Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1698929084239.pdf (Uganda)
Health MPS: Health Table of Contents PRELIMINARY Foreword Abbreviations and Acronyms Executive Summary Vote: 014 Ministry of Health Vote: 114 Uganda Cancer Institute Vote: 115 Uganda Heart Institute Vote : 116 National Medical Stores Vote: 134 Health Service Commission (HSC) Vote: 151 Uganda Blood Transfusion Service (UBTS) Vote: 161 Mulago Hospital Complex Vote: 162 Butabika Hospital Vote: 163 Arua Regional Referral Hospital Vote: 164- Fort Portal Regional Referral Hospital Vote: 165- Gulu Regional Referral Hospital Vote: 166- Hoima Regional Referral Hospital Vote: 167- Jinja Regional Referral Hospital Vote: 168- Kabale Regional Referral Hospital Vote: 169- Masaka Regional Referral Hospital Vote: 170- Mbale Regional Referral Hospital Vote: 171- Soroti Regional Referral Hospital Ministerial Policy Statement iii iv x 1 25 37 45 50 58 64 70 76 83 88 93 98 106 113 120 124 i Vote: 172- Lira Regional Referral Hospital Vote: 173- Mbarara Regional Referral Hospital Vote: 174-Mubende Regional Referral Hospital Vote: 175-Moroto Regional Referral Hospital Vote: 176-China-Uganda Friendship Referral Hospital( Naguru) Vote 304 Uganda Virus Research Institute Vote: 501- 580 –Local Governments 129 136 144 152 161 170 175 ii FOREWORD Rt.
Hon.

Speaker and Hon.

Members, in line with the Public Finance Management Act 2015, Section 13, I present to you the Ministerial Policy Statement (MPS) of the Ministry of Health for FY 2017/18 for debate and eventual approval.

The Ministerial Policy Statement has been prepared in line with section 15(a-i) of the Public Finance Management Act 2015.
During the current FY 2016/17, the Ministry continued to execute its mandates and contributed towards attaining our mission guided by the Constitution of the Republic of Uganda, the NRM Manifesto, the Vision 2040, the Health Sector Development Plan II and the Medium Term Expenditure Framework.
I wish to unreservedly express my gratitude to the following:- H.E the President of Uganda who has been at the fore front of promoting good health and sourcing for investors to the Health Sector, the office of the Rt.

Hon.

Speaker, the Office of the Hon.

Minister of Finance, Planning and Economic Development and the Presidential Advisory Committee on Budget and Health Committee for their continuous support and guidance.
I also wish to register my special thanks to fellow Cabinet members for their guidance towards the Health Sector Policy Development over years.

In addition, I wish to thank Members of Parliament most especially the members of the Health and Budget Committees for their support.

My appreciation is also extended to the Health Sector Development Partners who have continued to offer financial and technical support to the sector.
The participation of Local Governments, Private (PNFP and PFP) Sectors and Civil Society Organizations have continued to play a critical role in the implementation and delivery of health services in the country.

Rt.

Hon.

Speaker, we remain committed to continue facilitating the attainment of a good standard of health for all the people in Uganda.
We have remained committed to ensuring that we improve our service delivery despite many challenges especially related to underfunding which deserves the due attention of Parliament.
For God and My Country Dr. Jane Ruth Aceng MINISTER OF HEALTH iii Abbreviations and Acronyms ABC ACP ACT ADB AFP AHSPR AI AIDS AIM AMREF ANC ARC ARCC ART ARVs AWP AT AZT BCC BEmOC BFP BOP CAP CB-DOTS CBDS CBGPM CCM CDC CDD CDP CFR CHC CL CLTS CMD CME COCTU CORPS CPD CQ CSO CYP DANIDA DBFP DCCAs DDT DfID DGHS Abstinence, Be faithful and use Condoms AIDS Control Programme Artemisinin Combination Therapies African Development Bank Acute Flaccid Paralysis Annual Health Sector Performance Report Avian Influenza Acquired Immuno-Deficiency Syndrome AIDS Integrated Management African Medical Research Foundation Ante Natal Care Alliance for Rabies Control African Regional Certification Commission Anti-retroviral Therapy Antiretroviral Drugs Annual Work Plan Area Team Azidothymidine Behavioural Change and Communication Basic Emergency Obstetric Care Budget Framework Paper Best Operational Practices Consolidated Appeal Process Community Based TB Directly Observed Treatment Community Based Disease Surveillance Community Based Growth Promotion Monitoring Country Coordination Mechanism Centre for Disease Control Control of Diarrheal Diseases Child Days Plus Case Fatality Rate Community Health Clubs (for Environmental Health) Credit Line Community Led Total Sanitation Community Medicine Distributor Continuing Medical Education Coordinating Officer for the Control of Trypanosomiasis in Uganda Community Owned Resource Persons Continuing Professional Development Chloroquine Civil Society Organization Couple Years of Protection
 Danish International Development Assistance District Budget Framework Paper District Cold Chain Assistants Dichlorodiphenyltrichloroethane Department for International Development (UK) Director General of Health Services (of the Ministry of Health) iv District Health Officer District Health Team District Infrastructure Support Programme District League Table Directly Observed Treatment, short course (for TB) Development Partners Disabled Persons Organisation Diphtheria, Pertussis (whooping cough) and Tetanus
 vaccine District TB/Leprosy Supervisor Dried Tube Specimen District Vaccine Stores East African Community DHO DHT DISP DLT DOTS DPs DPOs DPT DTLS DTS DVS EAC EAIDANet East African Integrated Disease Surveillance Network Enrolled Comprehensive Nurses ECN East Central and Southern Africa ECSA Epidemic and Disease Prevention, Preparedness and Response EDP Elizabeth Glaser Pediatric Foundation EGPAF Environmental Health Division EHD Environmental Health Management Information System EHMIS Environmental Health Programme EHP Essential Medicines and Health Supplies EMHS Essential Medicines List of Uganda EMLU Emergency Obstetric Care EmOC Ear, Nose and Throat ENT Expanded Programme on Immunization EPI Emergency Preparedness and Response EPR External Quality Control EQC ESD Health Sub-District ERT Energy for Rural Transformation FDS FP FY GAIN GAM GAVI GDF GBV GFATM GH General Hospital GoU GPS Global Positioning System HAB HAF HBMF HC HCT HDP HDPG HIV Fiscal Decentralization Strategy Family Planning Financial Year Global Alliance for Improvement of Nutrition Global Acute Malnutrition Global Alliance for vaccines and Immunisation Global Drug Fund Gender Based Violence Global Fund for HIV/AIDS, TB & Malaria Household Assessment Book Human Resources for Health Action Framework Home Based Management of Fever Health Centre HIV/AIDS Counseling and Testing Health Development Partners Health Development Partners’ Group Human Immuno-Deficiency Virus Government of Uganda v Health Manpower
 Resource Centre Health Management Information System Health Promotion and Education Hospital Performance Assessment Health Policy Advisory Committee Health Promoting School Initiatives Human Papilloma Virus Human Resource HMBC HMIS HP&E HPA HPAC HPSI HPV HR HRH Human Resources for Health Human Resource Information System HRHIS Health Sub-Districts HSD Health Systems Strengthening HSS Health Sector Strategic Plan HSSP Herpes Simplex Virus type 2 HSV 2 International Association of Public Health Institution
 IANPHI International Certification Commission for Dracunculiasis Eradication ICCDE International Council of Nursing ICN Information Communication Technology ICT ICU Intensive Care Unit IDA International Development Agency IDB Islamic Development Bank IDPs IDSR IEC ILO IMCI IMR IMSCC IMT IPF IPT IRS ISH ISS IST IT ITNs IVM IYCF JAF JCRC Joint Clinical Research Centre JICA JMC JMS JRM KCC KIU LC LGDP Internally Displaced Persons Integrated Disease Surveillance and Response Information Education and Communication International Labour Organisation Integrated Management of Childhood Illness Infant Mortality Rate Inter-Ministerial Standing Coordinating Committee (education and health) International Monitoring Team Indicative Planning Figure Intermittent Preventive Treatment Indoor Residual Spraying Integrated Sanitation and Hygiene Integrated Support Supervision In-service training Information Technology Insecticide Treated Nets Integrated Vector Management Infant and Young Child Feeding Joint Assessment Framework Japan International Cooperation Agencies Joint Monitoring Committee Joint Medical Stores Joint Review Missions Kampala City Council Kampala International University Local Council Local Government Development Project vi Local Government Management and Service Delivery Programme Long Lasting Insecticide Treated Nets Lords Resistance Army Long Term Institutional Arrangements Ministry of Agriculture, Animal Industry and Fisheries Malaria Control Programme Mass Drug
 Administration Millennium Development Goals Multi-drug Resistant Medicines Information System Maternal Mortality Rate Maternal Neonatal Tetanus Maternal Neonatal Tetanus Elimination Ministry of Education and Sports LGMSDP LLITNs LRA LTIA MAAF MCP MDA MDGs MDR MIS MMR MNT MNTE MOES MOFPED Ministry of Finance, Planning and Economic Development MOH MOPS MOU MPM MPS MTC MTEF NACME NCC NCRL NDA NCD NDP NDQCL NEMA NGOs NHA NHIS NHP NHS NMCP NMS NPA/AI NRH NRTL NTDs NTF NTLP Ministry Of Health Ministry of Public
 Service Memorandum of Understanding Medicines and Pharmaceuticals Management Ministerial Policy Statement Medicines and Therapeutics Committee Medium Term Expenditure Framework National Committee on Medical Equipment National Certification Committee National Chemotherapeutics Research Laboratory National Drug Authority Non Communicable Diseases National Development Plan National Drug Quality Control Laboratory National Environmental Management Authority Non-Governmental Organisations National Health Assembly National Health Insurance Scheme National Health Policy National Health System National Malaria Control Strategic Plan National Medical Stores National Plan of Action for Avian Influenza National Referral Hospital National Reference TB and District Laboratories Neglected Tropical Diseases National Task Force National Tuberculosis and Leprosy Control Program vii NW & SC OH &S OOB OPD ORS ORT PAF PAD PC PCV PEAP PEP PEPFAR PHAST PHC PHP PMI PMTCT PNFP PPM PPPH PPS PRDP PSI PWD QAD QMS REACH RED RIA ROM RRH RUM SARs SER SGBV SH SHSSPP SIDA SOC SOPs SP SRH National Water and Sewerage Cooperation Occupational Health and Safety Output-Oriented Budgeting Outpatients Department Oral Rehydration Salt Oral Rehydration Therapy Poverty Action Fund Patent –Ductus-Arterosus Partnership Committee Pneumococcal Conjugate Vaccine Poverty Eradication Action Plan Post Exposure Prophylaxis President’s Emergency Plan for AIDS Relief (USA) Participatory Hygiene and Sanitation Transformation Primary Health Care Private Health Practitioners Presidential Malaria Initiative Prevention of Mother to Child Transmission Private Not for Profit Public Private Mix Public Private Partnership in Health Private Patient Services Peace and Recovery Development Plan Population Services International Persons with Disabilities Quality Assurance Department Quality Management Systems Regional East African Community Health Reach Every District (strategy) Regulatory Impact Assessment Result-Oriented
 Management Regional Referral Hospital Rational Use of Medicines Severe Acute Respiratory Syndrome Socio- Economic Rehabilitation Sexual Gender Based violence School Health Support to the Health Sector Strategic Plan Project Swedish International Development Agency Integrated Sustainable Outreach Services Standard Operating Procedures Sulfadoxine/Pyrimethamine Sexual and Reproductive Health and Rights viii Sexually Transmitted Infection STI SURE Securing Ugandan’s Rights to Essential Medicines.
SWAP TASO TB TCMP THETA TRM TTIs UBOS UBTS UCG UDHS UGFATM UMCA UMR UNBS UNCRL UNEPI UNF UNFPA UNHRO UNICEF UPE URA URCI USAID USD USE Ugshs UVRI VBDC VHF VHT VPH WFP WHO WISN YCF YSP ZTLSs Sector-Wide Approach The AIDS Support Organization Tuberculosis Traditional and Complementary Medicine Practice/practitioners Traditional Healers and Medical Practitioners Together Against HIV/AIDS Technical Review Meeting Transfusion Transmissible Infections Uganda Bureau of Statistics Uganda Blood Transfusion Services Uganda Clinical Guidelines Uganda Demographic and Health Survey Uganda Global Fund for AIDS, TB and Malaria Uganda Medicines Control Authority Under 5 Mortality Rate Uganda National Bureau of Standards Uganda National Chemotherapeutics Research Laboratory Uganda Expanded Programme on Immunisation Uganda National Formulary United Nations Fund for Population Activities Uganda National Health Research Organisations United Nations Children’s Fund Universal Primary Education Uganda Revenue Authority Urban Rabies Control Initiative United States Agency for International Development US dollar Universal Secondary Education Uganda Shillings Uganda Virus Research Institute Vector Borne Diseases Control Virus Haemorrhagic Fever Village Health Teams Veterinary Public Health World Food Programme World Health Organisation Workload Indicator Staffing Young Childhood Feeding Yellow Star Program Zonal TB/Leprosy Supervisors ix EXECUTIVE SUMMARY The Health Sector is now implementing the Health Sector Development Plan (HSDP) 2015/16 - 2019/20.
The HSDP seeks to leverage opportunities and honor obligations presented by emerging developments at the National, Regional (East African Community - EAC), the Common African Position of the African Union and global levels.

The health of the Ugandan population is central to the socio-economic transformation of the country.

Over the last two decades, the Government of the Republic of Uganda has increased access to health services two fold.
By 1997, only 47% of the population who needed health care could access outpatient services.

This figure has since improved to over 90% by 2015.With improvement to accessibility and availability of services; it’s now pertinent that we address quality service delivery and Universal Health coverage.
His Excellency, The President in his 23 Strategic Guidelines and Directives for the Minimum program for Uganda to attain the middle income status by 2020 and vigorously implement the NRM manifesto of 2016-2021, clearly highlighted some of the issues that need to be addressed.

These were further discussed in the health Sectoral meeting and the priorities were agreed upon.

These priorities have now been harmonized with the HSDP and will form the working document for the next financial year 2017/2018.
x SUMMARY OF KEY ACHIEVEMENTS FOR THE SECTOR DURING FY 2016/17.

1.

Human resource attracted, retained, trained and developed The health sector staffing improved slightly from 69% (41,783) in 2014/15 to 71% (42,530) in 2015/16.

This was a net increase of 747 health workers during the year.

Interviews for recruiting 850 Health Workers are ongoing.

2.
2.

Improving Child and Reproductive Health  The Infant Mortality Rate stands at 43 per 1,000 (60 HS 2016) which is a significant improvement from IMR of 54 per 1,000 live births (UDHS 2011).

 Under Five Mortality Rate there has been a significant reduction from 90 per 1,000 live births (UDHS 2011) to 64 per 1,000 live births (UDHS 2016).

 Health facility deliveries increased from 53% (958,077/1,787,840) in 2014/15 to 55% in 2015/16 and this was above the HSDP target (54%) for FY 2015/16.
 The Maternal Mortality rate stands at 336 per 100,000 live births (UDHS 2016).

This is a significant reduction from the 438 per 100,000 as estimated in UDHS 2011.

3.

HIV/AIDs controlled, Conducted the Uganda Population HIV/AIDS Impact Assessment (UPHIA).

Data is being analysed and will provide HIV and Hepatitis B prevalence and trend observations by May 2017.

Accredited ART sites increased from 1,734 in June 2016 to 1,801 in December 2016.
ART coverage increased from 56% in 2015 to 63% in 2016 (from 898,197 clients in June 2016 to 940,347 clients by December 2016).

Currently 940,347 people are on treatment.

Regarding EMTCT, the number of new infections dropped from 22,000 in 2012 to 3,400 in 2016.

The country launched Test and Treat guidelines on 29th November, 2016 and all who test positive will be put on treatment (ARVs).
Alongside the above, the country is also implementing comprehensive HIV preventive interventions including behavior change communication based on Abstinence, Behavior Change and Condom use (ABC), safe male circumcision, management of STDs and campaign against teenage pregnancy.

4.

Malaria controlled The prevalence of malaria reduced from 42% to 19% as per the Malaria Indicator Survey of 2015.
MoH developed a Malaria Reduction Strategy (2015-2020) in which we plan to reduce the malaria prevalence rate to 3% by 2020.

There has been marked progress with the xi interventions to address this.

For instance, bed net coverage was 92% in 2014.

However due to wear and tear, this dropped to 75% in 2016.

Government is now undertaking another mass distribution with the objective of reaching 100%.
Indoor residual spraying is ongoing in 14 districts of eastern and northern Uganda and the ten previously sprayed districts that had an epidemic.

The country has successfully introduced Intravenous Artesunate to replace quinine.

This has reduced mortality due to severe malaria.

5.

Tuberculosis controlled TB treatment success has improved from 76% in 2014/15 to 80 % in FY 2015/16.
However, the TB survey of 2015 estimates the annual numbers of new TB cases to be 87,000 compared to previous WHO estimates of 60,000.

Ministry of health has put in place measures to address the high TB burden using the contact tracing strategy.

For diagnosis of TB, gene Xpert machines have been designated as the first line of diagnosis.

There are currently 112 gene Xpert machines distributed in 79 districts.

An additional 19 machines have been procured and distribution is ongoing.
In addition, a new point of care test TB LAM which diagnoses TB from urine of infected persons has been introduced for use in lower health facilities.

The country is providing treatment for over 800 cases of multi-drug resistant TB at a cost of USD 4,000 per patient.

6.
6.

Health Infrastructure The following infrastructure investments are ongoing;  Construction, expansion, rehabilitation and equipping of Mulago National Referral Hospital and its transition into a super-specialized facility and is expected to be completed by June 2017.

 Construction of a 320 bed Specialized Maternal and Neonatal Health Care Unit at Mulago National Referral Hospital commenced in June 2015 and is expected to be completed by end of 2017.
 The Uganda Heart Institute (UHI) has newly installed cardiac catheterization facility and a theatre that can handle at least 1000 operations/ procedures per year when fully operational.

 The Cancer institute is being expanded and developed into a centre of excellence for cancer treatment for East Africa.

In preparation for this, it is also constructing a six chamber bunker for linear accelerators to provide radiotherapy services to patients in the East African region.
The Cancer Institute is in advanced stages of replacing the old cobalt-60 radiotherapy machine.

Once the renovation of the existing bunker is completed by end of March 2017, the installation process will commence and will be completed by end of June 2017. xii  The Ministry has signed a MoU with FINASI to construct a super specialized facility at Lubowa.

The project is expected to commence this year and will operate under PPP arrangement.
 A specialized Regional Centre for Pediatric Surgery is scheduled to be constructed in Entebbe beginning this year and the ground breaking ceremony took place on the 10th of February 2017.

7.

Blood collection services.

Blood collection increased from 238,000 in 2014 to 247,711 in 2015/16.

The number of units collected between July and December 2016 is 119,691.

The annual requirement is now 260,000.


In order to cover the shortfall, Government has put up regional blood banks in Nakasero, Gulu, Mbarara Fortportal, Arua, Kitovu and Mbale.

In addition, there are 8 Blood collection and distribution centres (Angal, Lira, Soroti, Jinja, Hoima, Masaka, Rukungiri, Kabale).

Government has plans to construct regional blood banks in Arua, Moroto and Lira.
The Rotary Club constructed a state of the art blood bank at Mengo hospital which the Ministry of Health will utilize to enhance blood collection in the country.

8.

Control and Preparedness of Diseases outbreaks: - The Ministry developed a five-year multi-hazard preparedness and response plan.

As part of the plan, a countrywide training was carried out on integrated disease surveillance and response.

We enhanced the capacity of screening at points of entry like the airport.
Established an Emergency and Operations Centre 3 years ago and started a field epidemiology training program to increase the numbers of field epidemiologists.

To date 10 have graduated and 30 are still training.

MoH is also running a three months basic epidemiology training program for frontline health workers.

The Ministry developed VHT guidelines for identification of unusual occurrences and trained them on surveillance.
Improved on detection by upgrading the capacity of the laboratories and the sample transporting network.

Under the program of the global health security agenda, there are committees that are addressing anti-microbial resistance, biosafety and biosecurity.

A multi-sectoral one health framework was developed to guide a holistic response by different Ministries where epidemics cut across.
A number of outbreaks that occurred in the last 2 years were controlled in record time eg the rift valley fever, yellow fever, cholera and red eyes 9.

Community Health extension system Both the Policy and Strategy on Community Health Extension Workers were finalized and approved by the Ministry’s Top management.

The Policy is slated to be presented to Cabinet.


MoH and Partners have developed training manuals and identified potential xiii training institutions including the Health Manpower Development Centre in Mbale.

Accreditation of these institutions will begin shortly.

A national coordination committee has been put in place to coordinate this planning.

10.
10.

Medicines and health supplies The National Medical Stores continues to deliver Essential Medicines and Health Supplies (EMHS) worth Ushs 238 billion to all government health facilities.

By end of December 2016, the following items were procured and distributed;  ACTS, ARVS and Anti TB drugs amounting to Ushs 68 billion.

 Specialised items amounting to Ushs 16.10 billion.

 Reproductive health supplies amounting to Ushs 6.5 billion.

 Immunisation supplies amounting to Shs 17 billion.
 Laboratory commodities amounting to Shs 5 billion.

 Hepatitis B Vaccines and test kits and other immunisation supplies worth Ushs 8 billion to 39 districts in Northern and Eastern parts of the country Other achievements include;  NMS developed an IT innovation for real time monitoring of the Last Mile Delivery of EMHS to districts.
(NMS Smartcare and Delivery Monitoring tool)  Emergency supplies for response to Cholera, meningitis and nodding disease syndrome were delivered timely across the country whenever required.

 Continued with Last mile delivery of medicines and health supplies to the door step of health facilities 11.
Heart Services following outputs were achieved; 4,980 Echocardiography The (ECHO), 4,172 Electrocardiography (ECG), 171 Closed Heart Surgeries and Cath-lab procedures, 32 Open Heart Surgeries, 91 Pace-maker Programming and 68 outreaches.

Five (5) publications on Rheumatic HD were also made.

xiv SECTOR PRIORITIES FOR FY 2017/18 The Sector Priorities for the financial year 2017/2018 are as follows: 1.

Scale up Public Health Interventions to address the high burden of preventable diseases in our country.
i.

Scaling up of Health promotion and education and effective communication to the population.

ii.

Scaling up interventions to address the high burden of HIV/TB, malaria, Nutritional challenges, Environmental Sanitation and Hygiene, Immunization, Hepatitis B and Non Communicable Diseases.

iii.

Introduce Community Health Extension workers (CHEW’s) to educate the communities on prevention of diseases and link the communities to the Health services.

2.
2.

Improvement of Reproductive, Maternal, Neonatal, Child and Adolescent health services to reduce on mortality and morbidity and improve their health status.

3.

Human resources (attraction, motivation, retention, training and development).

Mobilize additional resource for recruitment and incentives.

4.
4.

Infrastructural developments; constructions, rehabilitation and remodeling focusing mainly on HCIIIs, HCIVs and Districts with special needs like islands, difficult to reach areas, large populations and socio-demographic peculiarities.

5.

Mobilization of additional resources for medicines and health supplies especially laboratory supplies, reagents and Blood collection supplies.

6.
6.

Effective and well-structured Support Supervision to the Local Governments and strengthened regulatory authorities and professional councils in the Health sector.

xv MAJOR CHALLENGES AND FUNDING GAPS FACED BY THE HEALTH SECTOR a) Inadequate funding to Scale up Public Health Interventions to address the high burden of preventable diseases in our country.

i. ii.

iii.

Scaling up of Health promotion and education and effective communication to the population.
Shs 5 Billion required annually Scaling up interventions to address the high burden of HIV/TB, malaria, Nutritional challenges, Environmental Sanitation and Hygiene, Immunization, Hepatitis B and Non Communicable Diseases.

Shs 275 Billion required annually Introduce Community Health Extension workers (CHEW’s) to educate the communities on prevention of diseases and link the communities to the Health services.
Shs 30 Billion is required as startup costs b) Inadequate operational funds for Primary Health Care services (PHC).

The Ministry requires additional 35 billion for PHC to be provided to enable the health facilities operate at a reasonable level, currently some facilities at HC II level receive less than UGX.100,000 monthly to cater for utility bills, maintenance, sundries, cleaning and outreaches which is inadequate.
Analysis of the UBOS price indices shows that prices of goods and services in general have increased by 44% between 2008/09 and 2012/13 while those of utilities alone (rent, fuel, water and electricity) increased by 20.4%.

c) Scaling up Public Health Interventions including Immunization, Nutrition, Environmental the citizens, prevention and control of Non health, effective communication to Communicable Diseases & Hepatitis.
d) Inadequate funding for Human resources (attraction, motivation, retention, training and development).

e) Infrastructural developments; constructions, rehabilitation and remodeling focusing mainly on HC IIIs, HC IVs and general hospitals in districts with special needs like islands, difficult to reach areas, areas with large populations and some teaching Hospitals.

Health Centre IVs.
Health Centre IVs.

The Ministry plans to revamp and make functional all the HC IVs and upgrade HC IIIs to HC IVs in counties where they do not exist.

Of the 290 counties only 29 do not have HC IVs.

The existing HC IIIs in these counties shall be upgraded.

The total cost for this upgrade is Ushs 164.6 Billion.

xvi Health Centre IIIs The Ministry plans to upgrade HC IIs in 225 Sub Counties to HCIIIs and construct new HC IIIs in the 93 sub counties that have no government health facility at all.
Priority will be given to the 93 sub counties without any government health facility and subsequently the 225 sub counties will be considered in a phased manner.

The cost for construction of 318 HC IIIs is Ushs.898.7 billion while for the 93 sub counties with no health facility at all is Ushs 247 billion.

f) Medicines and health supplies especially lab supplies and reagents.

An additional Shs.100 Billion is required for essential medicines, health supplies and lab reagents, blood supplies for FY 2017/18.
An additional supplementary funding of Ushs 27 billion was provided for malaria drugs and blood collection supplies in FY 2016/17 and should be maintained in FY 2017/18.

g) Uganda National Health Laboratory Services (UNHLS) needs additional UGX 3 billion aimed at the provision of quality, accessible and comprehensive laboratory services in Uganda.

Already CDC has provided the infrastructure in Butabika for this purpose.

The funds are for operationalizing the new UNHLS home.
h) HMIS Tools require additional UGX 3 billion.

This stationery is key to the running the health management information system (HMIS) and facilitate patient record management and reporting on the services offered by the Health Facilities across the country.

i) Contribution to International Health Organizations and the East African Community requires an additional UGX 2 billion.

j) Health Worker’s Uniforms require UGX 9 billion annually.
This Financial Year, Ushs 3 billion was allocated and nurses and midwives will be prioritized.

This is a professional requirement for proper identification and protection of all health workers.

k) Startup capital for the National Health Insurance scheme requires UGX 5 billion to cater for development of regulations, accreditation, staffing, equipment and sensitization.

l) Hepatitis B interventions: The intervention is currently in 39 districts with a high prevalence.
The Ministry of Health will continue to cover the entire country in a phased manner.

The estimated cost for the remaining districts is Ushs 200.6 billion and this can be phased starting with at least Ushs 49 billion to cover more 20 districts in FY 2017/18.
xvii Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health V1: Vote Overview (i) Vote Mission Statement To provide the highest possible level of health services to all people in Uganda through delivery of promotive, preventive, curative, palliative and rehabilitative health services at all levels.

(ii) Strategic Objective a.


To provide inclusive and quality health care services through policy formulation and providing strategic direction, planning and coordination of health care provision in Uganda.

b.

To address the key determinants of health through strengthening of inter-sectoral collaborations and partnerships.

c. To enhance the health sector competitiveness in the region and globally.
(iii) Major Achievements in 2016/17 Clinical and Public Health: The National Palliative Care communication strategy was drafted awaiting dissemination.The World Hepatitis Day was commemorated in Dokolo where public awareness about hepatitis B in the community was created and mass screening/ vaccination was done.

200 health workers were trained on the use of Selexion machines enabling quick evaluation of Hepatitis B Positive clients for treatment.
Tools used in sensitisation, screening and vaccination were disseminated to the health workers in 39 districts.

Planning and Policy Support Services: Under Planning and Policy Support Services, the following documents were prepared and disseminated; AHSPR for FY 2015/16,Health Sector Policy Issues Paper for FY 2017/18 for LGs ,Budget Frame Work Paper 2017/18.

In addition, Regional Planning Meeting were held in Masaka, Lira, Mbale and Jinja Regions.
Also the department held the Health Sector Annual JRM and Piloted regional JRM in Rwenzori and West Nile to discuss sector performance,Planning guidelines were printed and used to guide LG planning for FY 2017/18.

NHA study data collection is ongoing and a report is expected in June 2017.

The report is expected to provide information on total health expenditure , the financing sources, disease based expenditure and household expenditure for FY 2015/16.
Aide Memoire for the JRM was Prepared to guide HDPs and GOU joint planning and budgeting.

Quality Assurance: Undertook an assessment of the MoH Client Charter and for the 3 RRHs and conducted Pre­JRM field visits to 16 districts.
Finance and administration: The top management conducted eleven political support supervision of sector activities in various districts in Referral and General Hospitals and these include;Ntoroko, Bundibugyo, Kasese, Hoima, Mpigi, Kabale, Bukomansimbi, Luuka, Dokolo, Mukono and Soroti), 4 National ward rounds carried out (Kalangala, Mpigi, Maracha and Lwengo,5 Health Sector events presided over (National World Sickle Cell day celebration, 54th Independence National Assembly, Health Assembly I Sembabule, World Cancer Day, Safe Motherhood day).The department also paid utilities for the Ministry, paid welfare and allowances for staff, maintained ministry fleet and paid staff salaries,pension and gratuity.
GAVI: Between January and September 2016, the country received the following dozes of vaccines, DTP-HepB-Hib (598,500),HPV (723,000), (PCV2,923,200),Two Consultancy firms (Icon and Joadah) were formally engaged to provide consultancy services of reviewing the designs and supervision of constructions and civil works for the staff houses.Contracts were awarded and signed for the Construction of 19 medicines stores in 19 districts, all sites were handed over to consultants and contractors.
Construction of 26 health staff houses in 15 districts has commenced .96% payment for vaccine co-financing obligation by GoU for 2016 was achieved following a front loading arrangement of Funds in FY 16/17.

