CHAPTER ONE: INTRODUCTION

This chapter contains the historical background of Amolatar, mission, vision and objectives of
the internship as well as for the organization.

1.0 background of the internship exercise

Students are always attached for internship training to enable them attains the necessary practical
skills so as to suit in the different work environment. This time is given to students to compare
and relate knowledge gain in from class and practice them as per different work environment and
organization. As for bachelor degree in environmental health sciences, Cavendish university
Uganda this is done when the students have completed two years of studies and is in for the third
year.

In Amolatar district local government, I was attached to health department to gain the necessary
skills and knowledge in health service delivery under the supervision of the ADHO-Envt.

1.1 Objectives of the internship

The placement focused on the students ability to relate with established administrative
institutions which render services to the people. To built confidence and trust among the trainees
so that to be the future office bearers and to test students knowledge and ability to apply
theoretical knowledge learnt in class into the real practical situation.

Objectives of the attachments were:

i. To orient the student on how the local governments work in relation to other sectors.
ii. To make the student understand and relate the silent issues learnt in class with actual
practices on the ground.
iii. To give the student an in-depth understanding of the institution and appreciate the
roles played by different stakeholders in service delivery to the people.
iv. To practically apply the knowledge from lesions learnt in class while in the field and
to equipped student with the basic skills that are relevant in the management of public
affairs in public offices.

1
1.2 Scope of the internship

The internship training was conducted in Amolatar district at the district health office; the district
has 9 sub counties and 2 town councils.

Amolatar district is bordered by Apac district to the north, Dokolo district to the northeast,
Kaberamaido district to the east, Buyende district to the southeast, Kayunga district to the south
and Nakasongola district to the west. The coordinates of the district are: 01 38N, 32 50E. The
district covers an area of approximately 1,758 square kilometers (679 sq mi). It has a total
population of 146,904; 72,497 males and 74,412 females (National population and housing
census report, 2014).

The training covered areas of administration in health, areas of procurement, service delivery,
support supervision, survey, data compilation and analysis of report, sanitation and some
delegated functions were performed like UPHIA training by MoH to conduct base line survey on
HIV, Hepatitis B and syphilis in Amolatar district. It took a period of nine weeks from 19th
July to 19th September 2016.

1.3 Organizational profile

1.3.1 Background of the organization

Amolatar district was curved from lira district in 2005. Officially it gained the district status and
stared operating in 1st July 2005. By then it had four sub counties and only one town council. The
traditional sub counties were: Aputi, Awelo Muntu and Namasale and the only town council was
Amolatar where the district head quarter is located.

In 2008, the ministry of local government accepted the district proposal to sub divide the sub
counties where five more new sub counties were created. In the process, Aputi Sub County gave
rise to the current Agikdak and Akwon sub counties, Awelo came out Etam and Arwotcek sub
counties, finally Muntu delivered Agwingiri Sub County. The key factors for creating those
new administrative units were population and access to services by the community.

Therefore, by financial year 2008/2009 the district had 9 sub counties and one town council
operating legally. In 2011, another new town council was created by the name Namasale town

2
council that was curved from Namasale Sub County. The district has only one health sub
district(HSD) that is with only one health center IV, three health centers III and eight health
centers II serving the whole population. However the district also has private hospital serving as
the district referral.

1.3.2 Organization structure

Administratively, Amolatar district local government has nine sub counties and two town
councils; CAO is responsible for running the district and reports to the politically elected local
council V and the central government administration. Under him fall heads of departments to
include: chief finance officer, district engineer, district community development officer, district
internal auditor, district health officer, district commercial officer, district production and
marketing officer, district education officer, district environment officer, personal sectary and
district water officer.

Politically, the local council V chairperson heads the district. The local council articulates the
policy to be implemented by the council administration. Under him, there are 11 L.C.III
Chairpersons sub county levels, 28 L.C.II Chairpersons at parish level and 435 L.C.I
chairpersons cell/village level in Amolatar district.

