West Nile region (Adjumani, Arua, Nebbi, Moyo and Yumbe districts) 

• This support project concerns the reorganisation of the non-profit health 
services in the Arua and Nebbi dioceses (Adjumani, Arua, Moyo and Nebbi 
districts) and is part of the broader national healthcare policy of 
public-private partnerships. It aims to strengthen and improve the diocesan 
healthcare services as well as coordinating them with the district healthcare 
services. The project involves both local services and those provided by the 
hospitals of Maracha, Angal and Nyapea.

• The project to support and extend medical rehabilitation services is making 
specifically committed to the area of motor disabilities, through its work in 
the physiotherapy units and orthopaedic workshops of the government-run 
hospitals in Arua and Nebbi, as well as activities aimed at revitalising 
community-based rehabilitation programmes and work in the area of epilepsy.

• The project to support the implementation of the Ugandan Ministry of Health’s 
5-year strategic plan (2000-2005), has three main components: help in financing 
the state’s budget; technical assistance provided by an expert sent to work at 
the health ministry; and support for Unicef’s national plan in the districts of 
Arua, Nebbi and Yumbe. The areas of activity include HIV/AIDS, TB, malaria, 
vaccinations and the registration of births. These activities are conducted 
mainly through selected boroughs in each district. As well as these specific 
areas of activity, technical assistance is provided to the district’s 
healthcare offices, above all in planning and monitoring activities and 
information systems.

• The support project aimed at limiting HIV/AIDS and tuberculosis in Arua, 
Nebbi and Yumbe has a two-part structure: the preparation of three PMTCT 
(prevention of mother-to-child transmission of HIV) centres in the hospitals at 
Maracha and Yumbe, and at the Koboko Health Centre, as well as support for the 
completion of the Dot Strategy whereby treatment for tuberculosis is given 
under direct observation in the Yumbe and Arua districts.

• The project in support of the HIV and TB treatment and prevention services 
available at the Angal and Maracha hospitals, respectively in the districts of 
Arua and Nebbi, involves four main types of activity: follow-up support for 
mothers in the PMTCT programme in those hospitals; organisation and expansion 
of the home visit programme for AIDS sufferers in the borough of Maracha and in 
the county of Padyere; organisation of the supply of medicines needed to combat 
these illnesses; support in the collection and distribution of medicines to 
combat tuberculosis for the home treatment programme.

• The project to build the new Health Centre III in the Moyo district is a 
purely rehabilitative intervention; Doctors with Africa CUAMM’s contribution 
lies in the management and supervision of the work through staff who are 
already working on other projects in the area. 

• The project concerned with ophthalmic treatment in the dioceses of Arua and 
Nebbi (Adjumani, Arua, Moyo, Nebbi and Yumbe districts) centres around the 
organisation of and financial support for work aimed at the prevention and 
treatment of ophthalmic pathologies.


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 © 2009 Doctors with Africa Cuamm 
   Forwarded By. Majid Alemi Junior.




________________________________
From: Majid Alemi Junior <[email protected]>
To: Majid Alemi Junior <[email protected]>
Cc: [email protected]
Sent: Tuesday, May 12, 2009 8:44:25 AM
Subject: Re: Koboko District Comprice Of one County. members coments. about 
students progress in the district


Health Policy and Planning Advance Access originally published online on 
December 7, 2005 
Health Policy and Planning 2006 21(1):53-64; doi:10.1093/heapol/czj007 

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Published by Oxford University Press 2005. 


