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Mothers Paying for Services at Kwania Public Health Facilities.

Brenda Apio, a resident of Okwor Village in Etekober parish, Nambieso Sub County says, she delivered at Nambieso HCIII with the help of an elderly woman because the midwife was attending to another mother but she was still asked to pay the illegal 5000 shillings before she could go home.

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Residents of Kwania district have accused health workers especially midwives at Health facilities in Nambieso, Abongomola and Inomo Sub Counties of asking them to pay money in order to access services at the government facility.

The residents claim that the midwives at the facility demand 5,000 shillings termed as ‘bed fees’ before attending to expectant mothers.

Brenda Apio, a resident of Okwor Village in Etekober parish, Nambieso Sub County says, she delivered at Nambieso HCIII with the help of an elderly woman because the midwife was attending to another mother but she was still asked to pay the illegal 5000 shillings before she could go home.

Another mother identified as Lilly Angwec alleges that even mama kits are being sold to them for up to 20,000 by staff from the facility.  Mama Kits are freely supplied and transported by the National Medical Stores.

She confirmed that she bought hers from a staff whom she identified as a “nurse” at a fee of 15,000 shillings before she was attended to.

A community scorecard captured between July and August, 2020 by the Apac Anti-Corruption Coalition -TAACC, a nongovernmental organization indicates that payment for health services is among the issues affecting health service delivery in the three sub counties.

Meanwhile Humphrey James Ogwang, the officer in charge Nambieso HCIII, says the challenges reported at their health facility are already being handled.

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He further explained that the facility is grappling with many challenges ranging from constant drug stock outs, inadequate accommodations and low staffing that affect service delivery.

On the other hand, Daniel Opio, who is in charge of Abongomola HCIII says, the health facility is hit up with a challenge of low staffing rates which makes it hard to conduct community outreaches.

According to Opio, the facility has only 13 staff including two midwives who are expected to conduct many activities like deliveries and antenatal services within the facility and outside.

“First of all most of the staff are staying outside the facility, including myself, and remember we have only two midwives who should go out and conduct immunization, manage the mothers in labor as well as check those who came for antenatal services! These definitely take a toll on them.”  

Lucy Otim, a member of District Health Committee, said all the challenges affecting health service delivery at district are being addressed.

Meanwhile Bazil Okello Onac, the Kwania District LCV Chairman admitted the concerns saying his office is doing everything possible to address the service delivery gaps in his District.

He tasked the Sub County leaders to closely monitor staff at different health facilities to improve on the service delivery.

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