Overview

THE DISTRICT PROFILE

Historical Background

 

Kalangala District was made a district in 1989, having been a sub-district of Masaka District. The district was fully decentralised in 1996 and has since registered political stability and advancement, with the three C’s (Consultation, Coordination and Communication) as the districtvalues and the cores of service delivery.

Administrative units in Kalangala District include:

      • 2 Counties;
      • 6 sub counties;
      • 1 Town council;
  • Current (2013) population estimate is 70,760 people.
  • The District currently has 15 Health facilities (2 HC IVs, 6 HC IIIs, and 7 HC IIs.
  • Economic activities are fishing and farming (Oil palm growing).
  • Made up with 84 islands, 7 islands are with health facilities.

 

 Location and Size

Kalangala District is situated in Southwestern Uganda between longitudes 32o01’ East and 32o52' East and latitudes 0o10' South and 1o00' South. It shares boundaries with Mpigi and Wakiso Districts in the North, Mukono District in the East, the United Republic of Tanzania in the South, Masaka and Rakai Districts in the West. The district is entirely made up of 84 islands widely scattered in Lake Victoria over a total area of 9,066.8 sq. km, of which 432.1 sq. km (4.8%) is land and the rest is water mass.  The district is accessible by road and motor vehicle through Bukakata(an inland port in Masaka district) to Luku(an inland port in Kalangala district) using the Bukakata- Luku Ferry.  Via the Northern route i.e. from Entebbe (Nakiwogo Landing), there are steamer (MV Kalangala) services to Kalangala Town Council (Lutoboka Landing). Kasenyi and Kitubulu landing sites, in Wakiso District, are also major gateways into the district using private means of water transport.

Distribution of islands and Administrative Units

Tables 1.3 and 1.4 show the distribution of islands and administrative unit by lower local governments

 

Table 1.3: Distribution of islands by Local Governments by Administrative Units

COUNTY

SUB-COUNTY

No. of ISLANDS

NAMES OF ISLANDS

 

Bujumba

Bujumba

13

Buggala main-island, Bubembe, Bunyama, Buyigi, Luwungulu, Kibibi, Mukalanga, Bulega-omunene, Landa, Bulega-omutono, Kalambide, Nkusa and Linzira.

Mugoye

4

Buggala main-island, Mweza, Namubega and Mukubi

Kalangala T C

1

Entirely found on Buggala main-island

Sub-Total

 

16

 

 

Kyamuswa

 

 

Kyamuswa

 

 

 

 

 

Kyamuswa

 

12

Bukasa, Bunjazi, Luserera, Kamukulu, Nabwenkulume, Lugazi, Matanda, KitemuLuzira, Sekazinga I   Sekazinga II and Nabusonko

Bufumira

24

Buyovu, Bufumira, Lulamba, Bugaba, Serinya, Bukone, Buwuvu, Kitobo,Banda,  Semuganja-omunene, Mbugwe,  Semuganja-omutono, Kibibi,  Ziru, Ssekibanga/Kayanja, Lwamaiba, Sanyu, Mawanyi-omunene, Kabale, Kakidde, Mawanyi-omutono, Lwalanda, Luke,  and Nsirwe

Bubeke

5

Bubeke, Jaana, Buyange, Nkese and Mirigi

 

Mazinga

 

27

Buggala, Kirugu, Funve, Lujjabwa, Nkose, Banda-omunene, Nkovu,

Banda-omutono, Kyeserwa, Miyana, Ndive-omunene, Ndive-omutono,  Ngabo-omunene, Linga, Ssentima, KasajjaNgabo-omutono, Lukyusa, Kkuye,  Buwe, Lubungo, Mitunsi(1,2,3), Lugazi, Mawu, Gansove-omunene, Gansove-omutono and Kabulattaka

Sub-total

7

68

Grand total: 16 +68 = 84 islands

Note:KalangalaTown Council, Mugoye and Bujumba sub-counties share BuggalaMainIsland.

