Three Years Rolling Plan 2010-2013 District Jhang
THREE YEARS ROLLING PLAN 2010-2013 DISTRICT JHANG
Table of Contents
Acronyms
Executive Summary
SECTION 1: DISTRICT HEALTH PROFILE
Vision of the District
Background of the District
Map of the District
Demography
Socio-Economic Indicators
Health Indicators
Organizational Structure of District Health Administration
Health Resources
1.Health Facilities
a)Public
b)Private
2.Human Resource
a)Administrative
b)Facility Based
c)Outreach
d)Training Institutions
Health Financing
Disease Pattern
Status of Vertical Programs
1.National Program for FP & PHC
2.EPI
3.MNCH Program
4.TB Control Program
5.Malaria Control Program
6.HIV/AIDS Control Program
7.Hepatitis Control Program
8.School Health Services Program
SECTION 2: PROBLEM ANALYSIS
Objectives
Plan Development Process
Problem Identification
Health Problems
Problem Prioritization
Underlying causes of prioritized problems
Service delivery/Management problems
MDGs and MSDS
a)Human Resource
i.DHQ Hospital Jhang
ii.THQ Hospital Shorkot
iii.THQ Hospital Ahmad Pur Sial
b)Equipment
i.DHQ Hospital Jhang
ii.THQ Hospital Shorkot
iii.THQ Hospital Ahmad Pur Sial
SECTION 3: INTERVENTIONS AND TARGETS
Health Problems
Management Problems
SECTION 4: COSTING AND FINANCING PLAN
Activity based costing
Problem wise Summary of Health Problems
a)Health Problems
Problem wise Summary of Management Problems
b)Management Problems
Financial Outlay
Budget Summary
SECTION 5: MONITORING & EVALUATION
M&E of Plan
Annex-I
Annex-IV
Acronyms
3YRP / Three Years Rolling planADB / Asian Development Bank
APMO / Additional Principal Medical Officer
ARI / Acute Respiratory Infections
BHU / Basic Health Center
BoD / Burden of Dieses
CDC / Communicable Disease Control
CDR / Case Detection Rate
CPR / Contraceptive Prevalence Rate
DHIS / District Health Information System
DHQH / District Head Quarter Hospital
DoH / Department of Health
DR / Default Rate
EDO(H) / Executive District Officer Health
EPI / Expended Program on Immunization
HSRP / Health Sector Reforms Program
IMR / Infant Mortality Rate
IPC / Interpersonal Communication
M & E / Monitoring and Evaluation
M & E / Maintenance and Repair
MCH / Maternal Child Health
MMR / Maternal Mortality Ratio
MNCH / Maternal Newborn and Child Health
MO / Medical Officer
MoV / Means of Verification
MSDS / Minimum Service Delivery Standards
PDSSP / Punjab Devolved Social Services Program
PHC / Primary Health Care
PMO / Principal Medial Officer
POL / Petrol, Oil and Lubricant
RHC / Rural Health Center
SCR / Sputum Conversion Rate
SHC / Secondary Health Care
SMO / Senior Medical Officer
TAMA / Technical Assistance Management Agency
TB / Tuberculosis
THQH / Tehsil Head Quarter Hospital
TNA / Training Need Assessment
WHO / World Health Organization
WMO / Women Medical Officer
Executive Summary
Prior to devolution, planning process was carried out at provincial level. Districts were supposed to implement plans and programs developed/designed at provincial and federal levels. Devolution brought a paradigm shift where planning became a district responsibility. This change provided an opportunity to the district at one hand and challenge on other due to their limited capacity in planning and budgeting. Planning focus also changed from short term to medium term planning recognizing the flexibility /adaptability it provided. Government envisions that medium term plan .i.e. 3YRP will be instrumental in using health resources effectively and efficiently through adapting Minimum Service Delivery Standards (MSDS) as the strategy to achieve objectives of MDGs.