Under health department, the DHO heads assisted by two assistant district health officers:
ADHO-Envt Health and ADHO maternal child health services. There are focal persons who
coordinates specially assigned duties in addition to their tasks for instance malaria, tuberculosis,
HIV/AIDS assigned to them by DHO. They usually report to simplify the roles of the DHO.

The DHO office has got some other officers such as biostatician, the accountant, the sectary, the
stores assistant, the record officer and office attendant.

1.3.3 What the organization does

The organization like others is responsible for service delivery to the community and at the
district level their major roles is mainly administration and management including:

Planning for efficient and effective service delivery to their clients

Verifying eligible partners that offers health services to the community

3
 Monitoring and evaluation of the lower carder performance through performance
appraisal.
Approval of staff for career development
Coordinating the district to the higher level like the ministry.

1.3.4 Its clients

The clients of the health department precisely are those who utilize the services, service

providers, CSOs, policy makers and planners at ministry levels.

The clients are the patients seeking health care services in the respective areas of their interest

that include components of the primary health care (HIV/AIDS, mental health, malaria, nutrition,

sanitation and rehabilitation services).

Service providers are the health care providers commonly known as the health workers and are

of different categories such as those offering preventive, curative/treatment services and special

care health workers. This also includes institutions or health facilities offering these services.

The CSOs are the local district partners or NGOs providing financial support to the district to

improve on health. Currently, the District has a number including, ASSIST, FAPAD, KADO,

TASO etc

However, with the current government policy, all other departments are supposed to provide

integrated services for the achievement of health in the community. This includes works and

technical services, production and community departments.

1.4 Vision, mission and objectives of the organization

Vision: A united democratic and prosperous society in a healthy and sustainable environment.

4
Mission: Providing quality services effectively and efficiently in conformity with the national

policies for sustainable economic development.

Key objective of the organization

To provide quality health services to the community for socio economic development.

Specific objectives of the organization

a. To promote hygiene and sanitation at household level and generally good health in the
community.
b. To enable eradicate poverty nationwide by ensuring healthy and productive society.
c. To improve on the standards and performance of pupils in all the schools in the district.
d. To enforce legislation on hygiene and sanitation in domestic and public places.
e. To create awareness among the community on health issues.
f. To improve on accountability and utilization of health resources
g. To promote multi sectoral collaboration towards the attainment of health for all.

5
CHAPTER TWO: MANAGEMENT OF THE INTERNSHIP EXERCISE

2.1Introduction

This chapter contains activities and or roles of the district health department, induction at the

district, the title of the head of department at the organization, responsibilities assigned during

the internship training, relationship with other officers during the internship, and the roles played

by the work and university supervisors during the internship training.

2.1 Reporting and induction at the organization

Reporting to the district for internship training was on the 19th July 2016. With the assistance of

the secretary of the department, a visitors book was signed. The work supervisor later carried

out an introduction to various employees in the department. This was done on Tuesday.

Together with the work supervisor, a work plan was harmonized within the duration of nine

weeks. Some activities were the anticipated activities of the organization during the period while

others assigned activities that were from ministry of health and other partners/ donors.

On that same background, the work supervisor also took the internee through a brief introduction

to other officers in the department at the DHT meeting on the DHO board room on the nature of

activities performed on a daily basis, how, when and who to report to.

2.2 Category of department

The District has several departments namely;

Administration, health, education, fisheries, production and marketing, works and technical

services, water and sanitation and community based services departments.

Interactions were made with most of these officers who head them or staffs under them.

6
2.3.0 The department during internship training

The department of attachment was health, under the supervision of the Assistant District Health
Officer (Environmental Health) with the attention drawn to Section J-f of the Uganda Standing
Orders and Circular Standing Instruction No. 3 of 2011, relating to the internship/Apprenticeship
placement in the Public Service.

2.3.1 Roles of the department

The department in general is responsible for providing preventive and curative services to the

community.

The District health office is responsible for planning for the provision of these two key services

in terms of human resource allocation, supervision, monitoring the quality and providing

technical support.