COUNTY

SUB-COUNTY (LCIII)

PARISH (LCII)

No. of  Villages

Names of Villages (LCI)

 

 

 

 

Bujumba

Bujumba

 

Bujumba

4

Kibanga-Buligo, Kulugulu, Buswa, Bujumba-Buyoga,

Bwendero

6

Bwendero, Bweza-Dajje, Malanga-Kaazi, Buyiri, Mukalanga, Bwamba

Bunyama

7

Kivunza, Bubembe, Lwabaswa, Kisujju, Bunyama-Kagoonya, Buyigi, Kikuyege

Mulabana

6

Kasamba, Buyingu-Nakatiba, Mulabana, Lwabaleega, Mabigo

Sub-total

 

23

 

Mugoye

Kayunga

7

Bumangi, Kizira, Busanga, Njoga, Buyindi-Nateete, Kasenyi, Banga-Kagolomolo

Bbeta

8

Kasekulo, Kikwayu, Kibaale, Mutambala, Mulole, Bbungo, Bbeta, Ssenero

Kagulube

5

Bugoma, Kagulube, Kibanga, Maboga, Lusozi-Buziga

Sub-total

 

20

 

 

Kalangala T C

Kalangala ‘A’

2

Buggala and Kibanga

Kalangala ‘B’

5

Kalangala, Kizzi, Mwena, Kanyogoga, Lutoboka,

 

Sub-total

 

7

 

 

 

 

 

Kyamuswa

Kyamuswa

Buwanga

5

Ntuwa-Bunjaazi, Buwanga, Buswaga, Lwanabatya, Lukuba

Buzingo

4

Nakibanga, Kisaba, Buwazi, Buzingo

Sub-total

 

9

 

Bufumira

Bufumira

8

Ssemawundo, Kkusu, Mukaka, Kaazi-Bugaba, Lulindi, Bufumira, Lwamayiba, Kyankolokolo

Lulamba

11

Kamesse, Kachanga, Kagoonya, Banda, Kitobo, Sserinya-Bbosa, Misonzi, Bugobe, Luwungulu, Kaaya, Kafuna.

Sub-total

 

19

 

Bubeke

Bubeke

7

Kande, Misisi, Buyange, Nkese, Lwaazi, Bulega, Namisoke

Jaana

3

Nalukandudde, Kiku, Lwaazi

Sub-total

 

10

 

Mazinga

Butulume

4

Lujaabwa, Kyeserwa, Mawaala-Funve, Butulume

Buggala

6

Ggunga, Kirugu, Kachanga-Kachungwa, Busindi,  Nkose, Miyana

 

Sub-total

 

10

 

TOTAL

 

 

98

 

Table 1.4: Kalangala Local Governments and Administrative Units

 

List of gazettedand designated landing sites (by June 2008)

 

By June 2008, the district had 61designated and 3 gazetted landing sites distributed in lower local governments as follows:

 

Table 1.5: List of gazetted and designated landing sites

COUNTY

SUB-COUNTY (LCIII)

PARISH (LCII)

NUMBER OF LANDING SITES

NAMES OF VILLAGES (LCI)

 

 

 

 

Bujumba

Bujumba

 

Bujumba

1

Kamwaanyi

Bwendero

5

Dajje, Malanga-Kaazi, Buyiri, Mukalanga, Bwamba

Bunyama

5

Kivunza, Lwabaswa, Kisujju, Kagoonya, Buyigi

Mulabana

5

Kasamba, Nakatiba, Mulabana, Lwabaleega, Mabigo

Sub-total

 

            16

 

Mugoye

Kayunga

3

Njoga, Kasenyi, Banga-Kagolomolo

Bbeta

4

Kasekulo-Ttubi, Mutambala, Bbungo, Ssenero

Kagulube

2

Kibanga, Buziga

Sub-total

 

              9

 

 

Kalangala T C

Kalangala ‘A’

0

Nil

Kalangala ‘B’

2

Mweena, Lutoboka

 

Sub-total

 

2

 

Kyamuswa

 

 

 

Kyamuswa

Kyamuswa

Buwanga

3

Ntuwa,Lwanabatya, Lukuba

Buzingo

2

Nakibanga, Kisaba

Sub-total

 

5

 

Bufumira

Bufumira

6

Ssemawundo, Kkusu,   Mukaka, Kaazi-Bugaba, Lulindi, Buwunge

Lulamba

10

Kamesse, Kachanga, Kagoonya, Banda, Kitobo, Bbosa, Misonzi, Luwungulu, Kaaya, Kafuna.