Districts have been preparing 3YRP (medium term plan) for last few years under the auspices/patronage of Department of Health (DoH) Government of Punjab through technical assistance of Punjab Devolved Program Social Services Programme (PDSSP).This year government of the Punjab through Health Sector Reforms Program(HSRP) with the technical assistance from a team of consultants(SP09) and wide consultations/inputs from all key stake holders has established a bench mark in standardization of the format of 3YRP. Capacity building of the districts has been done on the standardized format.
Current 3 Years Rolling Plan (3YRP) plan is first attempt by the district on that agreed format. First section of the format (District Health Profile) contains all relevant information on Geography, Demographic, Socioeconomic and Health indicators of the district. It also takes stock of health resources in terms of human resource, infrastructure and others. District diseases pattern compiled from DHIS Primary and Secondary Health Care reports and current status of vertical /national programs is part of the profile. In fact district profile is a health related fact sheet of the district and depicts the true picture of health status and health resources/services of the district. An accurate district health profile provides a sound basis for evidence-based planning.
3YRP plan has been developed by following the standard planning cycle approach. 3YRP details the current year activities, physical targets and fiscal targets. Projections of second and third year physical and financial targets are given. Section Two includes problems identification from various perspectives, and their prioritization by applying WHO prioritization criteria. This section also contains underlying causes of the prioritized problems. Section Three of the plan relates to developing best possible interventions/activities and setting physical targets for each year. Section Four consists of costing based on additional requirements taking account of implementation of current status of activities. Best available estimates have been used to accurately cost the activities. The detailed activity based costing of the Health and Service Delivery problems has been developed on automated Excel sheets, and annexed for details as ready reference. Last section of the 3YRP consists of Monitoring and Evaluation of plan to gauge the progress of different activities and targets of the plan using reliable district data sources. This permits timely remedial action for smooth implementation of planned activities.
DISTRICT JHANG
SECTION 1: DISTRICT HEALTH PROFILE
Vision of the District
The District Health Government Jhang is looking to provide efficient “Health Care Delivery Services” through Primary and Secondary health facilities with the collaboration of Government and non-government stake holders. The District Health Government is also committed to improve the “Healthy Life Style” of the people of Jhang district.
Mission of the District
The District Health Government Jhang has been providing promotive, preventive and curative services through net work of Health Institutions. At present curative services are being utilized by the population of the District, whereas in preventive Programs achievement of Department has been 90% of the targets.
Background of the District
District Jhang is situated in the central Punjab and is the second largest district of the Division Faisalabad. The district lies between 30.37 to 31.59 degree north latitudes and 71.37 to 73.13 degree east longitudes.
District Jhang is adjoined by Toba Tek Singh & Faisalabad Districts to the east, District Hafizabad to the north-east, District Khanewal on the south, District Sargodha & Chiniot on the north, District Khushab, Bhakkar & Layyah on the west. District Jhang has three tehsils Jhang ,Shorkot and Ahmed Pur Sial in its revenue limits.
- Communication Linkages: The District Headquarters Hospital Jhang is connected by metalled road with all its Tehsil Headquarter Hospitals and main town. All the RHCs & 80% BHUs have good access and link/approach roads. The District is connected with Sargodha, Rawalpindi, Multan & Karachi via Shaheenabad & Shorkot Cantt railway lines.
- Topography: The District presents three types of topographies:-
A semi-desert area of Thall west of the River Jehlum, consisting of the rolling sand dunes running in an almost uniform direction and alternated with hollows of fairly good soil. The area of Thal desert extends to the north into Districts Bhakkar & Khushab and to the south into Districts Layyah & Muzaffargarh.
A fertile plain east of the Rivers Jhelum & Chenab. It is a part of Sandal Bar. The soil is usually very fertile.
The low-lying areas along the Rivers Jhelum & Chenab are flooded each year where cultivation is almost entirely Sailabi.
- Source of livelihood: The most common source of livelihood is agriculture (70%); while the remaining 30% have different sources of livelihood.
