2005 ANNUAL REPORT WESTERN REGION

Transcription

1 2005 ANNUAL REPORT WESTERN REGION DR SYLVESTER D. ANEMANA REGIONAL DIRECTOR OF HEALTH SERVICE WESTERN REGION 1

2 !" $ % & & & & ' ( ) * +&, & ) -&. ) & ) /$ 012) /( & & 3!3+ )3! ) 2

3 / 6+&& & : ;<! =85/ 5 ( ( "( !; = %! ( = 5 % % 55,(0 44 % 5 >, / 5=,+> % 2> : 5 $ : 3

4 5/ 2& = 57?"$ = =5 $) = 5 " =8== (! =%8=/ = ( =/8=9 % =98%/ / %/8%7 7!) %9 = &! %: =5 (3! %: =5 ; %:8 = 3;; 44 =8 == " /89 =%.>$ :8/ =8= /=87% =: ;<(' / % )! % 5! % % = (12((12(4 99 %5! ? " % 1? % / / / / 4

5 / =8% 20! / 2@ !(( / 9 22! ) %5 : )A %85%= 5 ;?) %%85%/ 5

6 55 2! %785%: 5 ;2! = 5= $! =85 5% 6&0! / !! : 55 ; :85/= 52;B /%85/7 5= /9857 5% ) =857 5!! /8579 5/ ( : 5/5? :8595 5/ ;2?! = % 6

7 5 &3- ( = +) =8 % 2&3 2$+ / (3 9 $3+2 : +) 5 0$) 55 13& 5 ) 5= 1$ (C 5% 7

8 ? $) ?2 +.) 012 0$) 2&3 233& 2 $ 2 $ 2! 2! 2$; 2$; 21! 21! 2!1 2&8!1 2 32B 2 32B 33! 33! ( 3( 2+(1!! 3$) 3. ;( 3$) 3. ;<(' ;?) ;?).(205..(';&205. "3! "3! 2 +" 2 +" "! "! "$" ")B "" ")B +!! +!! (33 (33 8

9 (;>2 (;2 (". (". (12( (12( ( ( (3!) (3!) 1 $ 1 $' 11) 11) 1? 1? 1$ 1 1! 1!?23?2&3?(3?('3 $?2 $ $ $3 $3 $D $D 2+0 $2+0 )2 )2 );3 );23 ) 1 ) 1 )1! )1!!+)!!+)!! 2! 2!(+!('+!11!11!1$!1$!(!<( 0 & B2 B2 B B D2 D2 (

10 &5E +3!& &E 3 ) &=E (F"3!5::=@5::9@ = &%E +& &E 2 &/E ((". &/&E $8;<(". &/E ("$" &/E $"$" &/E ("$"! &/E $! &/E (3. &/E $3. &7E!12)03 &9E.2 =8 &:E 62 &5 E!(F &55E +&'(2 &5E B12.)2.)8 &5=E D2> &5%E (D!;)$38 &5E 0 =-8 % &5/E 20B =8 &57E =2G03 =F &59E 02"2G03 =F &5:E 12G03 =F & E.2G03 =8 &5E.) 10

11 &E &=E &%E &E &/E &7E &9E?(3 ;<0 +?2 =8!3& =8?2& =8 13>+&3.+) =8 &:E 2&1 &= E.+&- %8 &=5E 1 B + 2 F +2 2 &=E B 2 F +2 2 &==E 1+ &=% B'(! &=E? (! &=/E!)23? (! &=7E ;<? (! &=9H!2!( &=:E 2$3+ &% E 2 + &%5E 2(1 &%E $3D(!(2 =8 &%=E $3+&$ %8 &%%E +) =8 &%E +) %8 &%/E +3 &%7E 3) %> 11

12 &%9E &%:E & E &5E &E &=E &%E &E &/E &7E &9E &:E &/ E &/5E &/E 0$) =8 0$) =8 0) =8 2 * ;BE>!3<C* D( 1(!&>B&.&+&.& 6<8?12 2!F;2?!

13 .5E +.23).E " 2.=E =2-.%E 02".E 12./E..7E 5>3$2.9E +?22.:E!3.5 E?22.55E E 1D+!.5=E D+! =8.5%E E $32.5/E +)-.57E 0$)-.59E 0$)- 13

14 +)! ) &8 ) ) ) ' F.-)& % &&(& - <.= 9/G %:9G 9/G?(3I ::85 G & =G = /G %/G ==G % $ - : G& 7 %= %G %/7/G! & =9G & 0+I 57G /7G %77G. 57/G %5 %G ' % $3 & 5 % * 14

15 )&A A A +-( (12( $ (-%:G)I 381 $'=5 3&- +=7& 55%) - 2! 2! & 2! ' =9 %/7 +8& ' = 2 $! J&+== &2!;92! &!(. J-?'; + *& ) 3 J& 0 2!8+ 2!! J&& ) 1 & 3 1 )?+!& )1- J0 + % 5?&- ')! &1)D11 ; 15

16 &: %79 )& & 16

17 SECTOR WIDE PERFORMANCE PERFORMANCE TARGET ACHIEVEMNET FOR INDICATOR FOR 2005 HEALTH STATUS Infant mortality rate Under five mortality rate Maternal Mortality ratio % Under five years who are malnourished ACCESS Population to doctor ratio 1: : :28,000 1:20,115 Population Nurse ratio 1:2261 1:2107 1:2,200 1:2,204 Outpatient visit per capita Hospital admission rate Total number of completed CHPS compounds QUALITY % of maternal audits to maternal deaths Under five malaria case fatality rate EFFICIENCY % tracer drug availability HIV seroprevalence (among reproductive age) NA Tuberculosis cure rate Number of guinea worm cases AFP non polio rate % Family planning accepts % ANC coverage % PNC coverage % Supervised deliveries (skilled attendants) Bed occupancy rate EPI coverage Measles EPI coverage Penta FINANCIAL Total budget allocated 66,096,343,421 93,836,114,158 51,659,575,693 Total GOG recurrent budget 4,460,495,385 4,565,993,718 5,622,878,071 Total Health Fund 7,906,691,000 14,501,870,000 17,340,229,031 Total IGF 21,680,448,270 28,937,313,843 36,679,943,237 Total amount spent on exemptions 1,260,649,218 1,225,375,085 6,786,025,645 17