Sub-total

 

16

 

Bubeke

Bubeke

5

Misisi, Buyange, Nkese, Lwaazi, Namisoke

Jaana

2

Kiku, Lwaazi

Sub-total

 

7

 

Mazinga

Butulume

4

Lujaabwa, Kyeserwa, Mawaala, Butulume

Buggala

5

Ggunga, Kirugu(Kikwiri), Kachungwa-Busindi,  Nkose, Miyana

Sub-total

 

 

9

 

TOTAL

 

 

             64

 

 

Natural Resources

 

Kalangala District has a total land area of 432sq. km. It is endowed with a number of natural resources that are both publicly and privately owned, and if sustainably exploited can contribute to sustainable development. In 2002 the district had a total forest cover of 221.5sq. km whichcurrently has reduced due to replacement with oil palm growing and other activities. The biggest island, Buggala, covers a total area of 296sq. km.  Of this area, there are 13 central forest reserves, which cover about 65sq. km.  Other important natural resources include:

  • A total of 34 central forests reserves covering 88.61sq. km and are fully controlled by National Forest Authority.
  • Privately owned and District (public land) forests
  • Lake Victoria
  • Stones and rocks all over the islands
  • Wetlands (39.7 sq. km) covering 0.44% of the total area
  • Building sand deposits
  • It should be noted that Kalangalais dominated by sand loamy soils.

 

Climate

 

1. Rainfall

Kalangala District’s mean annual rainfall ranges from 1,125 to 2,250mm; the mean monthly rainfall is 140mm. The rainfall peaks are from March-May and October-November (rainy season).

2.Sunshine and Radiation:

The average sunshine is 6.1hrs per day. The maximum sunshine per day is 7.3 hrs and minimum sunshine per day is 5.8 hrs, which explains the average hours of sunshine per day. The total sunshine per annum is 2200 hrs. Radiation is 450 calories per centimeter squared per day (450 cal/cm2 per day).

3.Temperature:

The mean annual maximum temperature ranges from 25.00C – 27.50C and the mean annual minimum temperature ranges from 17.50C – 18.00C.

4.Humidity:

There is considerably high rate of evaporation over the surface of Lake Victoria, estimated to be 3-5 mm per day (an average of about 120mm per month and 1460mm per annum). Since the prevailing winds drift across the lake through all the year from east to west, the climate around the islands is greatly conditioned. The mean annual vapour pressure is 20.5 mill-bars.

 

Population Size and Growth

From the results of the census 2002, the population of Kalangala District was 34,766 and more than doubled compared to 1991 population census, whereby the total population was 16,371people. The district population, over the11-year period, grew at a rate over 5% p.a. The level of urbanization was at 8.4%, with urban population growth rate of 7%, with a General Sex Ratio of 150:100 (i.e for 1 female there are about 2 males) compared to 154:100 in 1991.The district population by December 2013 was projected to be at 70,760.

 

Population distribution by sex by local governments

The table 1.6 below gives the population by sex by local government, as per 2002 Population and Housing Census.

 

Table 1.7: 2002 Population Census Figures by Sub-county

COUNTY

SUB-COUNTIES

No. Of H/H

MALE

FEMALE

TOTAL

Av. H/H size

 

Bujumba

Bujumba

2,354

4,102

2,472

6,574

2.8

Mugoye

2,410

4,506

3,312

7,818

3.2

Kalangala T.C

886

1,590

1,353

2,943

3.3

Sub-total

 

5,650

10,198

7,137

17,335

3.1

 

Kyamuswa

Bufumira

3,432

4,983

3,318

8,301

2.4

Kyamuswa

1,098

1,711

1,130

2,841

2.6

Bubeke

1,140

1,738

1,135

2,873

2.5

Mazinga

1,430

2,219

1,197

3,416

2.4

Sub-total

 

7,100

10,651

6,780

17,431

2.5

Grand Total

 

12,750

20,849

13,917

34,766

2.7

Key Socio-Economic Indicators

Demographic Indicators

Population density                       :                      164 people/sq. km

Popn. Growth Rate (1991-02):                6.5% p.a

Sex Ratio                                      :                   150:100

Total Fertility Rate                         :                   5.3

Life Expectancy                            :                       48 years

Dependency Ratio                       :                       46%

Proportion of orphans      :                      38.7% of children population

 

Indicator                                  Total population.         %age of total population.