- Area: The total area of the district is 6179 square kilometers
- Total Population: The total population of Jhang is 2416968
Map of the District
Demography
- Total Population 2416968
- Annual growth rate 1.61%
- Population density392 persons per sq. km
Area-wise population
Area / Population / PercentageRural / 1885235 / 78
Urban / 531733 / 22
Source: Standard Demographic population groups based on DHIS
Gender-wise population
Gender / Population / PercentageMale / 1232653 / 51
Female / 1184315 / 49
Source: Standard Demographic population groups based on DHIS
Population groups
Population Groups / Standard Demographic (%) / Estimated PopulationUnder 1 year of age / 2.7 / 65258
Under 5 years / 13.4 / 323874
Under 15 years / 44 / 1063466
Women in child bearing age (15-49 years) / 22 / 53174
Married Child Bearing age Women / 16 / 386715
Expected pregnancies / 3.4 / 82177
Standard Demographic population groups based on DHIS
Tehsil wise distribution
Tehsil / Number of UC / PopulationJhang / 55 / 1555508
Shorkot / 17 / 473982
A.P.Sial / 13 / 387478
Total / 85 / 2416968
- Ethnic groups: The main ethnic groups in the district are Arien,Jat,Sial, Sayed, Awan,and Malik.
- Languages: The main languages spoken in the district are Saraiki, Urdu, and Punjabi.
Socio-Economic Indicators
- Education and Literacy
Literacy rate / Male / Female
Males / 63% / 67.7%
Females / 37% / 43%
Overall District / 57% / 48.7%
Source: EDO Literacy and Formal Education Jhang
- Per capita income Rs= 60,000/ annum
Health Indicators
- Infant Mortality Rate 65/1000
- Under 5 mortality Rate 112/1000
- Maternal mortality Ratio 225/100,000 Live birth*
- Malnutrition (women and children) 34%
- Life expectancy 64
- Proportion of children under 2 years immunized 99%
(OR) Proportion of children under 1 years immunized against measles
Sources: MICS 2007-8 and EDO (Health) Office Jhang*
Organizational Structure of District Health Administration
There exists a three-tier system in the health sector in the country. At federal level, Federal Secretary of Health is responsible to administer and supervise the health related activities and programs. Major function of federal tier is to provide policy guidelines and ensure quality of health care standards through federal legislation. After the 18th amendment in the constitution, and announcement of National Finance Award, most of the existing federal level programs will be transferred to the provincial level. At provincial level, provincial Secretary of Health along with Director General Health Services is responsible for managing and supervising health care services. The district is still an administrative entity in the system and EDO (Health) acts as head of the district health department, under overall supervision of DCO. The organizational structure at district level is as under:
Health Resources
1.Health Facilities
a)Public
Details of physical infrastructure of public health facilities in the district is given in the table below
Facility Type / Name/Number of Facility / Bed Strength / No. of Functional Beds / RemarksDHQ Hospital / 1 / 253 / 253
THQ Hospital / 2 / 120 / 120
RHCs / 9 / 180 / 180
BHUs / 58 / 116 / 116
Govt. Rural Dispensaries / 2 / 0 / 0
MCH Centers / 6 / 0 / 0
Sub Health Centers / 31 / 0 / 0
TB Clinics / 1 / 16 / 0
Health houses / 1394 / 0 / 0
Data source: DHIS/EDOH office
b)Private
The district has provided a list of private service providers including hospitals, clinics, laboratories and maternity homes. These private providers are used for providing support in preventive programs like Polio and other EPI activities. With the passage of time, role of private providers will expand, and there is a need to develop an effective coordination between public and private sector. Detailed list of private sector health facilities is attached as Annex-I.
