Health

Mandate of Health

In order to achieve our priorities, Kikuube District has the responsibility of ensuring that the population has access to health services through annual operational planning, management and delivery of quality health services by carrying out:

a) Community mobilization

b) Supervision

c) Monitoring

d) Resource mobilization, and allocation according to guidelines and other restrictions

e) Enforcement of the health-related laws and regulations

Health facilities in the district

Health facility level

Ownership of health facility

Total

Government

PNFP

Private

Prisions

General hospital

0

 

 

0

0

HC IV

1

 

 

0

1

HC III

14

3

 

0

17

HC II

5

4

 

2

11

Total

20

7

 

2

29

Minimum Service Standards by Levels of the Health Care System

Minimum Standards for VHTs

The Village Health Team (VHT) is a community based structure whose members are selected by the people themselves to promote health and wellbeing of the people in their areas of residence / jurisdiction. It is the lowest health delivery structure and serves as a HC I.

VHTs shall provide the following services;

1.Health Promotion, Disease Prevention and Community Health Initiatives Elements for VHTs

Health Promotion and Education Services for VHTs

  • Conduct health promotion and education in the community on;
  • Early antenatal care attendance and obstetric risk factors.
  • ORT preparation and administration.
  • STI /HIV/AIDS prevention (Abstinence, Behavior Change, Condom Use).
  • TB prevention and early seeking of care.
  • Malaria prevention and control.
  • Appropriate nutrition.
  • Prevention of home injuries and accidents.

Environmental Health and Sanitation Services for VHTs

  • Home visiting and educate the community to have latrines/sanitary facilities, adequate housing, separate animal houses and safe refuse disposal facilities.
  • Promote personal hygiene and environmental sanitation.
  • Organize community sanitation days.
  • Promote the establishment of “Model homes”.

Sexual and Reproductive Health Services and Rights Services for VHTs

  • Follow up mothers during pregnancy and after birth and newborns for provision of advice, recognition of danger signs and referral.
  • Distribute RH supplies e.g. condoms, oral contraceptives.

Management of Common Childhood Illnesses Services for VHTs

  • Community based management for common ill health conditions e.g. malaria, diarrhea, pneumonia.
  • Appropriate referral

Immunization Services for VHTs

  • Community mobilization for integrated outreach services.
  • Participate in outreach services.

 

Nutrition Services for VHTs

  • Infant and young child feeding counselling services including;
  • The Baby Friendly Community Initiative to support and promotebreastfeeding.
  • Growth monitoring and Promotion services for all children below 5 years.
  • Participate in Child Days Plus during the outposts established by the healthunits.
  • Case management
  • Screening for malnutrition using the MUAC tape
  • Monitoring the use of RUTF
  • Referral of malnourished cases
  • Management of underweight using the PD Hearth approach
  • Follow up on Micronutrient supplementation – iron /Folic acid, vitamin A,
  • Food Nutrition and health education/promotion for improved health and behavioral change
  • Establish community support groups to promote and advocate for improved nutrition services
  • Establish food demonstration gardens at village/sub-county.

Prevention and Control of Communicable Diseases Services by VHTs

  • Participate in Home Based Care for AIDS patients.
  • Support for Community Based Directly Observed Treatment Short course.
  • Identify and refer persons with chronic cough.
  • Promote malaria preventive measures like environmental sanitation, Indoor Residual Spraying and use of Long Lasting Insecticide Treated Nets, especially for under 5s and pregnant mothers.
  • Integrated Community Case Management (ICCM) of malaria, diarrhoea and pneumonia.

Prevention and Control of Non Communicable Diseases Services by VHTs

  • Health Education on prevention of Non Communicable Disease (NCDs).
  • Identify and refer persons with NCDs.
  • Community sensitization on disability, injury, eye and ear care.
  • Identify and refer individuals with rehabilitation needs.
  • Support persons with mental illness to receive appropriate treatment at an early stage.
  • Public education on Mental Illness.
  • Psychosocial support to patients with mental illness. Ministry of Health

 

Integrated Essential Clinical Care Services for VHTs

  • Identify patients with severe/danger signs in the community and refer them to nearby healthy facilities.
  • First Aid services.
  • Follow up patients who have been discharged from the health facility and those on long term treatment.
  • Manage patient referral arrangements (e.g. Bicycle Ambulance).