18 ! " ) "( &62I -2) ;-+0+)?- ""!(=-7/ *-- 5: $ % C --99 & & +<5 & 5= & 7!&F&5 18

19 ' & () & & % * - * & +, () &!+; %=-5=/ ==7 1 ; 5%=- / -/ =/9 7/ %?'; 5/7-%5-5%: / J 5= -=%5 5-=%% % 7-=:5 5-9= 7 +; 5 =-5%: 5- % =-5/% +! 5=:-%% -/:: 0&+0 5-9/: 9=! 57%-=7-59 / J& 5=7-/7: %:-5 -:/ 7 19

20 $). - J $& &7 2 & & < < // + & 5 0-! &-)+& / *&( 5:-% /*G"I77-/* &7G '" 2*-I &*< 20

21 0 ) && "! E " 8 - +& & ? 0< ? + ($ 8 $D "! 8 & & ) &-&%G"I & 1 &F 2-2-)&&-$-2-0 ) 21

22 ' + - C E 1A 1 ;-"!!@ 1 1 +&/ G!@ 1. (&% G !@!+; 3 $ C &- +&'!. & 0!. & 22

23 & () ) 1' & () ) - + :% G :/7G ( 7%5G 75G!! G 9G ; /G /G +6) =%G /G 2 () 3' () 4 $&( % %7 % (@5-60 7/= /9 // B@5-60 5=59 5 :7 5 :?1)@5-60 %7= =9= =7 81)@5-60 %%7 // GB1 ==5 / 57 11)@

24 8 () == =2-2!-%/ 24

25 1 18 %*$00*"*, 1,.) ) * 18 )! ) ) 189E! (* 6* && K (D@+(3! < ( (!) 0- * " 25

26 11%, 18 &- $ & E 0%*/-$.. ;& 2!' $J& 2!;<. $E- 0%*/ :;< o! o!&"! o!)22&a + o 2&A A * o -(12( o (&)22 26

27 (;0- *;. $57 - & ;?).& )*F 2 0%*/.-.< < ( ( (@)1! (! )($)(!;)D(2;!81-0- (D@+(3!-)2 -;2 %. /.!2! 1 $@ ( 27

28 13,<./ -&.(/0-0%*/-$.. = 2!' = &*& 2!' 5 2!'& J&?+&-?-+-0'- +&!& $ *- () ) )? (! 55=& 0%*/-$ :;<.!"$ 2+; ;** 0& )& && 28

29 ) 2 2 A + A A? %*/-$.-.< o ; o =%) 1@3 1 o +%) 2 o o o o o! o o.%?3! o && o o (3( 2+(1! o ;) --?'; - </ 29

30 12.(-$ 6.*--! " ) 2& "! & 3& & 18 *;**, * 1=!20! 20 2 B);3+;( (D+ L=! )&* (!83( 2+(1! ( 30

31 1=. () 3 + & 3+&-?"$-! & E 3 +& + 3 +&?('3?(3 1? 1?!+;1+& 3 1+; A A -"!&2C "!2-2! J&- 0 0& + 0 (12(-(1 31

32 1> -$* ) 9' D(E! $-. 2- (D@+(3! ; + 1 ; - 0+I ) 2& ( ; ) 2E & 1& 2 +" "! & * ")B 2 (E (D@+(3!. ; 2!E & " ; 17 0 &?0&@ 3";! ? 2?(3 32

33 1 * & 1 $ $ ) 3!&E! (* 6* ) 0-?&+3 + ;<! * & " &@ $ &- $)3 ) 1 *) 2 3 &8! +3 + <

34 2 0* +!! 2& 3 34

35 11 (( -*0*- <0 * & - * ) ' $3-5 % 3 $3 - $3/99G %7 G -&55 G %G +) +) ( =9: %=9% 5-0 %/:G % %77G!& 9/:G = :G %:79G & &! $) < & 35

36 11. & ' ( ( A <012 1! +& 1!+1C ) (8 (&.& ; 3( 2+(1!! & 3& 113 " 9 3( 2+(1!! (8 3 ( $ * &*' 36

37 13 A - 5: 13!87 )85 2'.. & % ) ;> 22 %?2 21 &?&@ =

38 8'..$*< -*-& 3? 7 : &? % 1 % 1+ 5%! + 5= 2 $ ;)! 5 $+6 =79.*00- ; & ) + +? &(!& 38

39 131,<.(-$ (&?& & &* 132 "< *"& (! ) ' (" () 12, A D 3"!@1$ +"! 1;<?8.1.1!.1+ *.! 0.) 1 &? (!!)1!*& 39

40 121 ). 3 & <?8.1 D & *&& &8 0 < - = * C H " " "$" ("(".&& /8/ 9 *9 ' $?$@ =' 9 ' $ 0122+;"$) % G(@3 ) /-=7-%%%-=7% :-595-5=9-79 % G ( / /:-7:: =9G :5-5-%%: -%%-7 -:% 5:G!&3 =- %7-%-=5= %-/9-59%-=/ % G 9-:=7-=5=-9%= =/-/7:-:%=-=7 7G 40

41 7G % G ) &8 % &&&E8 0 ) &8 & (". - & (". ='*9 $ ' $ G(@ 0122+;"$) % 3 ) -:79- %=-/ 7-/=:-:7-59 9G ( %5:-/%:-%%% 9%9-= -%%7 5 G 3 5/-//7-%/7-9= 5:-%99-5/ -= 57G!&3-5:%-%/=-5=9 =-55-/-/:5 %G 18B185B=12B31 3B5>B572B7= 13C 2 M M - M M5 - &(" G ( & < *< 41