1 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Uganda Health Systems Strengthening Project: Renovations of 9 Hospitals was completed and these were handed over.
The Hospitals include: Moroto, Anaka, Nebbi, Kiryandongo, Mityana, Nakaseke, Iganga, Entebbe and Moyo,Renovation of 22 HCIVs was completed.

Renovation of 4 HCIVs is average 98% complete.

These include Pakwach, Atiak, Obongi and Padibe HCIVs.

Contracts were signed in Jan, 2017 for Procurement to replace rejected equipment and the equipment will be delivered and distributed by May 2017.
Plans have been made for redistribution of medical equipment especially Deflibrators, Anaesthesia machines and ventilators.

Procurement of 2 mobile workshop vehicles for Jinja and Masaka RRHs catchment areas: The two mobile workshop vehicles were delivered to Kampala and are awaiting registration .
Global fund: Under the Malaria grant;Implementation of 24m LLINs mass campaign is ongoing (12.3M LLINs are GF procured),Campaign was launched in Apac District on 17.2.2017,Procured and delivered 13M doses of ACTs and trated 14M malaria cases .Supported In-Door Residual Spray for 10 Northern Uganda malaria Epidemic districts.
TB grant:Procured all drugs for TB treatment,Supported activities for MDR-TB program,Funds for adherence enablers (food and transport) disbursed to treatment sites.Cartridges procured for GeneXpert machines,MDR cases diagnosed and put on treatment at 92% HIV grants:Reduced stock-outs; over 95% of the grant supports commodities ,Community Based Activities related to RMNCH and SGBV were transferred to TASO (USD 517k), Achieved A2 rating by Global Financing( GF), also registered reduced stock-outs; over 95% of the grant supports commodities ,Community Based Activities related to RMNCH and SGBV were transferred to TASO (USD 517k),MoH has had meetings with MoFPED to leverage additional domestic Funds in 2016-2017; Budget & beyond (10BN realised.
Supported 75 RPMTs activities in 12 Regions.

Procured Autoclaves & delivery sets for 150 HFs,Procured 83 M/Cycles for Laboratory Hub Riders,Supported Special Initiatives (studies) including PLACE, Mortality among HIV+s,“No Objection received for all procurements (CHMIS, UHMG fork lift & shelves, M/Vehicle for Support supervision & Data tools),Supported trainings of HWs in WAOS at Manpower development Centre-Mbale.
EAPHL:.Architectural designs for Construction of Mbale and Lacor Hospital laboratoriesis in place.Site for construction of Mulago Hospital isolation unit identified.Needs assessment for Refurbishment of Entebbe isolation Centre carried out to define scope of work.

MKCCAP;.Completion of consultancy services on Referral and Counter Referral strategy and development of ambulance services system for Kampala, Main works of Kawempe and Kiruddu Hospitals completed.
Italian support to Karamoja Districts: Sites in 3 districts were handed over on 20th June 2016, and construction is in advanced stages in phase 1 as follows:- Kaabong,(80.3%) Abim (89%) and Kotido (50%) ,Kaabong: Kalapata (2), Lokolia (2), Kapedo (2),Kotido: Kacheri (4), Rengen (2), Nakapelimoru (2), Panyangara (2), Lokitelaebu (4), Napumpum (2),Abim: Orwamuge (4), Alerek (2), Nyakwae (4),Phase 2,The sites in the other four districts of Amudat (16.2%), Nakapiripirit (11.7), Napak(16.5%) and Moroto(14.5%) handed over to the Contractor in December 2016.
(iv) Medium Term Plans 2 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health 1.

Prioritizing Health Promotion, Prevention and early intervention with focus on improving hygiene and sanitation, Integrated Community Case Management of common conditions using the Village Health Teams and introduction of the Community Health Extension Workers’ Strategy.

2.

Strengthening inter-sectoral collaboration to address the social determinants of health e.g.
safe water, education, housing, nutrition, etc.

3.

Reducing referrals abroad.

The sector developed a proposal to reduce referrals abroad.

In the short term, the 4. major focus is to improve diagnostics in Uganda Cancer Institute, Uganda Heart Institute and Mulago Hospital.

Improving health systems governance through capacity building and functionality of Hospital boards, Health Unit Management committees and management structures at all levels.

5.
5.

Having synergies and partnership with the private sector through Public Private Partnership arrangement.

6.

7.

8.
Improving health worker performance through performance contracts for manager Moving from funding inputs to purchasing services through program Based Budgeting/Results Based Financing Improving resource tracking of both on & off budget funds to ensure alignment and harmonization (v) Summary of Past Performance and Medium Term Budget Allocations Table V1.1: Overview of Vote Expenditures (UShs Billion) 2016/17 MTEF Budget Projections 2015/16 Outturn Approved Budget Expenditure by End Dec 2017/18 2018/19 2019/20 2020/21 2021/22 Recurrent Devt.
Wage 6.821 8.981 2.513 7.650 8.033 8.434 Non Wage 58.462 51.463 14.469 45.555 54.666 60.133 GoU 19.395 72.337 11.384 29.275 38.058 45.669 8.856 69.152 54.803 Ext.

Fin.
422.910 874.789 321.872 878.415 658.487 444.224 124.913 9.299 69.152 54.803 82.442 GoU Total 84.678 132.782 28.365 82.480 100.757 114.236 132.812 133.255 Total GoU+Ext Fin (MTEF) 507.588 1,007.571 350.237 960.895 759.243 558.460 257.724 215.697 Arrears 1.772 2.242 0.000 3.023 0.000 0.000 0.000 0.000 Total Budget 509.360 1,009.813 350.237 963.918 759.243 558.460 257.724 215.697 A.I.A Total N/A N/A N/A N/A N/A N/A N/A N/A Grand Total 509.360 1,009.813 350.237 963.918 759.243 558.460 257.724 215.697 Total Vote Budget Excluding Arrears 507.588 1,007.571 350.237 960.895 759.243 558.460 257.724 215.697 (VI) Budget By Economic Clasification Table V6.1 2016/17 and2017/18 Budget Allocations by Item 2016/17 Approved Budget 2017/18 Draft Estimates Billion Uganda Shillings Output Class : Outputs Provided GoU Ext.
Fin 577.939 67.687 AIA Total 0.000 645.626 GoU Ext.
Fin 654.589 56.924 AIA Total 0.000 711.512 211 Wages and Salaries 212 Social Contributions 213 Other Employee Costs 14.795 13.971 0.000 28.766 13.073 22.226 0.000 35.298 14.765 1.032 0.249 0.178 0.000 15.014 15.076 0.000 1.210 1.182 1.167 0.000 0.000 16.243 0.000 1.182 3 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health 221 General Expenses 222 Communications 223 Utility and Property Expenses 224 Supplies and Services 225 Professional Services 227 Travel and Transport 228 Maintenance 273 Employer social benefits 282 Miscellaneous Other Expenses Output Class : Outputs Funded 262 To international organisations 263 To other general government units Output Class : Capital Purchases 48.163 296.851 0.000 345.014 12.078 210.160 0.000 222.238 281 Property expenses other than interest 0.600 1.463 0.000 2.063 0.000 1.551 0.000 1.551 312 FIXED ASSETS 47.563 295.387 0.000 342.950 12.078 208.459
 0.000 220.537 314 INVENTORIES (STOCKS AND STORES) Output Class : Arrears 321 DOMESTIC Grand Total : Total excluding Arrears 132.782 874.789 0.000 1,007.571 82.480 878.415 0.000 960.895 (VII)ÊBudgetÊByÊProgrammeÊAndÊSubprogrammeÊÊÊ Table V7.1: Past Expenditure Outturns and Medium Term Projections by Programme
 and SubProgramme Billion Uganda shillings FY 2016/17 Medium Term Projections FY 2015/16 Outturn Approved Budget SpentÊByÊ End Dec 2017-18 Proposed Budget 2018-19 2019-20 2020-21 2021-22 01 Health Monitoring and Quality Assurance 03 Quality Assurance 0.733 0.733 0.997 0.305 0.659 0.996 1.000 1.000 1.000 0.997 0.305 0.659 0.996 1.000 1.000 1.000 02 Health infrastructure and equipment 1027 Insitutional Support to MoH 1185 Italian Support to HSSP and PRDP 1315 Construction of Specialised Neonatal and Maternal Unit in Mulago Hospital 1344 Renovation and Equiping of Kayunga and Yumbe General Hospitals 1393 Construction and Equipping of the International Specialized Hospital of Uganda Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health 1394 Regional Hospital for Paediatric Surgery 1440 Uganda Reproductive Maternal and Child Health Services Improvement Project 03 Health Research 04 Research Institutions 05 JCRC 04 Clinical and public health 06 Community Health 07 Clinical Services 08 National Disease Control 09 Shared National Services 11 Nursing Services 1148 Public Health Laboratory strengthening project 1413 East Africa Public Health
 Laboratory Network Project Phase II 1441 Uganda Sanitation Fund Project II 0.215
Pharmaceutical and other Supplies 280.951 680.641 324.647 763.020 582.763 473.067 163.015 120.544 0220 Global Fund for AIDS, TB and Malaria 244.160 593.259 316.475 670.589 516.410 399.888 81.646 120.544 1141 Gavi Vaccines and HSSP 1436 GAVI Vaccines and Health Sector Development Plan Support 49 Policy, Planning and Support Services 01 Headquarters 02 Planning 10 Internal Audit Department 12 Human Resource Management Department Total for the Vote 509.360 1,009.813 350.237 963.918 759.243 558.460 257.724 215.697 Total Excluding Arrears 507.588 1,007.571 350.237 960.895 759.243 558.460 257.724 215.697 (VIII) ProgrammeÊPerformanceÊandÊMediumÊTermÊPlansÊÊÊÊÊÊ Table V8.1: Programme Outcome and Outcome Indicators Programme : 01 Health Monitoring and Quality Assurance Programme Objective : To Improve quality of health care and patient safety Responsible Officer: Permanent
 Secretary Ministry of Health Programme Outcome: Conduct regular health sector performance review, monitoring and evaluation.
Sector Outcomes contributed to by the Programme Outcome 1.
Coherent and integrated inter-sectoral frameworks Performance Targets 5 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Outcome Indicators 2015/16 2016/17 2017/18 2018/19 2019/20 Actual Target Actual Target Projection Projection ¥ÊProportion of health facilities attaining Star 3(>75) status under the health facility quality of care assessement program; ¥ÊProportion of quarterly intergrated visits to LGs by centre; N/A 10% 20% 30% 100% 100% 100% Programme : 02 Health infrastructure and equipment Programme Objective : To improve the quality and accessible health infrastructure and equipment Responsible Officer: Permanent Secretary Ministry of Health Programme Outcome: Development and management of health sector infrastructure and equipment.
Sector Outcomes contributed to by the Programme Outcome 1.
Inclusive and quality healthcare services Outcome Indicators 2015/16 2016/17 2017/18 2018/19 2019/20 Actual Target Actual Target Projection Projection Performance Targets ¥ÊProportion of the functional health centre IVs(offering ceaserian and blood transfusion section) SubProgramme: 0216 District Infrastructure Support Programme Output: 01 Monitoring, Supervision and Evaluation of Health Systems 57% 59% 60% Number of support and monitoring visits conducted 4 4 4 Output: 82 Staff houses construction and rehabilitation Percentage Completion of Construction and Rehabili 100% 100% 100% SubProgramme: 1027 Insitutional Support to MoH Output: 01 Monitoring, Supervision and Evaluation of Health Systems Number of support and monitoring visits conducted SubProgramme: 1185 Italian Support to HSSP and PRDP Output: 01 Monitoring, Supervision and Evaluation of Health Systems Number of support and monitoring visits conducted SubProgramme: 1187 Support to Mulago Hospital Rehabilitation Output: 01 Monitoring, Supervision and Evaluation of Health Systems Number of support and monitoring visits conducted Output: 80 Hospital Construction/rehabilitation Number of hospitals constructed Number of hospitals renovated 4 4 12 2 1 4 4 0 0 0 4 4 0 0 0 6 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health SubProgramme: 1243 Rehabilitation and Construction of General Hospitals Output: 01 Monitoring, Supervision and Evaluation of Health Systems Number of support and monitoring visits conducted Output: 80 Hospital
 Construction/rehabilitation Number of hospitals constructed Number of hospitals renovated SubProgramme: 1344 Renovation and Equiping of Kayunga and Yumbe General Hospitals Output: 01 Monitoring, Supervision and Evaluation of Health Systems Number of support and monitoring visits conducted Output: 80 Hospital Construction/rehabilitation Number of hospitals constructed Number of hospitals renovated 4 2 2 12 0 2 4 2 2 12 0 2 4 2 2 12 0 2 SubProgramme: 1393 Construction and Equipping of the International Specialized Hospital of Uganda Output: 01 Monitoring, Supervision and Evaluation of Health Systems Number of support and monitoring visits conducted 12 12 12 SubProgramme: 1394 Regional Hospital for Paediatric Surgery Output: 01 Monitoring, Supervision and Evaluation of Health Systems Number of support and monitoring visits conducted Output: 80 Hospital Construction/rehabilitation Number of hospitals constructed 12 1 SubProgramme: 1440 Uganda Reproductive Maternal and Child Health Services Improvement Project Output: 01 Monitoring, Supervision and Evaluation of Health Systems Number of support and monitoring visits conducted Output: 81 Health centre construction and rehabilitation Number of health centre Ivs renovated Programme : 03 Health Research 12 80 12 1 12 80 12 1 12 80 Programme Objective : ToÊimproveÊresearchÊforÊenhancedÊinnovations,ÊinventionsÊandÊapplications Responsible Officer: Permanent Secretary Ministry of Health Programme Outcome: Undertake basic,
 epidemiological, applied, interventional and operational research; Chemotherapeutic research; Coordinate research activities Sector Outcomes contributed to by the Programme Outcome 1.
Competitive healthcare centres of excellence Outcome Indicators 2015/16 2016/17 2017/18 2018/19 2019/20 Performance Targets 7 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health ¥ÊProportion of reseach informed policy and guidelines 100% 100% 100% Actual Target Actual Target Projection Projection SubProgramme: 04 Research Institutions Output: 52 Support to Uganda National Health Research Organisation(UNHRO) No.

of conservation gardens established No.


of therapies and formulations evaluated.

SubProgramme: 05 JCRC 15 40 20 65 30 80 Output: 51 Specialised Medical Research in HIV/AIDS and Clinical Care (JCRC) No.
of researches in HIV/AIDS conducted 2 4 8 Programme : 04 Clinical and public health Programme Objective : To improve the quality and accessible clinical and public health services Responsible Officer: Permanent secretary MOH Programme Outcome: To support provision of integrated public health services and control of epidemic and endemic diseases as well as to coordinate infrastructure development, pharmaceutical policy implementation, supply chain planning and management, integrated curative services interventions Sector Outcomes contributed to by the Programme Outcome 1.
Inclusive and quality healthcare services Outcome Indicators 2015/16 2016/17 2017/18 2018/19 2019/20 Actual Target Actual Target Projection Projection Performance Targets ¥ÊÊInstitutional/Facility based Maternity Mortality per 100,000 facility based deliveries ¥ÊÊProportion of epidemics/disease outbreaks contained; ¥ÊCouple Years of protection(Estimated number of couples protected against preganacy during a one year period) ¥ÊDPT3 Coverage ¥ÊInstitutional/Facility based Infant Mortality rate per 1000 SubProgramme: 06 Community Health Output: 01 Community health services provided (control of communicable and non communicable diseases) No.
of technical support supervision visits reports produced No.
of districts monitoring reports on communicabl Percentage of health workers and service providers Percentage of villages declared Open Defecation Free (ODF) in the 38 districts 4 4 30% 20% 106 102 98 100% 100% 100% 4500000 4600000 4700000 95% 16.9 97% 16.5 4 4 40% 30% 97% 16.1 4 4 50% 40% 8 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health SubProgramme: 07 Clinical Services Output: 04 Technical support, monitoring and evaluation of service providers and facilities No.
of districts supervised quarterly on EPI, RH, CH, Nutrition, Comprehensive HIV/AIDS e.t.c) SubProgramme: 08 National Disease Control Output: 03 National endemic and epidemic disease control services provided 122 122 122 No.

of weekly surveillance reports released No.

of coordination meetings held No.


of quarterly Technical support supervision con Output: 05 Immunisation services provided % of children under 1 year reached with the third % of children under one year immunized against mea Output: 09 Indoor Residual Spraying (IRS) services provided No.
of districts provided with IRS services 52 12 4 100% 100% 20 Output: 11 Coordination of clinical and public health emergencies including the response to the nodding syndrome No of bi-quarterly support supervision visits repo 8 52 12 4 52 12 4 100% 100% 100% 100% 20 8 20 8 SubProgramme: 09 Shared National Services Output: 51 Medical Intern Services Proportion of medical interns whose allowances are SubProgramme: 11 Nursing Services 100% 100% 100% Output: 11 Coordination of clinical and public health emergencies including the response to the nodding syndrome No of bi-quarterly support supervision visits repo 8 SubProgramme: 1413 East Africa Public Health Laboratory Network Project Phase II Output: 01 Community health services provided (control of communicable and non communicable diseases) No.
of technical support supervision visits reports produced Output: 03 National endemic and epidemic disease control services provided No.

of quarterly Technical support supervision con SubProgramme: 1441 Uganda Sanitation Fund Project II 4 4 Output: 01 Community health services provided (control of communicable and non communicable diseases) No.

of technical support supervision visits reports produced No.
of districts monitoring reports on communicabl Percentage of health workers and service providers Percentage of villages declared Open Defecation Free (ODF) in the 38 districts 4 4 50% 80% 8 4 4 4 4 8 4 4 4 4 80% 90% 100% 90% 9 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Programme : 05 Pharmaceutical and other Supplies Programme Objective : To improve the quality and accessible medicines, equipment and other health supplies Responsible Officer: Permanent Secretary Ministry of health Programme Outcome: Development of policy and guidelines for Medicines , equipment and other health supplies Sector Outcomes contributed to by the Programme Outcome 1.
Inclusive and quality healthcare services Outcome Indicators 2015/16 2016/17 2017/18 2018/19 2019/20 Actual Target Actual Target Projection Projection Performance Targets ¥ÊProportion of health facilities without drug stock out for 41 tracer medicines in previous 3 months SubProgramme: 0220 Global Fund for AIDS, TB and Malaria Output: 01 Preventive and curative Medical Supplies (including immuninisation) No.
and percentage of districts/reporting units reporting no stock-out of first-line anti-TB drugs during the reporting period.

No.
and percentage of public health facilities with no reported stock-outs of ACTs any time during the reportingÊperiod.ÊÊ No.ÊandÊpercentageÊÊofÊARTÊcentresÊÊwithoutÊÊstockÊ outsÊofÊARVsÊÊlastingÊmoreÊthanÊ1ÊweekÊduringÊtheÊ reporting period % of co financing requirement paid 75% 80% 85% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% SubProgramme: 1436 GAVI Vaccines and Health Sector Development Plan Support Output: 01 Preventive and curative Medical Supplies (including immuninisation) % of co financing requirement paid 100% 100% 100% Output: 02 Strengthening Capacity of Health Facility Managers Number of districts in which waste disposal was fa Number of Health facilities supported to conduct o Output: 03 Monitoring and Evaluation Capacity Improvement % of districts in which schools in a catchment are Number of districts with integrated and updated mi Number of stakeholder meetings held Output: 75 Purchase of Motor Vehicles and Other Transport Equipment Number of vehicles procured Output: 77 Purchase of Specialised Machinery & Equipment Number of 054 GreenLine SDD procured Number of PQS compliant cold boxes procured Number of VLS 094 Green Line SDD procured 116 2982 95% 116 1 57 205 1155 186 116 2982 95% 116 1 0 0 0 0 116 2982 95% 116 1 0 0 0 0 10 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Programme : 06 Public Health Services Programme Objective : To Undertake Policy Development, Coordination, Planning, Implementation oversight, Monitoring and Evaluation of
 Communicable Disease Control Programs in Uganda.
Responsible Officer: Permanent Secretary Ministry of Health Programme Outcome: To support provision of integrated public health services and control of epidemic and endemic diseases.

Sector Outcomes contributed to by the Programme Outcome 1.
Inclusive and quality healthcare services Outcome Indicators 2015/16 2016/17 2017/18 2018/19 2019/20 Actual Target Actual Target Projection Projection Performance Targets N / A N/A Programme : 07 Clinical Health Services Programme Objective : Develop and coordinate standards guidelines and policies on infrastructure, medicines and health supplies, and integrated curative services.

Provide support supervision referral hospitals and the districts.
Coordination of medical board, interns and tertiary health issues.
Responsible Officer: Permanent Secretary Ministry of Health Programme Outcome: To provide capacity building including mentorship to health workers on health infrastructure, pharmaceuticals and curative services; Provide emergency response (Assessment, case definition and case management); Coordination of infrastructure development, pharmaceutical policy implementation, supply chain planning and management, integrated curative services interventions Sector Outcomes contributed to by the Programme Outcome 1.
Inclusive and quality healthcare services Outcome Indicators 2015/16 2016/17 2017/18 2018/19 2019/20 Actual Target Actual Target Projection Projection Performance Targets N / A N/A Programme : 49 Policy, Planning and Support Services Programme Objective : To improve the Health policy,strategic direction, planning and coordination Responsible Officer: Permanent Secretary Ministry of Health Programme Outcome: Policy development ,financial management, auditing, human resource development, planning, budgeting, administrative and nursing services.
Sector Outcomes contributed to by the Programme Outcome 11 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health 1.
Coherent and integrated inter-sectoral frameworks Outcome Indicators 2015/16 2016/17 2017/18 2018/19 2019/20 Actual Target Actual Target Projection Projection Performance Targets ¥ÊProportion of national and HLG with comprehensive annual health plans and budgets ¥ÊTimeliness and completeness of monthly HMIS reporting SubProgramme: 01 Headquarters Output: 02 Ministry Support Services No of days between authorization of request and actual payment Percentage execution of the procurement plan Output: 03 Ministerial and Top Management Services Proportion of Top management resolutions executed Proportion of quarterly internal audit report recommendations implemented Proportion of auditor General report recommendations implemented SubProgramme: 02 Planning Output: 01 Policy, consultation, planning and monitoring services Comprehensive annual sector workplan and budget submitted Quarterly budget performance reports produced Number of quarterly comprehensive internal audit report SubProgramme: 10 Internal Audit Department Output: 01 Policy, consultation, planning and monitoring services Number of quarterly comprehensive internal audit report SubProgramme: 1145 Institutional Capacity Building Output: 01 Policy, consultation, planning and monitoring services Comprehensive annual sector workplan and budget submitted Quarterly budget performance reports produced Number of quarterly comprehensive internal audit report (IX) Major Capital Investments And Changes In Resource Allocation Table 9.1: Major Capital Investment
 (Capital Purchases outputs over 0.5Billion) Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health FY 2016/17 FY 2017/18 Appr.
Budget and Planned Outputs Expenditures and Achievements by end Dec Proposed Budget and Planned Outputs Vote 014 Ministry of Health Program : 08 02 Health infrastructure and equipment Development Project : 0216 District Infrastructure Support Programme Output: 08 02 77 Purchase of Specialised Machinery & Equipment Six (6) X-ray machines procured Payment for shipping and clearing costs for donated items made.
Draft bid document and requisition for x-ray machines for Adjumani, Abim, Busolwe, Kiboga, Tororo & Kaberamaido hospitals was submitted to the Accounting officer for onward transmission to PDU/Contracts committee to start procurement process.
Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: A.I.A: 4,791,000 4,791,000 0 0 Development Project : 1027 Insitutional Support to MoH Output: 08 02 72 Government Buildings and Administrative Infrastructure 7,434 7,434 0 0 0 0 0 0 Ministry of health headquarters renovated Staff canteen constructed Ministry of Health Headquarters renovated following the fire and office accommodation modernized.

Renovations of MOH entrance at the reception area was completed and these were handed over.
Modifications and painting of the Boardrooms on 3rd and 4th floors completed.

Carpeting of the Hon MoH and Permanent SecretaryÕs offices completed.

Reception area on level 1 and boardrooms on Level 3 $ 4 expanded and completed.

Roof leakages on LevelÊ3Êdone.ÊLeakagesÊonÊlvelÊ1ÊatÊtheÊmainÊ entrance undertaken and completed.
Plumbing works in resorts done Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: A.I.A: 100,000 100,000 0 0 Output: 08 02 75 Purchase of Motor Vehicles and Other Transport Equipment 27,472 27,472 0 0 2 Vehicles procured Taxes for the vehicles procured paid Clearance to purchase the vehicles from Ministry of Public Service obtained.

Advertisement was placed in the New vision on 12/1/2017.

Procurement process underway and contract will be completed by April 30, 2017.
Two motor cycles procured Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: A.I.A: 628,000 628,000 0 0 Output: 08 02 77 Purchase of Specialised Machinery & Equipment 10,603 10,603 0 0 1,542,000 1,542,000 0 0 20,000 20,000 0 0 13 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Taxes on Specialised and other equipment and donations paid Taxes amounting to UGX 149M for vehicles donated by UNICEF for National Malaria Control Programme are being processed and the payment process will be completed by 28/2/2017.
Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: A.I.A: 1,200,000 1,200,000 0 0 Development Project : 1123 Health Systems Strengthening Output: 08 02 75 Purchase of Motor Vehicles and Other Transport Equipment Procurement of mobile workshop vehicles for Masaka and Jinja RRHs The two mobile workshop vehicles were delivered to Kampala and are awaiting registration which will be completed by mid- February 2017.
Total Output Cost(Ushs Thousand) 1,500,000 Gou DevÕt: Ext Fin: A.I.A: 0 1,500,000 0 Output: 08 02 76 Purchase of Office and ICT Equipment, including Software Roll out of the Human Resource Management Informaton System, Finalise and roll out the Electronic Job Bureau for the Health Service Commission Total Output Cost(Ushs Thousand) 2,500,000 Roll out of Human Resource Information System completed in 31 districts.
Set up of electronic job for the Health Service Commission completed now awaiting launching and roll out Gou DevÕt: Ext Fin: A.I.A: 0 2,500,000 0 Output: 08 02 77 Purchase of Specialised Machinery & Equipment 0 0 0 0 0 0 0 0 0 0 0 0 Procurement of medical equipment requiring pre-installation works for the health facilities supported by UHSSP; Procurement of medical instruments for Emergency Obsetric and Neonatal Care Procurement of safe delivery kits and implants Installation of x-rays was completed in 19 Hospitals.
Dental units were installed in 18 out of 19 Hospitals.

Installation at Moyo Hospital will be completed by mid-February 2017.

Installation of laundry equipment was completed in 6 out of 19 Hospitals.

The outstanding works will be completed by March 2017.
Total Output Cost(Ushs Thousand) 21,830,000 Gou DevÕt: 0 Ext Fin: 21,830,000 A.I.A: 0 0 0 0 0 Output: 08 02 78 Purchase of Office and Residential Furniture and Fittings Procurement of office furniture for health facilities renovated by UHSSP Contracts for procurement of medical equipment have been awarded and the equipment will be delivered and distributed by May 2017.
Total Output Cost(Ushs Thousand) 5,780,000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Gou DevÕt: Ext Fin: A.I.A: 0 5,780,000 0 Output: 08 02 80 Hospital Construction/rehabilitation Finallise renovation of the 9 Hospitals under Phase II.

Continue with renovation of 26 HCIVs including maternity and operating theatres 0 0 0 Renovations of Hospitals was completed and these were handed over.
The Hospitals include: Moroto, Anaka, Nebbi, Kiryandongo, Mityana, Nakaseke, Iganga, Entebbe and Moyo.

Renovation of 21 HCIVs was completed.

Renovation of 5 HCIVs is 98% complete.
Procurement of office furniture for the renovated health facilities Total Output Cost(Ushs Thousand) 81,680,000 Gou DevÕt: 0 Ext Fin: 81,680,000 A.I.A: 0 Development Project : 1185 Italian Support to HSSP and PRDP Output: 08 02 82 Staff houses construction and rehabilitation Twenty staff houses in Karamoja Region 75% of works finalized Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: A.I.A: 5,420,000 300,000 5,120,000 0 Development Project : 1187 Support to Mulago Hospital Rehabilitation Output: 08 02 80 Hospital Construction/rehabilitation 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45% of construction of 68 staff houses completed.
4 supervising consultant reports Produced 5,619,000 0 5,619,000 0 15 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Rehabilitation of Lower Mulago Hospital completed Rehabilitation work for lower Mulago Hospital is ongoing and the current progress of work is at 70%.

Construction of the Kawempe and Kiruddu Hospital ongoing.

For Kawempe Hospital the overall progress of work is at 93%.
Main block is 95% completed; Services block 92% complete; staff accommodation block 95% complete and the external work is 96% complete.

The hospital is presently being used by Mulago hospital.

The Contractor is currently handling the defects.

For Kiruddu Hospital the overall Progress of work is at 96%.

The main block is 96% complete; Services block is 94% complete; Accommodation block is 95% complete and the external work is 90% complete.

The hospital is presently being used by Mulago Hospital.
The Contractor is currently handling the defects.

Procurement of medical equipment and furniture for Kawempe and kiruddu hospitals on-going.

Contracts have been signed and delivery and installation expected in the quarter January to March 2017.

Procurement of the main medical equipment and furniture for Mulago hospital on-going.

