Kitgum District - Journal of Medicine and the Person

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Kitgum District Government Hospital Year of Foundation: 1934 Management: Ministry of Health of Uganda Number of beds: 208 Staff: 148 Medical Officers: 4 Outpatients 2004/05: 102.781 Inpatients 2004/05: 9.848 Inpatient Mortality: 3,3% Children’s Mortality: 3,2% Average Length Of hospital Stay: 8 days Bed Occupancy Rate: 95% Background Kitgum District Hospital is the official government hospital for Kitgum District. It was founded under the British Protectorate in 1934 as part of an integrated national health System. It is also the site of a military ward for the care of soldiers controlling the district and exposed to guerrilla actions. AVSI has a long history of presence in this hospital since the 1970s, strengthened by the support given during the last 20 years ravaged by the war.
Context and Location Kitgum District Hospital is located within the town council area, 3 km away from Kitgum Mission where St. Joseph’s Hospital is and constitutes the Health Sub District s of Chua County. It covers an area of about 7.557 square kilometres, with 80% of the land being arable. The vegetation is savannah predominantly flat fertile land with gentle slopes becoming hilly towards the North to the Sudan border. The district is predominantly inhabited by the Acholi tribe. The total population by mid 2005 is estimated to be 317.107 with an annual growth rate of 4,19%. The females constitute 52% of the total population, children under-5 years the 18% (Uganda Population and Housing Census, 2002). Currently nearly all the rural population, an estimated 310.000 people is displaced in 21 IDP camps (OCHA – Uganda October 2005). The community life style has been interrupted by the prolonged insecurity in the area and the family structure is broken down. The disease burden in the community is mainly communicable and therefore preventable diseases. The five top causes of morbidity are malaria, acute respiratory infections, intestinal worms, skin diseases and pneumonia. More than half of the morbidity in the OPD in all health facilities is among the under five. The recent Health and Mortality Survey among Internally Displaced Persons conducted by WHO in collaboration with other partners shows worse figures than the above. Because of the prolonged period of civil strife minimum IDP services standards are very far from being met. Hospital Mission The attainment of a good standard of health by all the people in Uganda, in order to promote a healthy and productive life.
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