42 %G &8 & & & & < ' $ $)?$*$@ =' 9 $*$ ' $*$ 0122+;"$) - % - G(@ 3 ) + =- ==-/= =7-99 -:=9 %G ) -/-7% -: 9-%= 855G ( 9%-%%= % 5G 3 + =-/%-:%7 5-7= =G 3 5- /%-=:=- /= %-%:-5// 85G 1B133B>7B>7 1B15>B51B7>7 3C ;=G)- & & ) 3 < 5G % ( 5G =G ) 3C%G 42

43 = ' *9 $*$.E"$" ;"$) % (@3 ) + 5:/- - 7 =7-99 -:=9 9:G ) : 9-%= 5=G ( 9%-%%= % 5G 3 + =:-:= -== 5-7=-9-7 G 3 /:-:%=- 5 %-%:-5// :%G 5-7-9: -7:= -:7- : G - 557G- + %012 "$"+<& & G *012 & 43

44 ' $ $)?$*$@ =' 9 ' $*$ 0122+;"$) % G(@ 3 ) + %=9-97- =-97=- /G ) =5=- /5- %:- =5-%%7 %7G ( 5-:%- 9=-775-% 9/G =-= /%-::5 %/G 3 %-559-7%5-%%- 5 =/G!&3 8 8 G 1B331B58B 3B318B>78B53 23C % & &%=G ) 9/G ( 44

45 =' *9 $*$ ' $*$ 0..$*< C 6 & ) + ==%- 5-7 =-977- //G ) = 7-:%9-% 9 =:5-=9/-=9= 7G ( ::-=9-%5 =-7::-%57 5=%G :=-:7 5- =7-%95- % 5G 3 /-99-9= //-=5 -% 85%G!&3 G 1B18=B>B85 1B>7B782B=2 13C + 3 5%G & < "$" - < 5 G =%G 5=G 45

46 ' &*-*%** =' 9 ' &% 0..$*< C 6 & ) + 5-: -7- =- -7%9-9 /5G ) :%/-7 =-=/ 87G ( : 5-99%- :- 9- /G :-5::- 7- /:-/:-9:% G 3-7=-9- %-=59-:::-= :G!&38 G 3B8B7>B >B32B115B35 17C 0 3. & 9G %) 7G & % /5G ) +3 &:G 46

47 =)' *9 &% ' &% 0122+;"$) % G(@ 3 ) =5/ -99%-:-%= 5G ) -5=-:77-5-:= -=::-9/ 85 G ( :5/-:/=-:/ 5- - :-9 / :G 3 + %-9/ %-% =-% G 3 =-5=- - %-=::-579-%59 %5G!&3 G 3B=>B>1B1 >B>=7B333B>== 3C ( < ) <&& %&& 1= % ) E 2/ +!&= 2!' 7 2 $!& * )& ) 47

48 8!? (!.))))! & ) )?'! 3 6 )? (! "!? (! 3 "!? (!! +& % ) + &' %? 48

49 1> () ) + & & & - == E 5 +(?1 ; + J&N =

50 3 % () 3 &! & - - 3, 1 E 2!1-2- " -. 1!'-3 1& 2'.0 *& 31 % &.) 2 & ) & ( - & + ; + J& & + - & 50

51 .0? 2!1 ' & & 0 & 8& $ - 5: 8& :G G ( %%7 : 51

52 >' 0. A 18 & D! 5 0&+0 5 J& 5 =? ; 5 + 5? 5 5 +! 5 5? 5 5? 1 ; 5 + 5!+; 5? 5 %?'; 5 %? = 5 J 5 = 5 5 );"($? 5= : 55 52

53 <9 ( <.!@.2)&3 =8 2 7' <9. & ! 5 5 / 0&+0 5 = J& % 0 % +; + = +! = ; + = 5!+; / %?'; J = 5 $* &. % % &.+ &2) 53

54 31 & 31, % $ (3!6! + 2! -! (. & 0 ) < :59+.&5 - / 5$/+. :/G 5% 7/G %==G = 5 ' %. & Case Detection Rate AFP Case Detection Rate, CDR Year 54

55 / 8 311,.) ( & & 3.23) (8&??& 6& 313! (8 2!J+! 2 & = % =

56 5' % " B 13A18 & ! = = 0& J& ; + 9 / % +! 55 = ; % % 9!+; % 5?'; % 5 5 J = 5 $* > ( 5@5 - ; J&80-?' ; J 9@5-1 ; E.) 6&

57 318 ) ) ; &; & 31= $ 6 & 3 $6 & 633! 33 $ " " 33, 13 1&0 + F20! ;@2 & 3& 1 57

58 1' $ ". " B 553A GW " & % =( - - = & = = % %( + % 331.)!20!* 2 & &!" ) 6** 58

59 333 " / 20! ) $ +&! &8 & )&

60 32 *). $ C & & & 9 G +$! 8. $ )&!!(!!( D( D( + 1 ; / : &%E ; (- ; 2 (& B & 60

61 321! *E ) ' 3 3! 32$3&? % : & * B 323 % *E' 7=G % 7G % '. 418 )?& &8?& " % :99 :/= 9/ -95 /%9-5 9 G 7=G 5 G :7G 61

62 ) ' )9 D Albendazole & Ivermectin Coverage-2005 District Total Population Number Treated 2005 TP* coverage TP* coverage (%) (%) Ahanta West 87,904 64, Aowin Suaman 139,388 92, Jomoro 114,748 88, Mpohor Wassa 124,323 94, Nzema East 98,198 71, Shama Ahanta 317, , Wassa West 123, , REG 1,006, , OP ( - D ( + 1 ; 13+( %-=:& & & 62

63 328, ) " ; &' +7G %7=G ( 32=,.)?8& 32>, (& 327 %E 1= ) 3 3!- 3 32$3&? &!& 1 ; 33! $ 3 &? & 63

64 38 % & 0 1 & & ( %9G $3 - =57G 57G &5E ; 80. & ! %7 == / 0&+0 59/ 59 /9 J& 0 +; 5:/ + 5 /9 55 +! =7/ : 5% 5 5% 5/ 1 ; + : %: 5!+; 5=9 5 / 5 5?'; 5 ==/ =9 J $*- 3= = 64

