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:
|Private: (Zubeida, Buyantashi, Munas, Juflona, Medi-Cure, Tapiwa, NCZ and Steel Plant.)||8|
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|
The District Health sector(DHO and Facilities) has a total workforce of 430 Medical and Non-Medical staff.
|Staff Category||Number||Staff Population Ratio|
|Environment Health Staff||17||8760|
|Non-Medical Prof. Staff||19||2522|
|Classified Daily Employees /Others||80||1040|