The department is responsible for providing their clients and or community members the key

disease prevention messages that include;

1. Washing hands with soap and or ash before eating and after going to the toilet

2. Sleep under an insecticide mosquito treated net

3. Take children for immunization

4. Eat a balance meal

5. Remember to drink boiled water

6. Have a safe toilet at home

7. Keeping home and compound clean

8. Keeping the house well ventilated with good air circulation

9. Staying away from bush meat like monkey meat that hides deadly diseases like Ebola

7
However, Preventive services includes but not limited to the following stipulated by the ministry

of health Uganda.

Immunization services
Provision of safe water
Sanitation and hygiene
Health education to the community
HIV/AIDS preventive services and care
Maternal and child health services including intermittent preventive services, antenatal
care and net distribution to pregnant mothers.
Mental health care.
The curative services include provision of treatment services to a person who has already

manifested disease condition. This is usually done in the in the health facility that are of different

levels like health centers II up to the hospital status for the district.

Other services or roles played by the department include;

1. Planning for health services

2. Technical support supervision done by the District Health Team and integrated support
supervision by the executive committee.
3. Monitoring and evaluation.
4. Linkages with other development partners and departments.
5. Planning for the recruitment of health staff and their inductions. This also includes
capacity building to staff.

2.3.2 Title of heads of department

The title of the head of department is District Health Officer (DHO). The office is assisted by

various officers such as; Assistant District Health Officers Maternal and child health services and

Environmental Health. There are others who head sections within the health department called

focal point persons. Amolatar has got a number of focal point persons including; HIV/AIDS,

Malaria, IRS, NTD, Tuberculosis, leprosy, cold chain and laboratory. These focal persons report

directly to the chief administrative officer but sometimes through the DHO.

8
There are also support staff and others such as the records and stores assistant, the office

attendant at the district and health facility level.

2.3.3 Responsibilities assigned and carried out during internship

At the course of the training, the internee was assigned and performed during the period of nine
weeks the following activities that are pertinent to the training.

Solid waste management

Introduction
According to WHO (1999) define Solid wastes as all the wastes arising from human and animal
activities that are normally solid and are discarded as useless or unwanted

If solid wastes are not managed properly, there are many negative impacts that may result

Also Solid wastes are all the waste arising from human and animal activities that are normally
solid and are discarded as useless or unwanted.

This special activity was carried out in Namasale Sub County including Bangala town board

where much of the solid wastes are generated like other urban centers (towns, town boards, cities

and municipalities) in the country. This is because all urban centers suffer from poor wastes

management due to an increasing population and rise in commercial activities.

However, the town board has three has pits for storage of wastes but still lack approved dumping

site and reliable mode of transportation of waste plus the personnel employed to collect wastes

from the ash pit to the lorry ready for transportation.

Never the less, I therefore played a key role in supervising waste collection to the ash pits, health
educate the community and ensure that standards and regulations are met according to the
Constitution of Republic of Uganda, Amendment Act 2005 chapter 3 section 17(j) and (k) It
is the duty of every citizen of Uganda to create and protect a clean and healthy environment; and
to perform such other national duties and obligations as Parliament may by law prescribe.

9
Procurement
A delegated role was assigned to undergo the training on the procurement procedures for the
disposal of district assets for two days.

NTD program
NTD is neglected tropical diseases. An activity conducted in the months of April and October
annually supported by ENVISION with the MoH to help eliminate the neglected diseases like
bilharzias, trachoma and others. As an internee, I was engaged and attended training of trainers
(TOT) for two days at the district.

Quarterly departmental staffs meeting

This is a meeting held once quarterly shared by the CAO and other key district stake holders like
RDC and C/P L.CV of the district.
The objective of the meeting was to ascertain the entire department on the government policy for
assessing our work based on the contract performance.
Specific objectives was to
i. Produce district and display district clients charter
ii. Observe proper discipline amongst departmental staffs
iii. Observe standards rules and regulations governing the institution such standing order
As an internee, I represented ADHO-Environmental Health to build my capacity on what is
required from the departmental staffs for the running of the organization.

