SOUTH WEST ZONE MEETING

MWANZA PRESENTION6th December, 2013

DISTRICT PROFILE

No Item Description Mwanza

1 Total Population 100,997

2 Population <1 5,0503 Population <5 17,169

4 Population >5 83,828

5 Population for WCBA 23,2296 Expected pregnancies 5,0507 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- PROGRAMME2012/13

DISCRIPTIONREVISED PROVISION

EXPENDITURE TODATE

UTILIZATION %

Administration and support 72,129,001 14,769,608 20Curative health servicesDrug budgetLocum

65,828,64713,150,000 4,898,500

37Environmental management(environmental health services) 3,032,000 886,000 29Information and communication technology(HMIS) 1,165,800 0 0

Infrastructure development 3,530,000 1,362,497 39

FINANCIAL EXPENDITURE- PROGRAMME2012/13

DISCRIPTIONREVISED

PROVISIONEXPENDITURE

TODATEUTILIZATION

%Man power development

1,520,000 358,400 24Media and information

360,000 0 0Nutrition and food security

13,878,000 2,935,394.18 21Planning services

550,000 0 0Preventive health services(disease control & community based health services)

710,000 162,000 23Research

0 0 0

PROGRSS OF OBJECTIVES AND INDICATORSJuly-September, 2013

INDICATORS JULY – SEPT, 2013

Total OPD 32573

OPD Utilization 323/1,000

DISEASES TOTAL

FIVE MAJOR CAUSES OF OPD UTILIZATION

Upper respiratory tract infection 6369 23%

Malaria 5895 21%Musculoskeletal pain 2757 10%Sepsis 2091 08%Gastritis 1218 04%

PROGRSS OF OBJECTIVES AND INDICATORSJuly-September, 2013

INDICATORS JULY – SEPT, 2013TOTAL PATIENT DEATHS 86

DISEASES

IN PATIENT DEATHSSepsis 19Malaria 16Pneumonia 18Mengitis 8Hypertension 7Aneamia 6RTA 5CCF 4Dysentery 3

MATERNAL HEALTHJuly –Sept. 2013

MATERNAL DEATHS(JULY – SEPT 2013)

IMMUNIZATIONSJuly-Sept. 2013

NUTRITION

JULY-SEPT. 2013

CHILDREN ATTENDING ATTEND < 5CLINIC 21,672UNDER WEIGHT CHILDREN ATTENDING ATTEND < 5 CLINIC

950PREVALENCE OF UNDERWEIGHT CHILDREN 4%

CONFIRMED TB NEW CASES

TB TREATMENT OUTCOMEJuly-Sept. 2013

HIV/AIDS AND PMTCT

July-Sept. 2013

No of persons aged 15-49 years received HTC and results

2,521No of persons aged 15-49 years tested HIV +ve among those tested

313 (12%)Number of persons aged 15-49 who are on ART and alive (cumulative)

183

HIV/AIDS AND PMTCTPMTCT (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 INTEGRATIONJuly-Sept. 2013

TRANSPORT

VEHICLES MOTORCYCLES

TOTAL 7 10

RUNNING 5 5

AMBULANCES RUNNING

2 0

INFRASTRUCTUREJuly –Sept. 2013

ACHIEVEMENTSJuly – 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.