Post on 20-Jun-2018
transcript
Improving Immunization Services in Bugambe and
Buseruka sub counties in Hoima district.
Dr Ruyonga Joseph
District Health Officer-Hoima
Academic Mentor Institutional Mentor
DR Kabagambe Geofrey-OHCEA Mr Luke. L L Lokuda -CAO Hoima
Final Dissemination workshop
Golf Course Hotel – Kampala
July 14th 2016
Background/Introduction
Map of Hoima District
Located MW Uganda
Projected pop 593,900
54 health facilities
Children <1 yr 29,695
DRC
Introduction
Immunization is one of the proven health intervention in
reducing under-five morbidity and mortality rates.
Poor immunization coverage has led to outbreaks of
immunisable diseases like measles in some districts.
Hoima district had measles outbreak from 18th January
to 24th February 2014, 55 cases reported with 2 deaths
Problem identification and prioritization
8 members of DHT through brain storming
identified areas which were performing poorly .
Areas identified where subjected to multi-voting
7/8 members voted immunization as priority that
needed improvement and did not need a lot of
resources and was achievable in a shorter period
Baseline coverage's (%age) at end of February
2016
Sub county Target pop DPT1 DPT3 Measles DPT1-DPT3
DOR
Cat
Bugambe 151 63.0 48.0 87.0 15 4
Buseruka 148 87.0 58.0 82.0 29.0 4
District 2,143 107 92.0 84.0.0 15.0 2
Root cause analysis (using Fishbone method )
Low involvement of the private sector
Lack of regular technical supervision
Low community involvement
Irregular outreaches
Inadequate data use
Problem statement and justification
There was low immunization coverage in Bugambe and
Buseruka sub counties.
This is attributed to lack of regular technical Support
supervision, lack of private sector engagement and low
involvement of the community.
If the root causes are not addressed would lead to
outbreaks of childhood immunizable diseases in Hoima
district.
General objective
To increase immunization coverage in Bugambe
and Buseruka sub counties in Hoima district by
end of June 2016.
Specific objectives
1: To increase immunization coverage of DPT1,
DPT3, Measles to 90.0% by June 2016.
2: To reduce DPT1-DPT3 drop out rate to less than
10.0% by June 2016
Support supervision
Focused on data analysis
and utilization and
guided in planning, target
setting and estimating
vaccine requirements
Training in data analysis at Bugambe Tea HC III HC III
Dialogue meetings with the communities
Identified mobilisers
and outreach sites
Identified key persons
to monitor outreach
functionality with a
technical staff. Dialogue meeting with community members at Kabaale HC III
Private sector engagement
Had dialogue meeting with Bugambe Tea
Estate management and provided.
Transport for outreaches
Facilitation for staff going for outreaches
Mobilization allowances to the VHT/mobilisers
RESULTS
DPT1 Coverage for Bugambe and Buseruka
sub counties 2016
63.0
94.0
87.0
108.0
0.0
20.0
40.0
60.0
80.0
100.0
120.0
February June
Pe
rce
nta
ge
co
ve
rag
e
Month of the year
Bugambe
Buseruka
Target
DPT3 Coverage and Bugambe sub
counties
48.0
91.0
58.0
119.0
0.0
20.0
40.0
60.0
80.0
100.0
120.0
140.0
February June
Perc
en
tage c
ove
rage
Month
Bugambe
Buseruka
Target
Measles coverage for Bugambe and
Buseruka sub counties 2016.
53.0
88.0
82.0
94.0
0.010.020.030.040.050.060.070.080.090.0
100.0
February June
Pe
rce
nta
ge
co
ve
rag
e
Month
Bugambe
Buseruka
Target
DPT1-DPT3 Drop out rates for Bugambe and
Buseruka sub counties.
11
1
29
3
10 10
0
5
10
15
20
25
30
35
February June
Ra
te (
Pe
rce
nta
ge
)
Month
Bugambe
Buseruka
Target
Lessons Learnt
Community involvement improves uptake of
immunization services.
Involvement of the private sector to mobilize
resources improves service delivery
Appreciation of health workers motivates and leads
to more commitment
Challenges/Solutions
Challenge
Too much rain
Mass population
movements
In migration from DRC
Solution
Rescheduling of
outreaches
Regular updates of
registers
Need segregation
Conclusion
This intervention had made Bugambe and
Buseruka sub counties improve immunization
coverage for DPT1, DPT3 and measles.
Way forward/Next steps
Continue with community engagement to improve
service delivery
There is need for multi-sectoral approach to
improve service delivery
There is need to register all children in Bugambe
tea plantation during recruitment exercise.
There is need for cross border collaboration
Acknowledgement
MakSPH, CDC and Ministry of Health
Academic Mentor, Dr Kabagambe G
Institutional Mentor, Mr Luke L L Lokuda
Hoima District Local Government staff
Health Unit staff in the project area
District Health Team
World Vision/Uganda Cares
Management of Bugambe Tea Factory
Communities of Bugambe and Buseruka sub counties
All Medium Term Fellows
THANK YOU