Surveys by UPHIA-MoH
UPHIA is Uganda Population-based Impact Assessment is a nationally representative,
population-based HIV impact assessment, led by the ministry of health in collaboration with
ICAP at Columbia university, Uganda Virus Research Institute (UVI), Uganda Bureau of
Standards (UBOS), WESTAT and ICF Macro with support from the U.S. Presidents Emergency
Plan for AIDS Relief (PEPFAR) through the US Centers for Disease Control and Prevention
(CDC).

10
The goal of UPHIA is to describe the current status of the HIV epidemic and the uptake of
prevention, care and treatment services in Uganda. UPHIA will estimate HIV incidence,
prevalence, and viral load suppression among adults and children.
As an internee, I was delegated the responsibility of the District Health Educator (DHE) to
represent the district on the training conducted by the MoH at Margarithas palace hotel Lira
August 2016. The survey was targeting three epidemics such as HIV/AIDS, Syphilis and
Hepatitis B.
UPHIA aims to measure the impact of Ugandans HIV prevention, care and treatment services,
to guide policy, and to help set funding priorities.
According to the Sustainable Development Goals (Goal No.3 good health) the survey also
aims at bringing the HIV epidemic under control so that it no longer represents a public health
threat to any population or country by 2030.
In Amolatar district, the survey was conducted in selected two villages by UBOS in the name of
Agwenopetongoting and Olingamuk in the respective sub counties of Muntu and Agikdak.
The DHE acted as the District Community Mobilization Coordinator (DCMC), conducted the
following activities on behalf of the district
i. Conducted district stakeholders meeting for the entry of UPHIA team into the district
ii. Conducted recruitment and training of Village Community Mobilization Coordinator
who would direct the UPHIA teams in their respective villages
iii. Conducted entry meeting of the UPHIA team and the community stakeholders
iv. Training of community members and stakeholders
v. Conducted community mobilization with the display of IEC material for the UPHIA
surveys
vi. Conducted exit meeting together with the UPHIA team at the village level
vii. Compile and submitted report for the UPHIA survey to the DHO through the work
supervisor.

Training of condom distributors

This was an activity supported by an organization called KADO funded by global fund
implementing activities for the MoH with the objective of eliminating HIV/ AIDS globally.

11
As an internee, I was delegated to perform the role as one of the district TOT on condom
distribution with the qualification required of the global fund.
Therefore I conducted this activity in the sub counties of Muntu, Arwotcek, and Namasale
respectively for a period of four days including first conducting district entry meeting of the
KADO executive director at the DHO board room.

The participants for the training were VHTs or condom distributors selected randomly at various
sub counties throughout the district.
The objectives of training these condom distributors were;
1. On informant point of view, to enlighten on what HIV/AIDS is, its sign and symptoms
and the impact to the communities.
2. To know what condom is and its core values in the fight against HIV/AIDS.
3. What category of people to use condoms.
4. To impart skills on how to effectively use condoms.

Support supervision of Uganda Sanitation Fund Program (USF)

This is a program funded by global fund monitored by ministry of health. In the mid north sub
region districts, the technical assistant sits in Lira district.
The objective is to attain an open defecation free environment (ODF) in all villages in the

District.

However, follow up Manduna is an activity in the promotion of ODF environment under USF

which I was delegated to supervised in the area of Etam Sub County together with the technical

staff from Lire. During the support supervision, a new intervention of hand washing was

developed for the whole community to adopt for use.

12
Support supervision of youths camps by KADO on HIV/TB

This is an activity conducted by an NGO KADO. KADO is operating in five districts bordering

Lakes of Kyoga and kwania including Amolatar district. In Amolatar district, KADO conducted

youths camps in the five sub counties of Aputi, Agikdak, Muntu, Namasale, and Amolatar town

council.

Supervision of this activity in the district is done by the office of the DHO together with the

member of the DHT. As an intern was also included in the program and did it in those five sub

counties so as to meet the sustainable development goals, goal number three good health.