Contracts have been signed and delivery and installation expected during the quarter April to June 2017.
Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: A.I.A: 44,130,000 16,800,000 27,330,000 0 6,009,386 0 6,009,386 0 Development Project : 1243 Rehabilitation and Construction of General Hospitals Output: 08 02 80 Hospital Construction/rehabilitation Kawolo and Busolwe General hospitals;- Expanding and rehabilitation of the Outpatient department, expanding and renovating the theatre and maternity, constructing 4 units of staff houses and mortuary.

1.
1.

Contract for Civil Works for Kawolo submitted to the Solicitor General for approval.

2.
Contract for Design Consultancy services due for signature by the Accounting officer Total Output Cost(Ushs Thousand) 10,280,000 Gou DevÕt: 0 Ext Fin: 10,280,000 A.I.A: 0 0 0 0 0 Development Project : 1315 Construction of Specialised Neonatal and Maternal Unit in Mulago Hospital Output: 08 02 77 Purchase of Specialised Machinery & Equipment 0 0 0 0 0 0 0 0 16 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Specialised Equipment and machinery procured Lists and specifications for the required Medical Equipment and Furniture developed and tendering process commenced Preparation of LOTS has been finalized and forwarded to the bank for a Òno objectionÓ Received a "No Objection" from IsDB for the 4 LOTS.
Adverts placed both in the local Newspapers and Financial Times for the procurement of the Equipment Total Output Cost(Ushs Thousand) 4,000,000 Gou DevÕt: Ext Fin: A.I.A: 0 4,000,000 0 Output: 08 02 80 Hospital Construction/rehabilitation Maternal and neonatal hospital construction undertaken Supervision of civil works undertaken Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: A.I.A: 20,012,100 13,710,000 6,302,100 0 0 0 0 0 0 0 0 0 Certificate No 5 for Civil works contractor processed and paid by the bank Certificates numbers 6 & 7 submitted to the bank and paid Construction of Maternal and neonatal Hospital completed by February 2018 Development Project : 1344 Renovation and Equiping of Kayunga and Yumbe General Hospitals Output: 08 02 77 Purchase of Specialised Machinery & Equipment Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: A.I.A: 0 0 0 0 Output: 08 02 80 Hospital Construction/rehabilitation Kayunga and Yumbe hospitals constructed/rehabilitated and equipped Nil Total Output Cost(Ushs Thousand) 11,099,000 Gou DevÕt: Ext Fin: A.I.A: 5,759,000 5,340,000 0 Development Project : 1393 Construction and Equipping of the International Specialized Hospital of Uganda Output: 08 02 80 Hospital Construction/rehabilitation 372,570 372,570 0 0 0 0 0 0 0 0 0 0 37,893,000 4,450,000 33,443,000 0 Medical equipment for full re-equipping of Kayunga and Yumbe Hospitals including delivery beds, x ray machines, lab equipment, surgical equipment, Hospital beds, bedside lockers procured.
6,700,000 0 6,700,000 0 50% of the Civil works for rehabilitation and expansion of Kayunga and Yumbe Hospitals completed 32,885,000 5,000,000 27,885,000 0 17 Ministry of Health Ministerial Policy Statement Ground breaking scheduled for February 2017 50% of civil works completed Vote: 014 Ministry of Health -Project Designs developed Completed project designs Payment of Advance Mobilisation on site Commencement of Engineering, Procurement and construction works Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: A.I.A: 900,000 900,000 0 0 Development Project : 1394 Regional Hospital for Paediatric Surgery 0 0 0 0 Output: 08 02 80 Hospital Construction/rehabilitation Commencement of construction works for the Regional Hospital for Pediatric Surgery Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: A.I.A: 1,800,000 1,800,000 0 0 Development Project : 1440 Uganda Reproductive Maternal and Child Health Services Improvement Project Output: 08 02 75 Purchase of Motor Vehicles and Other Transport Equipment Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: A.I.A: 0 0 0 0 Output: 08 02 76 Purchase of Office and ICT Equipment, including Software Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: A.I.A: 0 0 0 0 Output: 08 02 77 Purchase of Specialised Machinery & Equipment 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 800,000 800,000 0 0 34 vehicles procured to support roll out of Birth and Death Registration, Result Based Financing in 60 districts and support supervision in under resourced Local Governments 2,847,330 0
 2,847,330 0 Birth,Death Registration mobile services procured for National Identification Registration Authority (NIRA) procured Firm to develop and install RBF soft ware procured 2,695,472 0 2,695,472 0 RMNCH equipment including infant Resuscitation devices, Resuscitation tables, Glucometers, delivery beds, post-natal tables and MVA kits procured and distributed to Bundibugyo, Kalangala, Buikwe, Moyo, Otuke, Serere, Lwengo, Kaabong among others.
18 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: A.I.A: 0 0 0 0 Output: 08 02 81 Health centre construction and rehabilitation Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: A.I.A: Program : 08 04 Clinical and public health 0 0 0 0 Development Project : 1413 East Africa Public Health Laboratory Network Project Phase II Output: 08 04 72 Government Buildings and Administrative Infrastructure 1.
Still with architectural drawings for Mbale and Lacor.

2.

HVAC installation for NTRL ongoing 1.Continuation of construction of Mbale and Lacor labs 2.VHF Isolation unit and staff accomodation facility in place at Mulago Hospital 3.MDR treatment centers at Mbale and Moroto remodelled and equiped 4.Entebbe isolation centre remodelled and equiped 5.
Total Output Cost(Ushs Thousand) 2,450,466 Gou DevÕt: Ext Fin: A.I.A: 0 2,450,466 0 0 0 0 0 0 0 0 0 0 0 0 0 4,000,000 0 4,000,000 0 Maternity units constructed in HCIIIs in 56 districts which include: Tororo, Kabale, Mayuge, Kiruhura, Buhweju, Mitooma, Yumbe, Zombo, Koboko, Alebtong, Soroti, Lira, Otuke, among others.

11,522,195 0 11,522,195 0 30% of Construction of Mbale and Lacor labs completed.

30% of civil works completed of the VHF Isolation unit and staff accommodation facility at Mulago Hospital.
MDR treatment centers at Mbale and Moroto remodelled.

Entebbe isolation centre remodelled.

4,395,000 0 4,395,000 0 Output: 08 04 75 Purchase of Motor Vehicles and Other Transport Equipment 1.

2 ambulances in place 1.

Bid evaluation done for 4 double cabin pick ups 2.


Bid documents for 2 ambulances to be developed in third quarter 2 ambulances and 4 double cabin pickups procured Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: A.I.A: 367,000 0 367,000 0 Output: 08 04 76 Purchase of Office and ICT Equipment, including Software Bid evaluation done.

Awaiting delivery 1.
ICT equipment ; computers,VC equipment, internet available at Moroto and Fort Portal Hospitals Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: A.I.A: 539,534 0 539,534 0 0 0 0 0 0 0 0 0 520,000 0 520,000 0 Computers.,ICT equipment including Video conferencing equipment in place 600,000 0 600,000 0 19 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Program : 08 05 Pharmaceutical and other Supplies Development Project : 0220 Global Fund for AIDS, TB and Malaria Output: 08 05 72 Government Buildings and Administrative Infrastructure Obtained clearance from PPDA to use procurement method of design and build.Construction expected to commence in mid march Construction of medicines ware house in kajjansi completed Medicines Warehouse at Kajansi Constructed Taxes on the Global Fund activities paid Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: A.I.A: 4,000,000 1,000,000 3,000,000 0 Output: 08 05 75 Purchase of Motor Vehicles and Other Transport Equipment 2 M/Veh.
(One Station Wagon & One field Motor Vehicle Procured Procurement of 2 M/Vehicles for Finance & M&E Officers initiated Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: A.I.A: 799,708 550,000 249,708 0 Output: 08 05 77 Purchase of Specialised Machinery & Equipment 0 0 0 0 0 0 0 0 48,214,788 0 48,214,788 0 -procure 7 delivery trucks for NMS and JMS 4 Film Vans, Station Wagon for QPPU, 2 Cars for M&E officers procured.
Procure for other vehicles for controls and assurance 3,415,896 0 3,415,896 0 Assorted Medical, Dental & Surgical Equipment for TB, HIV, Malaria and HSS Procurement of 2 Film Vans sent to LFA/GF for no-objection.
autoclaves, GeneXpert Machines, Microscopes, Forl Lift, Medicine Shelves and racks, medicine boxes, xray machines procured Total Output Cost(Ushs Thousand) 60,653,836 Gou DevÕt: 0 Ext Fin: 60,653,836 A.I.A: 0 Development Project : 1141 Gavi Vaccines and HSSP 5,557,363 0 5,557,363 0 Output: 08 05 72 Government Buildings and Administrative Infrastructure Consultancy services for civil works procured 20 district medicines stores constructed The contractors started the works and they are at different levels ranging from ring beam to roofing,26 semi detached houses for HWs constructed, 13 districts in hard to reach areas, each has 2 staff houses constructed Solar systems functional for the 26 houses 12 cold chain equipment procured and installed Total Output Cost(Ushs Thousand) 57,779,897 Gou DevÕt: 0 Ext Fin: 57,779,897 A.I.A: 0 Development Project : 1436 GAVI Vaccines and Health Sector Development Plan Support 0 0 0 0 31,857,132 0 31,857,132 0 0 0 0 0 20 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Output: 08 05 72 Government Buildings and Administrative Infrastructure Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: A.I.A: 0 0 0 0 Output: 08 05 75 Purchase of Motor Vehicles and Other Transport Equipment Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: A.I.A: 0 0 0 0 Output: 08 05 77 Purchase of Specialised Machinery & Equipment Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: A.I.A: 0 0 0 0 Table 9.2: Key Changes in Vote Resource Allocation 30 storage facilities of
 floor area 180 square meters for vaccines and dry commodity storage in 30 districts constructed Staff houses constructed 6,188,906 0 6,188,906 0 57 (48-districts, 9-regional technicians) vehicles for programme management and District Health Offices that did not receive vehicles for support supervision & distribution of logistics to the Lower Level Health Units (LLHUs) procured 4,596,775 0 4,596,775 0 205 054 GreenLine SDD procured;186 VLS 094 Green Line SDD procured; 1155 PQS compliant cold boxes to replace the
 defective/obsolete ones and cater for the increased needs procured; 5,710 BERLINGER Fridge-Tag2 devices procured 15,355,562 0 15,355,562 0 0 0 0 0 0 0 0 0 0 0 0 0 Major changes in resource allocation over and above the previous financial year JustificationÊforÊproposedÊÊChangesÊinÊExpenditureÊ and Outputs Programme : 08 05 Pharmaceutical and other Supplies Output: 08 0502 Strengthening Capacity of Health Facility Managers Change in Allocation (UShs Bn) : 13.937 Increased donor provision Output: 08 0503 Monitoring and Evaluation Capacity Improvement Change in Allocation (UShs Bn) : 9.135 Increase in donor budget Output: 08 0551 Transfer to Autonomous Health Institutions 21 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Change in Allocation (UShs Bn) : 1.500 Non wage contribution to the global fund activities Output: 08 0453 Support to Local Governments Change in Allocation (UShs Bn) : 0.450 USF counterpart provision for improving sanitation and hygiene at local governments Output: 08 0472 Government Buildings and Administrative Infrastructure Change in Allocation (UShs Bn) : 1.945 increased funding for the new projects coming on board in FY 2017/18 Output: 08 0475 Purchase of Motor Vehicles and Other Transport Equipment Change in Allocation (UShs Bn) : 0.153 Donor allocation to procure vehicles under EAPHLP Programme : 08 49 Policy, Planning and Support Services Output: 08 4904 Health Sector reforms including financing and national health
 accounts Change in Allocation (UShs Bn) : -0.298 Budget cut Output: 08 4951 Transfers to International Health Organisation Change in Allocation (UShs Bn) : 0.160 Increased allocation towards Annual requirement for WHO and ECSA Subscription Programme : 08 01 Health Monitoring and Quality Assurance Output: 08 0103 Support supervision provided to Local Governments and referral hospitals Change in Allocation (UShs Bn) : -0.182 Budget cut (X) Vote Narrative For Past And Medium Term Plans Vote Challenges
 Inadequate staffing at all levels.
Current staffing at 70% though staffing norms below the service delivery needs.

Inadequacy of human resource and funds for the maintenance of medical equipment nationwide.

1.

2.

3.

High burden of disease due to preventable causes e.g.

malaria, diarrhoeal diseases, skin diseases, eye conditions.

4.

Monitoring and management of various disease outbreaks are not equitably funded.

Mostly donor funded.

5.

Stocks outs of key commodities especially at tertiary and secondary level.

6.
6.

Funding gaps for ARVs, Antimalarials and chemistry, hematology laboratory and x-ray reagents and films.

Plans to improve Vote Performance 22 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Increased infant immunization is extensively described in the Child Survival Strategy.

The critical inputs to improved performance are the availability of adequate quantities and a reliable supply and storage cold chain system for the vaccines and immunization supplies.
Equally important is the availability of a motivated health workers and community sensitization through village health teams (VHTs).

Accordingly the Sector undertakes to fully implement the Child Survival Strategy.
To counter stock outages and supply side deficiencies, the Sector will continue to adopt a Last Mile delivery mechanism to be implemented by the National Medical Stores, to ensure that medicines are delivered by NMs to the final consumer, the health unit, rather than to the stores at the District Headquarters.

In addition, the Sector will develop regional storage capacity for medicines to improve the availability of stock within the regions, and to reduce regional disparities.
To address insufficient availability of qualified health staff at task, the sector shall, continue Implementing the motivation and retention strategy for health workers and recruit additional staff within available resources.
In order to address inadequate health infrastructure and equipment, capital investment plans will continue to be geared towards consolidating existing infrastructure (XI) Vote Cross Cutting Policy And Other Budgetary Issues Table 11.1: Cross- Cutting Policy Issues Issue Type: Objective : HIV/AIDS Reduce HIV/AIDS prevalence Issue of Concern : Rising HIV/AIDS prevalence Planned Interventions : 1.

Elimination of Mother to Child Transmission, 2.

Safe male circumcision, 3.


Behavior change promotion Budget Allocation (Billion) : 5.000 Performance Indicators: % of children exposed to HIV from their mothers accessing HIV testing within 12 months % ART coverage among those in need Issue Type: Objective : Gender Improve sexual and reproductive health Issue of Concern : Reduction of maternal and neonatal mortality Planned Interventions : 1.

Procuring and distributing EMoC medicines, supplies, and equipment 2.
Supporting the mobilization of blood for emergency obstetric and new born care 3.

Conducting maternal and perinatal death audits to address gaps and improve quality of care.

Budget Allocation (Billion) : 6.000 Performance Indicators: 1.

EMoC medicines, supplies, and equipment available in all target facilities.

2.

Availability of safe blood for emergency obstetric and new born care Issue Type: Objective : Enviroment Infection control Issue of Concern : Safe waste disposal Planned Interventions : 1.
Roll out Village Health Teams to educate people about safe waste disposal 2.
Construct incinerators in health facilities Budget Allocation (Billion) : 2.000 23 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Performance Indicators: Number of incinerators in health facilities constructed Number of village health teams rolled out to educate people on safe dispoasal Table 11.2: AIA Collections (XII) Personnel Information TableÊ12.1Ê:ÊVoteÊStaffingÊProfileÊÊbyÊPost Post Authorised Establishme nt Filled Posts Vacant Posts Cleared for filling in 2017/18 Number of Posts Estimate d for 2017/18 Scale Gross Salary Rate per Month Annual Cost of Filled Posts 2017/18 Annual Cost of Estimated Posts 2017/18 Assistant Commissioner Commissioner Personal Secretary Principal Medical Officer Program Officer IT Support Research Officer RO) Senior Research Officer (SRO) Stenography Secretary Vote Total 4 0 0 3 0 0 0 2 9 17 3 1 17 5 1 1 3 17 3 1 17 5 1 1 3 21 U1E 2,328,850 9,315,400 27,946,200 3 U1SE 2,628,075 700,306 0 0 31,536,900 8,403,672 1 U4 20 U2 5 U4 1 U4 (SC) 1 U3 (SC) 5 U5 1,992,454 5,977,362 23,909,448 1,042,202 1,175,632 1,204,288 0 0 0 12,506,424 14,107,584 14,451,456 462,852 925,704 5,554,224 48 48 57 11,534,659 9,315,400 138,415,908 24 Uganda Cancer Institute Ministerial Policy Statement Vote: 114 Uganda Cancer Institute V1: Vote Overview (i) Vote Mission Statement Provision of state of the art cancer care and prevention by advancing knowledge, fostering the use of research as a resource in training and professional development (ii) Strategic Objective To offer
 super specialized services in areas of cancer treatment, research and prevention through conducting research into all aspects of common cancers in Uganda, provision of optimal evidence based clinical care, and provision of training for health care professionals using endemic cancers as model disease training.
(iii) Major Achievements in 2016/17 Ongoing activities such as furnishing and equipping the new cancer ward and other departments and works at Mayuge satellite cancer Centre were monitored.

182 established staffs were paid their three monthly salaries by the 28th day of every month during the period as per guidelines.

7 retired staff paid their monthly pensions by the 28th day of every month.

172 UCI staff on establishment were paid a quarterly motivational allowance.
Staff welfare was handled and Staffs were assisted whenever they were in need and UCI in position of helping (such as burial of beloved ones).

Telephone bills and internet charges were met during the period All UCI generators and vehicles which include Director’s vehicle, 2 mammography vans and a pickup were maintained in sound conditions during the period.
Management, Statutory and performance reports like activity/budget progress reports, final accounts and responses to various queries/requests were compiled and submitted for consideration by management and further submitted to key authorities like MoFPED, Office of the Auditor General, Accountant General’s Office and Public Service among others.
Security to UCI property was provided by both UCI security team and Uganda Police in which all UCI structures, equipment and the Community cancer surveillance site at Mayuge were provided security during the period.

Wards, offices and compound were regularly cleaned to the highest standard of hygiene and were fumigated and disinfected to deal with pests and rodents were during the period.

IT was well maintained and supported to have other services run smoothly during the period.
Nine (9) of the 11 submitted proposals were reviewed by the UCI REC; Four (4) monitoring visits conducted by the REC to monitor research projects; 25 Uganda Cancer Institute Ministerial Policy Statement Vote: 114 Uganda Cancer Institute Two trainings conducted - Annual National Research Ethics Conference (ANREC) and How to conduct a monitoring visit; UCI Scientific review committee was constituted.
One training for UCI staff held with the African Palliative Care Association; Four studies initiated and supported 1) User requirements for an electronic medical records system for a cancer hospital 2) response to erlotinib in the treatment of NSCLC at the UCI 3) Defining the Molecular profile of breast cancer in Uganda and its clinical implications 4) Assessment of knowledge attitudes and practices of nurses handling of cytotoxic anticancer drugs at the UCI.
One UCI staff supported to attend a conference in France about cancer registry Ten (10) collaborative studies planned or initiated.

Twelve (12) collaborative research meetings were conducted to lender support in research activities Several (119) staff supported to attend palliative care trainings with Africa Palliative care association.

Three (3) Fellowship programs initiated (medical oncology, pediatric oncology and gynaecological oncology fellowships).
Awaiting approval from NCHE and UMDPC and the vetting and award of in-post staff scholarships under the ADB support to Uganda Cancer Institute was supported.

Establishment of a comprehensive community cancer control program in Mayuge ongoing, training of staff, visitation of site conducted, meetings with local opinion leaders conducted.

Monitoring visits to Mbarara/Mayuge/Arua conducted to assess records and data management.
A Community Cancer registry at Mayuge District was established; training conducted in Mayuge and staff allocated to Mayuge site Five (5) cancer registry related meetings attended 23,901 in-patient days and 18,776 outpatient days of comprehensive oncology clinical care provided at Uganda Cancer Institute.

1,957 new patient cases received and attended to at Uganda Cancer Institute.
138 Lumbar Punctures carried out at Uganda Cancer Institute 471 Bone marrow Procedures performed at Uganda Cancer Institute 308 minor surgical Operations and FNAC carried out at Uganda Cancer Institute 268 Biopsies performed at Uganda Cancer Institute 80 Gynae Operations performed at Uganda Cancer Institute 59 Head and neck surgical Operations carried out at Uganda Cancer Institute 26 Uganda Cancer Institute Ministerial Policy Statement Vote: 114 Uganda Cancer Institute 8,415 X-rays performed at Uganda Cancer Institute 516 CT simulations conducted by the Imaging department of Uganda Cancer Institute 619patient days of social support provided at Uganda Cancer Institute 124,056 laboratory investigations (CBCs, Chemistries, Blood transfusions, Platelet transfusions, HIV tests, Urine Analyses, Stool Analyses, Bone marrow Processing, Peripheral films, B/S for malaria and Cytology) conducted in Uganda Cancer Institute’s Laboratory department 17,269 Chemotherapy for infusion reconstituted in Uganda Cancer Institute’s pharmacy 1,549 patient days of social support provided at Uganda Cancer Institute 14,580 Drug combinations dispensed to patients at Uganda Cancer Institute 33,940 meals prepared and served for general inpatients at Uganda Cancer Institute Three (3) radio talk shows and five (5) TV talk shows were conducted during the UMA health fair week, Three Cervical cancer interviews were conducted and One (1) article about prostate cancer risk factors published in print media (new vision and observer).
; Conducted one (1) broadcasted interview with Bukedde TV at Kajjansi during cancer education & screening outreach.

Contributed in articles on various cancers & role of nutrition in cancer prevention & care in the Health times magazines September 2016 release.

; Conducted fourteen (14) community based health education sessions; Three community based health education sessions in partnership with UCCF.

; Educated 21,346 individuals out of whom 2684 clients were screened for cancers.
; Two (2) long distance outreaches were held in Western Region (Kabarole District) and in eastern region (Mayuge District) in collaboration with Hind feet project & Airtel Uganda.

Twenty two (22) short distances outreaches were conducted.

; Follow up calls made to 113 people with suspected cancers and made 120 referrals.
One (1) consultative and training meeting held at UCI with representatives of regional referral hospitals and permanent secretaries updating them on cancer burden, progress on developments in establishing the Uganda national cancer control program and soliciting their opinions.

; Twenty (20) consultative and advocacy meetings held in 20 district local governments.

; Six (6) Health management teams in six (6) districts trained.
; Selected health care workers trained in six (6) districts on cancer prevention, screening and referrals.

; 27 Uganda Cancer Institute Ministerial Policy Statement Vote: 114 Uganda Cancer Institute Five (5) School drama groups formed in collaboration with the 3C UCCF school program and performed at Kings College Budo.
26 static cancer awareness and screening clinics and two (2) Support supervision visits conducted One (1) Cancer health education and screening needs assessment research project was initiated.
1,732 Patient days of cancer care provided in the radiotherapy department 153 New patients seen 391 HDR planning sessions 391 HDR (brachytherapy) sessions conducted 1,089 Patients followed up (iv) Medium Term Plans Construction of a nuclear department at the Uganda Cancer Institute equipping the bunkers with state of the art Linear Accelerators and radiation equipment construction and equipping of satellite cancer centers in regions to decongest the main Institute and bring services closer to the people Continue with improving service delivery by constructing an oxygen plant Restructuring the services at the Institute for improved service delivery (v) Summary of Past Performance and Medium Term Budget Allocations Table V1.1: Overview of Vote Expenditures (UShs Billion) 2016/17 MTEF Budget Projections 2015/16 Outturn Approved Budget Expenditure by End Dec 2017/18 2018/19 2019/20 2020/21 2021/22 Recurrent Devt.
Wage Non Wage GoU Ext.