Under 1                                    2787                 3.9

 ≤ 5years                                   10,724              15.2

6 -12 years                                              6664                9.4

Under 15 years                                     20,440  28.9

Under 18 years                                     24,012                          33.9

10-24 years                                           37,510              53

All Adult (15-60 years)                           44,340              62.7     

Elderly Population (60+yrs)         1966                             2.8

Economically active Popn. (15-64)          44,340                          62.7

Number of orphans                   9,300                            13.1

Number of PWDs                                  1,331                1.9

(Source: District Planning Unit report 2013)

Table 1.8: 2002 Population by Area of Birth

Description

Male

Female

Total

% of Total

Born in Kalangala District

5,083

4,540

9,623

28

Born elsewhere in Uganda

15,280

9,134

24,414

70

Born outside Uganda

446

216

662

2

 

20,809

13,890

34,699

100

 

Reproductive Health Situation

Deliveries conducted by qualified Health Workers            7.6%

Pregnant women attending ANC at least 4 times             3.4%

Contraceptive Prevalence Rate (CPR)                            23%

 

Education Indicators

Number of Gov’t primary Schools.  23

Private primary Schools.                       03

No. of Secondary Schools            03

No. of Tertiary Institutions             02

Total number of primary teachers   192

Gross enrolment                        4379

Pupil-Teacher Ratio:                  22.8

Teacher per class ratio                                                0.9

Pupil-Stance Ratio:                                                        28:1

Enrolment in Sec. Schools         565

Completion rate                                                              36.7%

Literacy rate                      82.1% (82.4% Female, 81.9% Male)  

(Source: District Planning Unit report 2013)

 

 

 

Health Indicators

Number of Health Units                                                  15

Number of HCT centres                                                 15

Number of ARTcentres              05

Child Mortality Ratio                  105/1000 live births (National)

Maternal Mortality Rate              505/100,000 live births (national)

Doctor-Patient Ratio                  1:23,586

Percent attending 4 ANC              29.6%

Maternal Health Services               16%

Supervised deliveries                     45%

HIV/AIDS prevalence                    National: 7.3%, District 19%

Number of immunisation static centres    12

Girls<15yrs engage in premarital sex  8.4%.

Women 15-49yrs using modern methods of contraceptives 54.3%

Number of immunisation outreaches       NA

 

Burden of Disease

Malaria                                                                           29.3%

Intestinal Worms                                                              6.8%

STI                                                                                  2.1%

Diarrhoea                                                                            3.7%

Dysentery                                                                       0.7%

Bilharzia                                                  53%

Households in up to 5km to nearest health facility -           6,177  

Households in more than 5km to nearest health facility -  6,573

 

Vaccination coverage (2013)

- BCG  immunization Stood at  59.1%

- DPT3  stood at                       84.5%

- DPT1 stood at                        80.4

- Polio 3                                    76.6%

- Measles stood                      102.7%

Food and Nutrition

- Stunting                      12.5%

- Wasting                           1%

- Underweight                  NA

- Children 12-23 months receiving a minimum of acceptable diet 5%

- 49% of children under six months of age exclusively breastfed.

- 69.9 % of Children aged (12-23) months received Vita A supplementation in the last 6 Months.

(Source: HMIS reports 2013)

MCH Indicators

Kalangala District

Period / Data

Number of women who died during pregancy

105-2.2 Admissions

105-2.2 Babies born with defect

105-2.2 Born Before Arrival

105-2.2 Live babies

105-2.2 M9: HIV-exposed babies given ARVs

105-2.2 HIV+ women initiating ART in maternity

105-2.2 No. of mothers who initiated breastfeeding within the 1st hour after delivery (No.HIV+)

105-2.2 No. of babies who received PNC at 6 hours

105-2.2a Deliveries in unit

105-2.2a Deliveries to HIV+ women in unit(Total)

Total

Jul 2016 to Jun 2017

 

1 355

4

41

978

268

14

275

928

1 161

294

5 318

Total

 

1 355

4

41

978

268

14

275

928

1 161

294

5 318

Source: HMIS reports 2017)

 

Water and Sanitation Indicators                      

- Safe Water coverage is at 65%

- Household/communal latrine coverage 56%

- 55.8% have safe source of drinking water mothers’ 0-11mths.