Community Based Management Information System for VHTs

  • Manage village registers and village maps.
  • Record and report births, deaths and disabilities in the community
  • Promote household sanitation facilities (latrine and hand washing facilities).

Minimum Standards for HC II

The HC II is the first level health facility, which offers a range of basic curative and preventive services. It is normally open eight or more hours a day based on the need of the community to be served. It has a target population of 5,000.

HC II shall provide the following services;

Health Promotion and Education Services for HC II

  • Health promotion and education services to raise public awareness of personal and community responsibility for better health (Raise Health Literacy levels).
  • Community education on early detection and prevention of communicable diseases (malaria, Tuberculosis, HIV/AIDS and NTDs) and non-communicable diseases.
  • Training model homes.
  • Advocacy for identified health issues.
  • Community mobilization for the utilization of health services.
  • Participate in health campaigns.
  • Dissemination of Information Education and Communication materials to the VHTs.
  • Supervision of VHTs

Environmental Health and Sanitation Services for HC II

  • Education on environmental sanitation (excreta disposal, solid and liquid waste disposal, water supply safety measures, food hygiene and safety measures, healthy home environment, control of insects and rodents) in households, institutions and public places.
  • Promotion of personal hygiene practices in households, institutions and public places.
  • Establish and demonstrate community-appropriate sanitation technologies.

School Health Services for HC II

  • Participate in the joint planning for school health programs.
  • Participate in the implementation framework of the School Health policy.
  • School Health outreaches.

Epidemics and Disaster Preparedness and Response for HC II

  • Disease surveillance
  • Reporting of all notifiable conditions, events and diseases according to the IDSR protocols.

Reproductive, Maternal, Neonatal, Child and Adolescent Health (RMNCAH)Services for HC II

  • Antenatal care;
  • Registration, examination and Blood Pressure recording.
  • Identification of high risk cases.
  • Nutrition Assessment and Counselling.
  • Provision of iron, folic acid and Tetanus Toxoid immunization.
  • Treatment of common illnesses in pregnancy.
  • Intermittent Presumptive Treatment for malaria.
  • Routine distribution of Long Lasting Insecticide-treated Nets (LLINs) for pregnant mothers.
  • HIV Counselling and Testing for eMTCT.
  • Emergency basic obstetric care services;
  • Normal deliveries (emergencies only).
  • HIV Counselling and Testing for eMTCT.
  • ARVs for eMTCT.
  • Management of minor obstetric complications according to Life Saving Skills guidelines.
  • Refer obstetric cases / emergencies (Radio call / Village Ambulance).
  • Newborn Care;
  • Health education talks to clients at Antenatal clinics, Maternity, postnatal ward and family planning clinics.
  • Resuscitation and management of the newborn.
  • Referral of sick newborns and prematures.
  • Postnatal care;
  • Implementation of the 12 steps to successful breastfeeding.
  • HIV Counselling and Testing for eMTCT.
  • ART for eMTCT
  • Examination of mother at 6 hours, 6 days, 6 weeks and 6 months.
  • Refer of complicated Post-natal cases to the next level.
  • Child Health Services.
  • Growth Promotion and Monitoring.
  • Treatment of childhood illnesses following IMNCI guidelines.
  • Counselling caretakers and follow up of malnourished children.
  • Health Education on control of diarrhoeal diseases, exclusive breast feeding for 6 months, nutrition assessment and counselling.
  • Referral of severe cases.
  • Family Planning Services;
  • Family Planning counselling.
  • Family Planning methods (short term, oral and emergency).
  • Identification and management of minor gynaecological problems.
  • Referral of Gynaecological problems where indicated.
  • Adolescents Reproductive Health Care Services;
  • Family Planning (short term, oral and emergency).
  • Condom distribution
  • Health education on RMNCAH
  • STI/HIV/AIDS counselling, prevention and treatment.
  • Tetanus Toxoid immunization and Human Papilloma Virus.
  • Adolescent friendly corners.