Fin.
2.047 1.904 8.927 0.000 2.349 1.991 10.522 26.445 GoU Total 12.878 14.862 Total GoU+Ext Fin (MTEF) 12.878 41.307 Arrears 0.000 0.000 Total Budget 12.878 41.307 A.I.A Total 0.847 1.700 Grand Total 13.725 43.007 Total Vote Budget Excluding Arrears 13.725 43.007 (VI) Budget By Economic Clasification Uganda Cancer Institute Ministerial Policy Statement Vote: 114 Uganda Cancer Institute Table V6.1 2016/17 and2017/18 Budget Allocations by Item Billion Uganda Shillings Output Class : Outputs Provided GoU Ext.
Fin 13.301 5.836 AIA Total 1.700 20.837 GoU Ext.
Fin 7.801 7.763 AIA Total 1.860 17.424 2016/17 Approved Budget 2017/18 Draft Estimates 211 Wages and Salaries 212 Social Contributions 213 Other Employee Costs 221 General Expenses 222 Communications 223 Utility and Property Expenses 224 Supplies and Services 225 Professional Services 227 Travel and Transport 228 Maintenance Output Class : Capital Purchases 9.026 13.144 0.000 22.170 10.652 24.162 0.000 34.814 281 Property expenses other than interest 312 FIXED ASSETS Output Class : Arrears 321 DOMESTIC Grand Total : Total excluding Arrears 14.862 26.445 1.700 43.007 18.415 31.963 1.860 52.238 (VII)ÊBudgetÊByÊProgrammeÊAndÊSubprogrammeÊÊÊ Table V7.1: Past Expenditure Outturns and Medium Term Projections by Programme and SubProgramme Billion Uganda shillings FY 2016/17 Medium Term Projections FY
 2015/16 Outturn Approved Budget SpentÊByÊ End Dec 2017-18 Proposed Budget 2018-19 2019-20 2020-21 2021-22 57 Cancer Services 12.878 43.007 5.584 52.286 47.367 41.463 33.138 33.440 01 Management/support services 02 Medical Services 03 Internal Audit 04 Radiotherapy 1120 Uganda Cancer Institute Project 1345 ADB Support to UCI 1476 Institutional Support to Uganda Cancer Institute 3.380 0.475 0.012 0.084 8.878 0.048 0.000 3.319 2.568 0.026 0.126 8.400 28.567 0.000 1.520 0.379 0.011 0.057 2.919 4.441 3.276 0.025
Uganda Cancer Institute Vote: 114 Total for the Vote Total Excluding Arrears Ministerial Policy Statement Uganda Cancer Institute 12.878 12.878 43.007 43.007 5.584 52.286 47.367 41.463 33.138 33.440 5.584 52.238 47.367 41.463 33.138 33.440 (VIII) ProgrammeÊPerformanceÊandÊMediumÊTermÊPlansÊÊÊÊÊÊ Table V8.1: Programme Outcome and Outcome Indicators Programme : 57 Cancer Services Programme Objective : Establish a National Planning and Legal Framework for Comprehensive Management and Control of Cancer Strengthen Infrastructural Capacity for Cancer Prevention and Control Strengthen Research Capacity to Promote and Provide the highest Patient Care by demonstrating Superior Outcomes at a Reasonable Cost Develop Mechanisms for Broadening the Resource Base, enabling the Scaling-Up of Cancer Services Establish strong Information Systems for consistent Management of Data monitoring the Incidence of Cancer Responsible Officer: Dr Victoria Walusansa Programme Outcome: percentage of patients under effective treatment, % reduction in cancer incidence, % change in disease presentation (from stage III & IV to II & I) Sector Outcomes contributed to by the Programme Outcome 1.
Inclusive and quality healthcare services Outcome Indicators 2015/16 2016/17 2017/18 2018/19 2019/20 Actual Target Actual Target Projection Projection Performance Targets 30 Uganda Cancer Institute Ministerial Policy Statement Vote: 114 Uganda Cancer Institute ¥ÊPercentage of patients under effective treatment, % reduction in cancer incidence, % change in disease presentation (from stage III & IV to II & I) SubProgramme: 02 Medical Services Output: 01 Cancer Research Number of cancer research studies initiated and co Number of peer reviewed publications and presentat Number of training workshops conducted by UCI Output: 02 Cancer Care Services Number of inpatient stays No.of investigations undertaken Number of outpatient visits Number of new cancer patients registered Output: 03 Cancer Outreach Service Number of outreach visits conducted Number of clients examined Number of clients screened (IX) Major Capital Investments And Changes In Resource Allocation Table 9.1: Major Capital Investment (Capital Purchases outputs over 0.5Billion) FY 2016/17 FY 2017/18 Appr.
Budget and Planned Outputs Expenditures and Achievements by end Dec Proposed Budget and Planned Outputs Vote 114 Uganda Cancer Institute Program : 08 57 Cancer Services Development Project : 1120 Uganda Cancer Institute Project Output: 08 57 72 Government Buildings and Administrative Infrastructure The radiotherapy bunker and department constructed, Engineering designs developed, Works supervised, Construction of modern kitchen, Renovation of engineering workshop area, Installation of worktable for pharmacy, Remodeling 75RVa generator hou Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: continued with construction of the radiotherapy bunkers and it is currently at 40% with the retainer wall erected (cast) and internal walls pouring is ongoing.
Basement store for UCI to house addition procurement and supplies repaired Construction of support areas for the radiotherapy bunkers initiated.
Master plan for UCI designed Radiotherapy bunkers constructed and supervised Structural designs and artistic impressions for the service support building developed Water pipeline channeling, streamlining and plumbing for UCI carried out: 4,434,085 4,434,085 0 2,143,675 2,143,675 0 8,709,000 8,709,000 0 31 Uganda Cancer Institute Ministerial Policy Statement Vote: 114 Uganda Cancer Institute A.I.A: 0 0 Output: 08 57 76 Purchase of Office and ICT Equipment, including Software Customer care management and Call center system procured and installed, Procurement of ten (10) Desktops and nine (9) laptops for key staffs, Procurement of one heavy duty photocopier, Installation of LAN to connect the UCI main to radiotherapy, Contract for installation of digital signage was signed with SETTY (U) limited while the process for procurement and installation of customer care system was initiated.
LPOs for supply and delivery of; Network Heavy duty printer/photocopier, Desktop computers and printer and UPS APC SMART 2000VA LCD 230V for the conference room issued and currently pending delivery P Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: A.I.A: 898,000 898,000 0 0 Output: 08 57 77 Purchase of Specialised Machinery & Equipment 56,747 56,747 0 0 Assortment of equipment and utensils for Kitchen services procured, 100 seater capacity tent and chairs procured Tables, chairs, curtains and benches for outreach services procured, A digital Mammography machine, A heavy duty Ultrasound machine with fou The Ultra sound equipment was supplied by Medequip, delivered and installed.
kitchen equip were supplied, procurement of mammography equipment is at evaluation stage, procurement of physiotherapy equipment was initiated, LPOs for supply of; 28 colour coded refuse bins and 20 oxygen concetrators were issued to successful supply bidders, LPO for supply of flags and stands was issued Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: A.I.A: 2,580,000 2,580,000 0 0 Development Project : 1345 ADB Support to UCI 546,321 546,321 0 0 0 0 0 0 0 0 0 0 0 Output: 08 57 72 Government Buildings and Administrative Infrastructure Development of structural designs for the multipurpose building contracted.
Capital works and related activties for the project monitored Contract for structural designs and supervision of construction of multipurpose building drafted and submitted to the bank for consideration Total Output Cost(Ushs Thousand) 10,600,935 Gou DevÕt: Ext Fin: A.I.A: 626,168 9,974,768 0 Output: 08 57 76 Purchase of Office and ICT Equipment, including Software 0 0 0 0 Current occupants of land where the multipurpose building will be housed relocated Multipurpose building for the East Africa Oncology Institute Constructed Structural designs for the Multipurpose building developed and construction supervised 22,067,420 712,000 21,355,420 0 Mayuge Connected to UCI (data and voice) Office furniture was procured and installed for operationalizetion of the project offices Assorted ICT Equipment for Training and Telemedicine procured and installed Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: 195,000 0 195,000 0 0 0 934,560 0 934,560 32 Uganda Cancer Institute Ministerial Policy Statement Vote: 114 Uganda Cancer Institute A.I.A: 0 0 0 Output: 08 57 77 Purchase of Specialised Machinery & Equipment Equipment Mayuge and Arua satellite Cancer centers procured specifications were developed and submitted to the Bank for no objection Assorted medical Equipment for Outreach Centres (Arua & Mayuge) procured, supplied and installed in the two cancer centres Total Output Cost(Ushs Thousand) 2,974,073 Gou DevÕt: Ext Fin: A.I.A: 0 2,974,073 0 Development Project : 1476 Institutional Support to Uganda Cancer Institute
 Output: 08 57 77 Purchase of Specialised Machinery & Equipment Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: A.I.A: 0 0 0 0 Table 9.2: Key Changes in Vote Resource Allocation 0 0 0 0 0 0 0 0 1,872,000 0 1,872,000 0 Blood bank refrigerator (80m), Centrifuge (35 m), Heavy duty generator (245 m), Ward file trolleys (15m), file trolleys for patient files (2.1 m), Micro- Laryngoscopy scope (150 m) One 40.ft Container (56 m), 4 box trolleys (8 m), 30 padlocks (2.7 m), 2 ladders (1.4 m), 20 plastic pallets
 (4 m), 20 wooden pallets (3.4 m) & Fleet Requirements(Tires and Batteries Purchased Sterilizer/ autoclave, digital colposcopes (2), LEEP machines (2), Cryotherapy equipments (2), Coldcoagulators (2), Brachytherapy Applicators procured 897,000 897,000 0 0 Major changes in resource allocation over and above the previous financial year JustificationÊforÊproposedÊÊChangesÊinÊExpenditureÊ and Outputs Programme : 08 57 Cancer Services Output: 08 5701 Cancer Research Change in Allocation (UShs Bn) : 1.081 Additional funds to enhance research at UCI Output: 08 5719 Human Resource Management Services Change in Allocation (UShs Bn) : 3.715 Additional wage for additional recruitment to improve service delivery and research activities Output: 08 5772 Government Buildings and Administrative Infrastructure Change in Allocation (UShs Bn) : 15.741 Constructional purposes for ADB supported project structure, support areas for radiotherapy bunkers and construction of bunkers Output: 08 5777 Purchase of Specialised Machinery & Equipment 33 Uganda Cancer Institute Ministerial Policy Statement Vote: 114 Uganda Cancer Institute Change in Allocation (UShs Bn) : -2.785 Operationalization of the Bunkers and construction of the multipurpose for ADB supported building Output: 08 5784 OPD and other ward construction and rehabilitation Change in Allocation (UShs Bn) : 0.100 Face uplift of the OPD to create more clinical rooms and chemotherapy administration areas (X) Vote Narrative For Past
 And Medium Term Plans Vote Challenges Problem of under-staffing arising form a low wage bill for the Institute mainly for key cadres and outdated staff structure Plans to improve Vote Performance Increasing collaborations with partners to improve cancer services Restructuring the institute activities Continue pursuing the finalization of the UCI Act with assenting by president (XI) Vote Cross Cutting Policy And Other Budgetary Issues Table 11.1: Cross- Cutting Policy Issues Issue Type: Objective : Issue of
 Concern : HIV/AIDS Non-discrimination of HIV patients during service delivery band stigma of positive staffs Unequaled service provision topatients especially those with HIV associated cancers and stigma for staffs who are positive living Planned Interventions : Non-discrimination of patients with HIV associated cancers.
Budget Allocation (Billion) : 0.030 Performance Indicators: Number of patients with HIV associated cancers.
Issue Type: Objective : Gender Non-discrimination in service delivery to all genders including sex and age Issue of Concern : Inequitable receipt of cancer services by patients Planned Interventions : equitable provision of cancer services to patients of all sexes and ages Budget Allocation (Billion) : 0.040 Performance Indicators: percentage of patients by sex and age Issue Type: Objective : Enviroment Improper disposal of bio-waste leading to environmental pollution Issue of Concern : poor disposal of bio-waste arising from cancer care services and investigations Planned Interventions : Improved bio-waste disposal and management 34 Uganda Cancer Institute Ministerial Policy Statement Vote: 114 Uganda Cancer Institute Budget Allocation (Billion) : 0.120 Performance Indicators: percentage of bio-waste not disposed of properly Table 11.2: AIA Collections Source of AIA(Ush Bn) Other Fees and Charges Total (XII) Personnel Information TableÊ12.1Ê:ÊVoteÊStaffingÊProfileÊÊbyÊPost 2016/17 Budget 2016/17 Actual by Dec 2017/18 Projected 0.000 0.000 0.000 0.000 1.860 1.860 Post Authorised Establishme nt Filled Posts Vacant Posts Cleared for filling in 2017/18 Number of Posts Estimate d for 2017/18 Scale Gross Salary Rate per Month Annual Cost of Filled Posts 2017/18 Annual Cost of Estimated Posts 2017/18 Assistant Security Officer BIOSTATISTICIAN Cancer Registrar CONSULTANT Counselor DARKROOM ATTENDANT DISPENSER DRIVER Economist Health Educator ICT Technician Information Scientist Logistics Officer MEDICAL OFFICER
 MEDICAL OFFICER SPECIAL GRADE PERSONAL SECRETARY PHYSIOTHERAPIST Principal Nursing Officer Principal Pharmacist PRINCIPAL RADIOGRAPHER RADIOGRAPHER Radiophysicist 10 10 5 3 1 3 1 2 1 2 5 3 1 3 1 2 1 2 6 U6 lower 2 U4 (SC) 1 U4 8 U1E (SC) 2 U4 Sc 386,972 0 4,643,664 1,320,107 1,320,107 15,841,284 817,267 0 9,807,204 3,065,630 3,065,630 36,787,560 1,089,533 0 13,074,396 2 U8-SC 354,334 354,334 4,252,008 4 U5-SC 924,091
 2,772,273 11,089,092 4 U8-UP 299,859 899,577 3,598,308 1 U4 Up 798,667 0 9,584,004 4 U4 SC 1,238,733 2,477,466 14,864,796 1 U4 Up 1 U5 Sc 3 U5 lower 18 U4 (SC) 798,667 625,067 447,080 0 0 0 9,584,004 7,500,804 5,364,960 1,320,107 10,560,856 15,841,284 12 U2-SC 2,463,611 17,245,277 29,563,332 3 U4- LWR 2 U5-SC 745,816 0 8,949,792 924,091 924,091 11,089,092 4 U3 SC 1,460,240 1,460,240 17,522,880 1 U2 SC 1,728,187 0 20,738,244 3 U3SC 1,885,742 1,885,742 22,628,904 3 U5-SC 898,337 1,796,674 10,780,044 2 U4 Sc 1,089,533 0 13,074,396 35 Uganda Cancer Institute Ministerial Policy Statement Uganda Cancer Institute Vote: 114 Senior Anesthetic Officer Senior Biostatistician Senior Consultant Senior Economist Senior Health Educator SENIOR MEDICAL PHYSICIST SENIOR NURSING OFFICER Senior nutritionist Senior Pharmacist Senior physiotherapist Surgeon Vote Total U4 Sc 1,089,533 1 U3 Sc 1,204,288 3 U1SE 3,447,065 1 U3 Up 1,131,209 1 U4 Sc 1,089,533 1 U3-SC 1,885,742 0 0 0 0 0 0 13,074,396 14,451,456 41,364,780 13,574,508 13,074,396 22,628,904 16 U4 (SC) 1,320,107 9,240,749 15,841,284 1 U3 SC 1,204,288 1 U3 SC 1,204,288 1 U3 SC 1,204,288 3 U4 Sc 1,175,632 0 0 0 0 0 14,451,456 14,451,456 14,451,456 14,107,584 487,651,728 38 79 72 117 40,637,644 36 Uganda Heart Institute Ministerial Policy Statement Vote: 115 Uganda Heart Institute V1: Vote Overview (i) Vote Mission Statement The Uganda Heart institute Exists to
 serve as a centre of excellence for the provision of comprehensive medical services to patients with cardiovascular and thoracic disease and to offer opportunity for research and training in cardiovascular and thoracic medicine at an affordable cost so as to facilitate service delivery and enable continuous development of the Institute in itself (ii) Strategic Objective To provide the necessary infrastructure for comprehensive clinical care, teaching/training, research and visiting faculty which are all
 necessary to enable the Institute exercise its mandate as a centre of Excellency which can reverse the trend of referrals.
(iii) Major Achievements in 2016/17 HEART RESEARCH Out Put 085801 5 Proposals were done 5 Publications done HEART CARE Out Put 085802 32 open Heart surgeries performed 171 closed heart surgeries performed 4980 ECHO’s performed 4172 ECG’s performed 415 patients admitted in the General Ward Attend to 183 patients in CCU/ICU 6565 outpatients were attended 13899 laboratory contacts attended Procure Assorted Surgical, Laboratory and cath-lab sundries and consumables HEART OUT REACH SERVICES Out Put 085803 8 Regional Referral Hospitals visited 60 specialist groups visited Capital Development Performance Procured a Station wagon and 2 double cabin vehicles for UHI activities have been delivered.
Procurement process for one double cabin at final stages(UGX 0.504bn).
37 Uganda Heart Institute Ministerial Policy Statement Vote: 115 Uganda Heart Institute Procured assorted medical machinery and equipment for wards, theatre, cath-lab, ICU/CCU and the Outpatient Department(UGX 1.53bn) Procured assorted ICT equipment; 15 desk top computers, 15 UPS’s, 2 mother boards, 1 laptop (UGX 0.20bn) Assorted Office furniture procured; 4 Secretariat chairs procured, 30 conference tables procured, 28 Conference chairs procured, 25 staff chairs procured, 13 office cabinets procured, 8 office safes procured, 15 Metallic office cabinets procured, 2 book cages procured , (door mats, shredders and Air conditioners procured(UGX 0.159bn) First draft for the 10 years strategic plan produced and the process for the final document ongoing (UGX 0.04bn) (iv) Medium Term Plans 1.
Consolidate the valve and Coronary bypass surgery 2.

Increase cardiac intervention by including three vessel disease (v) Summary of Past Performance and Medium Term Budget Allocations Table V1.1: Overview of Vote Expenditures (UShs Billion) 2016/17 MTEF Budget Projections 2015/16 Outturn Approved Budget Expenditure by End Dec 2017/18 2018/19 2019/20 2020/21 2021/22 Recurrent Devt.

Wage Non Wage GoU Ext.

Fin.
GoU Total Total GoU+Ext Fin (MTEF) Arrears Total Budget A.I.A Total 1.737 4.495 3.629 0.000 9.861 9.861 0.135 9.996 2.861 2.835 4.463 4.500 0.000 11.798 11.798 0.000 11.798 6.000 Grand Total 12.858 17.798 Total Vote Budget Excluding Arrears (VI) Budget By Economic Clasification Table V6.1 2016/17 and2017/18 Budget Allocations by Item 2016/17 Approved Budget 2017/18 Draft Estimates 38 Uganda Heart Institute Ministerial Policy Statement Vote: 115 Uganda Heart Institute Billion Uganda Shillings Output Class : Outputs Provided GoU Ext.
Fin 0.000 7.298 AIA Total 6.000 13.298 GoU Ext.
Fin 0.000 7.537 AIA Total 6.000 13.537 211 Wages and Salaries 212 Social Contributions 213 Other Employee Costs 221 General Expenses 222 Communications 223 Utility and Property Expenses 224 Supplies and Services 225 Professional Services 226 Insurances and Licenses 227 Travel and Transport 228 Maintenance Output Class : Capital Purchases 281 Property expenses other than interest 312 FIXED ASSETS Output Class : Arrears 321 DOMESTIC Grand Total : Total excluding Arrears (VII)ÊBudgetÊByÊProgrammeÊAndÊSubprogrammeÊÊÊ Table V7.1: Past Expenditure Outturns and Medium Term Projections by Programme and SubProgramme Billion Uganda shillings FY 2016/17 Medium Term
 Projections 58 Heart Services 01 Management 02 Medical Services 03 Internal Audit 1121 Uganda Heart Institute Project Total for the Vote Total Excluding Arrears FY 2015/16 Outturn Approved Budget SpentÊByÊ End Dec 2017-18 Proposed Budget 2018-19 2019-20 2020-21 2021- (VIII) ProgrammeÊPerformanceÊandÊMediumÊTermÊPlansÊÊÊÊÊÊ Table V8.1: Programme Outcome and Outcome Indicators 39 Uganda Heart Institute Ministerial Policy Statement Vote: 115 Uganda Heart Institute Programme : 58 Heart Services Programme Objective : a)ÊÊÊÊÊÊÊOffer diagnostic services in cardiovascular and thoracic diseases.
b)ÊÊÊÊÊÊÊProvide treatment for patients with cardiovascular and thoracic diseases in both medical and surgical.

c)ÊÊÊÊÊÊÊCarry out research in cardiovascular and thoracic disease in Uganda.

d)ÊÊÊÊÊÊÊOffer training in cardiovascular and thoracic medicine e)ÊÊÊÊÊÊÊOffer community with Health education and create awareness in Cardiovascular, thoracic and other related diseases.

Responsible Officer: Dr. Omagino O.O.


John Programme Outcome: Quality and accessible Heart Services Sector Outcomes contributed to by the Programme Outcome 1.

Competitive healthcare centres of excellence Outcome Indicators 2015/16 2016/17 2017/18 2018/19 2019/20 Performance Targets ¥ÊAnnual(%) decrease in number of referrals for heart conditions abroad; Proportion of patients in need of cardiac surgery operated SubProgramme: 02 Medical Services Output: 02 Heart Care Services No.

of heart operations No.


of Outpatients No.

of Thoracic and Closed Heart Operations Actual Target Actual Target Projection Projection 40% 30% 20% 100 120 150 20000 20100 20300 600 700 750 (IX) Major Capital Investments And Changes In Resource Allocation Table 9.1: Major Capital Investment (Capital Purchases outputs over 0.5Billion) FY 2016/17 FY 2017/18 Appr.
Budget and Planned Outputs Expenditures and Achievements by end Dec Proposed Budget and Planned Outputs Vote 115 Uganda Heart Institute Program : 08 58 Heart Services Development Project : 1121 Uganda Heart Institute Project Output: 08 58 75 Purchase of Motor Vehicles and Other Transport Equipment 3 double cabin vehicles for the Directo, Accounts and other departments procured.
Motorvehicle for the Director delivered and paid, 3 double cabins being assembled and ready for delivery and payment Tax for motor vehicle importation Total Output Cost(Ushs Thousand) 620,000 503,874 0 40 Uganda Heart Institute Ministerial Policy Statement Vote: 115 Uganda Heart Institute Gou DevÕt: 620,000 Ext Fin: A.I.A: 0 0 Output: 08 58 76 Purchase of Office and ICT Equipment, including Software 503,874 0 0 0 0 0 10 Computers and 5 laptops procured UPS procured.
15 desk top computers, 15 UPS, 1 Laptop, 2 Mother boards, 1 rack saver delivered and paid Procurement of ICT equipment: 5 desktop computers, 5 laptops, 10 UPS, 5 Tablets, 5 LCD screens and Queue Management system.

5 Scanners and printers Soft ware for Records Television, decorder, paediatric mats with cartoons and other accesories for Paed cardiology procured.

Other ICT Equipment.
Security gadgets and CCTV upgra Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: A.I.A: 800,000 800,000 0 0 Output: 08 58 77 Purchase of Specialised Machinery & Equipment 197,451 197,451 0 0 150,000 150,000 0 0 Assorted specialised surgical instruments, procedural instruments, machinery and equipment procured -Cath-lab, adult and Paed cardiology, laboratoty, Perfusion, Phisiotherapy and Anaesthesia deparments assorted specialised equipment and machinery procu Spirometers for physiotherapy procured, 1 Oxygen analyser procured, 1 TEE Probe procured (108M), 2 Ventilator machines and 1 Transport Ventilator procured (302M),1 ECG machine 1 Clinical chemical Analyser, 1 Echo machine Heavy Duty, 25 Infusion pumps, 4 Blood analysers, 1 Vital sign machine, 2 Stress test machine, 1 Heat exchanger machine, 1 Centrifuge, 1 Pace Maker Programmer, 2 Blood Gas Analyser, 1 Ventilator, 2 Cell Savor, Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: A.I.A: 2,480,000 2,480,000 0 0 Table 9.2: Key Changes in Vote Resource Allocation 1,533,099 1,533,099 0 0 4,200,000 4,200,000 0 0 Major changes in resource allocation over and above the previous financial year JustificationÊforÊproposedÊÊChangesÊinÊExpenditureÊ and Outputs Programme : 08 58 Heart Services Output: 08 5876 Purchase of Office and ICT Equipment, including Software Change in Allocation (UShs Bn) : -0.650 .Funds have been allocated to priority area of procurement of specialised machinery and equipment Output: 08 5877 Purchase of Specialised Machinery & Equipment
 Change in Allocation (UShs Bn) : 1.720 The Institute's objective is reducing referrals abroad thus an increament in the procurement of specialised machinery Output: 08 5878 Purchase of Office and Residential Furniture and Fittings Change in Allocation (UShs Bn) : -0.050 There was reduction in the out put because currently the Institutes priority is equipping in order to achieve the the objective of reduction in referrals abroad 41 Uganda Heart Institute Ministerial Policy Statement Vote: 115 Uganda Heart Institute (X) Vote Narrative For Past And Medium Term Plans Vote Challenges 1.
2.

3.

4.

Inadequate budget for superspecialised medicines, sundries and supplies Inadequate space for clinical, teaching and research Superspecialised skills gaps Poor terms and conditions for attraction and retention of Super specialists Plans to improve Vote Performance 1.

Look for alternative funding through grants, donations, collaborations and Public Private Partnership 2.

Submitted the proposal for the construction of a Home to Ministry of Finance Planning and Economic Development for financing.
Designs and BoQ for the construction is in place and the necessary approvals such as environmental impact assessments are all approved.

The project now awaits funding.

Proposal was submitted to the Ministry of Finance Planning and Economic Development for super specialist support for a period of 3 years.

In addition 12 specialist are undergoing specialist training abroad.

The Uganda Heart Institute has also taken a robust fellowship training program for super specialist.

3.

4.
3.

4.

Expedite the appointment of Board to set the terms and conditions of service for the super specialist at the Uganda Heart Institute (XI) Vote Cross Cutting Policy And Other Budgetary Issues Table 11.1: Cross- Cutting Policy Issues Issue Type: Objective : HIV/AIDS 1.

Enhanced HIV/AIDS Prevention by ensuring measures are in place to control spread to both staff and patients.

2.
2.

Ensure mechanisms are in place for positive living for staff Issue of Concern : Accidental injuries (needle or instrument pricks) Planned Interventions : 1.

To be able to give staff protective gear.

2.

To be able to screen and establish the status of those injured at work.

3.

Provide prophylactic treatment for the sero-negative and full treatment for the positive.
Budget Allocation (Billion) : 0.050 Performance Indicators: Performance Indicator: Availability of protective gear, testing kits and arrangements with Mulago Hospital and related partners for HIV/AIDS care Issue Type: Objective : Issue of Concern : Planned Interventions : Gender 1.

Heart services are offered regardless of age or gender to all patients in need.

2.

To Encourage more male to join cardiac nursing super speciality.

1.

Maternity leave which affects mostly the nursing division.

2.
2.

Gender imbalance in the cardiac nursing division.

3.

Accessibility of Heart care services 1.

Encouraging recruitment of some male cardiac nurses to fill the gap and creating room for breastfeeding mothers (staff).

2.

Ensure access of Heart care services to all regardless of gender and age Budget Allocation (Billion) : 0.100 Performance Indicators: 1.

Number of male nurses recruited.

2.

Room available.

3.


Percentage of the various categories of the community accessing Heart care services 42 Uganda Heart Institute Ministerial Policy Statement Vote: 115 Uganda Heart Institute Issue Type: Objective : Enviroment To ensure that medical waste is disposed off in an enviromentaly friendly manner and in line with the guidelines.

Issue of Concern : Disposal of medical waste to be done in an environmentally friendly manner Planned Interventions : 1.
Segregation of medical waste, recyclable and non-recyclable waste.

2.

Procurement of appropriate disposal collection bags for each of the categories and ensure appropriate disposal.

3.

Introduction of e-system Budget Allocation (Billion) : 0.500 Performance Indicators: 1.

Availability of the various different colour of the collection bins 2.Availability of computers with appropriate software.
Table 11.2: AIA Collections Source of AIA(Ush Bn) Sale of drugs Other Fees and Charges Total (XII) Personnel Information TableÊ12.1Ê:ÊVoteÊStaffingÊProfileÊÊbyÊPost 2016/17 Budget 2016/17 Actual by Dec 2017/18 Projected 0.000 0.000 0.000 1.853 0.000 1.853 0.000 6.000 6.000 Post Authorised Establishme nt Filled Posts Vacant Posts Cleared for filling in 2017/18 Number of Posts Estimate d for 2017/18 Scale Gross Salary Rate per Month Annual Cost of Filled Posts 2017/18 Annual Cost of Estimated Posts 2017/18 Biomedical Engineer BIOMEDICAL TECHNICIAN Cardio Respiratory Physiotherapist Consultant Cardiac Anaesthesia Consultant Cardiac Intensivist Consultant Cardiothoraic Surgeon Laboratory Technologist Medical Officer Medical Officer Special Grade - Cardiac Anaesthesia Medical Officer Special Grade - Cardiac Intensivist MEDICAL OFFICER SPECIAL GRADE PAEDIATRIC CARDIOLOGY Nursing Officer NURSING OFFICER SPECIAL GRADE Principal Nursing Officer Security Guard 0 1 1 0 0 2 3 14 0 0 2 27 10 U4 2 U5 2 U5 1 U1SE 1 U1SE 0 0 0 769,542 769,542 9,234,504 0 0 0 0 0 0 0 0 0 4 U1SE 3,065,630 6,131,260 36,787,560 4 U4 16 U4 2 U2 1 U2 3 U4 30 U4 16 U4 2 U3 2 U8 0 0 0 1,322,163 18,510,282 15,865,956 0 0 0 0 0 0 1,320,107 2,640,214 15,841,284 1,874,720 50,617,440 22,496,640 1,276,442 12,764,420 15,317,304 0 0 0 0 0 0 43 Uganda Heart Institute Vote: 115 Senior Internal Auditor Senior Perfusionist Officer Vote Total Ministerial Policy Statement Uganda Heart Institute 0 0
 62 1 1 27 0 0 0 1 U3 1 U4 0 1,321,283 89 10,949,887 0 0 0 0 15,855,396 131,398,644 44 National Medical Stores Ministerial Policy Statement Vote: 116 National Medical Stores V1: Vote Overview (i) Vote Mission Statement To effectively and efficiently supply Essential medicines and medical supplies to Public health facilities in Uganda.
(ii) Strategic Objective a. Procure, warehouse and distribute Essential medicines and health supplies to all public health facilities b. Maximise value offering to our customers.

c. Strengthen management efficiency and effectiveness for improved service delivery.

d. Enhance innovations for efficient service delivery.

e. Broaden and sustain the resource base of corporation.

f. Enhance organisational capacity for sustainable operations and growth of National Medical Stores.
g. Strengthen partnerships and collaborations for improved stakeholder engagement.

(iii) Major Achievements in 2016/17 TheÊCorporationÊhadÊÊreceivedÊÊandÊspentÊshsÊ181ÊbillionÊÊbyÊtheÊEndÊofÊDecemberÊ2016.
This is 76.2 % of the appropriated budget of medicines and health supplies of shs 237.96Êbillion.TheÊreleaseÊwasÊinÊaccordanceÊtoÊlevelsÊofÊcareÊÊfromÊHealthÊcentreÊ 11(Shs11.16 billion);Health centre iii(Shs 16.86);Health Centre iv(Shs 6.99 billion);General Hospitals (Shs 9.73 billion);Regional Referral Hospitals(Shs 11.52 billion);National Referral Hospitals(Shs11.37 billion);ACTS,ARVS and Anti-TB drugs (Shs 68 billion);Specialised Units(UBTS,UHI,UCI) (Shs16.10 billion);Emergency and donated items(Shs 1 billion);Reproductive health items(Shs 6.51 billion);Immunisation supplies including Hepatitis B Vaccine (Shs 17 billion);Laboratory items(Shs 4.98 billion) The procurement, storage and distribution of the medicines and health supplies was in adherence to the objective of strengthening mechanism for quality effective and efficient service delivery.
(iv) Medium Term Plans The vote performance will be improved through better planning and execution with an all-inclusive seamless Enterprise Resource Planning (ERP) whose procurement is underway.
The newly created monitoring and Evaluation section under the clientsÕÊmanagement department will help in the regular monitoring of health facilities without drug stock outs for the 41 tracer medicines in the previous 3 months as well as the proportion of medicines and supplies procured and distributed against the consolidated procurement plan.
Plans to engage more with stakeholders who are involved in the supply chain for medicines and medical supplies have been drawn through implementation of stakeholder management strategy.

Efforts toÊÊprepare and reviewÊÊprocurement plans with the health facilitiesÊÊÊa key factor in getting procurement plans rightÊÊas well as a corner stone in the efficient and effective delivery of medicines and medical supplies.
The innovation of Commodity Management Platform will improve on the alignment of facility orders with the procurement plans and also help in monitoring of facility budgets.

Another two Regional offices were opened in West Nile (Arua) and Karamojong (Moroto) to improve service delivery in these regions.

Better communication and liaison with stakeholders will inform better service delivery.
Published delivery schedules done at the beginning of the financial year as the promise of delivery to health facilities and adherence to the schedule is of paramount importance in service realisation.
(v) Summary of Past Performance and Medium Term Budget Allocations Table V1.1: Overview of Vote Expenditures (UShs Billion) 2016/17 MTEF Budget Projections 45 National Medical Stores Ministerial Policy Statement Vote: 116 National Medical Stores 2015/16 Outturn Approved Budget Expenditure by End Dec 2017/18 2018/19 2019/20 2020/21 2021/22 Recurrent Wage 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Non Wage 218.614 237.964 181.225 237.964 285.557 314.113 361.230 361.230 Devt.

GoU Ext.

Fin.
0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 GoU Total 218.614 237.964 181.225 237.964 285.557 314.113 361.230 361.230 Total GoU+Ext Fin (MTEF) 218.614 237.964 181.225 237.964 285.557 314.113 361.230 361.230 Arrears 0.000 0.000 0.000 20.110 0.000 0.000 0.000 0.000 Total Budget 218.614 237.964 181.225 258.075 285.557 314.113 361.230 361.230 A.I.A Total N/A N/A N/A N/A N/A N/A N/A N/A Grand Total 218.614 237.964 181.225 258.075 285.557 314.113 361.230 361.230 Total Vote Budget Excluding Arrears 218.614 237.964 181.225 237.964 285.557 314.113 361.230 361.230 (VI) Budget By Economic Clasification Table V6.1 2016/17 and2017/18 Budget Allocations by Item 2016/17 Approved Budget 2017/18 Draft Estimates Billion Uganda Shillings Output Class : Outputs Provided GoU Ext.
Fin 0.000 237.964 AIA Total 0.000 237.964 GoU Ext.
Fin 0.000 237.964 224 Supplies and Services Output Class : Arrears 321 DOMESTIC Grand Total : Total excluding Arrears AIA Total 0.000 237.964 0.000 237.964 0.000 20.110 0.000 20.110 0.000 258.075 0.000 237.964 (VII)ÊBudgetÊByÊProgrammeÊAndÊSubprogrammeÊÊÊ Table V7.1: Past Expenditure Outturns and Medium Term Projections by Programme and SubProgramme Billion Uganda shillings FY 2016/17 Medium Term Projections 59 Pharmaceutical and Medical Supplies FY 2015/16 Outturn Approved Budget SpentÊByÊ End Dec 2017-18 Proposed Budget 2018-19 2019-20 2020-21 2021-22 218.614 237.964 181.225 258.075 285.557 314.113 361.230 361.230 01 Pharmaceuticals and Other Health Supplies 218.614 237.964 181.225 258.075 285.557 314.113 361.230 361.230 Total for the Vote Total Excluding Arrears 218.614 218.614 237.964 181.225 258.075 285.557 314.113 361.230 361.230 237.964 181.225 237.964 285.557 314.113 361.230 361.230 (VIII) ProgrammeÊPerformanceÊandÊMediumÊTermÊPlansÊÊÊÊÊÊ 46 National Medical Stores Ministerial Policy Statement Vote: 116 National Medical Stores Table V8.1: Programme Outcome and Outcome Indicators Programme : 59 Pharmaceutical and Medical Supplies Programme Objective : To provide supplies of medicines and other pharmaceutical supplies to the Ugandan Population Responsible Officer: Mr. Moses Kamabare Programme Outcome: Quality
 and accessible medicines, equipment and other health supplies Sector Outcomes contributed to by the Programme Outcome 1.
Inclusive and quality healthcare services Outcome Indicators 2015/16 2016/17 2017/18 2018/19 2019/20 Performance Targets ¥ÊProportion of health facilities without drug stock out for 41 tracer medicines in previous 3 months; Proportion of medicines and supplies procured and distributed against the consolidated procurement plan N/A Actual Target Actual Target Projection Projection 237.964 261.761 287.937 (IX) Major Capital Investments And Changes In Resource Allocation Table 9.1: Major Capital Investment (Capital Purchases outputs over 0.5Billion) N/A Table 9.2: Key Changes in Vote Resource Allocation (X) Vote Narrative For Past And Medium Term Plans Vote Challenges 47 National Medical Stores Ministerial Policy Statement Vote: 116 National Medical Stores The sustained depreciation of the Uganda Shilling against the USD dollar and other major currencies has caused inflationary pressures and ultimately a rise in the cost of medicines and medical supplies.
Majority of suppliers on framework contracts continue to supply in dollars as prescribed in their contracts and thus getting fewer medicines out of the same amount of money in Uganda shillings.The challenges of implementing the guideline to tender in Uganda shillings has discouraged global manufacturers from participating in tenders leaving their agents to quote very prohibitive prices.
There is need to avail a budget for Laboratory items, (shs 50 billion) to fill up gaps created by withdraw of funding by PEPFAR.

