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Health

Kafue District Health Profile

 

Kafue District consists of 11 health Centres, 11 Health posts and 1 district hospital. According to 2010 census results, the population of Kafue district stands at 160,853 at a growth rate of 4.2% with 24,271 households, in 11 wards, which make up Kafue Constituency.

Many illnesses such as Malaria, Tuberculosis, the Human Immunodeficiency Virus (HIV) and Acquired Immunodeficiency Syndrome (AIDS), diarrheal diseases and acute respiratory infections (ARI) continue to pose a challenge to the health status of the people of Kafue district.

Health Thrusts and Interventions

The health thrusts and priority areas include 7 public health interventions and 5 systemic interventions.  The systemic interventions represent support services that facilitate the efficient and effective management of the health without which implementation of the public health priorities would not be possible.

 

Malaria continues to rank among the top three causes of morbidity in all age groups. The target for malaria was to reduce the incidence rate from 35/1000 to10/1000 by the end of 2019. The result was 41/1000 as of 2016,despite  interventions implemented such as prompt case management, distribution of ITNs, Indoor Residual Spraying (IRS) in particular did not cover the high incidence areas hence the increase,. The target is to reduce malaria incidence rate from 41/1000 to 25/1000 by the end of 2020.

 

We intend to increase the proportion of fully immunized under ones from 95% to 100% by the end of 2020 and maintain pneumonia case fatality in under 5s at 0/1000.

 

Diarrheal diseases in under-5s have reduced from 18/1000 to2/1000, the target is to reduce it to 0/1000 by 2020 and maintain fatality at 0/1000. These improvements have been as a result of sensitization on safe water and sanitation

The underweight prevalence rate in Kafue District is low however, disaggregated data show relatively high figures in some drought prone areas of Chiawa and Kambale.  The target is to maintain the proportion of under-weights in under-5s at 0% by implementing interventions in areas with high prevalence rate of underweight.

 

The proportion of pregnant women attending Antenatal and those being delivered by trained personnel is below the national target, the objective is to increase 1st ANC attendance from 68% to 80% by 2020. We also intend to increase proportion of women starting ANC and testing for HIV from 88% to 98% by the end of 2020, fully implement option B+ to all HIV ANC attendees and increase number of women screened for cervical cancer from730 to 3000 by the end of 2020as well as increasing the number of delivery Centres from 8 to 14 by providing equipment and ensuring each health post has a midwife.

The indicator New Family Planning Acceptors has continued to be a challenge for the district.  The target is to increase the proportion of New Family Planning Acceptors from19% to 60% to increase the proportion of new ANC coverage from 68% to 80% and to increase the proportion of pregnancies protected with T.T from 76% to 90% by the end of 2020.

 

The district has struggled with 6 Weeks post Natal coverage and wish to increase the proportion from 55% to 75%% by 2020.

 

The HIV/AIDS pandemic has accelerated infections of Tuberculosis, it has continued to be the major opportunistic infection in patients with HIV/AIDS and we intend to increase early TB detection as well as to increase TB cure rate from 92% to 98% by 2020.

 

The prevalence rate of HIV/AIDS in Kafue District is at 14%,the major contributing factors to a high prevalence are the high poverty levels and the fact that Kafue is a transit town. It also has fishing camps in Chanyanya and lower Zambezi (Chiawa) whose population is highly migratory and we intend to reduce the prevalence rate of HIV from 14% to 10% by end of 2020. We also intend to increase the number of people accessing ARVs from 99% to 100% by the end of 2020 through the test and start initiative.

 

Environmental health has continued to be a challenge to the district. Lusaka Water and Sewerage has taken over the running of water and sanitation in the District which has led to improved water quality in Kafue urban. However, unplanned settlement have continued to pose a challenge in terms of water and sanitation in Kafue rural and peri-urban settlements. The district intends to engage LWSC, D-WASHE, District Council and communities in Kafue in provision of safe drinking water, the target of safe drinking water is to increase from 73% to 83% and increase access to safe disposal facilities from 65% to 80% by the end of 2020.

 

The facilities which fall under Kafue district include: 11 Health Centres namely; Chanyanya, Chikupi, Chiawa, Chipapa, Chisankane, Kafue Estates, Kafue Mission, Kambale, Nangongwe, Railway health Centre, Shikoswe ,ZNS camp and 11 Health Posts; Shimambala, Kabweza, Mugurameno, Chikoka, Chisakila, Mungu, MutendereKafue East, Old Kabweza-Malundu, Lukolongo. The District currently has no District Hospital since KDH has been upgraded to a General Hospital status, this therefore creates a need to have a 1st level referral facility.

 

The Human Resource establishment is not adequate with 491 against a workforce of 529 giving a false picture, but we intend to provide a well-motivated, committed and skilled professional workforce who will deliver cost effective quality health care.

 

 

KAFUE HEALTH SERVICE  DELIVERY PROFILE.

Kafue District has 23 Health Facilities

11 Health Centres

10 Health Posts

1 General Hospital

1 Military Clinic

Facility by Ownership:

Government 23
Private: (Zubeida, Buyantashi, Munas, Juflona, Medi-Cure, Tapiwa, NCZ and Steel Plant.) 8
Mission: 1
Total 31

 

Facility Breakdown and population

The District 2019 population is estimated at 172,105 (Zambia census projection 2011 – 2035: CSO)

No NAME OF FACILITY POPULATION POWER CONNECTION
1 Chanyanya Rural Health Centre 12047 National Grid
2 Chiawa Rural Health Centre 5163 National Grid
3 Chikoka Health Post 3442 National Grid
4 Chikupi Rural Health Centre 4389 National Grid
5 Chipapa Rural Health Centre 10326 National Grid
6 Chisankane Rural Health Centre 6505 National Grid
7 Chisakila Health Post 1446 Solar
8 Estate Urban Health Centre 20601 National Grid
9 Kabweza Health Post 3442 National Grid
10 Kafue General Hospital :: National Grid
11 Kafue East Health Post 1446 Solar
12 Kafue Mission Rural Health Centre 6402 National Grid
13 Kambale Rural Health Centre 5438 National Grid
14 Lukolongo Health Post 3924 Solar
15 Mtendere Health Post 15800 National Grid/Solar
16 Mugurameno Health Post 3442 Solar
17 Mungu Health Post 4216 National Grid
18 Nangongwe OPD/Maternity Health Centre 24955 National Grid
19 Old Kabweza Health post 3821 Solar
20 Railway GRZ Urban Health Centre 12014 National Grid
21 Shimabala Health Post 8605 National Grid
22 Shikoswe Urban Health Centre 12099 National Grid
23 ZNS Kafue Health Post 2582 National Grid

 

 

HUMAN RESOURCE:

The District Health sector(DHO and Facilities)  has a total workforce of 430 Medical and Non-Medical staff.

Staff Category Number Staff Population Ratio
Medical doctors 2 13869
Nursing Staff 137 796
Clinical Officers 38 3397
Environment Health Staff 17 8760
Other Paramedics 61 237
Non-Medical Prof. Staff 19 2522
Classified Daily Employees /Others 80 1040
Total Workforce 430.

 

HEALTH