65 = % $! +! 2.)=8 +&:G! +; ) 38 $* ;-& 0 %*$00 1 ;-+! + "&.1 &8 381 )! 9' ( &- & ( 0 (? ( (!< & 383, + & "& ) E 65

66 .8 (( 3&7-7 (& 3&!<!8 (

67 3= (/6&6 8 %=!!+;-?' ;! 3 + &%G ) % %/G&?=5G % ( & &.% + - & & 3=, ) < 1!(@ ;&6 ++ ( 67

68 3=1 68?"$ B.1@ 6 D ' - + 3=3 ) + - 5/ D2@ D2@ 12 E 1 89? 855 2? 89 "? 8% 85 68

69 3=8 - +);? =2! 1!(!&?& 3' /. $ = 5/7 )) 5/ 5 ) 7 %7 3== % 0).) (/ (D?& 3& + -?&?5/5? 9?? 69

70 3=> 6 * 0 B5= D9% 2 7 "= "5 ": (35?C5 (D?: 157-//. 5-/= $:5 70

71 2' (/ )6 = =?'; % /5 J :/ 7/ 9: 5 / = +!?+ 7! = % 0&+0?+ 5/ 1;!+; / %9 J&80 +?+ 2= =2 && %/G %/%G ( & 5 /G 7G+! 1 ;- J&

72 3=7.) 6 D2@122? (D 6 3=5 *! 1=!@D2@12 6 (D@+(3! 0 3> 3>, ' 10 ) +;- 1 ;-+ >?'; ) +- J>!. $ 2& 03 2@3& +&/ '1 72

73 3>1. &.5 - < 0 & C -7-9<-7=5&( - 55:5 %7=G?G "$% &' ( ) = %?!Q 5 :: 557 5/ ; 99% 9%: 557 G; 9 7 : 2) : = / 2&) // 9 / 3) = / =.) = 3) % 7 = 7 G =:G %3 /G ==G % & 9G = /G % 73

74 3>3,.)!'& 6&!&2 3>2 *! 1=!3>(10 A C) ) > ( 0 2 0&0 A + ()0 3 > &2;0E 38-! (*0!0 74

75 37 ; 5 0 B = % ='. ; B 13A18 3 = %! 0&+0 J&80 5% 55 +; + 5 +! = = 1 ; + 5!+; 5?'; J > ! 3J& " 9 ) 6? ( 75

76 35 ;< (' & ' & &+ &9 G5 5= E )& 2 * (? ( 3 1;( 76

77 35 D >' % 3 " B 13A18 $: G. I & 9 G & & : G! - +!+ &9 G Penta 3 Coverage Achievement Achievement Achievement Sefwi Wiawso Bibiani A. Bekwai Bia Juabeso Wassa Amenfi East Wassa Amenfi West Aowin Suaman Wassa West Mpohor Wassa East Ahanta West Shama Ahanta East Nzema East Jomoro REGIONAL

78 3' 18 % 3. SAE AW BAB Nzema East Wassa West District Jomoro Aowin Suaman Mpohor Wassa East Sefwi Wiawso Wassa Amenfi West Wassa Amenfi East Bia Juabeso % Coverage 78

79 & = %! 5= 5 5 /% 0&+0 55/ 9= :9: J&80 5:= 5=7 5=%9 +; 5 + 5=5 5 : 55 +! 55/ % 5 = :: 1 ; 5 / 77 9:9 + 9 // 7/!+; 5 = 9 :7?'; = J 5=5 99 :%7 1= 8> B%G -< 5 G + 7/G 79

80 2'.$ 18 ' % Coverage ' 20 0 JB AS WA E WA W SW NE W W BCG District BA B SA E JO M M WE AW 0.?C@ & & ! 55/ :5 99: 0&+0 55% 9= 77: J&80 5:5 5=7 5: +; :: + 5 % 9 9:/ +! 5 : :/ 55: 5 = 9/ 1 ; 97 / 9%% + 7% % :/!+; 7 / 7 :?'; 9/ 7 7=5 J 5 / / = 7= 80

81 ) - & 9/G + //G 8' 0 18B " Ahanta West Shama Ahanta Nzema East Jomoro Mpohor Wassa East District Wassa West Sefwi Wiawso Wassa Amenfi West Aow in Suaman Wassa Amenfi East Bibiani A. Bekwai Juabeso % Coverage 81

82 1' & & ! 55% :5 :/ 0& = 779 J& =7 5/ +; :7 + :/ 9 : 5 +! 5 7 : : : 97= 1 ; 9: / 9%9 + 9: % /7!+; 9 / /=?'; J 55 /7 77/ = 7= >51 9/G %7:G. &: G! + ;/=G 57G % 82

83 *% +,*-%./' "( % Juabeso Wassa West Aowin Suaman Sefwi Wiawso Wassa Amenfi West District Wassa West Mpohor Wassa East Bibiani A. Bekwai Jomoro Nzema East Ahanta West Shama Ahanta East % Coverage 83

84 351 <9 1.&5% 5 J- 2 ) E +; 0&+0 + &8& & 1'. & D. " 9-%7 >52 " " %- 9% 558!9 55-9% 5>3 181B " 9 + (3!)-. 8 2&&' 2 & ' 84

85 352 ;D >' 18 % & *?&*@ Penta 1 and Drop Out Rate Penta 1 - Coverage SW BA B WA JB BIA W WA E AS W W Penta DOR District MW E AW SA E NE JO M RE G DOR(%).7'5< < + & 83$)! + ; 899G- < &* &J- 3$)5 G 3$)57G+! '* 85

86 358 - D &?-&@.?(3 3& 5 = G- < :9G 11 NID PERFORMANCE-2005 NID Rds Chn vacc 0-59mhs Zero Dose <1yr Zero Dose >1yr % Cov Feb 653,859 4, April 644, Oct 652,801 7, Dec 671,096 4, "- : G ;< & && 86