Beds and mattresses (shs 30 billion) to procure beds and mattresses for all health facilities.

Medical stationery has been estimated at (shs 2 billion) .This is required by all health facilities for proper information capture.
More funds (shs 100 billion) ÊÊto be availed towards procurement of ARVS to cater for the increase of patients to be put on ARTS in relation to the test and treat policy.

There is a funding gap for maama kits of approximately shs16 billion.

Anti Malaria drugs require shs 40 billion to cover the planned malaria treatment.Provision of approximately shs 500million for incineration of non viable stock will unclutter the health facilities stores and improve stores management.
Availability of these items is a game changer in the Health sector's service delivery and a step towards strengthening mechanism for quality effective and efficient service delivery.

Plans to improve Vote Performance The vote performance will be improved through better planning and execution with an all-inclusive seamless Enterprise Resource Planning (ERP) whose procurement is underway.This will cover the inbound and outbound along the medicines and health supplies supply chain.
The newly created monitoring and Evaluation section under the clientsÕÊmanagement department will help in the regular monitoring of health facilities without drug stock outs for the 41 tracer medicines in the previous 3 months as well as the proportion of medicines and supplies procured and distributed against the consolidated procurement plan.
Plans to engage more with stakeholders who are involved in the supply chain for medicines and medical supplies have been drawn through implementation of stakeholder management strategy.

Efforts toÊÊprepare and reviewÊÊprocurement plans with the health facilitiesÊÊÊa key factor in getting procurement plans rightÊÊas well as a corner stone in the efficient and effective delivery of medicines and medical supplies.
The innovation of Commodity Management Platform will improve on the alignment of facility orders with the procurement plans and also help in monitoring of facility budgets.

Another two Regional offices were opened in West Nile (Arua) and Karamojong (Moroto) to improve service delivery in these regions.

Better communication and liaison with stakeholders will inform better service delivery.
Published delivery schedules done at the beginning of the financial year as the promise of delivery to health facilities and adherence to the schedule is of paramount importance in service realisation.
(XI) Vote Cross Cutting Policy And Other Budgetary Issues Table 11.1: Cross- Cutting Policy Issues Issue Type: Objective : HIV/AIDS To avail ARVS to patients to the extent of funds availability to avert the HIV/Aids scourge.The lowering of ART accredited centres from HC IV to HCIII will enable increased accesibility.Implementation of the test and treat policy will buttress the efforts towards HIV/AIDS prevelance.
Issue of Concern : Medicines and medical supplies budget is sufficient to cover the intended lowering of ART centers to accommodate more patients.

Planned Interventions : ARVs worth 94 billion procured stored and delivered to accredited centers.
Budget Allocation (Billion) : 94.000 48 National Medical Stores Ministerial Policy Statement Vote: 116 National Medical Stores Performance Indicators: Increase number of patients on ARTS by getting them early on treatment this will be enhanced by availing health centres with more 300 CD4 count machines.
Table 11.2: AIA Collections (XII) Personnel Information TableÊ12.1Ê:ÊVoteÊStaffingÊProfileÊÊbyÊPost 49 Health Service Commission Ministerial Policy Statement Vote: 134 Health Service Commission V1: Vote Overview (i) Vote Mission Statement The Mission of the Health Service Commission is: To build a fundamentally strong and competent human resource base for efficient and effective health services delivery.
(ii) Strategic Objective The strategic objectives of the Commission are to: 1) Provide timely advice to H.E.

the President and Government on matters relating to the state of the Health service as mandated by the law.

2) Recruit in efficient and effective manner health workers to meet Uganda citizens?

health needs in accordance with the goals of the Health Sector Policy and Development Plan 2015/16-2019/20.
3) Carry out advocacy and make recommendations to improve the terms and conditions of service of the health workforce.

4) Enhance the institutional capacity of the Health Service Commission to deliver on its mandate.

(iii) Major Achievements in 2016/17 50 Health Service Commission Ministerial Policy Statement Vote: 134 Health Service Commission 1.

The Commission Ran Adverts 1, 2, 3, 4, 5, 6 and PEPFAR between November and December 2016.

Short listing 2.

3.

4.


5. was done and interviewing on-going under Q3 Secretariat staff and members’Êsalaries paid and statutory allowances for the 7 members of the Commission.

Paid for the utilities and other goods and services consumed by the Commission.

Support supervision to 22 Districts/Districts Service Commissions, 7 RRHs carried out.

Technical Support Supervision to DSCs, Central Government Health Institutions and Departments under.
438 Human Resource for Health Decisions processed of confirmation in appointment, corrigenda, redesignation, study leave, interdictions, abscondments and Retirement.

Support Supervision carried out in 44 Districts and 7 RRHs includingÊÊmentoring/ÊcoachingÊofÊDSCsÊandÊHRÊ Officers, sharing best HRH Management practices and building capacity of DSCs to mentor managers within their jurisdiction.

6.

Provided technical input on the revised schemes of service for nursing and midwifery cadre.

7.
7.

Provided technical input on the Uganda Medical Internship guidelines.

8.

Recruitment Analysis report for FY 2015/16.

9.

Joint Recruitment Planning Workshop for the Recruitment of Health Workers under the jurisdiction of the Commission held.

10.

Preparation of Job descriptions initiated.

11.

Retreat for Members of the Commission was held.

12.

E-recruitment System design completed.
(iv) Medium Term Plans 51 Health Service Commission Ministerial Policy Statement Vote: 134 Health Service Commission (i) Recruit health workers (Male and Female) of all categories for MoH Headquarters, Mulago National Referral Hospital, Butabika National Referral Mental (BNRMH) Hospital, Kampala Capital City Authority (KCCA), Regional Referral Hospitals (RRHs), Specialized Health Institutions, namely: Uganda Heart Institute (UHI), Uganda Cancer Institute (UCI), Uganda Blood Transfusion Services (UBTS) and Uganda Prisons Health Services.
(ii) Process Human Resource for Health decisions on confirmation, corrigenda, redesignation and study leave undertaken and disciplinary controls exercised.

(iii) Support Supervision in 84 Districts, 14 Regional Referral Hospitals and five (5) National Health Institutions and KCCA Health Units carried out.

(iv) Provide Technical Support Supervision to DSCs, Central Government Health Institutions and Departments under the jurisdiction of HSC on HRH issues.
(v) Carry Performance career enhancement training (Gender and equity inclusive) for Members and staff of the Health Service Commission.

(vi) Carry Monitoring and Evaluation and Research on human Resource for health.

(vii) Implementation of the e-recruitment information system and operationalization of the HSC Selections and Examinations Department.

(viii) Health Service Commission 3rd 5-Year Strategic Plan 2015/16 to 2019/20 disseminated.
(ix) Two (2) Vehicles and Office Chairs procured and offices reorganized .

(x) The HSC HIV/AIDS Workplace Policy implemented.


(v) Summary of Past Performance and Medium Term Budget Allocations Table V1.1: Overview of Vote Expenditures (UShs Billion) 2016/17 MTEF Budget Projections 2015/16 Outturn Approved Budget Expenditure by End Dec 2017/18 2018/19 2019/20 2020/21 2021/22 0.862 3.312 0.447 1.189 3.502 0.447 0.550 1.455 0.002 1.359 3.831 0.263 1.426 4.597 0.342 1.498 5.056 0.411 1.573 5.815 0.493 1.651 5.815 0.493 Recurrent Devt.
Wage Non Wage GoU 52 Health Service Commission Ministerial Policy Statement Vote: 134 Health Service Commission Ext.

Fin.
GoU Total Total GoU+Ext Fin (MTEF) Arrears Total Budget A.I.A Total Grand Total Total Vote Budget Excluding Arrears 0.000 4.621 4.621 0.000 4.621 N/A 4.621 4.621 0.000 5.138 5.138 0.126 5.264 N/A 5.264 5.138 0.000 2.007 2.007 0.127 2.133 N/A 2.133 2.007 0.000 5.453 5.453 0.000 5.453 N/A 5.453 5.453 0.000 6.366 6.366 0.000 6.366 N/A 6.366 6.366 0.000 6.965 6.965 0.000 6.965 N/A 6.965 6.965 0.000 7.881 7.881 0.000 7.881 N/A 7.881 7.881 0.000 7.959 7.959 0.000 7.959 N/A 7.959 7.959 (VI) Budget By Economic Clasification Table V6.1 2016/17 and2017/18 Budget Allocations by Item Billion Uganda Shillings Output Class : Outputs Provided GoU Ext.
Fin 0.000 4.691 AIA Total 0.000 4.691 GoU Ext.
Fin 0.000 5.189 AIA Total 0.000 5.189 2016/17 Approved Budget 2017/18 Draft Estimates 211 Wages and Salaries 212 Social Contributions 213 Other Employee Costs 221 General Expenses 222 Communications 223 Utility and Property Expenses 225 Professional Services 227 Travel and Transport 228 Maintenance Output Class : Capital Purchases 312 FIXED ASSETS Output Class : Arrears 321 DOMESTIC Grand Total : Total excluding Arrears (VII)ÊBudgetÊByÊProgrammeÊAndÊSubprogrammeÊÊÊ Table V7.1: Past Expenditure Outturns and Medium Term Projections by Programme and SubProgramme Billion Uganda shillings FY 2016/17 Medium Term Projections FY 2015/16 Outturn Approved Budget SpentÊByÊ End Dec 2017-18 Proposed Budget 2018-19 2019-20 2020-21 2021-22 53 Health Service Commission Ministerial Policy Statement Vote: 134 Health
 Service Commission 52 Human Resource Management for Health 01 Finance and Administration 02 Human Resource Management 03 Internal Audit 0365 Health Service Commision Total for the Vote Total Excluding Arrears (VIII) ProgrammeÊPerformanceÊandÊMediumÊTermÊPlansÊÊÊÊÊÊ Table V8.1: Programme Outcome and Outcome Indicators Programme : 52 Human Resource Management for Health Programme Objective : ToÊprovideÊaÊÊstrongÊandÊcompetentÊhumanÊresourcesÊÊforÊefficientÊandÊeffectiveÊhealthÊ services delivery in line with Human Capital development as stated in NDP 11 Responsible Officer: MARY THEOPISTA WENENE Programme Outcome: Improved status of human resources for health in the health service Sector Outcomes contributed to by the Programme Outcome 1.
Inclusive and quality healthcare services Outcome Indicators 2015/16 2016/17 2017/18 2018/19 2019/20 Actual Target Actual Target Projection Projection Performance Targets ¥ÊProportion of qualified health workers recruited against the annual recruitment plan at national level SubProgramme: 02 Human Resource Management Output: 05 Technical Support and Support Supervision No.
of Districts /DSCs provided with Technical Support and Support Supervision Output: 06 Health Workers Recruitment and Human Resource for Health Management Services No.
of Health Workers recruited in Central Government Health Institutions (IX) Major Capital Investments And Changes In Resource Allocation Table 9.1: Major Capital Investment (Capital Purchases outputs over 0.5Billion) N/A 100% 100% 100% 84 84 84 800 850 900 54 Health Service Commission Ministerial Policy Statement Vote: 134 Health Service Commission Table 9.2: Key Changes in Vote Resource Allocation Major changes in resource allocation over and above the previous financial year JustificationÊforÊproposedÊÊChangesÊinÊExpenditureÊ and Outputs Programme : 08 52 Human Resource Management for Health Output: 08 5201 Health Workers Recruitment services Change in Allocation (UShs Bn) : 0.041 Enhancement of Audit budget Output: 08 5205 Technical Support and Support Supervision Change in Allocation (UShs Bn) : 0.075 Increase in the number of districts Output: 08 5206 Health Workers Recruitment and Human Resource for Health Management Services Change in Allocation (UShs Bn) : 0.522 Increase in recruitment costs Output: 08 5275 Purchase of Motor Vehicles and Other Transport Equipment Change in Allocation (UShs Bn) : -0.225 50% budget cut on development budget Output: 08 5276 Purchase of Office and ICT Equipment, including Software Change in Allocation (UShs Bn) : 0.012 New staff received by the Commission Output: 08 5278 Purchase of Office and Residential Furniture and Fittings Change in Allocation (UShs Bn) : 0.029 New staff and replacement of old furniture (X) Vote Narrative For Past And Medium Term Plans Vote Challenges 55 Health Service Commission Ministerial Policy Statement Vote: 134 Health Service Commission 1.
Limited office space that is not fit for the purpose.

2.

The capacity of the Commission to operationalize its mandate mainly in respect of the small size of the secretariat and limited budget allocation 3.

Inadequate budget for monitoring and tracking of the Commissions decisions and implementation.

4.

Inadequate, old tools and equipment including but not limited to, furniture, computers and accessories, shelves for registry.

5.
5.

Inadequate office space for the Members and staff of the Commission that affects the ambience especially during the interviewing exercise.

6.

Delay in seeking and obtaining clearance to fill vacant posts.

7.

Delay in submissions for recruitment on replacement basis 8.
Inadequate budget to cater for all the activities of the Commission such as; Operationalisation of Examinations and Selections Systems Department, Implementation of E-recruitment/strengthening recruitment systems, Monitoring and tracking of the Commission decisions and implementation, Support Supervion to DSCs, RRHs, and National Referral Hospitals, Tools and equipment including but not limited to, Cabinets, furniture, computers and accessories, shelves for registry.
9.ÊFailureÊtoÊattractÊHealthÊWorkersÊwithÊÊspecialtiesÊespeciallyÊforÊRegionalÊReferralÊHospitals;ÊamongÊthem:Ê Pathologists, ENT Surgeons, Orthopaedic Surgeons, Psychiatrists, Radiologists, Anaesthetic Officers 10.

Constricted Staff Structures.

Across the Health Service, the Staffing Structures are very constricted both in terms of Numbers and Career Progression Opportunities.

This implies that Health Workers who deserve to be promoted cannot be promoted leading to demotivation.

11.
11.

Inadequate knowledge on Gender and Equity planning and budgeting Plans to improve Vote Performance Lobby for increased funding to the HSC Increased Collaboration with Stake holders Operationalise the new structure of theCommission Ensure timely submission of clearances for Recruitment Meet with Institutions in Q1 for recruitment planning.
Revision of the Structures for RRHs (XI) Vote Cross Cutting Policy And Other Budgetary Issues 56 Health Service Commission Ministerial Policy Statement Vote: 134 Health Service Commission Table 11.1: Cross- Cutting Policy Issues Issue Type: Objective : HIV/AIDS Mitigate HIV/AIDS infections and ensuring safe living for the infected and affected Issue of Concern : Impact of HIV/AIDS Planned Interventions : Provision of basic care to the infected and affected Budget Allocation (Billion) : 15,000,000.000 Performance Indicators: Number of staff provided with care, 5 Issue Type: Objective : Gender Adhere to Government policy of equal employment opportunities Issue of Concern : Equity in employment Planned Interventions : Follow order of merit when recruiting and selecting candidates Budget Allocation (Billion) : 20,000,000.000 Performance Indicators: Number of candidates recruited Issue Type: Objective : Enviroment Efficient management of waste disposal Issue of Concern : Disposal of waste espcially paper Planned Interventions : Disposal bins at strategic points Budget Allocation (Billion) : 5,000,000.000 Performance Indicators: Number of disposal bins Table 11.2: AIA Collections (XII) Personnel Information TableÊ12.1Ê:ÊVoteÊStaffingÊProfileÊÊbyÊPost Post Authorised Establishme nt Filled Posts Vacant Posts Cleared for filling in 2017/18 Number of Posts Estimate d for 2017/18 Scale Gross Salary Rate per Month Annual Cost of Filled Posts 2017/18 Annual Cost of Estimated Posts 2017/18 ASSISTANT COMMISSION HUMAN RESOURCE
 MANAGEMENT DRIVER PERSONAL SECRETARY PRINCIPAL HUMAN RESOURCE OFFICER SENIOR HUMAN RESOURCE OFFICER SENIOR PERSONAL SECRETARY 2 8 3 2 3 2 1 10 1 6 4 1 1 6 1 5 4 1 3 U1 E 1,690,780 3,381,560 20,289,360 18 U8 219,909 1,759,272 2,638,908 4 U4 8 U2 7 U3 3 U3 601,341 1,804,023 7,216,092 1,212,620 2,425,240 14,551,440 912,771 2,738,313 10,953,252 943,990 1,887,980 11,327,880 Vote Total 20 23 18 43 5,581,411 3,381,560 66,976,932 57 Uganda Blood Transfusion Service (UBTS) Ministerial Policy Statement Vote: 151 Uganda Blood Transfusion Service (UBTS) V1: Vote Overview (i) Vote Mission Statement To provide sufficient and efficacious blood and blood components through voluntary blood donations for appropriate use in health care service delivery.
(ii) Strategic Objective To make available safe and adequate quantities of blood to all hospitals for the management of patients in need in all health care facilities (iii) Major Achievements in 2016/17 During the first quarter of the FY 2016/17, UBTS in Q1 conducted 542 blood collection sessions, a total of 62,569 blood units were collected against the target of 66,600 (97%) and only 9,900 of the total of blood collected were discarded (2.4%) and In Q2, we were able to collect 57,122 (93.5%) units of blood and 53,409 were issued to health care facilities.. Absorption of new staff to fill UBTS new structure is on going by respective commissions.
Staff were trained for the AFSBT accreditation program and Blood Bank Information Safety System.
Conducted supervision activities in hospitals for better Transfusion practices in Hospitals Mas education campaigns were done to improve public awareness on blood donation (iv) Medium Term Plans We intend to implement UBTS objectives: Expand blood transfusion infrastructure to operate adequately within a decentralized health care delivery system; Lobby for funding to construct purpose built Regional Blood Banks in Moroto; Masaka and Arua.
ÊTransformÊbloodÊcollectionÊcentersÊintoÊbloodÊdistributionÊcentersÊtoÊbringÊservicesÊnearerÊtoÊtheÊhealthÊcareÊfacilities.ÊMoreÊ funding for this undertaking will be required since we shall be required to procure blood storage fridges.

Increase annual blood collection necessary to meet the transfusion needs for all patients in need in the country by putting in place additional blood collection teams.
Expand blood transfusion infrastructure to operate adequately within a decentralized health care delivery system; Lobby for funding to construct purpose built Regional Blood Banks in Moroto; Masaka and Arua.

Transform blood collection centers into blood distribution centers to bring services nearer to the health care facilities.

More funding for this undertaking will be required since we shall be required to procure blood storage fridges.
Increase annual blood collection necessary to meet the transfusion needs for all patients in need in the country by putting in place additional blood collection teams.

Operate an active nationwide quality assurance program that ensures blood safety- from vein to vein and work towards ISO certification (Accreditation program) which is already underway.
Promote appropriate clinical use of blood in the hospitals by dissemination of the revised clinical guidelines throughout the health care facilities and creation of more hospital transfusion committees to monitor blood use in the health care facilities.

ÊÊ Strengthen the organizational capacity of UBTS to enable efficient and effective service delivery and build on the partnerships to improve service delivery.
(v) Summary of Past Performance and Medium Term Budget Allocations Table V1.1: Overview of Vote Expenditures (UShs Billion) 2016/17 MTEF Budget Projections 58 Uganda Blood Transfusion Service (UBTS) Ministerial Policy Statement Vote: 151 Uganda Blood Transfusion Service (UBTS) 2015/16 Outturn Approved Budget Expenditure by End Dec 2017/18 2018/19 2019/20 2020/21 2021/22 Recurrent Devt.

Wage Non Wage GoU Ext.

Fin.
GoU Total Total GoU+Ext Fin (MTEF) Arrears Total Budget A.I.A Total Grand Total Total Vote Budget Excluding Arrears (VI) Budget By Economic Clasification Table V6.1 2016/17 and2017/18 Budget Allocations by Item Billion Uganda Shillings Output Class : Outputs Provided GoU Ext.
Fin 0.000 8.508 AIA Total 0.057 8.565 GoU Ext.
Fin 0.000 9.268 AIA Total 0.000 9.268 2016/17 Approved Budget 2017/18 Draft Estimates 211 Wages and Salaries 212 Social Contributions 213 Other Employee Costs 221 General Expenses 222 Communications 223 Utility and Property Expenses 224 Supplies and Services 227 Travel and Transport 228 Maintenance 282 Miscellaneous Other Expenses Output Class : Capital Purchases 312 FIXED ASSETS Output Class : Arrears 321 DOMESTIC Grand Total : Total excluding Arrears Uganda Blood Transfusion Service (UBTS) Ministerial Policy Statement Vote: 151 Uganda Blood Transfusion Service (UBTS) (VII)ÊBudgetÊByÊProgrammeÊAndÊSubprogrammeÊÊÊ Table V7.1: Past Expenditure Outturns and Medium Term Projections by Programme and SubProgramme Billion Uganda shillings FY 2016/17 Medium Term
 Projections 53 Safe Blood Provision 01 Administration 02 Regional Blood Banks 0242 Uganda Blood Transfusion Service 03 Internal Audit Total for the Vote Total Excluding Arrears FY 2015/16 Outturn Approved Budget SpentÊByÊ End Dec 2017-18 Proposed Budget 2018-19 2019-20 2020-21 2021- (VIII) ProgrammeÊPerformanceÊandÊMediumÊTermÊPlansÊÊÊÊÊÊ Table V8.1: Programme Outcome and Outcome Indicators Programme : 53 Safe Blood Provision Programme Objective : To make available safe and adequate quantities of blood to all hospitals for the management of patients in need in all health care facilities.
Responsible Officer: Dr. Dorothy Kyeyune Byabazaire Programme Outcome: Quality and accessible Safe Blood Sector Outcomes contributed to by the Programme Outcome 1.
Inclusive and quality healthcare services Outcome Indicators 2015/16 2016/17 2017/18 2018/19 2019/20 Actual Target Actual Target Projection Projection Performance Targets ¥ÊProportion of planned blood units collected ¥ÊProportion of planned blood units collected N/A 5% 6% 7% 7% 10% 10% (IX) Major Capital Investments And Changes In Resource Allocation Table 9.1: Major Capital Investment (Capital Purchases outputs over 0.5Billion) N/A 60 Uganda Blood Transfusion Service (UBTS) Ministerial Policy Statement Vote: 151 Uganda Blood Transfusion Service (UBTS) Table 9.2: Key Changes in Vote Resource Allocation Major changes in resource allocation over and above the previous financial year JustificationÊforÊproposedÊÊChangesÊinÊExpenditureÊ and Outputs Programme : 08 53 Safe Blood Provision Output: 08 5301 Adminstrative Support Services Change in Allocation (UShs Bn) : 1.721 Expanded staff structure, allocation to cater for Pension and gratuity , Motor vehicle repairs, maintenance of infrastructure and equipment.
Output: 08 5303 Monitoring & Evaluation of Blood Operations Change in Allocation (UShs Bn) : -0.601 To cater for Blood collection operations.

Output: 08 5304 Laboratory Services Change in Allocation (UShs Bn) : -0.214 To cater for increased costs of blood collection and ageing fleet.

Output: 08 5319 Human Resource Managment Services Change in Allocation (UShs Bn) : 0.024 Managing staff pay roll and records management.
Output: 08 5376 Purchase of Office and ICT Equipment, including Software Change in Allocation (UShs Bn) : 0.030 Increased IT requirements and to cater for infrastructure security ( CCTV) Output: 08 5378 Purchase of Office and Residential Furniture and Fittings Change in Allocation (UShs Bn) : -0.030 To Complement for IT requirements.
(X) Vote Narrative For Past And Medium Term Plans Vote Challenges 61 Uganda Blood Transfusion Service (UBTS) Ministerial Policy Statement Vote: 151 Uganda Blood Transfusion Service (UBTS) ÊChallengesÊandÊUnfundedÊpriorities: Despite the increase in funding for recurrent expenditure; UBTS has continued to experience a budget shortfall for capital development.
UBTS has a funding gap of UGX 16.48 billions (NMS 7.48bn and Operations 7bn): 1.ÊÊClosureÊofÊtheÊPEPFARÊprojectÊinÊMarchÊ31st 2016ÊÊleftÊaÊbudgetÊdeficitÊÊofÊUSDÊ2Êmillion(ÊUGXÊÊ7.0Êbillion)ÊthatÊisÊÊsupposedÊ to be filled by Government 2.ÊÊÊÊApprovedÊstructureÊcanÊnotÊabsorbÊallÊ120 project staff whose services are still needed by UBTS.
There is need for an additionalÊwageÊbillÊofÊUGXÊÊ873,304,676 per year 3.ÊÊÊÊAdditionalÊfundingÊtoÊNationalÊMedicalÊStoresÊofÊUGXÊ9.48 billion for procurement of medical supplies 4.ÊÊÊÊConstructionÊofÊ2 RBBs in Moroto and Arua ÐÊ12 billion 5.ÊÊÊÊConstructionÊofÊaÊcentralizedÊstoreÊatÊtheÊHeadquartersÊÐÊ2.5 billion 6.ÊÊÊÊProcurementÊofÊcoldÊchainÊequipmentÊ(bloodÊbankÊfridges,Êfreezers,ÊbloodÊtransportationÊcoolÊboxesÊetc)Ê­ÊÊ5 billion 7.ÊÊÊÊInternationalÊAccreditationÊofÊUBTSÊÐÊthe process is ongoing but requires additional resources 8.ÊÊÊÊLegislationÊforÊestablishmentÊofÊUBTSÊasÊanÊautonomousÊBloodÊandÊOrganÊSupplyÊAuthority 9.ÊÊÊÊÊExperienceÊfromÊotherÊneighboringÊcountriesÊhasÊshownÊthatÊbloodÊcollectionÊfromÊdrivesÊrequiresÊaÊmobileÊbloodÊcollectionÊ buses purposely equipped to appropriately store and transport blood - procure at least 4 buses at approximately UgX 1.6 billions.
Plans to improve Vote Performance We have strengthened the Community Resource Persons approach as we scale down on the reliance of schools as our major donors of blood.

UBTS will pilot the performance based reward system approach in order to get value for money and improve performance as well as motivation for staff.

We hope to create offices in other parts of the country to take services nearer to the people.
ie Moroto and Arua (XI) Vote Cross Cutting Policy And Other Budgetary Issues Table 11.1: Cross- Cutting Policy Issues Table 11.2: AIA Collections Source of AIA(Ush Bn) Total (XII) Personnel Information TableÊ12.1Ê:ÊVoteÊStaffingÊProfileÊÊbyÊPost 2016/17 Budget 2016/17 Actual by Dec 2017/18 Projected 0.000 0.000 0.000 Post Authorised Establishme nt Filled Posts Vacant Posts Cleared for filling in 2017/18 Number of Posts Estimate d for 2017/18 Scale Gross Salary Rate per Month Annual Cost of Filled Posts 2017/18 Annual Cost of Estimated Posts 2017/18 Accounts Assistant Donor Clerk Lab Technologist Lab Technician Nursing Officer Principal Lab.
Technologist Senior Nursing Officer Systems Administrator 4 23 11 10 15 0 18 1 6 14 3 4 22 1 5 6 6 14 3 4 22 1 5 6 10 U7 37 U7 14 U5 14 U5 37 U5 1 U3 23 U4 7 U4 522,256 2,089,024 6,267,072 506,342 11,645,866 6,076,104 898,337 9,881,707 10,780,044 937,360 9,373,600 11,248,320 911,088 13,666,320 10,933,056 1,547,935 0 18,575,220 1,288,169 23,187,042 15,458,028 1,248,057 1,248,057 14,976,684 62 Uganda Blood Transfusion Service (UBTS) Ministerial Policy Statement Vote: 151 Uganda Blood Transfusion Service (UBTS) Vote Total 82 61 61 143 7,859,544 2,089,024 94,314,528 63 Mulago Hospital Complex Ministerial Policy Statement Vote: 161 Mulago Hospital Complex V1: Vote Overview (i) Vote Mission Statement To offer state -of -the -art healthcare services (ii) Strategic Objective (iii) Major Achievements in 2016/17 75100 admissions 327000 inpatient days 16000 deliveries 325000 outpatients 20451 Emergencies 10703 antenatal attendances 496021 laboratory tests 4910 images (iv) Medium Term Plans 1.
Remodeling and rehabilitation of upper Mulago 2.

