Tb Infection Control

DISTRICT DIRECTOR OF HEALTH SERVICES

THE REPUBLIC OF UGANDA

In any correspondence on this subject please quote

15/02/08

MASINDI DISTRICT LOCAL GOVERNMENT P. O. BOX 67, MASINDI, MASINDI. Office Tel………………………………………..046523210 District Chairperson.................................046520115 Chief Administrative Officer.……..………..046523231 Deputy C.A.O …………………………………..046523221 Chief Finance Officer ……………...............046523224 District Extension Coordinator.................0465-

MASINDI DISTRICT LOCAL GOVERNMENT

Fax No. …………………….0465 20100 Website address: www.masindi.go.ug

13th May, 2009. The Chief of Party Tuberculosis Control Assistance Program Thru; The Regional Liaisons Medical Officer TB INFECTION CONTROL ACTIVITIES RECOMMED FOR SOME DIAGNOSTIC FACILITIES Arising from the discussion with Regional Liaisons Medical Officer – Western (RMLO) on this subject, it was agreed that the district communicates to the Chief of Party urgent activities to be handled. TB risk assessment conducted to some facilities in the district revealed that congestion in OPD, limited knowledge on TB infection control and shelter for patients remain the major challenges at facilities. In bid to decongest healthy facilities OPD, the district procured some 52 benches as planned for under TBCAP, and these have been distributed to eight facilities living others with out furniture. Although some furniture was procured and distributed, Provision of some form of shelter as waiting area for patients also remain a big gap in most facilities. The district therefore wishes to express this as major concern and recommend that shelters at all diagnostic facilities from HCV down ward to HCIII be provided besides furniture that was budgeted for. About the particular form of shelter, our opinion would be to have iron roofed shelter standing on concrete pillars or pipes. The idea to this is that, it not be a stationary structure that can not be misused in any form as it likely to be with having tents for this purpose. Because of the challenges and problems associated with procurement by tender process, we also recommend that implementation of such activity be centrally manned. This is expected to yield better results than living it all for the district as it might luck some capacity to monitor, getting right service providers and delays involved.

The estimated cost of erecting one shelter in each facility is at estimated cost of four million (4,000, 000/=). Seventeen (17) diagnostic/ treatment canters are targeted in the entire district. Total cost will be 68, 000,000/= (sixty eight million Uganda shillings.) Yours DR JOHN TURYAGARUKA DISTRICT HEALTH OFFICER- MASINDI Copies Resident District Commissioner District Chairperson – Masindi Chief Administrative Officer -Masindi Secretary for Health - MDLG Coordinator TBCAP- Masindi