87 35=, ) ;(.?(3 =);3 35> 6.) 6& +;.('& - & 6&2( 3 (*& ;(! 1 B );3 ' +*& 87

88 2 () 2 ) () = G ==%G //G % /9G +.< 75=G!+; $ - 1 ; 8 +&' D(-?"$ ()!+;J& 5=-77 5=-/97::%G < ;& / ++! &! & J!!! 88

89 ( & && 0& J & / &=E ;<0. & 0)6 0) C ) 6 ) ) ) 7 : /:9 578 " 9= 7: " 597 5/ :5/ :5/ F* "" /5/ /5% " /% /% "" 5=7 5= /% /% " %7 5/:5 >83 F :7= :%% 5> 5/%% 5/ / 5>> $*- 158> 171>2 5>3 +! < & &&& F &:G! <& &&& 89

90 231 *! 1= 9 + -! +! 35&& 2&& 1/&& 2 < & 2 0)) 2 -. & 9-=5% %9-55: &9G : 9G +?2 I & - 1 ; +;I7 G 2 / (<%+? 2( %& 7H= 90

91 12' -. " 13A "9 5=5 5=% >2!9 5/% F 5%9 55:/ 5=1 " =8> " " 559% 9 % //7 5=7/ 138 " " 57: :79 1 0) " 9/% :: 87 ) " :% 75 >15 ) ) 5 = 9= D 59 5 =9 558 F 5 == >> 5 91

92 7' )) 9 % Coverage AS SW BAB WW NE JBDistrict WAW BIA JOM SAE AW WAE MWE 92

93 21 & &! + & - & G)&5: 18' & 13 A "9 =9 % 22!9 77/ %= 25 3 F =5= 7 1=1 " =8 " " / % =5= = 12 " " 5 % ) " %9 1=5 ) " 57= :/ 12 ) ) 7 / 28 -D %7= / 287 F / =

94 ( -0+=59G 57G % & & 0+ /7/G %G %.:E Supervised Delivery % Coverage WW BAB NE SAE SW BIA MWE JB WAW JOM AW AS WAE District 23 % -.?2 %==:G=/G 0&+05/G! 5 G 94

95 1=' % -. &B 13B 12 G "9 5 5: =>!9 9/7 /5: 8= 185 F =/ =95 15> " 177 " " %/ %% 3=> 9 =5 =9: 27 " " :5 =7/ 2> 0) " /= 11 ) " = %=/ 223 ) ) / %/ 83 -D /7 5=7 135 F ==% 55 => = 95

96 ' % -. &B 18 SW JOM MWE NE BIA WAE JB WAW AW WW AS SAE BAB

97 ( 1 & % 5 %( 5 *$$% /0 0 ($1 MMR/100, MMR Year 97

98 1>' 0 &) & A 18 & 0 - C &) 18 9 "9 5= 5=!9 5 F " = " " 9 9 =18 " " 5 5 0) " ) " 5 ) ) = = -D 5 = 18 F 5 7> => >>!+;3& & 1+ ) 32 ) +& )! 1 98

99 28 % & %. + -?';-J! J&80 % 17' % 13A18 & "9 5=7 5// 37!9 5= 5= 7= 85 F %= :5 2 " 78 " " = 5 =9% % >5 " " 5 5 >2 0) " /5 5 2> ) " 59 : 5 ) ) 5= 7 =2 -D 55 5=9 5 F 9 5= 73 7 >= 2 99

100 28 0) % 38 =8 C& - & & & 7-77% %9 9 -&&& * $5-75 %5-= % % 281. < % ) 2-5 :9-%5 =-:= &5-/5( %-"!/=- &:%G /7-9/ 2 &!

101 15'. < % 0) % () 12 G 18 % 2 2 2!1 $ % 7% 5-= % =-%5!? 555 :97 5= % 9- % (B3 9:9 /.!' -75= 5-9 %? 5/5% 5-7 D -% 3' % 4 0) 12 A 18-5 : =-//= ) + % /77.2 %: 5 101

102 8 -.) () 8 $9) % "$% 0 2!' 3! 1( 3! /3 ) &. -**.(--* H 7C * & C H 7C & "$(&!+; 59:5 =% /%5 79 :/ + %9: 7575?+ 1;?+ 5/5 5%?; 5:=% 557: 5%: J$1 57 5/9= 5 9/ /::9 5:: +; 5=:5 =5 / = ::9 5: +! 5:5 55= 5/= % 5: / 102

103 ! :575 %/ J0 5==: 5=9= 9% 0(+ 55/ );"($? 5://57 5:=/ :9 $ & 5 G!!+;1 ; 3 & 1-7 ' ;( ( 103

104 31' % 9) ) 8 9).(%" 0 18 & - ) - C 9) 9) ) 9) 5 :9 5/5 2> " 7 5=/ 1=7 0" %%/ : 31-7=: 5 38 "" 5=7 = =5 "" = =/ 1 " * == $ %9 -: : & 57G&+ 81,? H /5=3?$ 104

105 83 " 9 2& + & 6&& 8 6 ( &: & & B &&& 8 60&J 5 & &&J0& +&& = + & C ' "!&2C + &&& 105

106 81 *! 1= 9 +! +! 35&& 2&& 1/&& 2 < & &. 81 / &.! + E / +' + ; + %% &' ( )'((*+,'(!$!( -$$( + 106

107 811 ' = +?&?( & D ) + +?&:=G::G5 8' Vitamin A supplementation coverage for chn 6-59 mths in April & Nov % coverage SAE AW MWE NE JOM WW WAE WAW AS BAB SW JB REG Apr Nov Districts 107

108 +&/: &+?& $ = + -?' ;> + ;?&+.5=E Trend of VAS coverage for children 6-59 month during Nov./ Dec supplemetation % C o verag e Year 0 = % + :%G - ::G&& 108

109 33' 0 / B 13A18 & ) 5= %% 3== ) " 99 5:5 7 0) " / == D %:9 %7 175 F 5: = 128 " " =5 %% 223 "?+?+ 1 " " 5/ / =/ 11> : "9 =: 33 F /9 7 1=?+? = ++ %. //G&=/G +:/G 109