3. construction of staff houses Streamlining the referral system (v) Summary of Past Performance and Medium Term Budget Allocations Table V1.1: Overview of Vote Expenditures (UShs Billion) 2016/17 MTEF Budget Projections 2015/16 Outturn Approved Budget Expenditure by End Dec 2017/18 2018/19 2019/20 2020/21 2021/22 Recurrent Wage 19.694 22.705 Non Wage 17.340 17.947 Devt.

GoU Ext.

Fin.
5.020 0.000 22.020 0.000 9.675 8.489 8.182 0.000 22.947 24.094 25.299 21.612 25.935 28.528 22.020 28.626 34.351 0.000 0.000 0.000 26.564 32.808 41.221 0.000 27.892 32.808 41.221 0.000 GoU Total 42.054 62.672 26.346 66.579 78.655 88.178 100.593 101.921 Total GoU+Ext Fin (MTEF) 42.054 62.672 26.346 66.579 78.655 88.178 100.593 101.921 Arrears 7.175 0.384 0.411 1.255 0.000 0.000 0.000 0.000 Total Budget 49.229 63.056 26.757 67.834 78.655 88.178 100.593 101.921 A.I.A Total 5.658 7.000 6.783 7.000 7.000 9.000 11.000 12.000 Grand Total 54.887 70.056 33.540 74.834 85.655 97.178 111.593 113.921 Total Vote Budget Excluding Arrears 47.712 69.672 33.128 73.579 85.655 97.178 111.593 113.921 (VI) Budget By Economic Clasification Table V6.1 2016/17 and2017/18 Budget Allocations by Item 64 Mulago Hospital Complex Ministerial Policy Statement Vote: 161 Mulago Hospital Complex 2016/17 Approved Budget 2017/18 Draft Estimates Billion Uganda Shillings Output Class : Outputs Provided GoU Ext.
Fin 0.000 39.054 AIA Total 6.500 45.554 GoU Ext.
Fin 0.000 42.961 211 Wages and Salaries 212 Social Contributions 213 Other Employee Costs 221 General Expenses 222 Communications 223 Utility and Property Expenses 224 Supplies and Services 225 Professional Services 227 Travel and Transport 228 Maintenance Output Class : Outputs Funded 263 To other general government units Output Class : Capital Purchases 312 FIXED ASSETS Output Class : Arrears 321 DOMESTIC Grand Total : Total excluding Arrears AIA Total (VII)ÊBudgetÊByÊProgrammeÊAndÊSubprogrammeÊÊÊ Table V7.1: Past Expenditure Outturns and Medium Term Projections by Programme and SubProgramme Billion Uganda shillings FY 2016/17
 Medium Term Projections FY 2015/16 Outturn Approved Budget SpentÊByÊ End Dec 2017-18 Proposed Budget 2018-19 2019-20 2020-21 2021-22 54 National Referral Hospital Services 49.229 70.056 26.757 74.834 85.655 97.178 111.593 113.921 01 Management 02 Medical Services 0392 Mulago Hospital Complex 04 Internal Audit Department Total for the Vote Total Excluding Arrears (VIII) ProgrammeÊPerformanceÊandÊMediumÊTermÊPlansÊÊÊÊÊÊ 65 Mulago Hospital Complex Ministerial Policy Statement Vote: 161 Mulago Hospital Complex Table V8.1: Programme Outcome and Outcome Indicators Programme : 54 National Referral Hospital Services Programme Objective : ToÊprovideÊSuper­specializedÊhealthcareÊÊServices Responsible Officer: Dr B.B Byarugaba Programme Outcome: Quality and accessible National Referral Hospital Services Sector Outcomes contributed to by the Programme Outcome 1.
Competitive healthcare centres of excellence Outcome Indicators 2015/16 2016/17 2017/18 2018/19 2019/20 Actual Target Actual Target Projection Projection Performance Targets ¥Ê%Êincrease of super-specialised cases managed.

¥Ê%Êincrease in diagnostic investigations carried out ¥ÊAverage length of Stay SubProgramme: 02 Medical Services Output: 01 Inpatient Services - National Referral Hospital No.

of in-patients (Admissions) No.


of laboratory tests carried out Number of major operations done Output: 02 Outpatient Services - National Referral Hospital No of specialised outpatient cases attended to.

No.
No.

of general out-patients attended to 60% 90% 70% 95% 80% 100% 179544 180000 185000 1984084 2000000 2100000 45000 46000 470000 150000 160000 165000 730860 750000 760000 (IX) Major Capital Investments And Changes In Resource Allocation Table 9.1: Major Capital Investment (Capital Purchases outputs over 0.5Billion) FY 2016/17 FY 2017/18 Appr.
Budget and Planned Outputs Expenditures and Achievements by end Dec Proposed Budget and Planned Outputs Vote 161 Mulago Hospital Complex Program : 08 54 National Referral Hospital Services Development Project : 0392 Mulago Hospital Complex Output: 08 54 72 Government Buildings and Administrative Infrastructure Remodelling and renovation of Doctors mess Total Output Cost(Ushs Thousand) 500,000 Gou DevÕt: Ext Fin: 0 0 0 0 0 0 0 0 66 Mulago Hospital Complex Ministerial Policy Statement Vote: 161 Mulago Hospital Complex A.I.A: 500,000 0 Output: 08 54 75 Purchase of Motor Vehicles and Other Transport Equipment Two staff vans to transport staff to the different locations of Kawempe and Kiruddu after the shifting process.
Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: A.I.A: 700,000 700,000 0 0 Output: 08 54 77 Purchase of Specialised Machinery & Equipment Purchase of specialised Equipment(MRI,128 CT Scan,Fluoroscopy) Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: A.I.A: 16,000,000 16,000,000 0 0 Output: 08 54 82 Staff houses construction and rehabilitation Completion of Construction of 100 staff houses started in FY 2013/14,now at 70% complete Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: A.I.A: 4,020,000 4,020,000 0 0 Output: 08 54 84 OPD and other ward construction and rehabilitation Piping of Oxygen to Upper Mulago Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: A.I.A: 1,000,000 1,000,000 0 0 Table 9.2: Key Changes in Vote Resource Allocation 700,000 700,000 0 0 3,545,986 3,545,986 0 0 3,936,149 3,936,149 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Demolition and Rebuilding of Outpatient department and I.C.U Introduction of an additional Floor on the theatre extension Block K Demolition of Mortuary and Construction of the new pathology dept (block H) Organ Transplant Unit on Block A level 6 22,520,000 22,020,000 0 500,000 Major changes in resource allocation over and above the previous financial year JustificationÊforÊproposedÊÊChangesÊinÊExpenditureÊ and Outputs Programme : 08 54 National Referral Hospital Services Output: 08 5405 Hospital Management and Support Services - National Referral Hospital Change in Allocation (UShs Bn) : 3.439 Additional funding was given to cater for water 67 Mulago Hospital
 Complex Ministerial Policy Statement Vote: 161 Mulago Hospital Complex Output: 08 5419 Human Resource Management Services Change in Allocation (UShs Bn) : 0.226 Its as a result of the new HR Output Output: 08 5484 OPD and other ward construction and rehabilitation Change in Allocation (UShs Bn) : 21.020 Additional funds are to cater for the works not included in the ADB loan.
(X) Vote Narrative For Past And Medium Term Plans Vote Challenges 1.

No Autonomy status for Mulago 2.

No Law on Organ Transplant 3.

Under staffing 4.

OverwhelmingÊnumberÊofÊpatientsÊ&ÊtheirÊattendantsÊ 5.

6.

Lengthy procurement procedures 7.

Very low capital development poor remuneration Plans to improve Vote Performance ÊImplementationÊofÊtheÊnewÊstructureÊtoÊaddressÊunderÊstaffing.

Persue the Autonomy status for Mulago 1.

2.

3.
Develop frame work contracts to address inefficiency in procurement (XI) Vote Cross Cutting Policy And Other Budgetary Issues Table 11.1: Cross- Cutting Policy Issues Issue Type: Objective : HIV/AIDS Prevention through increased awareness Issue of Concern : Limited awareness among the youth Planned Interventions : Sensitize both the parents and youth about the ABC formula Budget Allocation (Billion) : 0.100 Performance Indicators: HIV prevalence rate Objective : Improvement in testing and counselling services Issue of Concern : Increased HIV prevalence Planned Interventions : Encourage every patient to test and counsel those who are positive to seek for early treatment Budget Allocation (Billion) : 0.100 Performance Indicators: HIV prevalence rate Issue Type: Objective : Gender Equal access to health services Issue of Concern : Long waiting time to receive a service Planned Interventions : Recruitment of more midwives and maintenance of medical equipments 68 Mulago Hospital Complex Ministerial Policy Statement Vote: 161 Mulago Hospital Complex Budget Allocation (Billion) : 2.160 Performance Indicators: Maternal mortality rate Issue Type: Objective : Enviroment Promotion of Hygiene through proper waste disposal Issue of Concern : Cleanliness of the hospital as well as proper waste disposal Planned Interventions : Awarding of cleaning contract and proper treating of the waste to avoid damage to the environment Budget Allocation (Billion) : 0.466 Performance Indicators: Cleanliness of the wards, theatres and
 conveniences Table 11.2: AIA Collections Source of AIA(Ush Bn) Other Fees and Charges Total (XII) Personnel Information TableÊ12.1Ê:ÊVoteÊStaffingÊProfileÊÊbyÊPost 2016/17 Budget 2016/17 Actual by Dec 2017/18 Projected 0.000 0.000 0.000 0.000 7.000 7.000 69 Butabika Hospital Ministerial Policy Statement Vote: 162 Butabika Hospital V1: Vote Overview (i) Vote Mission Statement To offer super specialized and general mental health services; conduct mental health training, mental health related research and provide support to mental health care services in the country (ii) Strategic Objective To offer Specialized and general Mental Health Services (iii) Major Achievements in 2016/17 a.
14,717 patients attended to in the Mental Health clinic b.

2,654 patients attended to in the Adolescent Mental Health Clinic c. 290 attended to in the Alcohol and Drug Clinic d. 15,809 attended to in general Outpatient e. 30 outreach clinics conducted in the areas of Nkokonjeru, Nansana, Kitetika, Kawempe Katalemwa and Kitebi f. 10 visit to regional referral hospitals mental health units.
152 patients resettled within kampala/wakiso g. Hospital infrastructure, grounds, vehicles machinery and equipment maintained h. 3,792 patients admitted i.

All inpatients provided with 3 meals a day, uniforms and beddings j.
Expansion of the Private Wing has been completed k. Training of health workers and students in mental health care (iv) Medium Term Plans The hospital`s medium expenditure plans for enhancing provision of Mental and General Outpatients Health care include Provision of Mental Health Training to male, female and disabled students, Provision of Technical support supervision, Research andÊAdvocacyÊinÊtheÊMentalÊHealthÊissuesÊregardingÊmale,ÊfemaleÊandÊmarginalisedÊÊgroups,ÊoperationalisationÊofÊtheÊprivateÊwingÊ to enable accessibility of private services for both male and female patients and construction of the Alcohol and Drug Unit for rehabilitation both male and female patients due to the increasing misuse of Alcohol and Drugs especially the youth .Availability of standby Ambulance for expectant mothers (v) Summary of Past Performance and Medium Term Budget Allocations Table V1.1: Overview of Vote Expenditures (UShs Billion) 2016/17 MTEF Budget Projections 2015/16 Outturn Approved Budget Expenditure by End Dec 2017/18 2018/19 2019/20 2020/21 2021/22 3.142 3.933 1.711 3.799 5.432 1.808 1.667 2.630 0.075 3.799 5.445 1.808 3.989 6.534 2.351 4.188 7.187 2.821 4.398 8.265 3.385 4.617 8.265 3.385 Recurrent Devt.
Wage Non Wage GoU 70 Butabika Hospital Ministerial Policy Statement Vote: 162 Butabika Hospital Ext.

Fin.
GoU Total Total GoU+Ext Fin (MTEF) Arrears Total Budget A.I.A Total Grand Total Total Vote Budget Excluding Arrears (VI) Budget By Economic Clasification Table V6.1 2016/17 and2017/18 Budget Allocations by Item Billion Uganda Shillings Output Class : Outputs Provided GoU Ext.
Fin 0.000 9.230 AIA Total 1.000 10.230 GoU Ext.
Fin 0.000 9.243 AIA Total 1.500 10.743 2016/17 Approved Budget 2017/18 Draft Estimates 211 Wages and Salaries 212 Social Contributions 213 Other Employee Costs 221 General Expenses 222 Communications 223 Utility and Property Expenses 224 Supplies and Services 227 Travel and Transport 228 Maintenance Output Class : Capital Purchases 281 Property expenses other than interest 312 FIXED ASSETS Output Class : Arrears 321 DOMESTIC Grand Total : Total excluding Arrears (VII)ÊBudgetÊByÊProgrammeÊAndÊSubprogrammeÊÊÊ Table V7.1: Past Expenditure Outturns and Medium Term Projections by Programme and SubProgramme Billion Uganda shillings FY 2016/17 Medium Term Projections 71 Butabika Hospital Ministerial Policy Statement Vote: 162 Butabika Hospital 55 Provision
 of Specialised Mental Health Services 01 Management 02 Internal Audit Section 0911 Butabika and health cente remodelling/construction 1475 Institutional Support to Butabika Hospital Total for the Vote Total Excluding Arrears FY 2015/16 Outturn Approved Budget SpentÊByÊ End Dec 2017-18 Proposed Budget 2018-19 2019-20 2020-21 2021- (VIII) ProgrammeÊPerformanceÊandÊMediumÊTermÊPlansÊÊÊÊÊÊ Table V8.1: Programme Outcome and Outcome Indicators Programme : 55 Provision of Specialised Mental Health Services Programme Objective : Quality and accessible Specialised mental health services Responsible Officer: Dr. David Basangwa Programme Outcome: Quality and accessible Specialised mental health services Sector Outcomes contributed to by the Programme Outcome 1.
Inclusive and quality healthcare services Outcome Indicators 2015/16 2016/17 2017/18 2018/19 2019/20 Actual Target Actual Target Projection Projection Performance Targets ¥Ê%Êincrease of referred mental health cases managed; bed occupancy rate SubProgramme: 01 Management Output: 02 Mental Health inpatient Services Provided No.

of investigations conducted Output: 04 Specialised Outpatient and PHC Services Provided 10% 15% 20% 28000 30000 32000 No.
of out-patients in specialized clinics 35202 38722 44530 Output: 05 Community Mental Health Services and Technical Supervision No.

of male and female patients seen in the outreach clinics No.
of Technical support supervision visits conducted 3519 24 3870 28 4450 28 (IX) Major Capital Investments And Changes In Resource Allocation Table 9.1: Major Capital Investment (Capital Purchases outputs over 0.5Billion) 72 Butabika Hospital Ministerial Policy Statement Vote: 162 Butabika Hospital FY 2016/17 FY 2017/18 Appr.
Budget and Planned Outputs Expenditures and Achievements by end Dec Proposed Budget and Planned Outputs Vote 162 Butabika Hospital Program : 08 55 Provision of Specialised Mental Health Services Development Project : 0911 Butabika and health cente remodelling/construction Output: 08 55 80 Hospital Construction/rehabilitation - Completion of the private wing - 1st phase of the expansion of the Alcohol and Drug Unit - Review of the strategic plan - Supervision of the construction ADU and private wing Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: A.I.A: 1,330,000 1,330,000 0 0 Completion of private is at 98% and expansion of the alcohol and drug unit is bidding stage Completion of the Alcohol and Drug Unit 74,836 74,836 0 0 1,400,000 1,400,000 0 0 Table 9.2: Key Changes in Vote Resource Allocation Major changes in resource allocation over and above the previous financial year JustificationÊforÊproposedÊÊChangesÊinÊExpenditureÊ and Outputs Programme : 08 55 Provision of Specialised Mental Health Services Output: 08 5575 Purchase of Motor Vehicles and Other Transport Equipment Change in Allocation (UShs Bn) : 0.200 Procurement of one double cabin pickup for support supervision and one motorcycle for following up patients, home visits and educating the community about mental health Output: 08 5576 Purchase of Office and ICT Equipment, including Software Change in Allocation (UShs Bn) : 0.020 This financial year the emphasis was on upgrading internet services but 5 computers and one photocopier will be procured
 in the next financial year Output: 08 5578 Purchase of Office and Residential Furniture and Fittings Change in Allocation (UShs Bn) : -0.290 In this financial year, extension of private wing was furnished and required a big budget.
In the next financial year we will only be furnishing the alcohol and drug unit which will require less funds (X) Vote Narrative For Past And Medium Term Plans Vote Challenges InadequateÊstaffÊstructureÊwhichÊdoesÊnotÊmatchÊtheÊcurrentÊhospital`sÊrequirements,ÊÊinadequateÊfunding,ÊInflationÊandÊincreasedÊ number of patients.
Plans to improve Vote Performance 73 Butabika Hospital Ministerial Policy Statement Vote: 162 Butabika Hospital Patient`s welfare (Food, Uniforms, Beddings); Maintenance of Medical Equipment and Hospital Infrastructure; Outreach and Community Services; operationalization of the private wing and completion of the Alcohol and Drug Unit.
(XI) Vote Cross Cutting Policy And Other Budgetary Issues Table 11.1: Cross- Cutting Policy Issues Issue Type: Objective : HIV/AIDS To improve on HIV/AIDS counselling and testing services in the hospital Issue of Concern : Mental illness increases vulnerability of HIV/AIDS Planned Interventions : Provision of HIV/AIDS care Budget Allocation (Billion) : 0.700 Performance Indicators: Number of patients in the HIV/AIDS clinic Issue Type: Objective : Gender To improve access to private mental health services to both female and male patients Issue of Concern : There has been an imbalance to access to private mental services Planned Interventions : Creating access for both male and female Budget Allocation (Billion) : 1.600 Performance Indicators: Number of patients attended to in the private wing Issue Type: Objective : Enviroment Promotion of hygiene Issue of Concern : Mental illness predisposes to unhygienic behavioral practices Planned Interventions : Health education and sanitation services Budget Allocation (Billion) : 0.550 Performance Indicators: Cleanliness of the institution Table 11.2: AIA Collections Source of AIA(Ush Bn) Other Fees and Charges Miscellaneous receipts/income Total (XII) Personnel Information TableÊ12.1Ê:ÊVoteÊStaffingÊProfileÊÊbyÊPost 2016/17 Budget 2016/17 Actual by Dec 2017/18 Projected 0.000 0.000 0.000 0.280 0.099 0.379 1.500 0.000 1.500 74 Butabika Hospital Ministerial Policy Statement Vote: 162 Butabika Hospital Post Authorised Establishme nt Filled Posts Vacant Posts Cleared for
 filling in 2017/18 Number of Posts Estimate d for 2017/18 Scale Gross Salary Rate per Month Annual Cost of Filled Posts 2017/18 Annual Cost of Estimated Posts 2017/18 Artisan ASKARI Biomedical Engineer Dhobi Driver ENROLLED NURSE KITCHEN ATT LAB.
TECHNOLOGIST MED.

RECORDS ASST.

MEDICAL OFFICER SPECIAL GR.

(PSYCH) MEDICAL SOCIAL WORKER MENTAL ATTENDANT Nursing Officer (Psychiatry) Occupational Therapist Princ.Psychiatric Clinical Officer PRINCIPAL CLINICAL OFFICER Principal Medical Social Worker Psychiatric Clinc Offic SEN.
CONSULTANT (PSYCH) Senior Nursing Officers Stores Assistant Vote Total U8 45 U8 1 U4 7 U8 9 U8 95 U7 28 U8 2 U5 4 U7 7 U2 3 U4 65 U8 65 U5 3 U5 5 U3 1 U3 1 U2 8 U5 5 U1 SE 12 U4 1 U7 284 87 50 371 75 Arua Referral Hospital Ministerial Policy Statement Vote: 163 Arua Referral Hospital V1: Vote Overview (i) Vote Mission Statement Increasing access of the people within West Nile region to quality specialized health care services in a client centered manner, with professionalism, integrity, and accountability in order to increase their productivity.
(ii) Strategic Objective a.

Scale up critical interventions b.

Improve levels, and equity in access and demand c. Accelerate quality and safety improvements d. Improve efficiency and effectiveness of Services (iii) Major Achievements in 2016/17 Half year performance indicators were above planned i.e.

5,728 Admissions, 905 Major Surgeries,1,881 deliveries,101.8%ÊBedÊOccupancyÊRate;ÊÊ 4.5days ALOS.
This is associated to refugee influx from Southern Sudan, confidence on hospital services and from lower facilities; (9,150)General OPD attaendance; increased specialized clinic attendance (38,354) against planned quarterly estimates.
Lab tests (30,354) higher than planned due to HEPÊBÊtestingÊandÊtreatment.ÊÊFunctionalisationÊofÊotherÊspecializedÊclinicsÊlikeÊdiabetesÊandÊcancer.ÊÊ DespiteÊimprovedÊfunctionalityÊofÊÊlowerÊPHCÊfacilities,ÊANCÊattendanceÊ(5,038) and Family planning contacts (1,280) increased due to integrated community out reaches, weekend coverage and media sensitization; Capital development: procurement of consultant for hospital store constructionÊandÊÊmasterÊplanÊdevelopmentÊcompleted,ÊworksÊstarted.ÊSanitationÊsystemÊworksÊinÊstaffÊquartersÊcompleted.
(iv) Medium Term Plans Provision of general hospital services including cancer treatment.

1.

2.

Construction of staff accommodation 3.

Continue maintenance of medical equipment in the region.

4.

Procurement of a staff van.

5.

FencingÊtheÊentireÊhospitalÊland.ÊÊ 6.

Construction of a casualty department, 7.

8.

Construct an Administration block.

9.

Purchase of office Furniture and equipment, Installation of intercom.
(v) Summary of Past Performance and Medium Term Budget Allocations Table V1.1: Overview of Vote Expenditures (UShs Billion) 2016/17 MTEF Budget Projections 2015/16 Outturn Approved Budget Expenditure by End Dec 2017/18 2018/19 2019/20 2020/21 2021/22 2.890 2.326 0.705 3.095 1.837 1.058 1.447 0.884 0.234 3.095 2.054 1.060 3.095 1.596 1.523 3.095 1.596 1.523 3.095 1.596 1.523 3.095 1.596 1.523 Recurrent Devt.
Wage Non Wage GoU 76 Arua Referral Hospital Ministerial Policy Statement Vote: 163 Arua Referral Hospital Ext.

Fin.
GoU Total Total GoU+Ext Fin (MTEF) Arrears Total Budget A.I.A Total Grand Total Total Vote Budget Excluding Arrears (VI) Budget By Economic Clasification Table V6.1 2016/17 and2017/18 Budget Allocations by Item Billion Uganda Shillings Output Class : Outputs Provided GoU Ext.
Fin 0.000 4.932 AIA Total 0.060 4.992 GoU Ext.
Fin 0.000 5.149 AIA Total 0.075 5.224 2016/17 Approved Budget 2017/18 Draft Estimates 211 Wages and Salaries 212 Social Contributions 213 Other Employee Costs 221 General Expenses 222 Communications 223 Utility and Property Expenses 224 Supplies and Services 225 Professional Services 227 Travel and Transport 228 Maintenance Output Class : Capital Purchases 281 Property expenses other than interest 312 FIXED ASSETS Output Class : Arrears 321 DOMESTIC Grand Total : Total excluding Arrears (VII)ÊBudgetÊByÊProgrammeÊAndÊSubprogrammeÊÊÊ Table V7.1: Past Expenditure Outturns and Medium Term Projections by Programme and SubProgramme Billion Uganda shillings FY 2016/17 Medium Term Projections 77 Arua Referral Hospital
 Ministerial Policy Statement Vote: 163 Arua Referral Hospital FY 2015/16 Outturn Approved Budget SpentÊByÊ End Dec 2017-18 Proposed Budget 2018-19 2019-20 2020-21 2021-22 56 Regional Referral Hospital Services 5.920 6.070 2.565 6.701 6.323 6.333 6.353 6.353 01 Arua Referral Hospital Services 02 Arua Referral Hospital Internal Audit 03 Arua Regional Maintenance 1004 Arua Rehabilitation Referral Hospital 1469 Institutional Support to Arua Regional Referral Hospital Total for the Vote Total Excluding Arrears (VIII) ProgrammeÊPerformanceÊandÊMediumÊTermÊPlansÊÊÊÊÊÊ Table V8.1: Programme Outcome and Outcome Indicators Programme : 56 Regional Referral Hospital Services Programme Objective : To improve the health of the catchment population through provision of specialized curative, preventive, promotive and rehabilitative health services.
Responsible Officer: DR ODU BERNARD Programme Outcome: Inclusive and quality healthcare services Sector Outcomes contributed to by the Programme Outcome 1.
Inclusive and quality healthcare services Outcome Indicators 2015/16 2016/17 2017/18 2018/19 2019/20 Actual Target Actual Target Projection Projection Performance Targets 78 Arua Referral Hospital Ministerial Policy Statement Vote: 163 Arua Referral Hospital ¥Ê%Êincrease of specialised clinic outpatients attendences; % increase of diagnostic investigations carried; bed occupancy rate SubProgramme: 01 Arua Referral Hospital Services Output: 01 Inpatient services No.
of in patients (Admissions) Output: 02 Outpatient services Total general outpatients attendance Number of Specialised Clinic Attendances 11% 3% 3% 24000 24500 24800 45000 42000 40000 150000 155000 160000 Output: 03 Medicines and health supplies procured and dispensed Value of medicines received/dispensed (Ush bn) 1019936444 1019936444 1019936444 Output: 04 Diagnostic services No.

of laboratory tests carried out No.

of patient xrays (imaging) taken Output: 06 Prevention and rehabilitation services No.
of antenatal cases (All attendances) No.

of children immunised (All immunizations) No.

of family planning users attended to (New and Old) SubProgramme: 1004 Arua Rehabilitation Referral Hospital Output: 80 Hospital Construction/rehabilitation No.

of hospitals benefiting from the renovation of existing facilities No.

of reconstructed/rehabilitated general wards Output: 81 Staff houses construction and rehabilitation No.
of staff houses constructed/rehabilitated Output: 85 Purchase of Medical Equipment Value of medical equipment procured (Ush Bn) 150000 150000 155000 9000 10000 10500 16000 50000 5000 16500 55000 5500 17000 55500 6000 1 1 1 1 1 1 1 1 1 0.1 0.1 0.1 (IX) Major Capital Investments And Changes In Resource Allocation Table 9.1: Major Capital Investment (Capital Purchases outputs over 0.5Billion) FY 2016/17 FY 2017/18 Appr.
Budget and Planned Outputs Expenditures and Achievements by end Dec Proposed Budget and Planned Outputs Vote 163 Arua Referral Hospital Program : 08 56 Regional Referral Hospital Services Development Project : 1004 Arua Rehabilitation Referral Hospital Output: 08 56 72 Government Buildings and Administrative Infrastructure 79 Arua Referral Hospital Ministerial Policy Statement Vote: 163 Arua Referral Hospital 1.

Construction of a hospital store; 2.


Improvement of the sanitation system in the staff quarters; 3.

Repair of the walk ways.

4.Development of the hospital Master Plan (1) Procurement process on construction hospital store completed and construction works started.

(2) Works on the improvement of sanitation system in the staff quarters completed.

(3) Procurement process completed for the development of the master plan.
Renovation of Records Office Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: A.I.A: 840,000 830,000 0 10,000 Output: 08 56 81 Staff houses construction and rehabilitation Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: A.I.A: 0 0 0 0 Table 9.2: Key Changes in Vote Resource Allocation (X) Vote Narrative For Past And Medium Term Plans Vote Challenges 233,686 233,686 0 0 0 0 0 0 12-unit storeyed staff house constructed.
25,000 0 0 25,000 600,000 600,000 0 0 Staff motivation and retention partly contributed by lack of accommodation.

Inadequate budget overall including that for medicines and supplies.

1.

2.

3.

A big number of staff to provide for against limited resources.

4.

Lack of appropriate equipment to match the mandate of the hospital.

5.

Very high expectation from a majority rural communities.

6.
6.

Difficulty in projecting the hospital service catchment population given the influx of refugees from South Sudan and people across the Congo boarder.

Plans to improve Vote Performance Improve staff motivation and retention especially for a high population most whom are women.

1.

2.

Ensure a 24 hour staff presence at their places of work.

3.

Ensure proper use and maintenance of the available equipment.

4.

5.

Rally other stakeholders in the running affair of the hospital including resourcing.
Increasing non tax revenue collection which supplements the funds received from the centre.

(XI) Vote Cross Cutting Policy And Other Budgetary Issues Table 11.1: Cross- Cutting Policy Issues Issue Type: Objective : HIV/AIDS To provide equal access and opportunity for health care to all HIV affected persons, co-morbid conditions and promoting PLWAs clubs and Most At Risk Populations(MARPS).
Issue of Concern : There is an increasing trend of HIV transmissions, mother to child transmission and low access to care for eligible patients.

80 Arua Referral Hospital Vote: 163 Planned Interventions : Ministerial Policy Statement Arua Referral Hospital Treatment for co-morbid infected people, decentralization of HIV counseling and testing to all service centers, promotion of HIV preventive strategies, intensification of HIV health education.
Budget Allocation (Billion) : 0.059 Performance Indicators: Number of people counseled, tested and treated for HIV.

Number of positive mothers and babies enrolled into care.

Issue Type: Objective : Gender To provide equal access and opportunities to all gender during resources allocation and use, recruitment, promotions and duty allocations, and enhance reproductive health, male participation in maternal and child health and strategically plan and execute adolescent health.
Issue of Concern : Inclusiveness in hospital processes, procedures and participation.

Planned Interventions : Creation of adolescents clinics, Provision of breast feeding centers and encouraging male participation in maternal and child health.Equal representation in leadership positions.

Budget Allocation (Billion) : 0.104 Performance Indicators: Number of adolescents registered in clinics;Functional breastfeeding corners; CPDs on gender policies.
Issue Type: Objective : Issue of Concern : Planned Interventions : Enviroment To encourage interventions that conserve and promote a safe and healthy environment .

