. 62 domestic violence cases were treated at the emergency room including children and women since January 2011. . There were no shelters for abused women that health care professionals at the hospital could refer patients to in the area. The existing shelter accommodated only children. . There was a shortage of professional nursing staff at the hospital and adequate infrastructure e.g. (boardrooms, or staff rooms), Only 2 social workers were available from Monday to Fridays during office hours. . Maternal deaths were largely attributed to HIV/AIDS and related causes. The causes of infant mortality were HIV/AIDS related. . Pregnancies under 18 years were very high in the area. Anecdotal evidence suggested that pregnancies under 18 years were related to girls who resided in hostels at boarding schools. . Out of termination of pregnancies of an average of 50 -65 patients, only 10 actually proceeded, the rest were referred, never returned or declined.