Welcome to Mifumi Health Centre Mifumi Health Centre

Welcome to Mifumi Health Centre

Mifumi Health Centre • Modern type IV clinic • Nursing Sister, Clinical Officer, Midwife, nursing aids and support staff • Provides comprehensive clinical and immunization services • Outpatients, lab, antenatal services • Mini theatre for minor/cold surgery • Exchange programmes with overseas students

Mifumi Advice Centre

Sr Goretti - Incharge

The Lab

Outpatients

Outpatients

Mifumi Health Centre Facilities • 8 flats for staff accommodation • Has electricity and water • Integration with the school, loans and domestic violence programmes • Computers

Situational Health Analysis : To assess the reproductive and sexual health needs of the population of Mifumi and to design and implement a reproductive health program in Mifumi. Conducted: 2002

Health Indicators Tororo District Population growth rate 4. 5% Fertility rate 6. 9% Dependency ratio 94. 1 per 100 Infant mortality (per 1000 live births) 98. 1 Child mortality (per 1000 pop) 86. 0 Maternal mortality (per 100, 000 births) 506 Life expectancy at birth in yrs 47

Situation Analysis - Findings • Lack of essential prenatal and delivery care and of referral facilities particularly obstetric and paediatric.

Situation Analysis - Findings • Lack of a health information source. • Helplessness towards the morbidity and mortality from AIDS and the related consequences, orphans and the of inheritance widows. • Unsafe and unwanted pregnancies among adolescents and the related abortions.

Situation Analysis - Findings • Poor access to family planning information and services. • Lack of access to information and care for cases of infertility and cancer.

Situation Analysis - Findings Age • Eighty percent (80%) of this population is aged from 21 to 50 years. • 1. 5% are Adolescents aged nineteen and less. • 8% are aged 60 years and above.

Situation Analysis - Findings Education • 70% of the population has received some formal education ranging from Primary 1 to Primary 4, but only 5% of women and 25% of men can read. • • National literacy rates are: - Male 47%; Female 28% Occupation: 70% peasant farmers

Situation Analysis - Findings Contraceptives & family planning • Contraceptive prevalence: 14%. • 53% think contraceptives are essential • 57% respondents can access the services within 10 km distance • 94% access family planning services • 50% respondents with `Nil education` think contraception is dangerous. • 5. 5% of respondents with Secondary School Education or more think contraception is dangerous.

Situation Analysis - Findings Marital union: 78% monogamous, 17% bigamous, 5% above. Antenatal: 96% of women, 5 -times per pregnancy Maternity: Only 30% have access to labour and delivery care by qualified staff

Situation Analysis - Findings Impact of formal education on Frequency of ANC attendance: • 60% mothers educated to secondary school and above attended ANC at least 5 times compared to 42. 5% of mothers with nil education. • Only 42% of mothers attending ANC had received education about Breast feeding. This “Tip of the iceberg” reflects a serious gap in Health Education quality during antenatal care.

Situation Analysis - Findings Access to Emergency Obstetric Care • 77% of respondents reported absence of access to emergency obstetric care which obviously has a direct impact on Maternal and Neonatal mortality and morbidity (Fig 13). • For this unfortunate majority therefore an obstetric emergency cannot be treated in safe time. • These mothers must travel at least 15 Km in order to access emergency obstetric care.

Situation Analysis - Findings Causes of Maternal / Neonatal and Infant Morbidity & Mortality: • Late reporting for medical attention is a common cause. Access to Essential Care for the new-born • 68% of respondents felt they had no access to essential care for the new born and a majority 34. 6% of those who could access had to travel at least 11 -15 km to the health unit. Thus, delay- related complications set in again as with the mothers in labour.

Situation Analysis - Findings Breastfeeding • 59% of female spouses had never been educated on breastfeeding or encouraged to practice it. • It is notable that 60. 8% of mothers have no easy access to postnatal care mainly owing to the distance from the source of service. The majority 81. 5% of mothers must travel 11 km or more in order to access it and 20% have to travel further (16 -20 Km) as they come from the other side of the village.

Way forward Poverty eradication to improve access to health services Mifumi Health Center for training and research Thus: COBES is welcome.