- 49.4% have safe source of drinking water women (15-49 yrs).

- 46% men (15-59 yrs)have safe source of drinking water.

- 88.4% men (15-59) wash hands after visiting the toilet however only 36.8% had water and soap observed near the toilet.

- 98.9% women (15-49) wash hands after visiting the toilet but only 32.6% had water and soap observed near the toilet.

 

Livestock Production (Source: Veterinary Dept. by 2013)

Cattle                            6580

Goats                           21,170

Pigs                             101,213

Poultry              272,552

 

Fish Production(Source: Fisheries Dept. by 2013)

Number of fishing villages   64

Number of boats (all types)                    2980     

Average volume of fish catches p.a. 32,000 metric tonnes

 

Road Infrastructure

Total Road Network (km)                       318      

Total Feeder roads        (km)                  198

Total Community roads (km)                   120

 

Land use and Management     

Total Land Area                            432 sq. km

Open water                               8,634 sq. km

Forest & woodland                    221.5sq. km

Palm oil out growers’ scheme            3863 Hectares

 

Community Development

No. of organized women groups 102

No. of organized youth groups                  64  

 

Occupation

It is estimated that 80% of the population aged 10 years and above are engaged in Fisheries and Agriculture as a livelihood. The proportion that is engaged in elementary occupations stands at 12%, while service workers take on 8%.

The main economic activities (in order of proportion of population involved) are:

(i)            Fishing (artsanal)

(ii)           Farming (Crop and Livestock)

(iii)          Petty trading

(iv)          Timber cutting.

The proportion population engaged in subsistence farming is now estimated to be 35%.

Leading Actors in the Kalangala District Development Process

  • District and Lower Local Governments
  • Central Government (Line Ministries and Agencies)
  • International Development Partners (ICEIDA, USAID, etc)
  • Non-Government Organisations
  • Community Based Organisations
  • Private Sector Community/Organisations
  • Local Communities

 

 

 

KALANGALA HEALTH CENTRE (KHC)

This is the biggest health facility with a staffing level of up to 75% but serving as a referral hospital for the eighty-four islands that constitute Kalangala district. The Health Centre traditionally covers 4 parishes and 21 villages. However, since functionalization of the operating theatre the catchment area has now increased. The health facility has become the center of service delivery in the district and is experiencing increased number of referral cases from all over the district.

Table 1: Catchment areas for KHC IV

PARISH

VILLAGE

Bujjumba

Kibanga, Buligo, Kulugulu, Buswa, Bujumba, Buyoga, BIDCO-Buguzi camp

Bunyama

Kivunza, Bubembe, Lwabaswa, Kisujju, Bunyama, Kagoonya, Buyigi

Kalangala A

Buggala, Kibanga

Kalangala B

Kalangala, Kizzi, Mwena, Kanyogoga, Lutoboka

 Overview of services provided

  • Outpatient case management
  • In patient management
  • Laboratory services
  • Maternity: Antenatal care, deliveries, postnatal care
  • HIV/AIDS: VCT, PMTCT, EID, ART and management of opportunistic infections
  • Minor surgical procedures
  • Major surgeries such as caesarean sections, laparotomy and herniorrhaphy
  • Dental services
  • Tuberculosis diagnosis and management
  • Immunization at static clinics and outreaches
  • Health education
  • Medical training and clinical/elective attachment

Referral System

KHC refers its patients mainly to Masaka Regional Referral Hospital which is about 78 Km from Kalangala. Other referrals are made to Entebbe Hospital which is 68 Km from Kalangala. However, a combination of the poor road network in different islands and a large water mass makes the referral system complex and difficult to maintain.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Teaching Programs

Elective and Clinical attachment program (see attached education plan)