 

Immunization Services for HC II

  • Vaccination (BCG, DPT/Pentavalent, OPV, Measles, Hepatitis, Haemophilus influenza, pneumococcal, rotavirus, Human Papilloma Virus. and any other vaccines as recommended by UNEPI) daily as per UNEPI schedule.
  • Immunization outreaches and campaigns.
  • Health education on the benefits of immunization.

Nutrition Services for HC II

Infant and young child feeding counselling services including;

  • The 16 requirements of Baby Friendly Hospital Initiative
  • Growth monitoring and Promotion using the child health card
  • Nutrition Assessment using both clinical and anthropometric methods like MUAC, weighing, height measurement.
  • Micronutrient supplementation for mothers and their children.
  • Food Nutrition and health education/promotion
  • Distribution of nutrition IEC materials.
  • Community nutrition support and follow up – establish community support groups
  • Continuous professional development (CPD) on nutrition
  • Establish food demonstration gardens
  • Refer complicated malnutrition cases for treatment.
  • Follow up of malnourished children through home visiting.

Prevention and Control of Communicable Diseases for HC II

  • STIs/HIV/AIDS services;
  • Health Education on STIs/HIV/AIDS.
  • HIV Counselling and Testing (HCT).
  • Syndromic diagnosis and treatment of STIs
  • Promote and provide condoms to prevent STIs/HIV/AIDS.
  • Home Based Care for HIV/AIDS patients.
  • Appropriate referral for STI/HIV/AIDS care
  • TB prevention and control services;
  • Health Education for TB prevention and control services.
  • TB screening.
  • Referral of all TB suspects for appropriate care.
  • Malaria control and prevention services;
  • Diagnosis of malaria cases.
  • Treatment following the Uganda Treatment Guidelines.
  • Provide pre-referral treatment
  • Refer all complicated cases of malaria
  • Case follow up where indicated.
  • Malaria vector control services;
  • Distribution of LLINs to the vulnerable.
  • Education on Indoor Residual Spraying.
  • Education on environmental management.
  • Diseases targeted for eradication / elimination;
  • Health education for prevention and control
  • Support to community programmes in the catchment area (Leprosy, Guinea Worm, Sleeping Sickness, Onchocerciasis, Poliomyelitis, Schistosomiasis, Trachoma, Lymphatic Filariasis, Maternal & Neonatal Tetanus and poliomyelitis Elimination).
  • Active malaria surveillance activities.

Prevention and Control of Non Communicable Diseases for HC II

  • Educate the community on healthy life style and early detection of diseases.
  • Screening for NCDs
  • First aid services and referral of clients requiring further care.
  • Follow up cases and promote community based rehabilitation

Injuries, Disabilities and Rehabilitative Health services for HC II

  • Health Education on injuries and disability.
  • Identification and referral of People with Disabilities (PWDs).
  • Provision of First Aid.
  • Prompt and urgent treatment of injuries (including IV fluids if possible).
  • Review and follow up of PWDs.

Gender Based Violence (GBV) and Human Rights Services for HC II

  • Counselling and treatment of minor physical and psychological trauma.
  • Community sensitization on GBV and human rights.
  • Appropriate referral.

Mental Health and Control of Substance Abuse Services for HC II

  • Health education and awareness raising on mental health, neurological and substance abuse issues in the community.
  • Case detection, provision of first line treatment and referral of cases.
  • Review and follow up patients with epilepsy.
  • Follow up of patients with identified mental health problems in the community.
  • Appropriate referral.

Prevention and care of other common conditions for HC II

  • Assess, identify client’s condition and provide first aid services.
  • Treatment of other common diseases (communicable and non-communicable)
  • Health education on other common diseases in the community.
  • Appropriate referral.