2.Human Resource
The Human resource of district health department has been placed in following categories:
a)Administrative
b)Facility based
c)Outreach
d) Training institutions
a)Administrative
Sr. No. / Name of Post / Sanctioned / Filled1 / Executive District Officer Health / 1 / 1
2 / District Officer Health / 1 / 1
3 / Deputy District Officer Health / 3 / 3
4 / Program Director DHDC / 1 / 1
5 / District Coordinator National Program / 1 / 1
6 / District Coordinator EPI Surveillance / 0 / 1
7 / District Sanitary Inspector / 1 / 1
8 / CDC Officer / 1 / 1
9 / CDC Inspector / 3 / 2
10 / Drug Inspector / 3 / 2
11 / District Superintendent Vaccination / 1 / 1
12 / Assistant Superintendent Vaccination / 3 / 3
13 / Tehsil Sanitary Inspector / 3 / 3
14 / Inspector Vaccination / 3 / 3
b)Facility Based
i.Basic Health Units (58)
Sr.# / Name of Post/Designation / Sanctioned / Filled / Vacant
1 / Medical Officer / 58 / 38 / 20
2 / School Health & Nutrition Supervisor / 58 / 56 / 2
3 / Medical Assistant / 9 / 6 / 3
4 / Computer Operator / 58 / 0 / 58
5 / Medical Technician / 58 / 57 / 1
6 / LHV / 58 / 56 / 2
7 / Dispenser / 58 / 58 / 0
8 / Midwife / 116 / 98 / 18
9 / N/Qasid / 58 / 42 / 16
10 / Chowkidar / 58 / 54 / 4
11 / Sanitary Worker / 58 / 38 / 20
ii.Rural Health Centers(9)
Sr.# / Name of Post/Designation / Sanctioned / Filled / Vacant
1 / Senior Medical Officers / 9 / 9 / 0
2 / Women Medical Officers / 9 / 3 / 6
3 / Dental Surgeons / 9 / 2 / 7
4 / Medical Officers / 9 / 6 / 3
5 / Charge Nurses / 54 / 47 / 7
6 / Homeo Doctors / 2 / 1 / 1
7 / Hakeems / 2 / 0 / 2
8 / Computer Operators / 9 / 0 / 9
9 / Medical /Health Technician / 6 / 6 / 0
10 / LHV / 18 / 18 / 0
11 / Lab. Technician / 9 / 1 / 8
12 / Dental Technician / 9 / 5 / 4
13 / R.H.I / 31 / 31 / 0
14 / Junior Clerk / 0 / 0 / 0
15 / Vaccinator / 5 / 3 / 2
16 / Homeo Dispenser / 2 / 2 / 0
17 / Dawasaz / 1 / 1 / 0
18 / Radiographer/X-Ray Asstt. / 8 / 8 / 0
19 / Dresser / 9 / 9 / 0
20 / Anesthesia Assistant / 9 / 0 / 9
21 / O.T.A / 9 / 5 / 4
22 / Dispenser / 33 / 32 / 1
23 / Dental Assistant / 0 / 0 / 0
24 / Laboratory Assistant / 9 / 8 / 1
25 / Midwife / 43 / 36 / 7
26 / Driver / 11 / 9 / 2
27 / T.O / 2 / 2 / 0
28 / Homeo Naib Qasid / 0 / 0 / 0
29 / Dawa Kob / 1 / 1 / 0
30 / Ward Servant / 9 / 8 / 1
31 / Sweepers / 27 / 16 / 11
32 / Sanitary Worker / 27 / 16 / 11
33 / Sanitary Patrol / 38 / 21 / 17
34 / Naib Qasid / 26 / 21 / 5
35 / Mali / 0 / 0 / 0
36 / Cook / 8 / 6 / 2
37 / Chowkidar / 18 / 9 / 9
38 / Water Career / 9 / 7 / 2
iii.THQ Hospital Shorkot
S# / Name of post / Sanctioned / Filled1 / Medical Superintendent / 1 / 1
2 / APMO. / 2 / 1
3 / APWMO. / 1 / 0
4 / Gynecologist / 1 / 0
