DISTRICT DIRECTOR OF HEALTH SERVICES

MASINDI DISTRICT LOCAL GOVERNMENT

THE REPUBLIC OF UGANDA
In any correspondence on
this subject please quote
15/02/08
P. O. BOX 67, MASINDI, MASINDI.
Office Tel………………………………………..0465-
23210
District Chairperson.................................0465-
20115
Chief Administrative Officer.……..………..0465-
23231
Deputy C.A.O …………………………………..0465-
23221 MASINDI DISTRICT LOCAL GOVERNMENT
Chief Finance Officer ……………...............0465-
Fax No. …………………….0465 -
23224
District Extension Coordinator.................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