Oral Health Services for HC II

  • Promotion of public oral health care through health education
  • Pain relief for dental / oral problems
  • Appropriate referral.

Palliative Care Services for HC II

  • Early identification and effective assessment.
  • Symptomatic care for pain relief.
  • Supportive care for other problems, physical, psychosocial and spiritual.

Minimum Standards for HC III

In addition to the basic curative and preventive services offered at HC II, the HC III provides 24 hour maternity, accident and emergency services and beds where health care users can be observed for a maximum of 48 hours and has a laboratory. It has a target population of 20,000.

HC IIIs shall provide the following services;

Health Promotion and Education Services for HC III

  • Health promotion and education services to raise public awareness of personal and community responsibility for better health (Raise Health Literacy levels).
  • Educate the community on early detection and prevention of communicable diseases (malaria, Tuberculosis, HIV/AIDS and NTDs) and non-communicable diseases.
  • Advocacy for identified health issues.
  • Community mobilization for the utilization of health services.
  • Participate in health campaigns.

Environmental Health and Sanitation Services for HC III

  • Education on environmental sanitation (excreta disposal, solid and liquid waste disposal, water supply safety measures, food hygiene and safety measures, healthy home environment, control of insects and rodents) households, institutions and public places.
  • Promote personal hygiene practices in households, institutions and public places.
  • Establish and demonstrate community-appropriate sanitation technologies.

School Health Services for HC III

  • Participate in the implementation framework of the School Health Policy.
  • Participate in joint planning for school health programs.
  • School Health outreaches.

Epidemics and Disaster Preparedness and Response for HC III

  • Disease surveillance
  • Report all notifiable conditions, events and diseases according to the IDSR protocols.

Reproductive, Maternal, Neonatal, Child and Adolescent Health (RMNCAH)Services for HC III

  • Antenatal care;
  • Registration, examination and Blood Pressure recording
  • Routine lab tests for pregnant mothers
  • Identification of high risk cases

 

  • Nutrition Assessment and Counselling
  • Iron, folic acid and Tetanus Toxoid immunization
  • Treatment of common illnesses in pregnancy
  • Intermittent Presumptive Treatment for malaria
  • Routine distribution of LLINs for pregnant mothers
  • HIV Counselling and Testing for eMTCT.
  • ARVs for eMTCT
  • Basic and emergency obstetric care services;
  • Normal deliveries
  • Manual Vacuum Extraction
  • HIV Counselling and Testing for eMTCT.
  • ARVs for eMTCT
  • Provide post abortion care including Manual Vacuum Aspiration for incomplete abortions and expanded Post Abortion Care with sharp curettage.
  • Refer complicated obstetric cases to higher levels.
  • Newborn Care;
  • Health education talks given to clients at Antenatal clinics, Maternity, postnatal ward and family planning clinics.
  • Resuscitation and management of the newborn.
  • Referral of sick newborns and prematures.
  • Postnatal care;
  • Implementation of the 12 steps to successful breastfeeding
  • HIV Counselling and Testing for eMTCT.
  • ART for eMTCT
  • Examination of mother at 6 hours, 6 days, 6 weeks and 6 months
  • Refer of complicated Post-natal cases to the next level.
  • Child Health Services;
  • Growth Promotion and Monitoring.
  • Treatment of childhood illnesses following IMNCI guidelines.
  • Counselling caretakers and follow up of malnourished children
  • Health Education on control of diarrhoeal diseases, exclusive breast feeding for 6 months, nutrition assessment and counselling.
  • Referral of severe cases. Ministry of Health – Uganda Page 23

 