A non-safe and unhealthy hospital environment is very dangerous to the patients, staff and the surrounding community..

Rigorous internal and external hospital cleaning, provision of utilities (water, power etc.

), hand washing and waste disposal facilities, fumigation of premises and provision of staff protective wear.
Budget Allocation (Billion) : 0.100 Performance Indicators: A safe, clean and pest free hospital environment according to agreed standard.

SOPs in place, Number of Infection control and occupational therapy committee recommendations implemented.

Table 11.2: AIA Collections Source of AIA(Ush Bn) Sale of drugs Registration (e.g.

Births, Deaths, Marriages, etc.)
fees Other Fees and Charges Total (XII) Personnel Information TableÊ12.1Ê:ÊVoteÊStaffingÊProfileÊÊbyÊPost 2016/17 Budget 2016/17 Actual by Dec 2017/18 Projected 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.028 0.006 0.066 0.100 Post Authorised Establishme nt Filled Posts Vacant Posts Cleared for filling in 2017/18 Number of Posts Estimate d for 2017/18 Scale Gross Salary Rate per Month Annual Cost of Filled Posts 2017/18 Annual Cost of Estimated Posts 2017/18 Anaesthetic Officer Artisanmate Electrical 0 2 2 1 1 1 2 U5 3 U8 937,360 0 11,248,320 277,660 555,320 3,331,920 81 Arua Referral Hospital Ministerial Policy Statement Vote: 163 Arua Referral Hospital Assistant Medical Records Officer Assistant Office Supervisor Consultant Obst/Gyn Consultant Surgeon Dhobies Drivers Enrolled Midwives Human Resource Officer Laboratory Assistants Medical Officers Mortuary Attendant Plumber Principal Stores Assistant Security Guards Senior Accounts Assistant Senior Dispensor Senior Lab.
Technologist Senior Radiographer Theatre Assistant Theatre Attendant Vote Total 0 0 0 0 3 4 14 0 4 8 1 1 0 12 U5 1 U6 1 U2 1 U2 6 U8 5 U8 20 U7 1 U4 5 U7 10 U4 2 U8 2 U8 1 U5 U8 277,660 3,331,920 3,331,920 2 U5 1 U4 1 U4 2 U4 5 U6 3 U8 461,770 1,322,163 1,234,008 0 0 0 5,541,240 15,865,956 14,808,096 1,320,503 1,320,503 15,846,036 623,409 1,246,818 7,480,908 299,859 599,718 3,598,308 54 40 29 94 18,073,725 0 216,884,700 82 Fort Portal Referral Hospital Ministerial Policy Statement Vote: 164 Fort Portal Referral Hospital V1: Vote Overview (i) Vote Mission Statement To increase access to all people in Rwenzori region to quality general and specialized health services.
(ii) Strategic Objective a.

To enhance health education and promotion at community level.

b.
b.

To reduce maternal and Child mortality and morbidity c. To reduce morbidity, mortality and transmission of communicable diseases d. To reduce morbidity and mortality attributable to communicable diseases e. To enhance hospital capacity for effective service delivery (iii) Major Achievements in 2016/17 TheÊhospitalÊperformanceÊwasÊaboveÊtheÊsetÊtargetsÊwithinÊtheÊavailableÊresourcesÊasÊindicated:ÊÊInÊtheÊfirstÊsicÊmonthÊofÊtheÊFYÊ 2016/17 the hospital has achieved.

Total No.
Total No.

of Patients admitted: 14,741; Total maternal deliveries 4,363; Major Surgeries - 1,708; BOR 86% and ALOS 4 days.

No.

of General outpatients - 18,976; No.

of Specialized outpatients - 103,071.

The Value of Medicines and Medical supplies received and dispensed by the hospital was worth 593,732,815.88 but this is only 51% of hospital half year requirements.

In community prevention aspect there were Ante-Natal cases; Family planning contacts- 1,609; EID Cases 3,787, HCT 22,745 persons.
To address child and maternal survival the hospital immunized 25285 persons in order to contribute to SDG 3.

The equipment workshop ensured equipment inventory and functionality of HC in the region to as to enable theatres offer the much needed EmOC.
The hospital procured a biometric machine to enable us reduce on staff absenteeism thus increasing staff productivity and performanceÊandÊtoÊbeÊlinkedÊtoÊIPPSÊforÊsalaryÊpaymentÊinÊtheÊfuture,ÊÊAssortmentÊofÊequipmentÊprocuredÊwhichÊincludedÊoxygenÊ concentrators, insect killers and biometric machines.

The hospital building and administrative structures maintained: The hospital carried Modification of two rooms for General and Private Inpatient Pharmacies.
Co -funding the construction of ART patients shade, Window repair materials for Medical wards, DoorÊlockÊreplacementsÊforÊHospitalÊDirector,ÊPatientÊToiletÊdoorÊreplacementÊforÊMaternityÊandÊÊmedicalÊtoiletsÊandÊrepairÊplusÊ labourÊcosts,ÊMurramÊforÊhospitalÊRoadÊworks,ÊÊManholeÊcovers,ÊandÊContainerÊslabÊandÊroofÊrepairedÊandÊContainerÊshelvesÊforÊ Inpatient Pharmacy.
(iv) Medium Term Plans Construction of an InternsÕÊHostel complete with an education centre that has internet connectivity, library and computer laboratory with capacity for 30ÊpersonsÊUshs:ÊÊ2,576,000,000 Construction of Incinerator with capacity to handle the volume of waste in the hospital Ushs: 500,000,000 Construction of ENT/EYE unit Ushs.
1,400,000,000 Re-Equipping of the Hospital 7.4Billion Construction of surgical ward, orthopaedic ward and theatre in ward Ushs: 4.2 Billlion Construction of staff housing 30 units Ushs: 7,560,000,000 Ê (v) Summary of Past Performance and Medium Term Budget Allocations Table V1.1: Overview of Vote Expenditures (UShs Billion) 2016/17 MTEF Budget Projections 2015/16 Outturn Approved Budget Expenditure by End Dec 2017/18 2018/19 2019/20 2020/21 2021/22 83 Fort Portal Referral Hospital Ministerial Policy Statement Vote: 164 Fort Portal Referral Hospital Recurrent Devt.
Wage Non Wage GoU Ext.

Fin.
GoU Total Total GoU+Ext Fin (MTEF) Arrears Total Budget A.I.A Total Grand Total Total Vote Budget Excluding Arrears (VI) Budget By Economic Clasification Table V6.1 2016/17 and2017/18 Budget Allocations by Item Billion Uganda Shillings Output Class : Outputs Provided GoU Ext.
Fin 0.000 5.155 AIA Total 0.570 5.725 GoU Ext.
Fin 0.000 5.167 AIA Total 0.758 5.925 2016/17 Approved Budget 2017/18 Draft Estimates 211 Wages and Salaries 212 Social Contributions 213 Other Employee Costs 221 General Expenses 222 Communications 223 Utility and Property Expenses 224 Supplies and Services 227 Travel and Transport 228 Maintenance Output Class : Capital Purchases 281 Property expenses other than interest 312 FIXED ASSETS Output Class : Arrears 321 DOMESTIC Grand Total : Total excluding Arrears (VII)ÊBudgetÊByÊProgrammeÊAndÊSubprogrammeÊÊÊ Table V7.1: Past Expenditure Outturns and Medium Term Projections by Programme and SubProgramme 84 Fort Portal Referral Hospital Ministerial Policy Statement Vote: 164 Fort Portal Referral Hospital Billion Uganda shillings FY 2016/17 Medium Term
 Projections FY 2015/16 Outturn Approved Budget SpentÊByÊ End Dec 2017-18 Proposed Budget 2018-19 2019-20 2020-21 2021-22 56 Regional Referral Hospital Services 5.447 6.784 2.288 7.304 7.531 7.631 7.731 7.831 01 Fort Portal Referral Hospital Services 02 Fort Portal Referral Hospital Internal Audit 03 Fort Portal Regional Maintenance 1004 Fort Portal Rehabilitation Referral Hospital 1470 Institutional Support to Fort Portal Regional Referral Hospital Total for the Vote Total Excluding Arrears (VIII) ProgrammeÊPerformanceÊandÊMediumÊTermÊPlansÊÊÊÊÊÊ Table V8.1: Programme Outcome and Outcome Indicators Programme : 56 Regional Referral Hospital Services Programme Objective : To provide general and specialized services which are inclusive to the catchment population in Rwenzori region Responsible Officer: Hospital Director Programme Outcome: Quality and accessible Regional Referral Hospital Services Sector Outcomes contributed to by the Programme Outcome 1.
Inclusive and quality healthcare services Outcome Indicators 2015/16 2016/17 2017/18 2018/19 2019/20 Actual Target Actual Target Projection Projection Performance Targets N / A N/A (IX) Major Capital Investments And Changes In Resource Allocation Table 9.1: Major Capital Investment (Capital Purchases outputs over 0.5Billion) FY 2016/17 FY 2017/18 Appr.
Budget and Planned Outputs Expenditures and Achievements by end Dec Proposed Budget and Planned Outputs Vote 164 Fort Portal Referral Hospital Program : 08 56 Regional Referral Hospital Services Development Project : 1004 Fort Portal Rehabilitation Referral Hospital Output: 08 56 81 Staff houses construction and rehabilitation 85 Fort Portal Referral Hospital Ministerial Policy Statement 0 0 0 0 882,428 882,428 0 0 Vote: 164 Fort Portal Referral Hospital Construction of storied 16 one bed roomed staff houses To start in Q3 Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: A.I.A: 542,000 542,000 0 0 Table 9.2: Key Changes in Vote Resource Allocation (X) Vote Narrative For Past And Medium Term Plans Vote Challenges Inadequate human resources for effective service delivery Low pay of HWs with difficulty to attract and retain doctors High utility cost with accumulation of arrears Unfunded priority of orthopaedic workshops Inadequate midwives and anaesthetists Poor referral system leading flooding of hospital by patients Low EMHS budget leading to stock outs Plans to improve Vote Performance Inadequate human resources for effective service delivery Low pay of HWs with difficulty to attract and retain doctors High utility cost with accumulation of arrears Unfunded priority of orthopaedic workshops Inadequate midwives and anaesthetists Poor referral system leading flooding of hospital by patients Low EMHS budget leading to stock outs (XI) Vote Cross Cutting Policy And Other Budgetary Issues Table 11.1: Cross- Cutting Policy Issues Issue Type: Objective : HIV/AIDS To contribute towards Zero new infections, Zero HIV and AIDS related mortality and morbidity, and Zero discrimination.
Issue of Concern : The new policy of test and treat require to scale up testing to all those who attend the hospital Planned Interventions : To put in place testing facilities at all points of patient contact in the hospital Budget Allocation (Billion) : 15,000,000.000 Performance Indicators: 50000 persons tested per annum Table 11.2: AIA Collections 86 Fort Portal Referral Hospital Ministerial Policy Statement Fort Portal Referral Hospital Vote: 164 Source of AIA(Ush Bn) Sale of drugs Other Fees and Charges Total (XII) Personnel Information TableÊ12.1Ê:ÊVoteÊStaffingÊProfileÊÊbyÊPost 2016/17 Budget 2016/17 Actual by Dec 2017/18 Projected 0.000 0.000 0.000 0.000 0.191 0.191 0.200 0.558 0.758 Post Authorised Establishme nt Filled Posts Vacant Posts Cleared for filling in 2017/18 Number of Posts Estimate d for 2017/18 Scale Gross Salary Rate per Month Annual Cost of Filled Posts 2017/18 Annual Cost of Estimated Posts 2017/18 Assistant Procurment Officer Biomedical Engineer Consultant (Opthalamology) Consultant (Pead.)
Dispenser ENROLLED MIDWIFE - FORT PORTAL REG.

REF HOSPITAL LABORATORY TECHNICIAN (MEDICAL) - FORT PORTAL HOSPITAL MEDICAL OFFICER - FORT PORTAL REG.

REF HOSPITAL MOSG (Medicine) MOSG (Public Health) MOSG (Surgery) Nursing Officer (Midwifery) Nursing Officer (Nursing) Nursing Officer (Public Health) Opthalmic Clinical Officer PRINCIPAL HOSPITAL ADMINISTRATOR- FORTPORTAL REG.REF.

HOSPITAL Senior Consultant (Internal Medicine) SENIOR NURSING OFFICER - FORT PORTAL REG.
REF HOSPITAL Vote Total U5 1 U4 (SC) 1 U-ISE (SC) 1 U-ISE (SC) 5 U5 20 U7 3 U5 591,555 1,234,008 3,065,630 3,065,630 0 0 0 0 0 0 7,098,660 14,808,096 36,787,560 36,787,560 0 577,257 9,813,369 6,927,084 937,360 1,874,720 11,248,320 10 U2 1,981,189 13,868,323 23,774,268 1 U3 (SC) 1 U3 (SC) 1 U3 (SC) 2,463,611 2,463,611 2,463,611 20 U5 SC 898,337 0 0 0 0 29,563,332 29,563,332 29,563,332 10,780,044 40 U5 SC 898,337 26,051,773 10,780,044 4 U5 (SC) 2 U5 SC 937,360 898,337 1 U2 1,357,880 1 UISE 3,924,620 0 0 0 0 11,248,320 10,780,044 16,294,560 47,095,440 15 U4 1,322,163 15,865,956 15,865,956 58 24 128 29,080,496 0 348,965,952 87 Gulu Referral Hospital Ministerial Policy Statement Vote: 165 Gulu Referral Hospital V1: Vote Overview (i) Vote Mission Statement Gulu Regional Referral Hospital (GRRH) exists to provide specialized health care, preventive, promotive, curative and rehabilitative services to the eight districts of the Acholi sub-region; conduct training, research and support supervision to general hospitals and lower level health facilities in the region.
(ii) Strategic Objective 1.

To improve maternal and child health in the catchment area 2.

ContributeÊtoÊscalingÊupÊofÊhealthÊsectorÊstrategicÊinterventionsÊinÊorderÊtoÊimproveÊÊtheÊhealthÊofÊtheÊcommunity 3.

4.

To improve effectiveness,efficiency and accountability of hospital operations 5.
To support clinical departments by ensuring efficient, safe environmentally health system infrastructure for smooth deliver Prevention,management and control of communicable diseases of health services Prevention,management and control of non communicable diseases 6.
(iii) Major Achievements in 2016/17 timely payment of staff salaries as per stipulated guidelines started payment of the payments of gratuity of pension of centralized staff maintained medical requirements in the acholi sub region Repaired the hospital ambulance that had been down due to an accident along Kampala gulu high way, continued analyzing staff attendance and recommended the errant officers to health service commission settled,orientedÊÊnewlyÊrecruitedÊstaff (iv) Medium Term Plans 1.
Acquire the police land for the construction of OPD and cancer institute=10bn 2.

Purchase of x-ray and ENT machine=700m 3.ÊPurchaseÊlandÊforÊexpansionÊofÊtheÊhospitalÊ=10bn 4.

Compound design and leveling and walkways, construction of entrance road =450m.

5.

Process land title for the available hospital land=45m.

6.

Purchase of laundry =140MÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊÊ 7.
Construction of more water tanks to increase water storage and installation of a second submissive water pump=50m (v) Summary of Past Performance and Medium Term Budget Allocations Table V1.1: Overview of Vote Expenditures (UShs Billion) 2016/17 MTEF Budget Projections 2015/16 Outturn Approved Budget Expenditure by End Dec 2017/18 2018/19 2019/20 2020/21 2021/22 2.599 1.736 1.317 3.283 1.410 1.058 1.301 0.952 0.980 3.283 1.524 1.488 3.283 1.427 1.523 3.283 1.427 1.523 3.283 1.427 1.523 3.283 1.427 1.523 Recurrent Devt.
Wage Non Wage GoU 88 Gulu Referral Hospital Ministerial Policy Statement Vote: 165 Gulu Referral Hospital Ext.

Fin.
GoU Total Total GoU+Ext Fin (MTEF) Arrears Total Budget A.I.A Total Grand Total Total Vote Budget Excluding Arrears (VI) Budget By Economic Clasification Table V6.1 2016/17 and2017/18 Budget Allocations by Item Billion Uganda Shillings Output Class : Outputs Provided GoU Ext.
Fin 0.000 4.693 AIA Total 0.300 4.993 GoU Ext.
Fin 0.000 4.807 AIA Total 0.600 5.407 2016/17 Approved Budget 2017/18 Draft Estimates 211 Wages and Salaries 212 Social Contributions 213 Other Employee Costs 221 General Expenses 222 Communications 223 Utility and Property Expenses 224 Supplies and Services 225 Professional Services 227 Travel and Transport 228 Maintenance Output Class : Capital Purchases 312 FIXED ASSETS Output Class : Arrears 321 DOMESTIC Grand Total : Total excluding Arrears (VII)ÊBudgetÊByÊProgrammeÊAndÊSubprogrammeÊÊÊ Table V7.1: Past Expenditure Outturns and Medium Term Projections by Programme and SubProgramme Billion Uganda shillings FY 2016/17 Medium Term Projections 89 Gulu Referral Hospital Ministerial Policy Statement Vote: 165 Gulu Referral Hospital FY 2015/16 Outturn Approved
 Budget SpentÊByÊ End Dec 2017-18 Proposed Budget 2018-19 2019-20 2020-21 2021-22 56 Regional Referral Hospital Services 6.201 6.051 3.233 6.979 6.833 6.833 6.833 6.833 01 Gulu Referral Hospital Services 02 Gulu Referral Hospital Internal Audit 03 Gulu Regional Maintenance 1004 Gulu Rehabilitation Referral Hospital 1468 Institutional Support to Gulu Regional Referral Hospital Total for the Vote Total Excluding Arrears (VIII) ProgrammeÊPerformanceÊandÊMediumÊTermÊPlansÊÊÊÊÊÊ Table V8.1: Programme Outcome and Outcome Indicators Programme : 56 Regional Referral Hospital Services Programme Objective : To ensure quality and accessible referral hospital services Responsible Officer: Dr Onyachi Nathan Programme Outcome: Quality and accessible Regional Referral Hospital Services Quality and accessible Regional Referral Hospital Services Quality and accessible Regional Referral Hospital Services Quality and accessible Regional Referral Hospital Service Sector Outcomes contributed to by the Programme Outcome 1.
Inclusive and quality healthcare services Outcome Indicators 2015/16 2016/17 2017/18 2018/19 2019/20 Performance Targets ¥Ê%Êincrease of specialised clinic outpatients attendences; % increase of diagnostic investigations carried; Average length of stay; bed occupancy rate N/A Actual Target Actual Target Projection Projection 85% 90% 85% (IX) Major Capital Investments And Changes In Resource Allocation Table 9.1: Major Capital Investment (Capital Purchases outputs over 0.5Billion) FY 2016/17 FY 2017/18 Appr.
Budget and Planned Outputs Expenditures and Achievements by end Dec Proposed Budget and Planned Outputs Vote 165 Gulu Referral Hospital Program : 08 56 Regional Referral Hospital Services Development Project : 1004 Gulu Rehabilitation Referral Hospital Output: 08 56 81 Staff houses construction and rehabilitation 90 Gulu Referral Hospital Ministerial Policy Statement Vote: 165 Gulu Referral Hospital Completion of the First phase of 18 units on the staff house construction second slab of the next 18 units initiated.
Completion of the second slab and initiation of the 3rd slab 729,857 729,857 0 0 1,388,000 1,388,000 0 0 Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: A.I.A: 729,857 729,857 0 0 Table 9.2: Key Changes in Vote Resource Allocation (X) Vote Narrative For Past And Medium Term Plans Vote Challenges Inadequate medicines and medical supplies High Staff turnover especially Doctors Frequent breakdown of equipments Plans to improve Vote Performance EstablishÊandÊfunctionaliseÊcommitteesÊsuchÊasÊtheÊtherapeuticÊcommitteeÊtoÊreduceÊdrugÊwastage,ÊhaveÊweeklyÊheadsÊofÊ departmental meetings to review performance.
engage all stake holders ,go to community barazas for feedback of service delivery.
Carry out service satisfaction surveys at exit points (XI) Vote Cross Cutting Policy And Other Budgetary Issues Table 11.1: Cross- Cutting Policy Issues Issue Type: Objective : HIV/AIDS increase hiv aware ness continue with train staff in tb hiv collaboration to be supported by home visits Issue of Concern : Increased clients for sex gender violence Planned Interventions : increase awarenes,support community department for prevention measures training Budget Allocation (Billion) : 0.003 Performance Indicators: Reduced number of treated patients as a result of sex gender violence and introduction of sgbv deparment to address concerns Issue Type: Objective : Gender increased new hiv attendances,construction of the maternty washing bay to have the mothers confortable in sluicing blood Issue of Concern : loss of patiolled to care to other non clinical service providers Planned Interventions : vigilance and human resource allocation to reduce on waiting time for patients in care 91 Gulu Referral Hospital Ministerial Policy Statement Vote: 165 Gulu Referral Hospital Budget Allocation (Billion) : 0.003 Performance Indicators: Recovered lost out patients on care ,flocking back to care Issue Type: Objective : Enviroment train staff on infection control train staff on medical waste disposal especially not to pollute the enviroment .Assess the impact on disposing and incenerating drugs, Issue of Concern : use of poor waste disposal methods Planned Interventions : train and user train for the available facility Budget
 Allocation (Billion) : 0.004 Performance Indicators: staff and available human resource becoming responsive Table 11.2: AIA Collections Source of AIA(Ush Bn) Other Fees and Charges Total (XII) Personnel Information TableÊ12.1Ê:ÊVoteÊStaffingÊProfileÊÊbyÊPost 2016/17 Budget 2016/17 Actual by Dec 2017/18 Projected 0.000 0.000 0.000 0.000 0.600 0.600 Post Authorised Establishme nt Filled Posts Vacant Posts Cleared for filling in 2017/18 Number of Posts Estimate d for 2017/18 Scale Gross Salary Rate per Month Annual Cost of Filled Posts 2017/18 Annual Cost of Estimated Posts 2017/18 389,696 389,696 4,676,352 LABAROTORY ASSISTANT CONSULTANT LABORATORY TECHNOLOGIST MEDICAL OFFICER SPECIAL GRADE SENIOR CLINICAL OFFICER SENIOR ENROLLED NURSE Vote Total 1 0 0 0 0 0 1 3 2 4 2 7 45 63 3 1 2 1 2 5 4 U7 2 U1 4 U5 2 U2 7 U4 2,555,683 569,040 1,249,998 1,108,664 45 U5 569,040 14 64 6,442,121 389,696 77,305,452 0 0 0 0 0 30,668,196 6,828,480 14,999,976 13,303,968 6,828,480 92 Hoima Referral Hospital Ministerial Policy Statement Vote: 166 Hoima Referral Hospital V1: Vote Overview (i) Vote Mission Statement To increase access to quality general and specialized health services to all people of Bunyoro Region (ii) Strategic Objective To provide specialized health care services to Bunyoro Region including: a.
Offering Comprehensive, curative, promotion and rehabilitative care b.
Offering tertiary training and continuous professional development c. Undertaking and conducting operational, professional and technical research in health d. Carry out disease surveillance in the region e. Evaluation and monitoring of implementation of health programs (iii) Major Achievements in 2016/17 -28000 inpatients managed -200,000 outpatients treated -68,000 lab tests done -29,000 immunisations done (iv) Medium Term Plans - Construction of a multi-storey ward complex block housing surgical, paediatric, medical, neonatal, gynae wards and ICU.
-Construct mortuary -construct interns mess (v) Summary of Past Performance and Medium Term Budget Allocations Table V1.1: Overview of Vote Expenditures (UShs Billion) 2016/17 MTEF Budget Projections 2015/16 Outturn Approved Budget Expenditure by End Dec 2017/18 2018/19 2019/20 2020/21 2021/22 Recurrent Devt.

Wage Non Wage GoU Ext.

Fin.
GoU Total Total GoU+Ext Fin (MTEF) Arrears Total Budget A.I.A Total Grand Total Total Vote Budget Excluding Arrears 1.696 2.099 1.220 0.000 5.014 5.014 0.015 5.029 0.000 5.029 5.014 4.139 1.398 1.058 0.000 6.595 6.595 0.260 6.855 0.060 6.915 6.655 (VI) Budget By Economic Clasification Hoima Referral Hospital Ministerial Policy Statement Vote: 166 Hoima Referral Hospital Table V6.1 2016/17 and2017/18 Budget Allocations by Item Billion Uganda Shillings Output Class : Outputs Provided GoU Ext.
Fin 0.000 5.537 AIA Total 0.060 5.597 GoU Ext.
Fin 0.000 5.642 AIA Total 0.120 5.762 2016/17 Approved Budget 2017/18 Draft Estimates 211 Wages and Salaries 212 Social Contributions 213 Other Employee Costs 221 General Expenses 222 Communications 223 Utility and Property Expenses 224 Supplies and Services 225 Professional Services 227 Travel and Transport 228 Maintenance Output Class : Capital Purchases 312 FIXED ASSETS Output Class : Arrears 321 DOMESTIC Grand Total : Total excluding Arrears (VII)ÊBudgetÊByÊProgrammeÊAndÊSubprogrammeÊÊÊ Table V7.1: Past Expenditure Outturns and Medium Term Projections by Programme and SubProgramme Billion Uganda shillings FY 2016/17 Medium Term Projections FY 2015/16 Outturn Approved Budget SpentÊByÊ End Dec 2017-18 Proposed Budget 2018-19 2019-20 2020-21 2021-22 56
 Regional Referral Hospital Services 5.029 6.915 2.267 7.217 7.015 7.015 7.015 7.015 01 Hoima Referral Hospital Services 02 Hoima Referral Hospital Internal Audit 03 Hoima Regional Maintenance 1004 Hoima Rehabilitation Referral Hospital 1480 Institutional Support to Hoima Regional Hospital Total for the Vote Total Excluding Arrears (VIII) ProgrammeÊPerformanceÊandÊMediumÊTermÊPlansÊÊÊÊÊÊ 94 Hoima Referral Hospital Ministerial Policy Statement Vote: 166 Hoima Referral Hospital Table V8.1: Programme Outcome and Outcome Indicators Programme : 56 Regional Referral Hospital Services Programme Objective : To provide specialized and general health care and treatment, disease prevention, Responsible Officer: rehabilitation and health promotion services in Bunyoro Region comprising of the districts of Hoima, Masindi, Buliisa, Kiryandongo, Kibale, Kagadi and Kakumiro Dr. Mulwanyi Francis Wambuzi Programme Outcome: Quality and accessible Regional Referral Hospital Services Sector Outcomes contributed to by the Programme Outcome 1.
Inclusive and quality healthcare services Outcome Indicators 2015/16 2016/17 2017/18 2018/19 2019/20 Actual Target Actual Target Projection Projection Performance Targets ¥Ê%Êincrease of specialized clinic outpatient attendances; % increase of diagnostic investigations carried out; bed occupancy rate SubProgramme: 01 Hoima Referral Hospital Services Output: 01 Inpatient services No.

of in-patients (Admissions) Output: 02 Outpatient services No.

of general outpatients attended to No.


of specialised outpatients attended to 10% 15% 20% 30000 30000 30000 180000 180000 180000 60000 60000 60000 Output: 03 Medicines and health supplies procured and dispensed Value of medicines received/dispensed (Ush bn) 1.0 1.0 1.0 Output: 04 Diagnostic services No.

of laboratory tests carried out No.

of patient xrays (imaging) taken Output: 06 Prevention and rehabilitation services No.

of antenatal cases (All attendances) No.


of children immunised (All immunizations) No.

of family planning users attended to (New and Old) SubProgramme: 1004 Hoima Rehabilitation Referral Hospital Output: 80 Hospital Construction/rehabilitation No.

of hospitals benefiting from the renovation of existing facilities No.
of reconstructed/rehabilitated general wards Output: 85 Purchase of Medical Equipment Value of medical equipment procured (Ush Bn) 100000 100000 100000 5000 5000 5000 14000 30000 2400 0 0 14000 30000 2400 0 0 14000 30000 2400 0 0 0.1 0.1 0.1 95 Hoima Referral Hospital Ministerial Policy Statement Vote: 166 Hoima Referral Hospital (IX) Major Capital Investments And Changes In Resource Allocation Table 9.1: Major Capital Investment (Capital Purchases outputs over 0.5Billion) FY 2016/17 FY 2017/18 Appr.
Budget and Planned Outputs Expenditures and Achievements by end Dec Proposed Budget and Planned Outputs Vote 166 Hoima Referral Hospital Program : 08 56 Regional Referral Hospital Services Development Project : 1004 Hoima Rehabilitation Referral Hospital Output: 08 56 80 Hospital Construction/rehabilitation Perimeter fence around the hospital Processing tenders Sewerage system and lagoon constructed Completed oxygen plant Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: A.I.A: 278,429 278,429 0 0 Output: 08 56 83 OPD and other ward construction and rehabilitation 1 Storeyed ward complex block comprising of surgical, paediatric & neonatal, male & female medical wards, gynae ward and intensive care unit N/A Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: A.I.A: 580,000 580,000 0 0 Table 9.2: Key Changes in Vote Resource Allocation (X) Vote Narrative For Past And Medium Term Plans Vote Challenges 125,600 125,600 0 0 132,586 132,586 0 0 510,000 510,000 0 0 0 0 0 0 - Water and electricity tariffs were increased thus rendering the available budget inadequate to meet the existing consumption.
-The opening of two new blocks ie.

maternity block and OPD block constructed by JICA has increased utility and cleaning bills beyond the current budget provision.

- Non-release of 200m for capital development in the 4th quarter of 2015/16 caused disruption in performance of some projects.