110 3+ ( + + & D %E 1= + + (+ ;< + 6&& +? & + 110

111 83 &. % 83 & &?&&@ 2& (33 ('B!("7 G& (&.30&5 2;!- 1B> 1$6" * & + (33.1!+;>& +& & & )?& 833 ) ' )& /9G+7 G & &5%=G = &1 = 111

112 32' () ;D () ;D & 13 () ;D 18! ) ) %:5 /= ) " % / 0) " = & -D :5 & F 959 & " " % 7 " " == 9 "? 7 +& 9 =7: 7== )9!9 /5% / 9 "9 / 957 F 7/5 &? 7/7 &?@ 831 =>8 112

113 832, + &! & * +& & 2 ; 3 1 6" 838 " 9' ( & & 6.@ 30"!0 3 +&!' 82. % + & - 113

114 82 * 1 1?&- & 2' ) Trend of anaemia cases reported from health institutions in the region Cases reported Cases Year 2 5 =& % < % % & & & 114

115 821 " 9 $' & 1 + (F( ;' +?2 2 +?2 - & 115

116 = () % = % 18 2E 1@0@ (D@+(3!!1 2&?@( 3 ; 8-2&8!1>. 8D + > (? 2& 3 3&- -! ;(8 116

117 =1 ) =1 ().6% %)3&- ; - &!+; ).1?( (?( )1'.1 2 3& ;+! ) +3+&3 (D@+(3!)( 20$ & (D@+(3! 6!+< 3&A 2! 117

118 =3. G & %( (1?& =2 & (;>2 &!<( +2+ (D@+(3! 6. $ )3B 1 =8.) 6 " 9??& ;)? 1 &? 118

119 == " 9!&(;>22 2&?"$ 5=(;>22!(;>2 & > > - () 5 1 $ 5% 3 1 (! 5 1 $'- 1 $ +$ 8 1B8+ +1 ( + +) + I +) +$81B8+ J-?';!+;1+% >1, 3 ) (!.!2 ( 8 & ) 1! *? (!? (! 119

120 $'? (!F)1-)23-) 3-33!- 32;!I-!1!'F;1? (! 35 F= $&? (! )!' &? (! F C 38' $ * 18 -&.* $ * 18.(/0- * 3 &.0 18 $ * 1= 5) %7-%:GC %- 9=%:G G?P5 G 0& %=7-::/ G /=-:7=55G G Q %9G? (. =0 5 7 G! 5!9G! +5%! &&5 03 & 120

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

122 "% 6< *87; R59 7 Q (?3(";?! ;?!($?;)!!B081;)$ ;+)! 2 +!!++;+! /= % 5 +!!++;! 5 -/% 55% 5/ 57 0(+?(+0;, +( 55- %: 5%7 : 57/ JB+0;!$ 5-/% :/5 5 7:!;.((+!$ -9= 5-9: 7: =/% 9= 7:9 55 %/= +!!+;! $(?!B+1+? 5 -%=9 /7 %% + +?+;! 5:-%9 /: 7 : /79: 97% 5% 5?L;1+;+! : 5 7 J$1$)$ 1$ $) ;+! 5%-7= 95= = /9:= :57 / 9 +,$)+3(! %9/ :9% 5 77 :7% 5-%9/ 5== 5:!;,$?3( $+6 5/ 5 57%7= =% 7 =7 122

123 >3,.) (' o B' o (F3 2D+0&" o $ o ( 8 & o * o ( && "! &1@1 6 & & +* &+<H 6& 2 & 8 &? (2& & 6& ( &? (2! < (* +& 8 123

124 >2 *! 1= (0%: G + C & &? (! 2-1*- $3 >8 +? (. +3+&2. 32; & + +? (! ++2/? (2 124

125 >=. () 37'.(% & A 18 &?. 3 2! L A! / %2 $ 2. 2 D + (' 1 +! 5: 52 $ 2. J& 5 5 2! ('. (' D L.2! ! (' L.2!. 2 + /2 $ (' 2. 2! 2 + &! 2 2! 2 2! 2 2! 2 2! D % / 125

126 + 5= %2 $ (' 2! ; /2 $ (' D 2.! 2 2! 2 2 % / 1 (' ; 2 $. D! ! 5/ (' + 2 $2. D?+ ; + % 52 $ (' ( 2. 2 $ 2 5!'?' 5 =2 $ (' ; 2. D = J /2 $ ('! 2. D 2 / / 2 126

127 0& 5 2! +0 ' (' %. D! 7 '

128 '. *%&? 2?2 G 5 1 % -5%5 %9 $+)( / -%/ /9 = 33 = -7=9 = %!3B 7-==/ =5 >)2 /- = / +;( 59-7=/ )>J 5/ :== 59 5 ( ( 5-=5 59 +$3 %:-% B>> 1 & & &- &%9%G $3 ( %-% 5-/9% % -5%5 - &5-9: & )01-(?(? &33 :-//7 %= -7=9 +- $3 % & 128

129 2'. * (? 2?2 G 5 1 5/-%/ =57 + %-7/ := = 33 =-9/% 7 % )2 -%%9 %9-59/ %= / 5-: = 7 :9 5: 9. /= 5= : "3 /% 5 5 )+ /5 5 +$3 57-=// ==9-9. 8B177 1&- & =57G +&%9/G <& /=G< 129

130 2'. * 0? 2?2 G 5 1 % 57 + =7 5 = % 5%7 %9 59 % /! 5/ %5 7 (D@+(3! 55: =: 9 2&D+ 55% =7 : 33 5 =% 5 3& 77 +$ = B82 1&- 57G?8& - & & )&5/G 3& 1 -G 130

131 .5E OPD visit per Capita 2005: District Performance OPD visit per capita Series NE WW SAE BAB SW AW JOM JB AS MWE WAW WAE BIA REG Series District.59' (?'; ; 5 131

132 21' *%& / % &. 13 ) 12 ) 18 )! % %9 %= 0&+0 %/ / / 0 5 J& 59 = =7 +; / 7 +! % %% = = /5 7 1 ; / == %= %!+; = /9 7?'; : J = =9 =: ) %% 5 $3 %.&?';&& <- ; 2 0&8+80 % $3 +! % 132