  • Family Planning Services;
  • Family Planning counselling.
  • FP methods (short term, oral and emergency).
  • Identification and management of minor gynaecological problems
  • Referral of Gynaecological problems where indicated.
  • Adolescents Reproductive Health Services;
  • Family Planning (short term, oral and emergency).
  • Condoms distribution
  • Health education on RMNCAH
  • STI/HIV/AIDS counselling, prevention and treatment.
  • Tetanus Toxoid immunization and Human Papilloma Virus.
  • Adolescent friendly corners.
  • Immunization Services for HC III
  • Vaccination (BCG, DPT/Pentavalent, OPV, Measles, Hepatitis, Haemophilus influenza, pneumococcal, rotavirus, Human Papilloma Virus. and any other vaccines as recommended by UNEPI) daily as per UNEPI schedule.
  • Immunization outreaches and campaigns
  • Health education on the benefits of immunization.
  • Nutrition Services for HC III
  • Infant and young child feeding counselling services including;
  • The 16 requirements of Baby Friendly Hospital Initiative
  • Growth monitoring and Promotion using the child health card
  • Regulation of marketing of breast milk substitutes through Code monitoring
  • Participate in commemoration of the World breastfeeding week
  • Participate in Child Days Plus by scaling up the static and outreach posts.
  • Therapeutic feeding services on outpatient basis using the IMAM guidelines specifically the OTC
  • Nutrition Assessment for every client using mainly the anthropometric measures like MUAC, weighing, height measurements
  • Micronutrient supplementation for both children and pregnant women
  • Food Nutrition and health education/promotion – distribute nutrition IEC materials.
  • Community nutrition support and follow up through establishment of community support groups.
  • Continuous professional development (CPD) on nutrition.
  • Establish food demonstration gardens.
  • Refer complicated malnutrition cases for treatment.
  • Follow up of malnourished children through home visiting.

 

Prevention and Control of Communicable Diseases for HC III

  • STIs/HIV/AIDS services;
  • Health Education on STIs/HIV/AIDS.
  • HIV Counselling and Testing.
  • Diagnosis and treatment of STIs
  • Treatment of HIV/AIDS
  • Condom distribution
  • Home Based Care for HIV/AIDS patients.
  • TB prevention and control services.
  • Health Education for TB prevention and control services.
  • TB screening
  • Sputum examination
  • TB treatment
  • Health education and contact tracing
  • Facility based and community based DOTS.
  • Tracing irregular attendees and defaulters
  • IPT for TB
  • Appropriate referral
  • Malaria control and prevention services;
  • Diagnosis of malaria cases
  • Treatment of malaria
  • Appropriate referral
  • Health education
  • Case follow up where indicated
  • Malaria vector control services;
  • Distribution of LLINs to the vulnerable.
  • Education on Indoor Residual Spraying.
  • Education on environmental management.
  • Management of diseases targeted for eradication / elimination;
  • Health education for prevention and control of the targeted diseases.
  • 3 Support to community programmes in the catchment area (Leprosy, Guinea Worm, Sleeping Sickness, Onchocerciasis, Schistosomiasis, Trachoma, Lymphatic Filariasis, Maternal & Neonatal Tetanus and poliomyelitis Elimination).
  • Conduct active surveillance activities.

Prevention and Control of Non Communicable Diseases for HC III

  • Educate the community on healthy life style and early detection of diseases.
  • Screening for NCDs
  • Follow up cases and promote community based rehabilitation.
  • Appropriate referral

Injuries, Disabilities and Rehabilitative Health services for HC III

  • Identification and referral of People with Disabilities (PWDs)
  • Education on disabilities and injuries.
  • Provision of First Aid
  • Prompt and urgent treatment of injuries (including IV fluids if possible).
  • Review and follow up of PWDs

Gender Based Violence (GBV) and Human Rights Services for HC III

  • Counselling and treatment of minor physical and psychological trauma
  • Health education on GBV and human rights.
  • Refer appropriately.

Mental Health and Control of Substance Abuse Services for HC III

  • Health education and awareness raising on mental health, neurological and substance abuse issues in the community.
  • Case detection, provision of first line treatment and referral of cases.
  • Review and follow up patients with epilepsy.
  • Follow up of patients with identified mental health problems in the community.
  • Refer appropriately.