5 / Pediatrician / 1 / 1
6 / Surgeon / 1 / 1
7 / MO/CMO / 10 / 6
8 / WMO / 4 / 3
9 / Dental Surgeon / 1 / 1
10 / Hospital Pharmacist / 1 / 1
11 / Head Nurse / 1 / 1
12 / Charge Nurses / 12 / 12
13 / Homeo Doctor / 1 / 0
14 / Hakim / 1 / 1
15 / LHV. / 1 / 1
16 / Clerk / 1 / 1
17 / Dispenser/Dresser / 6 / 6
18 / Homeo Dispenser / 1 / 1
19 / Dawasaz / 1 / 1
20 / OTA. / 1 / 1
21 / Radiographer / 2 / 2
22 / Laboratory Assistant / 2 / 1
23 / Dental Assistant / 0 / 0
24 / Driver / 1 / 1
25 / Tub well operator / 1 / 1
26 / Dai / 1 / 0
27 / Ward servant / 5 / 4
28 / NQ/Dawakob / 2 / 2
29 / Bearer / 1 / 1
30 / Dhobi / 1 / 0
31 / Gate Keeper / 1 / 1
32 / Mashki / 1 / 0
33 / Baildar / 1 / 1
34 / Chowkidar / 2 / 2
35 / Cook / 1 / 1
36 / Sweeper / 11 / 10
iv.THQ Hospital Ahmad Pur Sial
S# / Name of post / Sanctioned / Filled1 / Medical Superintendent / 1 / 1
2 / APMO. / 0 / 0
3 / APWMO. / 0 / 0
4 / Gynecologist / 1 / 0
5 / Pediatrician / 1 / 1
6 / Surgeon / 1 / 1
7 / MO/CMO / 2 / 0
8 / WMO / 2 / 0
9 / Dental Surgeon / 1 / 0
10 / Hospital Pharmacist / 1 / 1
11 / Head Nurse / 1 / 0
12 / Charge Nurses / 8 / 8
13 / Homeo Doctor / 0 / 0
14 / Hakim / 0 / 0
15 / LHV. / 2 / 2
16 / Clerk / 1 / 1
17 / Dispenser/Dresser / 6 / 5
18 / Homeo Dispenser / 0 / 0
19 / Dawasaz / 0 / 0
20 / OTA. / 2 / 2
21 / Radiographer / 1 / 1
22 / Laboratory Assistant / 2 / 1
23 / Dental Assistant / 0 / 0
24 / Driver / 1 / 1
25 / Tub well operator / 1 / 1
26 / Dai / 0 / 0
27 / Ward servant / 6 / 3
28 / NQ / 3 / 3
29 / Bearer / 0 / 0
30 / Dhobi / 0 / 0
31 / Gate Keeper / 0 / 0
32 / Mashki / 1 / 1
33 / Baildar / 0 / 0
34 / Chowkidar / 2 / 2
35 / Cook / 1 / 0
36 / Sweeper / 6 / 4
v.DHQ Teaching Hospital
S# / Name of post / Sanctioned / Filled1 / Medical Superintendent / 1 / 1
2 / Chief Consultant / 1 / 0
3 / PMO / 1 / 1
4 / PWMO / 0 / 0
5 / AMS / 0 / 0
6 / APMO / 5 / 5
7 / APWMO / 3 / 3
8 / Physician / 1 / 1
9 / Anesthetist / 1 / 1
10 / Cardiologist / 1 / 0
11 / Chest specialist / 1 / 0
12 / DMS / SMO / 3 / 3
13 / Neuro Surgeon / 0 / 0
14 / Nursing Superintendent / 0 / 0
15 / Nephrologist / 0 / 0
16 / Pediatrician / 1 / 1
17 / Pathologist / 1 / 1
18 / Radiologist / 1 / 1
19 / Surgeon / 2 / 2
20 / E.N.T. Specialist / 1 / 1
21 / Eye Specialist / 1 / 1
22 / Senior Dental Surgeon / 1 / 0
23 / Urologist / 1 / 1
24 / Dental Surgeon / 1 / 1
25 / Internees / 18 / 4
26 / Medical Officer / 25 / 22
27 / Pharmacist / 1 / 1
28 / Physiotherapist / 1 / 1
29 / W.M.O / 4 / 4
30 / Charge Nurses / 60 / 60
31 / Head Nurse / 8 / 6
32 / Male Nurse / 3 / 3
33 / Hakeem / 1 / 1
34 / Homeo Doctor / 1 / 1
35 / Almoner / 1 / 1
36 / Computer Operator / 0 / 0
37 / Stenographer / 0 / 0
38 / Accountant / 0 / 0