133 23' * *9)B C " 775-=5 /=-=9 / =/-7 / 5%%-== 5 5: 5=- =/ %9-59/ 55 ) 9:-5=5 97-/%5 9 7: ) = 5-55-% 5 5 $3 " - $3 & & & & - & E - "! 133

134 =' ( &' 18 Hospital Admission Rate 2005 Performance by districts NE SW BAB WW AS WAW WAE JOM ENRH SAE AW JB MWE BIA REG HAR & 5 ( & =9 1 ;9%?'; 0 134

135 "))% ' %; & ) ) )! /= //= 77/ 0&+ =/ /%/ %:9 0 J& 7% 0?!?!?! +; /= =5 +! =/5 =5 %= 7% %: 1 ; = 57 =9 + 5=% 57 5%9!+; 5/ /?'; 9= :7 9% J 5: 7 7: ;?) =7 / 7% % & =9%! //=G % 77/G 1 ; 57G % =9G - & &?' ; :7G % 9%G -<1 ; 135

136 &?'; 1 ; ")% ' ;)8:3' C. % % 3 =%-/7 =%- % 9 =:: $ 7-:9 9-5 :% : :-7=% 9- %7 55 :% 1 5-= =-=% % 7= ) 5 -::5 55-9%5 5: 5=: 72B57 78B2> /G + 2=' ( &) 18 &) &) C 3 =%- 5-5=5 == $ 9-5 : %7 = : 1 =-=% 7:: =% ) 55-9%5 9/ 7= 78B2> 3B2 =/ *7=G =/G & 136

137 2>' ( &) ' = == $ 5% : 1 = =% ) 9 7= 38 3= =G %=/G -59G %:G % 3 1 % 137

138 >' * ' % 18 BED OCCUPANCY RATE: 2005 PERFORMANCE BY DISTRICT % OCCUPANCY BOR NE SW AS BAB ENRH WAW SAE AW WAE JOM WW MWE JB BIA REG BOR DISTRICT &?';955G 1 ;G!7 5=& %77G J& & 0 138

139 27' * & ) ) 18 )! %9 /9 /%/ 0&+0 // 9/ %9/ J&?! 0?!?!?! +; ==/ + 7% %/ % +! %5 7 5 %= %% 7= 1 ;?! 5=% + /= =75 =/7!+; ==7 %57 %?'; 77: J =% =5 :/ ;) %9 %:/ %9= 8= 2=5 2>> ) = % < 1 ; & % - 139

140 25' * 13 A %/7 %: 1 / /: /: =/9 59 / $ 9/ 7 =9: ) %9 %:/ %9= ) / %/: %77 %& % $ %& 7G =9:G /: G %77G 140

141 7' ' 18 BED TURN OVER RATE : 2005 PERFORMANCE BY DISTRICT TURN OVER RATE BTO AS NE SW BAB WW JOM WAE ENRH SAE AW WAW MWE JB BIA REG BTO DISTRICT & +! /:: 1 ; 7 =/ 141

142 8' ' 13 A 18 3(!)(2 = % + + +! 7 % %: 0&+0 7% = %/7 J&?! 0?!?!?! +; =/ + 9= 59% = +! 57 7/ /:: %=9 %= 1 ;?!?! 7 + : 7 =59!+; ==/ ==% =?'; =/% 95 5 J =%= =9% %5/ ;?) = ==% =/ ) %= %5 %= $ % 5= & 7 1 ;/::+!. 5=& 142

143 5 : % +& 5,!</ A + $ ' %% ( 1 2 (12(' A +-( (12(&A A 51 "B;?) $>" ;) & ;? + ; ) -5- % 143

144 53 ) (8 ( ( 52.?8&.!F 58 *! 1= (!A + (!(22 144

145 -!9 ( % ) ( 3 8 ===-% ? 8 55%-9 2!! 8 =/?82!! 8 5:% $ A & 131$ 8 5! 8 5 1$ 8 =!1$ 8 5-1$ 8 5 A 3. A 2= 145

146 1, + 8! /% I +2(22 ; ; " 3.). (* 0 15 (* $& "! B& * * 1& 146

147 2 " 9 )8 * ;& 2.)B!%!! 0 0 B & (&8012 ;&!). 147

148 . %) : < / < &!+;-0&+0-J-1 ;-!, 3 -& D 2 ) $

149 1. %). 8'.%). A " *& * 5 ; = =-57/ =-/!' 5 = 5-9% 5-:% = 3 % = % 3+& =7= %9 :% 5-%/% 5-9 / 2 / %== %9: 7 / =% = 9 +<? %= /= : + % : %/ 55 1) =5 57 / 5 : % 5 5= ; 5 /% / * 712 5B87 5B571 3, ) =& B ;9=* 5 & 149

150 2. 62! (* ;<B,B! & 6 8 *! 18 ( 2 3 (& 2&1 150

151 1. ; & < / 5=! - +!- +;--+!+ ; & $ & *E && 11,!;2!$3!! $ ; 151

152 13. ) 9 ) *%& ' $? 2C@ 02?02 " 2$ $ ); 1CC 1C 152

153 12 *) +:= $ $B);+2 8 :=!2 $$6!2);;?(?" 8 5!B)";)(;! 8 7= 18 ) - - I = 7= =7%G5 ) $ 8 $ 8 5 $? 8 153

154 1>. (* (** 6 17 *! 1= $??$ ( ;! $ (* 3 * () 3, $ 0& + 0 1C 31 & () ;?3B ;3B,3B 1)13B 32 +<3B$! 154

155 33 *%& +5-=/ <. 1) & &E ;< 8 7-% % / ) :/ 1 8 =-/ 32 *) $0&+0 E 8 :5%?& 8 /?&< 8 59?& ) 8 /= $ 8 5:7 38. (* 6 (** (* 155

