014
OBJECTIVES
• Decrease % HIV/AIDS prevalence from 12% to 9% by 2015
– Increase % of clients accessing PMCT/ART from 56% to 80% by 2014.
– Increase % chronically and terminally ill patients accessing palliative
care from 21% to 40% by 2014 .
•
Decrease % of TB mortality rate from 6% to 3% by 2015
–
•
Increase % of TB cure rate from 85% to 90% by 2014.
Decrease neonatal mortality rate from 19% to 16% by 2015
–
Increase % of community based postpartum care from 26% to 60%
by 2014
FINANCIAL EXPENDITURE- PROGRAMME
2012/13
DISCRIPTION
Administration and support
Curative health services
 Drug budget
 Locum
REVISED
PROVISION
EXPENDITURE
TODATE
72,129,001
14,769,608
65,828,647
13,150,000
4,898,500
UTILIZATION
%
20
37
Environmental management
(environmental health services)
3,032,000
886,000
29
Information and communication
technology
(HMIS)
1,165,800
0
0
Infrastructure development
3,530,000
1,362,497
39
FINANCIAL EXPENDITURE- PROGRAMME
2012/13
REVISED
PROVISION
DISCRIPTION
Man power development
Media and information
Nutrition and food security
Planning services
EXPENDITURE UTILIZATION
TODATE
%
1,520,000
358,400
24
360,000
0
0
13,878,000
2,935,394.18
21
550,000
0
0
710,000
162,000
23
0
0
0
Preventive health services
(disease control & community
based health services)
Research
PROGRSS OF OBJECTIVES AND INDICATORS
July-September, 2013
INDICATORS
JULY – SEPT, 2013
Total OPD
32573
OPD Utilization
323/1,000
FIVE MAJOR CAUSES OF
OPD UTILIZATION
DISEASES
TOTAL
Upper respiratory tract
infection
6369
23%
Malaria
Musculoskeletal pain
Sepsis
Gastritis
5895
2757
2091
1218
21%
10%
08%
04%
PROGRSS OF OBJECTIVES AND INDICATORS
July-September, 2013
INDICATORS
JULY – SEPT, 2013
TOTAL PATIENT DEATHS
86
DISEASES
Sepsis
Malaria
Pneumonia
Mengitis
Hypertension
Aneamia
RTA
CCF
Dysentery
IN PATIENT DEATHS
19
16
18
8
7
6
5
4
3
MATERNAL HEALTH
July –Sept. 2013
1.4
133%
1.2
1
0.8
0.6
64%
53%
0.4
33%
36%
0.2
0
Pregnant women
starting antenatal
care during first
trimester
Pregnant women
completing 4 ANC
visits
Pregnant women Postnatal care after Birth attended by
receiving at least delivery by skilled
skilled health
two doses of IPTp
health worker
personnel
within 7 days
MATERNAL DEATHS
(JULY – SEPT 2013)
IMMUNIZATIONS
July-Sept. 2013
NUTRITION
JULY-SEPT. 2013
CHILDREN ATTENDING ATTEND
< 5CLINIC
UNDER WEIGHT CHILDREN
ATTENDING ATTEND < 5 CLINIC
21,672
950
PREVALENCE OF UNDERWEIGHT
CHILDREN
4%
CONFIRMED TB NEW CASES
TB TREATMENT OUTCOME
July-Sept. 2013
HIV/AIDS AND PMTCT
July-Sept. 2013
No of persons aged 15-49 years received
HTC and results
No of persons aged 15-49 years tested HIV
+ve among those tested
Number of persons aged 15-49 who are on
ART and alive (cumulative)
2,521
313 (12%)
183
HIV/AIDS AND PMTCT
PMTCT (Option B+)
INDICATOR
JULY-SEPT. 2013
% Pregnant women tested for HIV
20%
% Pregnant women tested HIV+ve
5%
% Pregnant women tested HIV+ve and
put on ART
92%
% of HIV +ve pregnant women who were
on ART at end of their pregnancy
7%
TB/HIV INTEGRATION
July-Sept. 2013
TRANSPORT
VEHICLES
MOTORCYCLES
TOTAL
7
10
RUNNING
5
5
AMBULANCES
RUNNING
2
0
INFRASTRUCTURE
July –Sept. 2013
ACHIEVEMENTS
July – Sept. 2013
• Major infrastructure maintenance was done:
– Main underground electric cable were replaced
– Solar water pump for Thambani Health Centre
• DIP/HMIS review (2012/13)
CHALLENGES
• Inadequate funding
• Drug stock outs at CMS trust
• Debits- Kitchen, utilities
WAYFORWARD
• Lobby stakeholders to support health service
delivery
– DIVA, Strategic AND Multiyear plan
• Lobby MoH to clear the debits –Zone Supervisor.