Quarterly review meetings

These are meeting shared by DHO, where different focal persons presents the outcomes of their

assigned duties. As an internee was also given opportunity to attends and make submissions in

those meeting especially in HMIS, malaria coordination, HIV/TB and EDHMT coordination

review meetings so as to help built in capacity in administration skills.

2.3.4 Relationship with other officers during internship

LC V chairperson

The political head of the district;

Presides over the Executive committee meetings

Reports to the council the state of affairs of the respective area of jurisdiction, at least

once in six months.

On behalf of the council, oversees the performance of persons employed by government

to provide services in the councils area of jurisdiction and to monitor the provision of

government services or project implementation and so forth.

13
The chief administrative officer

The accounting officer and also in charge of administration, supervises and coordinates the

activities of all officers and departments of the district- plays a role in the custody of all

documents and records of the district and others.

Community development office

Sensitization of the community on gender issues/gender mainstreaming and other health

issues.
Mobilizing of community on development issues
Advocating for the rights of the vulnerable groups in society
Awareness creation on HIV/AIDS
Carryout functional adult literacy education (FAL) among others
Handles probation cases

Assistant records officer

Receipt of incoming and outgoing files

Proper storage of office documents, books and files
Keeps records of all other items.

District Biostatician

Receiving and compiling health data.

Safe custody of health data or information.
Analyses/ interprets all the data compiled.
Submit them to the DHO and ministry of health.
Supervises all medical records assistants at health centers II, III and IV.

Works department

Inspection of ongoing constructions within the district

Approval of building plans
Planning for the opening and maintenance of roads within the district
Connecting households to piped water system
Training the water user committee on roles and responsibilities.

14
Office attendants

Organizing and cleaning of offices

Delivering and receiving incoming and outgoing documents
Cleaning office utensils and preparing tea for staff

2.4 Roles of work supervisor

The work supervisor was the Assistant District Health Officer-Environmental Health (ADHO-
Envt Health). He guided assigned and supervised activities as they were being performed.

In summary he was responsible for;

My full involvement in the departmental activities during the period of nine weeks.
Delegation of related tasks performed by him such as attending DHT meeting every
Tuesdays, attending workshop trainings,
He explained the work processes, procedures and other matters such dressing codes,
reporting time within the health sector.
Assignment of duties whenever he is or not within.

2.5 Roles of university supervisor

The university supervisor was meant to play a supportive role to the intern in the district of
attachment to observe whether the internee was going on as designed and described in the
internship work plan.

S/he was to draw the attention on some of the emerging issues challenges, work relationship, and
progress of the internship exercise.

15
CHAPTRE THREE: FINDINGS AND OBSERVATIONS DURING THE TRAINNING

3.0 Introduction

This chapter contains lessons learnt from the field and workplace in the implementation of

government activities including personal contributions during the training and the challenges

faced by all in local government set up.

3.1 Lessons learnt during internship placement

Since learning is a continuous process, as an intern the placement helps the student in developing

his career in the following;

The internship was significant in that it helped to acquire and gain management skills in
formal communication, decision making, resource management and resolution of
conflicts.
The intern also learnt the prevailing government policies in government settings such as
signing of contract agreement as a bench mark to assess the performance of the staffs
delivering services.
More so, the attachment has helped the internee to be acquitted on how to handle
challenges surrounding environment and how to resolve.
Furthermore, the study helped the intern to acquire skills in resource mobilization for
service delivery and handling of community issues.
The internship placement has broaden the internee understanding on how to socialize, to
conduct myself before the officers and how to effectively communicate before the public
offices and the community of Amolatar district.
Lastly the placement has help in knowing chain on hierarchy in the local government
system, decision making, and confidential.