39 / E.C.G. Haemo & CT Technician / 1 / 1
40 / Senior Clerk / 2 / 2
41 / Sanitary Inspector / 0 / 0
42 / Junior Clerk / 6 / 6
43 / Dawasaz / 1 / 1
44 / Dispenser / 15 / 15
45 / Homeo Dispenser / 1 / 1
46 / Operation Theater Assistant / 4 / 4
47 / Physiotherapist Aid / 1 / 1
48 / Radiographer / 4 / 4
49 / Dental Assistant / 0 / 0
50 / Lab. Assistant / 4 / 4
51 / Store Keeper / 1 / 1
52 / Driver / 3 / 3
53 / Midwife / 4 / 4
54 / Tailor Master / 1 / 1
55 / Tube well Operator / 1 / 1
56 / Lab. Attendant / 2 / 2
57 / O.T. Attendant / 4 / 4
58 / X-Ray Attendant / 0 / 0
59 / Ambulance Cleaner / 1 / 0
60 / Bearer / 7 / 6
61 / Baildar / 4 / 4
62 / Chowkidar / 11 / 11
63 / Cook / 5 / 5
64 / Dawakob / 1 / 1
65 / Dhobi / 2 / 2
66 / Gate Man / 1 / 1
67 / Mali / 4 / 4
68 / Masalchi / 1 / 1
69 / Sanitary Worker / 53 / 44
70 / Ward Cleaner / 0 / 0
71 / Ward Servant / 45 / 40
72 / Water Carrier / 4 / 3
73 / Naib Qasid / 7 / 6
c)Outreach
This information is about outreach program workers such as Vaccinators, CDC Supervisors and Sanitary Inspectors which are not part of above mentioned health facilities.
Post / Sanctioned / FilledVaccinators / 77 / 77
CDC Supervisors / 61 / 58
Sanitary Inspectors / 59 / 59
d)Training Institutions
A number of training institutions are working in the district, which include the following:
Type of institute / NumberDHDC / 1
General Nursing School / 1
Public Health Nursing School / 1
i.DHDC
Post / Sanctioned / FilledProgramme Director / 1 / 1
MPPT / 1 / 0
LHV Trainer / 1 / 0
Assistant / 1 / 0
Driver / 1 / 1
Naib Qasid / 1 / 1
Chowkidar / 2 / 2
Sanitary Worker / 1 / 1
ii.General Nursing School
Name of Post/Designation / Sanctioned / FilledPrincipal School of Nursing / 1 / 1
Nursing Instructor / 3 / 1
House Keeper / 2 / 2
Sweeper / 2 / 1
Naib Qasid / 2 / 2
Chowkidar/Gate Keeper / 3 / 3
Cook / 1 / 1
Masalchi / 1 / 1
iii.Public Health Nursing School
Name of Post/Designation / Sanctioned / FilledPrincipal School of Nursing / 1 / 1
Nursing Instructor / 2 / 1
House Keeper / 2 / 2
Sweeper / 2 / 0
Naib Qasid / 3 / 2
Chowkidar/Gate Keeper / 3 / 3
Cook / 2 / 2
Masalchi / 0 / 0
Health Financing
The provision of financial resources at district level is prime responsibility of district government. However, keeping in view the budget constraints at the district level, federal and provincial governments also augment financial resources in form of kind and cash, through different programs. Financial resources of the district during the last three years out of different sources are given as under:
Rs. Millions
Source of funding / Year2007-08 / 2008-09 / 2009-10 upto 02/2010
Allocation / Exp. / Allocation / Exp. / Allocation / Exp.