Prevention and care of other common conditions for HC III

  • Treatment of other common diseases (communicable and non-communicable) following the Uganda Clinical Guidelines
  • Health education on other common diseases in the community
  • Refer appropriately.

Oral Health Services for HC III

  • Promotion of public oral health care through health education
  • Pain relief for dental / oral problems
  • Refer appropriately.

Palliative Care Services for HC III

  • Early identification and effective assessment.
  • Symptomatic care for pain relief.
  • Supportive care for other problems, physical, psychosocial and spiritual.

Laboratory and Diagnostic Services for HC III

Laboratory services based on the laboratory menu for HC IIIs.

Basic imaging services (Portable ultrasound for obstetric investigations

 

Minimum Standards for HC IV

The HC IV is mainly a Primary Health Care referral facility where patients are assessed, diagnosed, stabilized, and either treated or referred back to a lower level or referred to a higher level of health facility. The HC IV OPD functions as the entry point to the health system where there are no Lower Level Health Units (LLHUs) within 5kms. It is the first point of entry for referrals from the LLHUs and for self-referrals in case of an emergency. The HC IV brings inpatient and emergency services including emergency obstetric care closer to the population in rural areas. Provision of 24-hour comprehensive emergency obstetric care service is a crucial aspect of a HC IV. It has a target population of 100,000.

HC IVs shall provide the following services;

Health Promotion and Education Services for HC IV

  • Health promotion and education services to raise public awareness of personal and community responsibility for better health (Raise Health Literacy levels).
  • Educate the community on early detection and prevention of communicable diseases (malaria, Tuberculosis, HIV/AIDS and NTDs) and non-communicable diseases.
  • Advocacy for identified health issues.
  • Community for the utilization of health services.
  • Participate in health campaigns.

Environmental Health and Sanitation Services for HC IV

  • Education on environmental sanitation (excreta disposal, solid and liquid waste disposal, water supply safety measures, food hygiene and safety measures, healthy home environment, control of insects and rodents) households, institutions and public places.
  • Promote personal hygiene practices in households, institutions and public places.
  • Establish and demonstrate community-appropriate sanitation technologies.

School Health Services for HC IV

  • Participate in the implementation framework of the School Health Policy.
  • Participate in joint planning for school health programs.
  • School Health outreaches.

Epidemics and Disaster Preparedness and Response for HC IV

  • Disease surveillance
  • Report all notifiable conditions, events and diseases according to the IDSR protocols. Ministry of Health – Uganda Page 28

 

  • Family Planning Services;
  • Family Planning counselling.
  • Family Planning methods (emergency, short term and long term).
  • Identification and management of minor gynaecological problems
  • Referral of Gynecological problems where indicated.
  • Adolescents Reproductive Health Services;
  • Family Planning (short term, oral and emergency).
  • Condom distribution
  • Health education on RMNCAH
  • STI/HIV/AIDS counselling, prevention and treatment.
  • Tetanus Toxoid immunization and Human Papilloma Virus.
  • Adolescent friendly corners.

Immunization Services for HC IV

  • Vaccination (BCG, DPT/Pentavalent, OPV, Measles, Hepatitis, Haemophilus influenza, pneumococcal, rotavirus, Human Papilloma Virus and any other vaccines as recommended by UNEPI).
  • Immunization outreaches and campaigns
  • Health education on the benefits of immunization.

Nutrition Services for HC IV

  • Infant and young child feeding counselling services including;
  • The 16 requirements of Baby Friendly Hospital Initiative
  • Lactation management and counselling for all mothers to support and promote breastfeeding
  • Regulation of marketing of breast milk substitutes through Code monitoring.
  • Growth monitoring and Promotion for all children below 5 years
  • Outreach services during Child Days Plus
  • Case Management
  • Therapeutic feeding services specifically the – OTC
  • Supplementary feeding services
  • Food and medicine dietary management – (HIV, cancer)

 

Nutrition Assessment – MUAC, weighing, height measurement

Micronutrient supplementation – iron /Folic acid, vitamin A

Food Nutrition and health education/promotion – distribute nutrition IEC materials

 Community nutrition support and follow up – establish community support groups, do food demonstrations

Continuous professional development (CPD) on nutrition

Establish food demonstration gardens.