3.2 Student contribution to the organization

The internee made the following contribution while at the organization during the placement for
the period of nine weeks

16
 Represented the organization for District Health Educator for the UPHIA-MoH training
for the survey conducted in two villages of Agwenopetongoting and Olingamuk in the
respective parishes of Muntu and Agikdak Amolatar district august 2016
Trained condom distributors in the three sub counties of Muntu, Arwotcek, and Namasale
Amolatar district
Performed supervisory roles as part of the District Health Teams, on the performance of
KADO in the five sub counties of Aputi, Agikdak, Namasale, Muntu and Amolatar town
council.
Minutes secretary for the coordination meetings at the district

3.3 challenges noticed during internship affecting

3.3.1 The organization

Much as the organization has many departments, these challenges are limited to health
department where the internee was directly attached

Minimal basic necessities to cater for the high population served by health centers II like
nakatiti and arwotcek
Poor coordination with other department especially environmental health staffs with
community development department in the delivery of health services to the community.
Community negative attitudes towards the health workers who always remind them of
their duties on sanitation as stipulated in the constitution of Uganda amendment 2005,
chapter 3 section 17(j) and (k).
On the other hands, there is poor coordination for instance water department with the
environmental health (sanitation) department since water and sanitation has to go as one
component
Shortage of transport to enable staffs especially field staffs conduct routine work
effectively and efficiently with minimal cost.
Shortages of supplies for curatives
Shortages of environmental staffs and other staffs to deliver services compared to the
prevailing population.

17
3.3.2 The workers

Health staffs are faced with the following challenges

Poor staff accommodation with most of them renting outside the facility.
Poor staff motivation through creation of very limited promotion avenues.
Limited office space
Continuing staff education is not well embraced with most staff using their own funds to
facilitate their studies due to inadequate resource allocation to health and the rigid
guidelines to the utilization of the funds released.
Negative attitude towards some health staffs.

3.3.3. The intern

Inadequate financial motivation from the organization

Funds were inadequate to facilitate communication, transport, photocopying and printing
Work load/working beyond official hours.

18
CHAPTER FOUR: SUMMARY OF FINDINGS, RECCOMMENDATIONS AND

CONCLUSSIONS

4.0Introduction

This chapter contains the summary of findings, conclusions and recommendations to the

organization and to the university.

4.1Comments on the findings

The comments on the findings during internship placement in Amolatar district local
government, health department includes

Strength

The health staffing is up to 86%

There is interdepartmental coordination in delivery of health services.
Strong political support

Weaknesses

Understaffing of environmental health staffs

Low motivation of health staffs.

Opportunity

Existence of implementing partners in the district like KADO, SDS/ASSIST.

Supportive funding from Uganda Sanitation Funds (USF).
Existence of IRS in the district.

Threats

Community reluctant to adopt and practice preventive measures such as hand washing
with water and soap, early health seeking behaviour.
High burdens of malaria at 33.5% due delayed implementation of IRS schedules and
community negligence of effective use of mosquito nets

19
 Prolonged drought affecting food production, thus inadequate nutrient intake resulting in
malnutrition in vulnerable people (HIV positive people, pregnant mothers, children and
elderly people).

4.2 Recommendations

To the organization

Upgrading of health centers II to health centers III to suit the prevailing high population
Build capacity of the health workers in the district especially those interested in career
development and motivate them either through promotion to the next level.
Reactivate the operation of water user and sanitation committees in the district together
with the attachment of one environmental health staff in the water department for proper
guiding.
Health department to recruit more staffs to fill up the missing offices.
Lobby for more NGOs to handle health problems in the district.
Hold general staff meetings at least once a quarter to find out real problems and devise
solutions together with them.
Political hands are needed in advocacy for to help promote sanitation and hygiene in the
community
Head of health department to coordinate with higher authority for the supplies

To the university

The university should improve on information flow between the university and

students who are in areas of field attachments.

The university supervisors should Endeavour to follow up students to their areas of

field attachments in order to check on their progress.

4.3 Conclusions

The field internship attachment was done in Amolatar District local government-health

department for nine weeks from 19th July to 19th September 2016 under direct supervision of the

ADHO-Environment as required by the University for the Partial Fulfillment for the award of a

20
bachelor degree in environmental health science Cavendish University Uganda. The internship

was of value to the internee in that among many other things: skills, experiences, how to conduct

in public offices were learnt and shared. This prepared the internee to, operation of public service

and the employment world as a whole. Being acquainted with my routine service, I particularly

paid much attention in the administrative and management as an environmental health officer in

health services delivery and I believe will be of importance in my future career.

