Test Site Angal

The hospital catchment area

Angal Hospital surronding

Angal Hospital surronding

The main ethnic group in the Catchment area is the Alur tribe. They are predominantly peasant farmers. Other groups like businessmen, fishermen, fishmongers and civil servants also exist. Other tribes include the Lugbara, Madi, Okebu and Lendu.

The major language spoken is Alur although a good proportion of about 55 percent understand and speak English Language. Kiswahili is also spoken and understood to some extent. These pose no barriers to service utilization.

The health seeking behaviour is generally fair. In spite of this there are some cultural beliefs and practices that influence the behaviour negatively. The most notable ones are consultation of quake medicine persons before seeking modern medical services, ingestion of local medicine, local “therapeutic” cuts, uvulectomy and extraction of false teeth. These have contributed to late and delayed seeking of medical services. These as a consequence lead to delays in attending to severe and complicated cases in the hospital hence increasing mortality rate especially among the children.

The main food crops are cassava, beans, peas, pumpkins and other assorted vegetables. The area depends a lot on Okoro County for food supply. Uneven rainfall distributions coupled with the poor soils do not favor adequate food crop production. Cotton and sisal are the main cash crops.

In the past petty trade across the border with Democratic Republic of Congo was a lucrative business that contributed substantial income. This trade is now minimal, risky and unreliable. The poor rainfall distribution and unreliable trade make income uneven. Therefore the population is generally poor as such 50-55% of hospitalized patients actually struggle to settle 75% of fees for service by the end of 2 weeks.

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