Refer complicated malnutrition cases for treatment.

Follow up of malnourished children through home visiting.

46.Prevention and Control of Communicable Diseases for HC IV

  • STIs/HIV/AIDS services;
  • Health Education on STIs/HIV/AIDS
  • HIV Counselling and Testing.
  • Diagnosis and treatment of STIs
  • Diagnosis and treatment of HIV/AIDS
  • Condom distribution.
  • Home Based Care for HIV/AIDS patients.
  • Appropriate referral
  • TB prevention and control services.
  • Health Education for TB prevention and control services.
  • TB screening.
  • Sputum examination
  • TB treatment.
  • Health education and contact tracing.
  • Facility based and community based DOTS.
  • Tracing irregular attendees and defaulters.
  • IPT for TB according to guidelines.
  • Appropriate referral.
  • Malaria control and prevention services.
  • Diagnosis of malaria cases
  • Treatment of simple and severe malaria
  • Appropriate referral
  • Health education
  • Case follow up where indicated Ministry of Health – Uganda Page 31

 

  • Malaria vector control services;
  • Distribution of LLINs to the vulnerable.
  • Education on Indoor Residual Spraying.
  • Education on environmental management.
  • Diseases targeted for eradication / elimination.
  • Health education for prevention and control
  • Support to community programmes in the catchment area (Leprosy, Guinea Worm, Sleeping Sickness, Onchocerciasis, Schistosomiasis, Trachoma, Lymphatic Filariasis, Maternal & Neonatal Tetanus and poliomyelitis Elimination).
  • Active surveillance activities.

Prevention and Control of Non Communicable Diseases for HC IV

  • Educate the community on healthy life style and early detection of diseases.
  • Screening for NCDs
  • Follow up cases and promote community based rehabilitation.
  • Appropriate referral

Injuries, Disabilities and Rehabilitative Health services for HC IV

  • Identification and referral of People with Disabilities (PWDs)
  • Education on disabilities and injuries.
  • First Aid
  • Prompt and urgent treatment of injuries.
  • Review and follow up of PWDs

Gender Based Violence (GBV) and Human Rights Services for HC IV

  • Counselling and treatment of minor physical and psychological trauma
  • Health education on GBV and human rights.
  • Refer appropriately.
  • Medico-legal services, examination, documentation and expert opinion.

Mental Health and Control of Substance Abuse Services for HC IV

  • Health education and awareness raising on mental health, neurological and substance abuse issues in the community.
  • Case detection, provision of first line treatment.
  • Follow up of patients with identified mental health problems in the community.
  • Outreach services to HC III, II and the communities
  • Formation of Support Groups for Epilepsy and other disorders.
  • Appropriate referral.

 

Prevention and care of other common conditions for HC IV

  • Treatment of other common diseases (communicable and non-communicable)
  • Health education on other common diseases in the community
  • Appropriate referral.

Surgical Services for HC IV

  • Minor surgical procedures including acute traumatic emergencies (injuries), Male circumcision, reducable hernias, Incision and Drainage, surgical toilet and suture.
  • Long term Family Planning methods – Implants insertion & removal, Tubal Ligation and Vasectomy.
  • Caesarean section.

Oral Health Services for HC IV

  • Health education of public on oral health care
  • Treatment including simple tooth extraction
  • Pain relief for dental / oral problems
  • Appropriate referral.

Palliative Care Services for HC IV

  • Early identification and effective assessment of patients in need.
  • Symptomatic care for pain relief.
  • Supportive care for other problems, physical, psychosocial and spiritual.

Laboratory and Diagnostic Services for HC IV

  • Laboratory services according to the laboratory menu for HC IVs.
  • Basic imaging services (ultrasound for obstetric investigations).

Mortuary Services for HC IV

  • Autopsy services limited to external examination.