NOT all Government health facilities in the disease-stricken areas of Morobe province are in operation.
Out of a total of 37 Government health centres and aid posts in Menyamya district, only 21 are operational.
The largest and the best of them is the Menyamya health centre, which itself is severely lacking in beds, louvres and ablution blocks, and a water supply system.
Of the 16 that are non-operational, eight are located in the Kome and Wapi local level government areas, while two are in the Kapao LLG area.
Nanima-Kareba LLG has four aid posts without orderlies or medication.
According to district health administrator Omin Gunua, these 16 were either rundown or shutdown.
He said factors contributing to the demise of these aid posts included transfer of orderlies or retrenchment without replacement.
Medicines could not be sent to the aid posts because of poor road conditions.
Meanwhile, the Lutheran Health Services has set up a health centre at Menyamya station and a mobile clinic in Aseki to support the three sub-health centres at Tawa, Kapo and Kwaplalim.
Two-man aid posts teams have been sent to Pinake in Wapi LLG, Sewi and Asakundi in Kome LLG.
These facilities are located on the border of Gulf and Eastern Highlands province to cater for the remote communities.
However, the main Government established health centre at Menyamya station coordinates the 36 sub health centres and aid posts in the district.
But all are below human health hygiene and sanitation standards.
Crucial things like water for patients and staff hygiene are a huge problem.
All water catchments tanks are rusty.
There are no delivery beds, no generator for lighting and no proper incinerator or waste disposal facilities, Morobe deputy provincial health advisor Micah Yawing noted.
Mr Yawing is the head of the Menyamya task force coordinating the swine dysentery and flu outbreaks.
Patients diagnosed with different cases are admitted in one ward of 15 beds.
Empty cartons are spread on top of the beds for the patients to use.
There are no separate male and female disease control units where STI patients can be separately interviewed and treated.
Security is very poor and drug and nutritional supplies are stolen.
The health centre buildings comprise outpatient wing and mini-laboratory, TB ward which is no longer in use, dispensary, general ward and treatment room, labour ward, minor theatre and antenatal clinic, nutrition and tools room.
All these are rundown.
There are no specialist staff to handle specific areas.
The pediatric ward was left unused and the roof has started to leak.
All 37 Government-funded health facilities are in very poor condition and below standard to cater for human beings, Mr Yawing said.