156 3= *! 1= (< << 156

157 2 & && & & 7' % () B! " 2,!8 (8!01 *A + ( 0 157

158 21 % :. * * & & &/&E "%. /=(3 ' 9 - ()!! % :=@ 5@ 5/9@ / $! ( 55: 57@ 5/7@ $.A -( :@ 55@ 57%@ $ & ( 97@ 5%:@ 55@ "! ( >=6 16 3= ;?) " C & 22 8 % = 6&+ 8 5 (

159 28. (*& $&&* 0 & & 6& 2=.)!'* & ( & 0 1& )!!&8!!F&.. 2> " 9 & 3 +& & ( ( & * 159

160 8 () E ;B ;*B )B!B B 8 ( ;- 8 () & * *() 8 5%/. 8 5%.& 8 5.& 8 5%. 8? " & &5% 160

161 81 6"!) "% 62 >?! - 1!! 59 1?! = 1;! 9/ (2+- C1> 3 5 1;! %. 1 1 $> (82 32; !- $-> 1$ 32; !- $-> 1$ (2 3;1 8 3;1 161

162 83 ( (;1C (&&3+&-?"$I"! 82 %E 82 0*( %E + 7 C = & H % %&% G8 7G/ $)/@ 821 0*(( 6 %E = C -& G8/ G/ $/ 162

163 823 % %E )&1$31 2!3E 8 :?& % 23 8 =!& 62 8 :9G?2 8 1+!? !E 8 M=:%-5-% M=7-/:-9 ) 8 & 163

164 82 ) )&1 2!<& +C 1%C 88..*&C 1 (* & (& 164

165 81. ; 81, ;*(2 +;* 11! 21!) )!2 2! ;* * 9 & E & 2-&?5 2-&? $ D ! )+?;* 8 =9?;* 8 %?;*& 8 75?;* 8 5% 165

166 ! &9 A 13 0E!9 9' 01( 8 /!'1 8 =! ;*& ;*E 6&* 3B! ((& 6;*- 3B- 1!(!( 166

167 E + 82' E + * ;-.*--$ *,- ;-.*--$ -" &*"- :;0-6D 57 5% = 9% %! +!S8)B 5 5 9== = B / 5 9== 9! 3B 5!0 5 5= 9/7 = "! 1' 5 : 6 1B : = ; % (. E8 B&+ 2J B 0"I B!3&+3< B0&(&"I 167

168 81>. 0B 61;* 817 " 9 ) + & &&* 168

169 83 ; 83, )J"5 +&5J"5 3& 9 J +! + 8. % ++"5 +& JJ 5" )&& )5.&")0 J J /)!< 8-9 5& 833 6!7</ $51&5 169

170 832 88' /) - C /), C C,6 0 - /) ;D.6! /) 7> 25 8=C C =C = I==>J I88 8=' /), C C,6 0 - /) ;D.6!! C 3=235 5C 82C 8= 1=7J IB>2=.E O! 170

171 838 ; /) 8>' ; /) -;*-6&. /. /(. ;-/. /(. ) 5/ 7 3 ; % = )?>1 5 2!+; = 5 1 ; = 5 +?'; 5 J % 8 % ; 5 5 +! = J&0 % 5 0 5! 0&+ 0 $+6 : 9 C =>71 317C 171

172 (2 6; 1$$)226; 0(226; 0$+ )(226; 83=! 87'! $ $*;% * 5F /F: 5 Q /) % = 5: 7> 5F= %F / 0 =5 = %: 8 5F /F: 5 Q > *.*- 4 < &. 6 -;*- 85' *.*- 4 < &. 6 -;*- ) = / ; )?> = % : ; + % ?'; / / 8 8 8!+ % ; 172

173 J % : 8 % 8 / ; ! : J& / / 8 8 8! 7 / &+ 0 % = $ % *--? 1 (* (* 835 "< ' ; - &

174 82 ( & * - %%9: % / $$/ 174

175 ? 7 +<? 3 5 $ % 821 9). - *.! ??! + $ 5!? 175

176 823. % 1 =% & = / ;? 5!)? = + = %*0**- *.$*< -*%*0*& 1$? +<? =7 6& $ 5% + 5 +$ 7 * =7 176

177 % 21!21!& & ) 3-8 & 21! *& 0 ) 1! 881!9 -A& M 5 =- - - $1 -::=-59-/ =21! 9-/9-:9 %!=5 3 -% =-/7-% D012 -:% -57-/%: /) =/7-:% 7$2 /7-: $3& :%9 177

178 883 &;$M )*21! =-=9-%5- =$ /-9%9-/-/=% %21! 5-=:5-%-5%!=5 3 =- :-:::-==: /D!012 7-:=9- % /-99%- 9-=7 9$2 -/-%/5- :$3& -7 -// $ % $E8 M 5$2&! 5= %95- - = & /7-%5- %-D! 57-//-9/ ) 1 21!* )1!8&!&21! <C 178

179 )* & ) 1! & 012 ) 1! =5 3& %-7= = 88= ) " 9 2+//=! <-8 179

180 = () = - G 09. A! = 0E ( < &I 2 2 & (< )&& =1 G!%% "? 8 =/ %. 8 == = 5% 6 A '31 180

181 =3 % $& ; < < 2,80 )3%>35& & < =2 % =' < $ - - C % ) JJ 35 = : >1 3= 7 = % 9= %9 / = 5 8>7 & A A A ==7 181

182 =8.) G. (* &C &?&*?12?12& & (* (*I> & 1& (*&-&??- == " 9 1= 3 3 && &623C 6&& &! 2&& 182

183 =1. () - ) =1! * ='. % < 0 5 : 5:% = =% /= =55 =7%!/' - > /$% =1' <! - C 1 8 A % 9% =5 82 5= & = % 183

184 =11, G ) 6 (. A! (?' B/ + " C D )?+3 3!;22 =13,.) & (* 2& 3 1 (*F /5& =12 *! 1= 2C 2 &.& 7: < : G ) &

185 >. ) %& H <B' & 8 8 ) & C )( & & 2!- & & /& $& & /$ /$) < 012 ) - & 012 -& / 185