HEALTH SERVICES
The health service in the district is poor and deplorable with the common person receiving on average 20% of his/her medical requirements. Most of the health centres are situated in the urban areas making rural areas completely lack health facilities.
Major health service problems identified include the following:
- Lack of adequate health premises and ambulance
- Too little qualified medical staff [doctors and nurses]
- Inadequate medical and diagnostic equipments, drugs and medical supplies
- Shortage of medical schools to produce professionals
Main District Puplic Health Center
Table 5: Main district public health centers
Town/village | No. of Health centers | No. of Doctors | No. of Nursing | No. Of Auxiliary | `No. of Guards and cleaners | NO. of midwifes |
Garowe town | 6 MCH ,1 Hospital | 24 | 38-40 | 9 | 60 | 25 |
Cuun | PHU | 1 | 1 | 2 |
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Xamur | PHU | 1 | 1 | 3 |
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Kala- bayar | MCH | 1 | 1 | 2 |
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Awrculus | MCH | 2 | 2 | 2 | 2 |
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Yoombays | MCH | 3 | 2 | 2 | 3 |
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Reemant | MCH | 1 | 1 | 1 |
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Birta dheer | MCH | 3 | 2 | 2 | 3 |
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Mayle | MCH | 3 | 2 | 2 | 3 |
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Xamxamaa | MCH | 3 | 2 | 2 | 3 |
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Dudumaale | MCH | 1 | 1 | 2 |
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Caana yaskax | MCH | 1 | 1 | 2 |
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Table 2: Health care centers and Medical Personnel
Type of health care centre | No. | Medical Personnel | No. | Ration of medical personnel/Patient |
Hospitals and TB cents. | 7 | Medical doctors | 8 | 1 to 12,500 |
Private clinics | 12 | Nurses | 29 | 1 to 3,448 |
Mother & Child Clinics (MCHs)/ OPDs | 11 | Traditional Healers/ Herbalists | 3 | 1 to 33,000 |
Out Patient Depts. (OPDs) | 10 | Traditional birth attendants | 15 | 1 to 66,000 |
Private pharmacies | 150 | Pharmacists | 1 | 1 to 100,000 |
Traditional health providers | 2 | Lab Technicians | 6 | 1 to 16,666 |
Total | 104 | Total | 62 | 1 to 33,666 |
Table 3: Human Resource And Health Facilities In Garowe District
Human resource | Total | Health facilities | Total |
Doctors | 9 | Public hospitals | 1 |
Midwives | 15 | Private hospitals | 4 |
Nurses | 45 | Health centres | 5 |
Lab. Technicien | 5 | Health post (PHU) | 7 |
Auxiliaires/technicien | 100 | TB center | 1 |
Pharmacisttechniciens | 3 | Mental Healthcentres | 1 |
CHWs | 30 | Private pharmacies | 150 |
Source: Ministry of Health HMIS data
Table 4: Human Resource And Health Facilities In Garowe District
Human resource | Total | Health facilities | Total |
Doctors | 18 | Public hospitals | 1 |
Midwives | 15 | Private hospitals | 3 |
Nurses | 75 | Health centers | 5 |
Lab. Technician | 5 | Health post (PHU) | 7 |
Auxiliaires/technician | 128 | TB centres | 1 |
Pharmaciestechnicians | 3 | Mental Health centres | 1 |
CHWs | 30 | Private pharmacies | 240 |
Source: Ministry of Health HMIS data
Chart 1: Human Resource and Health Facilities In Garowe District
The minimum standard set by the World Health Organization (WHO) to ensure basic health care services are 20 physicians per 100,000 people. There is a shortage of medical doctors in Garowe as the case in other parts of Puntland, which forces the closure of numerous private clinics.
Figure 1 Medical Personnel in Garowe
Persons under 25 years old form the bulk of the population at 65% of the total population. With 15% being above 50 years which is also the average life expectancy rate in the country ( 48 years for men and 50 years for women, respectively). This leaves only 20% of the population being at the prime economically productive age bracket of 26-50 years.