Non-Development / 462.860 / 458.574 / 585.825 / 544.025 / 543.620 / 271.502 (upto 02/2010)
Development / 92.385 / -- / 11.073 / 26.061 / 85.578 / 71.623
Sub Total / 555.245 / 458.574 / 596.898 / 570.086 / 629.198 / 343.1
PHSRP / 76.650 / 71.985 / 6.00 / 0 / 0 / 0
PMDGP / 0 / 0 / 0 / 0 / 70.090 / 28.973 (upto 4/2010)
PDSSP / 0 / 0 / 0 / 0 / 23.673 / 0.276 (upto 4/2010)
Provincial Development Funds (ADP) / 0 / 0 / 0 / 0 / 0 / 0
Grand Total / 631.895 / 529.1559 / 602.898 / 570.086 / 722.961 / 372.319
User charges (like parchi fee, fees for diagnostic services) / 3.873 / --- / 5.000 / --- / 2.796 / Up to Feb.2010
Disease Pattern
The disease pattern is determined through regular and periodic reporting through surveys and studies. Punjab health department has adopted DHIS as regular reporting mechanism to collect information on diseases and other variables. Currently, DHIS is in transitional stage, and is establishing itself as a tool to be used for evidence based planning and management. The following trend of the diseases has been taken from the consolidated DHIS reports that include reports from PHC and SHC facilities.
Disease Group / Percentage of Magnitude / No of PatientsRespiratory disease
1 / Acute (upper) respiratory infections / 30.0% / 170035
2 / Pneumonia < 5 yrs. / 1.2% / 6810
3 / Pneumonia > 5 yrs. / 0.9% / 5196
4 / TB Suspects / 2.0% / 11260
5 / Chronic Obstructive Pulmonary Disease / 1.2% / 6591
6 / Asthma / 3.1% / 17372
Gastro Intestinal Disease
7 / Diarrhea / Dysentery < 5 yrs / 4.2% / 23683
8 / Diarrhea / Dysentery > 5 yrs / 4.4% / 24683
9 / Enteric / Typhoid Fever / 0.4% / 2538
10 / Worm Infestations / 3.3% / 18698
11 / Peptic Ulcer Disease / 2.9% / 16538
12 / Cirrhosis of Liver / 0.2% / 1069
Urinary Tract Disease
13 / Urinary Tract Infections / 2.9% / 16296
14 / Nephritis / Nephrosis / 0.1% / 601
15 / Sexually Transmitted Infections / 0.1% / 501
16 / Benign Enlargement of Prostrate / 0.1% / 733
Other Communicable Diseases
17 / Suspected Malaria / 2.6% / 14950
18 / Suspected Meningitis / 0.1% / 459
19 / Fever due to other causes / 3.7% / 21209
Vaccine Preventable Disease
20 / Suspected Measles / 0.1% / 301
21 / Suspected Viral Hepatitis / 0.1% / 464
22 / Suspected Neonatal Tetanus / 0.0% / 230
Cardiovascular Diseases
23 / Ischemic heart disease / 0.2% / 1295
24 / Hypertension / 4.4% / 24826
Skin Diseases
25 / Scabies / 11.8% / 66987
26 / Dermatitis / 2.3% / 13201
27 / Cutaneous Leishmaniasis / 0.1% / 473
Endocrine Disease
28 / Diabetes Mellitus / 2.1% / 11951
Neuro-Psychiatric Diseases
29 / Depression / 2.3% / 13066
30 / Drug Dependence / 0.2% / 1221
31 / Epilepsy / 0.1% / 849
Eye & ENT
32 / Cataract / 1.9% / 10758
33 / Trachoma / 0.5% / 2847
34 / Glaucoma / 0.2% / 904
35 / Otitis Media / 2.3% / 12809
Oral Diseases
36 / Dental Caries / 3.9% / 22161
Injuries/Poisoning
37 / Road traffic accidents / 3.0% / 16914
38 / Fractures / 0.3% / 1498
39 / Burns / 0.4% / 2300
40 / Dog bite / 0.4% / 2045
41 / Snake bite (with signs/symptoms of poisoning) / 0.0% / 236
Miscellaneous Disease
42 / Acute Flaccid Paralysis / 0.0% / 54
43 / Suspected HIV/AIDS / 0.0% / 0
Total / 100% / 566612
44 / Any other Unusual disease (specify)
Source: Compiled from PHC and SHC Reports of DHIS