KARAMOJA TOTAL POPULATIONDISTRICT Date source UBOS

AGRSince 2002

2006/2007 2007/2008 2008/2009

Abim District Planning Office

67,385 69,685 85,787

UBOS 1,7% 53,244 54,000 54,900

Kaabong District Planning Office

240,370 248,573 266,707

UBOS 5,1% 285,537 301,200 316,600

Kotido UBOS 4,9% 162,359 167,900 179,300

Moroto UBOS 4 % 242,330 250,600 265,300

Nakapiripirit UBOS 4,2% 185,870 192,612 217,500

KARAMOJARegion

National3,5%

898,314 929,370 1,014,594

Abim Kaabong Kotido Moroto Nakapiripirit Karamoja Reg.0

20

40

60

80

100

120

140

160

114

44

106

81

56

72

142

50

111

98

56

82

91

67.4

86.691.8

52.3

75.95

DPT 3 (pentavalent vaccines)coverage < 1 year Karamoja districts and Region.

Financial Years 2006/2007, 2007/2008 & 2008/2009

2006/2007

2007/2008

2008/2009

National average 2007/08 82% AHSPR

National target 2007/08 100% AHSPR

%

Karamoja Health Data Center

For Abim and Kaabong Districts not used UBOS population.

AHSPR: Annual Health Sector Performance Report - MoH Uganda

Karamoja Health Data Center

For Abim and Kaabong Districts not used UBOS population.

Abim

Kaabo

ng

Kotid

o

Mor

oto

Nakap

iripiri

t

Karam

oja0

20

40

60

80

100

120

140

91

67

8792

52

76

93.5

71.4

113.9

88

118

95.2

77.5

49.9

85.3

73.2

60.166.7

DPT3, Measles and BCG coverage < 1 year Karamoja districts and Region

Financial year 2008/2009

DPT 3

Measles

BCG%

Karamoja Health data CenterFor Abim and Kaabong Districts not used UBOS population

*

* From 82,7 % in 2007/08 to 95,2% in 2008/09 because measles campaign.

Abim

Kaabong

Kotido

Moro

to

Nakap

iripiri

t

Karam

oja0

20

40

60

80

100

120

140

73.5

52

125

6255

70.2

103

54

118

96

62

82

66.370.6

84.679.9

121.2

85.8

Pregnant women TT2-5 coverage Karamoja districts and Region Financial Years 2006/2007, 2007/2008 & 2008/2009

2006/2007

2007/2008

2008/2009

National average 2007/08 AHSPR 52%

National target 2007/08 AHSPR 90%

%

Karamoja Health Data CenterFor Abim and Kaabong Districts not used UBOS population.

Abim

Kaabong

Kotido

Moro

to

Nakap

iripiri

t

Karam

oja0

10

20

30

40

50

60

70

80

41

17.5

53.4

27

14.5

27.5525.5

14

26.630

14

21.27

29.5

18.8

30 30.6

25.7 26.13

TT2-5 WCBA (women in child bearing age-13-49 years) coverage Karamoja districts and Region Financial Years

2006/2007, 2007/2008 & 2008/2009

2006/2007

2007/2008

2008/2009

National target 2008/09 70%

%

Karamoja Health Data CenterFor Abim and Kaabong Districts not used UBOS population

Abim

Kaabong

Kotido

Moro

to

Nakap

iripiri

t

Karam

oja0

20

40

60

80

100

120

87.5

43.7

95

59.9 58.7563.55

93

59.75

109.5

73.179.75 79.8

113

82

110

74

94.890.16

Percentage of children (6-59 months) received 2 doses vitamin A in Karamoja districts and Region.

Financial years 2006/07, 2007/08 and 2008/09

2006/07 63,5%

2007/08 79,8%

2008/09 90,16%

National average 2007/08 60%

National target 70%

%

Included Child Day results.

Karamoja Health Data Center

Abim

Kaabong

Kotido

Moro

to

Nakap

iripiri

t

Karam

oja0

10

20

30

40

50

60

70

80

90

31.635.35

39.5

25.6 27.525.05

70,9

36.5

73.25

46.75

5450.7

71.6

45.5

81

49

64.5

58.11

Percentage of children (1-14 years) received 2 doses Albendazole in Karamoja districts and Region.

Financial years 2006/07-2007/08 and 2008/09.

2006/07 25%

2007/08 50%

2008/09 58,11%

National target 70%

%

Included Child Day results.Karamoja Health Data Center

Karamoja Health Data Center

For Abim and Kaabong Districts not used UBOS population.

Karamoja Health Data Center* ANC IV visits in Abim are too high in 2006/07 due mistakes in enumeration of the cases.

For Abim and Kaabong Districts not used UBOS population.

Karamoja Health Data CenterFor Abim and Kaabong Districts not used UBOS population.

IPT: Intermittent Preventive Treatment for Malaria

Karamoja Health Data CenterFor Abim and Kaabong Districts not used UBOS population.

Karamoja Health Data CenterFor Abim and Kaabong Districts not used UBOS population.

Karamoja Health Data Center

For Abim and Kaabong Districts not used UBOS population.

Karamoja Health Data CenterFor Abim and Kaabong Districts not used UBOS population.

Karamoja Health Data Center

For Abim and Kaabong Districts not used UBOS population.

Karamoja Health Data CenterFor Abim and Kaabong Districts not used UBOS population.

Karamoja Health Data CenterFor Abim and Kaabong Districts not used UBOS population.

” Continuum of care for maternal, newborn, and child health: from slogan to service delivery Lancet, 2007; 370: 1358-69

Performance results at district level: continuum of care for maternal, newborn and child health (MNCH)

Health System Strengthening: improving performance

TYP Guidelines, pg. 6

Identify and address missed opportunitiesand coverage gaps for MNH

Cesarian sections in Karamoja 2008-09

• Moroto: 230• Kotido: 30• Abim: 46• Kaabong: 53• Nakapiripirit 0• Karamoja: 359

Minimum target 5% ( 2,300 Cesarian sections)CS done in 2008/09 : 359% done 15,6%CS not done: 1,941% not done 84,4%What’s happen with these

mothers?

Strategies to deliver effective HCPwithin the existing programs