________________________________

Original article 
Integrating refugee and host health services in West Nile districts, Uganda 
Christopher Garimoi Orach1,2,3 and Vincent De Brouwere2 
1 Makerere University, Institute of Public Health, Kampala, Uganda, 2 Institute 
of Tropical Medicine, Antwerp, Belgium and 3 Vrije Universiteit Brussel, 
Brussels, Belgium 
Correspondence: Dr Christopher Garimoi Orach, Makerere University Institute of 
Public Health, P.O. Box 7072, Kampala, Uganda. Tel: +256 77 51 14 44; Fax: +256 
41 53 18 07; E-mail: [email protected] 
Refugees are a common feature in Africa and Uganda is no exception.However, 
Uganda does not have the resources to provide healthcare to all its own 
citizens, let alone to refugees. Refugeehealth services are therefore usually 
set up and provided separatelyby international organizations such as the United 
Nations HighCommissioner for Refugees (UNHCR). However, such services oftenend 
up being the only available or reliable services in a particularlocation for 
both host and refugee populations. Yet the hostpopulations are often denied 
access to these services because,in theory, other services are being provided 
by their government.The case study in the West Nile region of Uganda describes 
howhost and refugee services were integrated in an attempt to addressthe 
concerns of inequity of access to care for host populations,when reasonably 
good health services were available to nearbyrefugee populations. The paper 
identifies and discusses thechallenges
 encountered and those remaining.
Key Words: integration, health service, refugees, host population, Uganda 
1The West Nile region of northern Uganda comprises five districts,namely Arua, 
Adjumani, Moyo, Yumbe and Nebbi. All now host refugeesexcept for Nebbi.
2Key informants comprised four officials from the Office ofthe Prime Minister 
(Refugee Desk Officers Arua and Commissionerfor Refugee Services); two Officers 
from the Ministry of Health(Commissioner for Community Health and Senior 
Principal Planner).At the district level, interviews were conducted with five 
districtpolicy and administrative officers, namely the Chairman, DistrictLocal 
Council 5; Chief Administrative Officer (CAO); AssistantCAO In-charge of 
Health; Chairman, Health Committee LC5; Secretaryfor Health LC5. Four members 
of the district health managementteam (the DDHS, Refugee Reproductive Health 
Co-ordinator, DistrictHealth Visitor and Assistant DDHS or Head, Health 
sub-districtserving refugee and host population situated in Terego County)were 
interviewed. Six UNHCR and NGO personnel comprising theUNHCR Health 
Co-ordinator, AHA-NGO Country Representative, HealthProgramme Co-ordinator and 
three Medical Officers were interviewed.
3Opio G. 2000. The influx of Sudanese refugees in northern Uganda.Adjumani 
Settlement Commandant, personal communication, September.
4Exchange rate in 2003: 1US$ = 1900 Ugandan shillings; ratein 2004: 1US$ = 1800 
Ugandan shillings.
5The health sub-district corresponds to grade 4 health centres,which provide 
basic curative, preventive, promotive, maternityand laboratory services. In 
addition, they provide emergencyobstetric and surgical interventions. The 
health sub-districtis headed by a medical doctor.

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http://en.wikipedia.org/wiki/West_Nile_sub-region        majid alemi junior.




________________________________
From: Majid Alemi Junior <[email protected]>
To: Majid Alemi Junior <[email protected]>
Cc: [email protected]
Sent: Monday, May 11, 2009 9:28:58 PM
Subject: Re: Koboko District Comprice Of one County. members coments. about 
students progress in the district


More Details  
Koboko district has 63 primary schools (both government and private), 17 
secondary schools (12 of them private and 5 government aided), as well as one 
technical institute (Koboko Technical Institute)  
  




________________________________
From: Majid Alemi Junior <[email protected]>
To: [email protected]
Cc: [email protected]
Sent: Monday, May 11, 2009 9:19:11 PM
Subject: Koboko District Comprice Of one County. members coments. about 
students progress in the district


Koboko District comprises of one county, 5 Sub-counties (including urban 
council), 43 parishes (LCIIs) and 302 villages (LC1s). The district has one 
Urban Council namely, Koboko Town Council. Recruitment of substantive Sub 
County Chiefs has been conducted for all the Sub Counties that were been 
managed by parish chiefs. New sub-counties were created Abuku from Lobule and 
Dranya from Midia but to date have remained passive. A number of the parishes 
are not operational and have no Parish chiefs to manage them.The District 
covers a total land area of 820.8 km2. The area covered by the rivers and 
streams is small. Forest and hills cover about 12% of the land area.  Over 88% 
of the land is arable and suitable for agriculture. Koboko District comprises 
mainly of flat rolling plains occurring at 3,160 to 5,283 feet above sea level 
with isolated undulating hills mainly in the western and northern parts of the 
District towards the Sudan boarder, with a slight
 slope towards the east. The area where the three international boarders meet 
consists mainly of hills and rocks hosting remains of some the indigenous 
savannah woodlands.  majid alemi junior.  Commodity Prices  
Sorghum grains : UGX375 per kg 
Simsim: UGX1100 per kg 
Chicken (live) : UGX13500 per kg 
Matooke: UGX575 per kg 
More  
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