21
 REFERENCES

1. National population and housing census report, 2014

2. Quarterly district health report (2016). Amolatar district local government
3. WHO (1999) report

22
 APPENDICES

Appendix I: Internship work plan from 19th July-19th September 2016

AMOLATAR DLG-HEALTH DEPT INTERNSHIP WORK PLAN (JULY-SEPT) 2016

TASK ACTIVITY WHEN WHERE REQUIREMENTS

Reporting Registration in the 19th July DHO offices Introductory

visitor book 2016 letter from the
CAO
Visitor book
Orientation Introduction to 19th & 20th DHO board room
DHT members and July 2016
district officials
Waste Sensitization on 21st -25th Bangala town board Transport
management solid waste July 2016 Stationary
management Training
Manual
26th -27th Kipangani A & Transport
July 2016 B Stationary
Training
Manual
Procurement Training 28th-29th Education hall Stationary
July 2016
NTD Training of trainers 1st -2nd DHO board room Stationary
training August Training
2016 Manual
Quarterly Meeting 3rd August Education hall Note book
departmental 2016 Pen
meeting

23
Surveys by Training on 4th -5th Margarithas palace Transport
UPHIA-MoH UPHIA by MoH August Hotel, Lira Training
2016 material
Note book
Pen
Orientation of 8th August Amolatar district IEC material
district 2016 departmental
stakeholders on offices
UPHIA survey
Recruitment of 9th August Muntu and Agikdak Transport
CMC 2016 sub counties Note book
Pen
Training of CMC 10th August Agwenopetongoting Transport
and the 2016 and Olingamuk Training
stakeholders villages material
Stationery
Community for 11th-12th IEC material
UPHIA survey August Agwenopetongoting Transport
2016 and Olingamuk
villages
Entry meeting of 12th August Note book
UPHIA teams 2016 Agwenopetongoting Pen
and Olingamuk IEC material
villages
Condom Preparatory 15th August DHO board room Note book
distribution meeting with 2016 Pen
KADO
DHT meeting 16th August DHO board room Note book
2016 Pen

24
 Training of peer 17th -19th Muntu, Arwotcek IEC material
educators on August and Namasale sub Transport
condom 2016 counties Training
distribution respectively manual

Home Home visits. 22nd -26th Etam and Namasale Transport

improvement Follow up of USF August sub counties Pen and note
program. 2016 book
Sanitation data
Youth camps Supervision of 29thAugust- Aputi, Namasale, Transport
youth camps 2nd Sept Muntu, Agikdak, Health workers
2016 and Amolatar town Counseling and
council. testing for HIV
Food hygiene Sensitization 5th-6th Sept Bangala town Flip charts and
meeting and health 2016 board marker
talks IEC materials
PHA law
Issuing of medical 7th -9th Sept Town center Medical
certificates 2016 markets and eating certificate
places
Quarterly Meetings 12th -16th DHO board room Pen and note
review Sept 2016 book
meeting Health reports
Report writing Typing 16th -19th District health Stationery
Photocopying Sept 2016 offices Funds
Printing
Binding

25
Appendix II: Follow up Madona in Etam

Source: Etam sub county

Source: Etam sub county.

Innovative new hand washing facilities (improved adama 2 and tip tap), planted next to
improve traditional pit latrine.

26
Appendix III: Trainings of condom distributors in Muntu and Arwotcek sub counties

Source: Muntu sub county

Source: Arwotcek sub county

Imparting skills and knowledge on effective use of condoms in the fight against STIs and
HIV/AIDS to condom distributors (VHTs)

27
Appendix IV: Youths camps in Namasale

Source Namasale Sub County

Youths on the quire for HIV screening during the camp

Source: Agikdak sub county

Youths performing drama on HIV during the camp

28
Appendix VA: Map of Amolatar district

Sso

Source: Amolatar district local government (2010). Planners Office.

29