Health and nutrition key highlights
Surveillance system has been modified from weekly to daily following the Ebola outbreak in the neighboring DRC. New arrivals are being screened for Ebola at all entry points into Uganda and no case has been reported in Uganda by end of September 2018
192,723 consultations were made across all the health facilities in UNHCR operation in the refugee settlements of which 80% were refugees and 20% host population. The top morbidity causes were Malaria 30.3%, URTI 18.4%, LRTI 8.3%, Skin diseases 7.6% and Watery diarrhea 4.2%
79 suspected measles cases registered in the month of September in Bidibidi(2), Kyangwali 24, Kiryandongo 11, Kyaka 3, Nyakabande 1, Rwamwanja 38. This brings the cumulative measles cases to 708 in the refugee settlements in Uganda since january2018.
Intensified measles vaccinations and mop up campaigns are being conducted in all the affected settlements
In Arua district, CARE conducted a five-day training workshop on post-abortion care, targeting midwives, clinical officers and nurses, from the facilities in Imvepi and Rhino Camp settlements as well from Arua Regional Referral Hospital. The participants learned: to recognize the signs of spontaneous abortion; about proper care when abortion is taking place and the management of complications linked to it as well the related mental health issues. The aim is to help prevent maternal deaths.
Crude mortality rate stood at 0.1 (Standard: < 0.75) and Under 5 mortality rate was at 0.23 (Standard: <1.5) and are all within the normal ranges and within UNHCR acceptable standards. 1 maternal death was recorded in Bidibidi in the month of August and was audited and documented. 3 maternal deaths were recorded in Bidibidi, Rhino camp and Kyaka II refugee settlements
A total of 3,901 live births registered with of which 65% were refugees and 35% host population. 80% had completed atleast 4 scheduled ANC visits by the time of delivery
17,078 were tested for HIV and 334 tested positive for HIV and were linked for care and treatment in the health facilities managed by UNHCR. Cumulatively, 15,668 HIV patients are being treated in the refugee settlements with 35% refugees and 65% host population
8 VHF alert cases of were reported and investigated in all the refugee settlements in the country and the results were all negative for all VHF
The high infant mortality rates in Rhino camp are being audited to establish facts to guide intervention