1. SOUTH WEST ZONE MEETING MWANZA PRESENTION 6 th December, 2013

2. DISTRICT PROFILE NoItem DescriptionMwanza 1Total Population100,997 2Population <1 5,050 3Population <517,169 4Population >583,828 5Population for WCBA 23,229 6Expected pregnancies 5,050 7 Health facilities 4

3. PRIORITY AREA 2013-2014 Child Health. Maternal health. Neonatal Health HIV/AIDS including TB

4. 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

5. 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

6. FINANCIAL EXPENDITURE- PROGRAMME 2012/13 DISCRIPTION REVISED PROVISION EXPENDITURE TODATE UTILIZATION % Administration and support 72,129,00114,769,60820 Curative health services  Drug budget  Locum 65,828,647 13,150,0004,898,500 37 Environmental management (environmental health services) 3,032,000886,00029 Information and communication technology (HMIS) 1,165,80000 Infrastructure development 3,530,0001,362,49739

7. FINANCIAL EXPENDITURE- PROGRAMME 2012/13 DISCRIPTION REVISED PROVISION EXPENDITURE TODATE UTILIZATION % Man power development 1,520,000358,40024 Media and information 360,00000 Nutrition and food security 13,878,0002,935,394.1821 Planning services 550,00000 Preventive health services (disease control & community based health services) 710,000162,00023 Research 000

8. PROGRSS OF OBJECTIVES AND INDICATORS July-September, 2013 INDICATORSJULY – SEPT, 2013 Total OPD32573 OPD Utilization323/1,000 DISEASESTOTAL FIVE MAJOR CAUSES OF OPD UTILIZATION Upper respiratory tract infection636923% Malaria589521% Musculoskeletal pain275710% Sepsis209108% Gastritis121804%

9. PROGRSS OF OBJECTIVES AND INDICATORS July-September, 2013 INDICATORSJULY – SEPT, 2013 TOTAL PATIENT DEATHS86 DISEASES IN PATIENT DEATHS Sepsis19 Malaria16 Pneumonia18 Mengitis8 Hypertension7 Aneamia6 RTA5 CCF4 Dysentery3

10. MATERNAL HEALTH July –Sept. 2013

11. MATERNAL DEATHS (JULY – SEPT 2013)

12. IMMUNIZATIONS July-Sept. 2013

13. NUTRITION JULY-SEPT. 2013 CHILDREN ATTENDING ATTEND < 5CLINIC 21,672 UNDER WEIGHT CHILDREN ATTENDING ATTEND < 5 CLINIC 950 PREVALENCE OF UNDERWEIGHT CHILDREN4%

14. CONFIRMED TB NEW CASES

15. TB TREATMENT OUTCOME July-Sept. 2013

16. HIV/AIDS AND PMTCT July-Sept. 2013 No of persons aged 15-49 years received HTC and results 2,521 No 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

17. HIV/AIDS AND PMTCT PMTCT (Option B+) INDICATORJULY-SEPT. 2013 % Pregnant women tested for HIV20% % Pregnant women tested HIV+ve5% % Pregnant women tested HIV+ve and put on ART92% % of HIV +ve pregnant women who were on ART at end of their pregnancy7%

18. TB/HIV INTEGRATION July-Sept. 2013

19. TRANSPORT VEHICLESMOTORCYCLES TOTAL710 RUNNING55 AMBULANCES RUNNING 20

20. INFRASTRUCTURE July –Sept. 2013

21. 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)

22. CHALLENGES Inadequate funding Drug stock outs at CMS trust Debits- Kitchen, utilities

23. WAYFORWARD Lobby stakeholders to support health service delivery – DIVA, Strategic AND Multiyear plan Lobby MoH to clear the debits – Zone Supervisor.