Plans to improve Vote Performance - Improve on support supervision to ensure efficiency - Installation of bio-clocking system to monitor attendance and presence at work -Improve on welfare to motivate staff.
(XI) Vote Cross Cutting Policy And Other Budgetary Issues Table 11.1: Cross- Cutting Policy Issues 96 Hoima Referral Hospital Ministerial Policy Statement Vote: 166 Hoima Referral Hospital Issue Type: Objective : HIV/AIDS Create a stigma free environment, Increase enrollment on ART and Improve care for HIV/AIDS patients Issue of Concern : HIV/AIDS patients are always stigmatized Planned Interventions : - Health education - Radio talk shows - Counseling - Focus on vulnerable groups like sex workers and truck drivers Budget Allocation (Billion) : 0.100 Performance Indicators: Issue Type: Objective : - No of outreaches held ( 12 outreaches) - No of talk shows held ( 12 Talk shows) - No of patients counseled ( 30,000) patients - No of vulnerables recruited (400) Gender Create an equal opportunity and non discriminatory gender environment Issue of Concern : Gender imbalance Planned Interventions : - Equal representation on all hospital committees Accord opportunities for training and deployment - Encourage aspiration for leadership positions irrespective of gender Budget Allocation (Billion) : 0.100 Performance Indicators: - No of committees equally represented - No of males and females undertaking training - No of male and females assigned leadership responsibilities Issue Type: Objective : Enviroment Create a clean , pollution free and green environment through deliberate policies and actions Issue of Concern : Environmental pollution and degradation Planned Interventions : - Institute an environmentally friendly
 disposal of wastes - Make the hospital environment green - Put in place policies that protect the environment - Educate staff and clients on the importance and practices of good environmental practices Budget Allocation (Billion) : 0.100 - Performance Indicators: No of waste disposal points properly managed - No trees planted in the compound - No of green polices made - No of green heath education sessions given - Table 11.2: AIA Collections Source of AIA(Ush Bn) Other Fees and Charges 2016/17 Budget 2016/17 Actual by Dec 2017/18 Projected 0.000 0.030 0.000 97 Jinja Referral Hospital Ministerial Policy Statement Vote: 167 Jinja Referral Hospital V1: Vote Overview (i) Vote Mission Statement The Vision: A Centre of Excellence for Specialized Health Care.
The Mission: To Provide Quality Specialized, Accessible and Affordable Health Care Services.

(ii) Strategic Objective a.

To improve the quality and safety of hospital care by offering comprehensive specialised and general curative, promotive preventive and rehabilitative health care services.

b.

To contribute to scaling up critical HSSIP interventions.

c. To strengthen research activities.

d. To strengthen training of health workers.


e. To strengthen collaboration with other hospitals and offer a supporting role to health facilities in the catchment area.

f. To improve effectiveness and efficiency of hospital services.

g. To strengthen hospital partnerships.
(iii) Major Achievements in 2016/17 Admissions 18838;Bed occupancy 87%;ALOS 5days;deliveries 3858;major surgeries 2608;General OPD 56887; causality cases 2453;special clinics 69685;radiology services 5113; laboratory services 146254; immunization services16340;FP 2773; ANC 13833. maintenance workshop construction completed; the Echo machine is on its way to be delivered to the hospital; Oxygen plant was installed and waiting for approval of bureau of standards; CCTV machine installation is going on,procurement process for tools is ongoing, (iv) Medium Term Plans a.
Improve efficiency in service delivery such data management & diagnostic services.

b.

Fill existing gaps in human resources for health.

c. Improve working environment to boost morale of health workers.

d. Improve customer care & public relations.
e. Improve the hospital security of assets and other resources f. Improve maintenance of medical infrastructure g. Improving waste management (v) Summary of Past Performance and Medium Term Budget Allocations Table V1.1: Overview of Vote Expenditures (UShs Billion) 2016/17 MTEF Budget Projections 2015/16 Outturn Approved Budget Expenditure by End Dec 2017/18 2018/19 2019/20 2020/21 2021/22 2.740 2.251 0.594 4.578 1.486 1.058 1.652 0.582 0.113 4.578 1.808 1.488 4.578 1.351 1.523 4.578 1.351 1.523 4.578 1.351 1.523 4.578 1.351 1.523 Recurrent Devt.
Wage Non Wage GoU 98 Jinja Referral Hospital Ministerial Policy Statement Vote: 167 Jinja Referral Hospital Ext.

Fin.
GoU Total Total GoU+Ext Fin (MTEF) Arrears Total Budget A.I.A Total Grand Total Total Vote Budget Excluding Arrears (VI) Budget By Economic Clasification Table V6.1 2016/17 and2017/18 Budget Allocations by Item Billion Uganda Shillings Output Class : Outputs Provided GoU Ext.
Fin 0.000 6.064 AIA Total 0.290 6.354 GoU Ext.
Fin 0.000 6.386 AIA Total 0.250 6.636 2016/17 Approved Budget 2017/18 Draft Estimates 211 Wages and Salaries 212 Social Contributions 213 Other Employee Costs 221 General Expenses 222 Communications 223 Utility and Property Expenses 224 Supplies and Services 225 Professional Services 227 Travel and Transport 228 Maintenance Output Class : Capital Purchases 311 NON-PRODUCED ASSETS 312 FIXED ASSETS 314 INVENTORIES (STOCKS AND STORES) Output Class : Arrears 321 DOMESTIC Grand Total : Total excluding Arrears (VII)ÊBudgetÊByÊProgrammeÊAndÊSubprogrammeÊÊÊ Table V7.1: Past Expenditure Outturns and Medium Term Projections by Programme and SubProgramme 99 Jinja Referral
 Hospital Ministerial Policy Statement Vote: 167 Jinja Referral Hospital Billion Uganda shillings FY 2016/17 Medium Term Projections FY 2015/16 Outturn Approved Budget SpentÊByÊ End Dec 2017-18 Proposed Budget 2018-19 2019-20 2020-21 2021-22 56 Regional Referral Hospital Services 6.074 7.710 2.347 8.629 7.702 7.702 7.752 7.752 01 Jinja Referral Hospital Services 02 Jinja Referral Hospital Internal Audit 03 Jinja Regional Maintenance 1004 Jinja Rehabilitation Referral Hospital 1481 Institutional Support to Jinja Regional Hospital Total for the Vote Total Excluding Arrears (VIII) ProgrammeÊPerformanceÊandÊMediumÊTermÊPlansÊÊÊÊÊÊ Table V8.1: Programme Outcome and Outcome Indicators Programme : 56 Regional Referral Hospital Services Programme Objective : a.
To improve the quality and safety of hospital care.

b.

To contribute to scaling up critical HSSIP interventions.

c. To strengthen research activities.

d. To strengthen training of health workers.

e. To strengthen collaboration with other hospitals and offer a supporting role to health facilities in the catchment area.

f. To improve effectiveness and efficiency of hospital services.

g. To strengthen hospital partnerships.


Responsible Officer: Dr. Sophie Namasopo Programme Outcome: Quality and accessible Regional Referral Hospital Services Sector Outcomes contributed to by the Programme Outcome 1.
Inclusive and quality healthcare services Outcome Indicators 2015/16 2016/17 2017/18 2018/19 2019/20 Actual Target Actual Target Projection Projection Performance Targets 100 Jinja Referral Hospital Ministerial Policy Statement Vote: 167 Jinja Referral Hospital ¥Ê%Êincrease of specialised clinic outpatients attendences; ¥Ê%Êincrease of diagnostic investigations carried; ¥Êbed occupancy rate SubProgramme: 01 Jinja Referral Hospital Services Output: 04 Diagnostic services No.
of laboratory tests carried out No.

of patient xrays (imaging) taken Output: 06 Prevention and rehabilitation services No.

of antenatal cases (All attendances) No.

of children immunised (All immunizations) No.

of family planning users attended to (New and Old) SubProgramme: 1004 Jinja Rehabilitation Referral Hospital Output: 80 Hospital Construction/rehabilitation No.

of hospitals benefiting from the renovation of existing facilities No.
of reconstructed/rehabilitated general wards Output: 83 OPD and other ward construction and rehabilitation No.

of OPD wards constructed No.

of OPD wards rehabilitated No.

of other wards constructed No.
of other wards rehabilitated Output: 85 Purchase of Medical Equipment Value of medical equipment procured (Ush Bn) (IX) Major Capital Investments And Changes In Resource Allocation Table 9.1: Major Capital Investment (Capital Purchases outputs over 0.5Billion) FY 2016/17 FY 2017/18 Appr.
Budget and Planned Outputs Expenditures and Achievements by end Dec Proposed Budget and Planned Outputs Vote 167 Jinja Referral Hospital Program : 08 56 Regional Referral Hospital Services Development Project : 1481 Institutional Support to Jinja Regional Hospital Output: 08 56 85 Purchase of Medical Equipment 101 Jinja Referral Hospital Ministerial Policy Statement Vote: 167 Jinja Referral Hospital Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: A.I.A: 0 0 0 0 Table 9.2: Key Changes in Vote Resource Allocation Patient mattresses covered with PVC material, clinical equipment, alternative source of water and alternative Umeme service lines (Jinja main & Dept of Paediatrics Nalufenya ) to improve the supply procured Tools for medical equipment maintenance workshop purchased 0 0 0 0 520,000 520,000 0 0 Major changes in resource allocation over and above the previous financial year JustificationÊforÊproposedÊÊChangesÊinÊExpenditureÊ and Outputs Programme : 08 56 Regional Referral Hospital Services Output: 08 5602 Outpatient services Change in Allocation (UShs Bn) : 0.057 Output: 08 5605 Hospital Management and support services Change in Allocation (UShs Bn) : 0.088 additional funds for services because the output performance for specialized services is increasing as noted in the quarterly reports Funds have been allocated to other outputs.
For instance maintenance funds are now under the maintenance workshop, before these funds were being dejected from the non wage outputs Output: 08 5606 Prevention and rehabilitation services Change in Allocation (UShs Bn) : -0.007 Redistributed funds to other outputs Output: 08 5607 Immunisation Services Change in Allocation (UShs Bn) : 0.000 There will be more outreach services under immunization Output: 08 5619 Human Resource Management Services Change in Allocation (UShs Bn) : 0.024 Output: 08 5620 Records Management Services Change in Allocation (UShs Bn) : 0.001 Additional output funds were allocated by deducting from hospital management and support services and prevention services.
Output: 08 5671 Acquisition of Land by Government Change in Allocation (UShs Bn) : 0.019 Hospital land needs titles Output: 08 5676 Purchase of Office and ICT Equipment, including Software 102 Jinja Referral Hospital Ministerial Policy Statement Vote: 167 Jinja Referral Hospital Change in Allocation (UShs Bn) : -0.015 HR, Accounts, Records, and Admin Laptops procured Output: 08 5677 Purchase of Specialised Machinery & Equipment Change in Allocation (UShs Bn) : -0.166 Procurement of the spare parts only this year of Echo machine Output: 08 5680 Hospital Construction/rehabilitation Change in Allocation (UShs Bn) : 0.177 Private wing Construction completed, Perimeter wall fence constructed Output: 08 5683 OPD and other ward construction and rehabilitation Change in Allocation (UShs Bn) : 0.087 Pediatric department toilets, bathrooms constructed, sewage drainage overhauled Output: 08 5685 Purchase of Medical Equipment Change in Allocation (UShs Bn) : 0.520 Assorted Clinical Equipment's will be Procured Medical Department wards renovated (X) Vote Narrative For Past And Medium Term Plans Vote Challenges Unique physical location in two different places increases expenditure for operational activities Budget is not adequate for 2 locations.
Newly built Medical equipment workshops require funding.

Inadequate staff structure for two locations of hospital for both clinical and non-clinical staff.

Land wrangles ongoing, medicines and health supplies are inadequate.

Plans to improve Vote Performance The hospital will be committed to work within the provisions of the approved budget and the service delivery targets.
(XI) Vote Cross Cutting Policy And Other Budgetary Issues Table 11.1: Cross- Cutting Policy Issues Issue Type: Objective : HIV/AIDS To contribute to elimination of Mother to Child Transmission and equal access to HIV/AIDS services to all HIV positive patients, and improve uptake of circumcision.

Issue of Concern : Improve services on EMTCT, Emphasise access to HIV/AIDS services to all HIV positive patients, improve uptake of circumcision.
Planned Interventions : Proportion of pregnant women testing for HIV during Antenatal.

Proportion of HIV + pregnant women receiving ARVs for EMTCT.

Budget Allocation (Billion) : 300,000,000.000 Performance Indicators: Proportion of HIV exposed infants receiving Neverapine Prophylaxis.
Proportion of HIV exposed infants getting tested for HIV- DNAPCR 103 Jinja Referral Hospital Ministerial Policy Statement Vote: 167 Jinja Referral Hospital Issue Type: Objective : Gender To contribute to gender equality in provision of health services at Jinja Regional Referral Hospital Issue of Concern : Ensuring equality in accessing health services Planned Interventions : providing free services to all people, carry outreach immunisation for those not able to come to hospital, build ramps to cater for other abilities, translators for communication, employ staff with other abilities, Budget Allocation (Billion) : 400,000,000.000 Performance Indicators: Number of patients and clients by demographic characteristics attended to according to standard guidelines for service delivery Issue Type: Objective : Issue of Concern : Enviroment To effectively manage Medical and non medical waste of Jinja Regional Referral Hospital Managing Medical and non medical wastes in a manner that will not negatively affect the environment Planned Interventions : clients and visitors adopt good practice for sanitation such as hand washing facilities and dust bins available.
improving waste disposal mechanisms, close monitoring of cleaning services Budget Allocation (Billion) : 135,000,000.000 Performance Indicators: Clean environment and pollution free Table 11.2: AIA Collections Source of AIA(Ush Bn) Other Fees and Charges Total (XII) Personnel Information TableÊ12.1Ê:ÊVoteÊStaffingÊProfileÊÊbyÊPost 2016/17 Budget 2016/17 Actual by Dec 2017/18 Projected 0.000 0.000 0.000 0.000 0.250 0.250 Post Authorised Establishme nt Filled Posts Vacant Posts Cleared for filling in 2017/18 Number of Posts Estimate d for 2017/18 Scale Gross Salary Rate per Month Annual Cost of Filled Posts 2017/18 Annual Cost of Estimated Posts 2017/18 1,101,485 0 13,217,820 541,465 541,465 6,497,580 Accountant Accounts Assistant Artisan Assistant Commissioner Nursing Assistant Engineering Officer Assistant Procurement Officer Assistant Records Officer Bio-statistician Biomedical Engineer Consultant Public Health U4L 2 U7L 1 U8L 1 U1 (SC) 1 U5SC 1 U5L 1 U5L 341,133 2,250,162 625,067 769,794 447,080 1 U4SC 1,089,533 1 U4SC 1,089,533 1 US1E 2,905,088 0 0 0 0 0 0 0 0 4,093,596 27,001,944 7,500,804 9,237,528 5,364,960 13,074,396 13,074,396 34,861,056 104 Jinja Referral Hospital Ministerial Policy Statement Vote: 167 Jinja Referral Hospital Engineering Assistant (Civil) Enrolled Nurse Information Technology Officer Kitchen Attendant Mortuary Attendant Pool Stenographer Records Assistant (Human Resource) Security Officer Senior Hospital Administrator Senior
 Nutritionist Senior Physiotherapists Senior Principal Nursing Officer Steno/secretary Technician Theatre Assistant Theatre Attendant Vote Total 1 75 1 18 1 10 2 U7SC 623,216 623,216 7,478,592 93 U7SC 623,216 46,741,200 7,478,592 U4SC 1,089,533 0 13,074,396 8 U8L 2 U8U 2 U6U 316,517 1,899,102 3,798,204 316,517 316,517 3,798,204 599,305 599,305 7,191,660 2 U7SC 541,465 541,465 6,497,580 1 U6L 1 U3 LOWE R 386,972 1,180,090 1 U3SC 1,334,004 1 U4 (SC) 1 U2SC 1 U6L 1 U7U 1,343,007 1,728,187 386,972 632,786 0 0 0 0 0 0 0 4,643,664 14,161,080 16,008,048 16,116,084 20,738,244 4,643,664 7,593,432 4 U6SC 698,671 698,671 8,384,052 6 U8U 341,133 682,266 4,093,596 90 50 42 140 23,643,064 0 283,716,768 105 Kabale Referral Hospital Ministerial Policy Statement Vote: 168 Kabale Referral Hospital V1: Vote Overview (i) Vote Mission Statement A center of excellence in the provision of general and specialized health services to the people of Kigezi sub region.
(ii) Strategic Objective (iii) Major Achievements in 2016/17 (iv) Medium Term Plans In the medium term the hospital plans to complete the construction of the Interns hostel/resource center,completion of the furnishing of the private wing,purchase of 2ÊhospitalÊvehiclesÊandÊpurchaseÊofÊaÊthreeÊphaseÊgenerator.ÊTheÊhospitalÊalsoÊÊplansÊtoÊ improve on service delivery by attending to more patients, improving community services, finalize the hospital master plan and implement the patients charter.
(v) Summary of Past Performance and Medium Term Budget Allocations Table V1.1: Overview of Vote Expenditures (UShs Billion) 2016/17 MTEF Budget Projections 2015/16 Outturn Approved Budget Expenditure by End Dec 2017/18 2018/19 2019/20 2020/21 2021/22 Recurrent Devt.

Wage Non Wage GoU Ext.

Fin.
GoU Total Total GoU+Ext Fin (MTEF) Arrears Total Budget A.I.A Total Grand Total Total Vote Budget Excluding Arrears (VI) Budget By Economic Clasification Table V6.1 2016/17 and2017/18 Budget Allocations by Item Billion Uganda Shillings Output Class : Outputs Provided GoU Ext.
Fin 0.000 4.135 AIA Total 0.200 4.335 GoU Ext.
Fin 0.000 4.272 AIA Total 0.500 4.772 2016/17 Approved Budget 2017/18 Draft Estimates 106 Kabale Referral Hospital Ministerial Policy Statement Vote: 168 Kabale Referral Hospital 211 Wages and Salaries 212 Social Contributions 213 Other Employee Costs 221 General Expenses 222 Communications 223 Utility and Property Expenses 224 Supplies and Services 225 Professional Services 227 Travel and Transport 228 Maintenance 229 Inventories 273 Employer social benefits Output Class : Capital Purchases 281 Property expenses other than interest 312 FIXED ASSETS Output Class : Arrears 321 DOMESTIC Grand Total : Total excluding Arrears 6.513
0.000 0.002 1.488 0.100 1.388 0.253 0.253 6.513 6.260 (VII)ÊBudgetÊByÊProgrammeÊAndÊSubprogrammeÊÊÊ Table V7.1: Past Expenditure Outturns and Medium Term Projections by Programme and SubProgramme Billion Uganda shillings FY 2016/17 Medium Term Projections FY 2015/16 Outturn Approved Budget SpentÊByÊ End Dec 2017-18 Proposed Budget 2018-19 2019-20 2020-21 2021-22 56 Regional Referral Hospital Services 6.165 5.394 1.974 6.513 6.311 6.311 6.361 6.411 01 Kabale Referral Hospital Services 02 Kabale Referral Hospital Internal Audit 03 Kabale Regional Maintenance Workshop 1004 Kabale Regional Hospital Rehabilitaion 1473 Institutional Support to Kabale Regional Referral Hospital Total for the Vote Total Excluding Arrears (VIII) ProgrammeÊPerformanceÊandÊMediumÊTermÊPlansÊÊÊÊÊÊ Table V8.1: Programme Outcome and Outcome Indicators 107 Kabale Referral Hospital Ministerial Policy Statement Vote: 168 Kabale Referral Hospital Programme : 56 Regional Referral Hospital Services Programme Objective : To provide quality and sustainable, general and specialized health services to the people of Kigezi sub region.
Responsible Officer: Kabuye Edward Jovita Programme Outcome: Quality and accessible Regional Referral Hospital Services Sector Outcomes contributed to by the Programme Outcome 1.
Inclusive and quality healthcare services Outcome Indicators 2015/16 2016/17 2017/18 2018/19 2019/20 Actual Target Actual Target Projection Projection Performance Targets ¥Ê%Êincrease of specialised clinic outpatients attendences ¥Ê%Êincrease of diagnostic investigations carried out; ¥Êbed occupancy rate SubProgramme: 01 Kabale Referral Hospital Services Output: 01 Inpatient services No.
of in-patients (Admissions) Average Length of Stay (ALOS) - days Bed Occupancy Rate (BOR) Number of Major Operations (including Ceasarian se Output: 02 Outpatient services No.

of general outpatients attended to No.


of specialised outpatients attended to Referral cases in Output: 03 Medicines and health supplies procured and dispensed Value of medicines received/dispensed (Ush bn) 1.2 1.3 1.5 Output: 04 Diagnostic services No.

of laboratory tests carried out No.
of patient xrays (imaging) taken Number of Ultra Sound Scans Output: 05 Hospital Management and support services Assets register updated on a quarterly basis Timely payment of salaries and pensions by the 2 Timely submission of quarterly financial/activity 120455 120460 120470 5500 2500 1 yes Yes 6000 3000 1 Yes yes 7000 35000 1 Yes Yes 108 Kabale Referral Hospital Ministerial Policy Statement Vote: 168 Kabale Referral Hospital Output: 06 Prevention and rehabilitation services No.
of antenatal cases (All attendances) No.

of children immunised (All immunizations) No.
of family planning users attended to (New and Old) Number of ANC Visits (All visits) Percentage of HIV positive pregnant women not on H Output: 07 Immunisation Services Number of Childhood Vaccinations given (All contac SubProgramme: 02 Kabale Referral Hospital Internal Audit Output: 05 Hospital Management and support services Timely payment of salaries and pensions by the 2 Timely submission of quarterly financial/activity SubProgramme: 03 Kabale Regional Maintenance Workshop Output: 05 Hospital Management and support services Assets register updated on a quarterly basis Timely payment of salaries and pensions by the 2 Timely submission of quarterly financial/activity SubProgramme: 1004 Kabale Regional Hospital Rehabilitaion Output: 72 Government Buildings and Administrative Infrastructure Number of buildings constructed Output: 80 Hospital Construction/rehabilitation No.
of hospitals benefiting from the renovation of existing facilities No.

of reconstructed/rehabilitated general wards Cerificates of progress/ Completion Output: 81 Staff houses construction and rehabilitation No.

of staff houses constructed/rehabilitated Cerificates of progress/ Completion Output: 83 OPD and other ward construction and rehabilitation No.

of OPD wards constructed No.

of OPD wards rehabilitated No.

of other wards constructed No.
of other wards rehabilitated Cerificates of progress/ Completion 4800 3200 3600 4000 0.1% 5000 3400 3010 4010 5200 3500400 3020 4020 0.01% 0.001% 300 320 350 yes yes 1 Yes Yes 1 1 2 3 2 2 0 0 0 1 1 Yes Yes 1 Yes Yes 1 1 2 3 2 2 0 0 0 1 1 Yes Yes 1 Yes Yes 1 1 2 3 2 2 0 0 0 1 1 109 Kabale Referral Hospital Ministerial Policy Statement Vote: 168 Kabale Referral Hospital (IX) Major Capital Investments And Changes In Resource Allocation Table 9.1: Major Capital Investment (Capital Purchases outputs over 0.5Billion) FY 2016/17 FY 2017/18 Appr.
Budget and Planned Outputs Expenditures and Achievements by end Dec Proposed Budget and Planned Outputs Vote 168 Kabale Referral Hospital Program : 08 56 Regional Referral Hospital Services Development Project : 1004 Kabale Regional Hospital Rehabilitaion Output: 08 56 72 Government Buildings and Administrative Infrastructure Construction of a four storeyed interns Hostel.

(45 units).
(45 units).

Phase 1 (ground floor) After getting the approval from the Solicitor General the contract will be awarded and construction will begin.
Doctors/Interns Hostel partially constructed Hospital Furniture procured and delivered Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: A.I.A: 550,000 550,000 0 0 Table 9.2: Key Changes in Vote Resource Allocation 1,027 1,027 0 0 1,190,000 1,190,000 0 0 Major changes in resource allocation over and above the previous financial year JustificationÊforÊproposedÊÊChangesÊinÊExpenditureÊ and Outputs Programme : 08 56 Regional Referral Hospital Services Output: 08 5601 Inpatient services Change in Allocation (UShs Bn) : -2.808 Output: 08 5602 Outpatient services Change in Allocation (UShs Bn) : 0.045 The money for the salaries was put under Hospital Management services The increase was due to the allocation of money for pension and gratuity Output: 08 5603 Medicines and health supplies procured and dispensed Change in Allocation (UShs Bn) : 0.031 The increase was due to the allocation of money for pension and gratuity Output: 08 5604 Diagnostic services Change in Allocation (UShs Bn) : 0.036 The increase was due to the allocation of money for pension and gratuity Output: 08 5605 Hospital Management and support services Change in Allocation (UShs Bn) : 2.744 This was due to the allocation of money for salaries from the In patients Output: 08 5607 Immunisation Services 110 Kabale Referral Hospital Ministerial Policy Statement Vote: 168 Kabale Referral Hospital Change in Allocation (UShs Bn) : 0.051 The increase was due to the allocation of money for pension and gratuity Output: 08 5619 Human Resource Management
 Services Change in Allocation (UShs Bn) : 0.020 This is a newly created item Output: 08 5620 Records Management Services Change in Allocation (UShs Bn) : 0.007 This is a newly created item Output: 08 5672 Government Buildings and Administrative Infrastructure Change in Allocation (UShs Bn) : 0.640 There is additional money for the construction of the Interns /Doctors hostel,: monitoring and supervision by the Consultant Output: 08 5677 Purchase of Specialised Machinery & Equipment Change in Allocation (UShs
 Bn) : -0.085 Part of the money was put towards the construction of the Interns Hostel Output: 08 5680 Hospital Construction/rehabilitation Change in Allocation (UShs Bn) : -0.041 There was need to allocate more money towards the renovation of the wards and putting up a pharmacy room for the In patients Output: 08 5681 Staff houses construction and rehabilitation Change in Allocation (UShs Bn) : 0.062 Some money had to construction of the attendants shed Output: 08 5683 OPD and other ward construction and rehabilitation Change in Allocation (UShs Bn) : 0.133 There was allocation of money construction of the water borne toilet (X) Vote Narrative For Past And Medium Term Plans Vote Challenges The challenges include:- under-staffing especially doctors, midwives anesthetists pharmacy staff and others; the staff structure not matching with the current staffing needs; low wage for recruitment leading to failure to offer certain services such as intensive care,ÊaccidentsÊandÊemergencyÊandÊÊneonatalÊcare;ÊlowÊstaffÊattitudeÊtowardsÊwork;ÊinadequateÊequipmentÊe.gÊCTÊScan,ÊMRIÊandÊ other important diagnostic equipment leading to too many referrals which is costly to the patients and the hospital; lengthy procurement procedures; budget cuts and very irregular hydro power leading high dependence on the generator yet it is also very old.
Plans to improve Vote Performance Strengthen support supervision with task allocation; improve on time management by introducing the clocking machine; regular meetings;ÊbuildÊstaffÊcapacityÊthroughÊtrainingsÊ(shortÊandÊlongÊterm);ÊimproveÊstaffÊwelfare.ÊÊConstructionÊofÊÊaÊDoctors/InternsÊ hostel will also contribute to performance improvement.

; encouraging staff to work in the Private wing and lobbying implementing partnersÊtoÊÊfillÊinÊgapsÊinÊserviceÊdelivery.
111 Kabale Referral Hospital Ministerial Policy Statement Vote: 168 Kabale Referral Hospital (XI) Vote Cross Cutting Policy And Other Budgetary Issues Table 11.1: Cross- Cutting Policy Issues Issue Type: Objective : Enviroment Inclusive and quality health care services Issue of Concern : Biological waste resulting from frequent filling up of pit latrines in the hospital.

Planned Interventions : 1- Renovation and regular emptying of pit latrines.

2- construction a water borne toilet.


Budget Allocation (Billion) : 0.017 Performance Indicators: Proportion of Pit latrines renovated and emptied.
Target 100% (3) Table 11.2: AIA Collections Source of AIA(Ush Bn) Other Fees and Charges Total (XII) Personnel Information TableÊ12.1Ê:ÊVoteÊStaffingÊProfileÊÊbyÊPost 2016/17 Budget 2016/17 Actual by Dec 2017/18 Projected 0.000 0.000 0.000 0.000 0.500 0.500 112 Masaka Referral Hospital Ministerial Policy Statement Vote: 169 Masaka Referral Hospital V1: Vote Overview (i) Vote Mission Statement To provide highest possible level of health services to all people in Masaka Region through quality general and specialized health services delivery (ii) Strategic Objective (iii) Major Achievements in 2016/17 During the first half of FY 2016/17 from July 2016 to December 2016, Masaka Regional Referral hospital accomplished the following achievements: INPATIENTS SERVICES 17,104 admissions were made, 56,606 Patient days and carried out 4,772 deliveries.
The Bed occupancy rate was 94% with an average 4 days of length.

1,865 Major surgical operations carried out and 3,641 Minor operations 481 Referrals in were 481 and 89 Referral s out were made OUPATIENTS SERVICES 63,138 General outpatient contacts were treated and 71,948 Specialized Outpatient Clinic attendees Private Patient Health services were provided treating 2,010 Patients.
ESSENTIAL MEDICINES HEALTH SUPPLIES Essential Medicines and Health Supplies worth 408,903,904.24 supplied from National Medical Stores and dispensed to patients.

DIAGNOSTICS The Laboratory carried out 136,288 examinations, 4,926 Ultra sound examinations and 300 X-ray Examinations.

The Hospital transfused 2, 234 units of blood.


MANAGEMENT AND SUPPORT SERVICES Hospital management carried out Quarterly appraisals of staff, ensured that staff in post are all paid their salaries on time, 26 interns were paid their allowances from MOH.

Payment for goods and services provided to the hospital was made.

2 hospital board meetings held.
Emergency repairs of Buildings, servicing of Plants and Vehicles undertaken 2 performance review meetings held 113 Masaka Referral Hospital Ministerial Policy Statement Vote: 169 Masaka Referral Hospital 2 financial performance reports made Hospital supervision and rounds carried on a weekly basis 6 public relations activities performed PREVENTION AND REHABILITATION The hospital carried out 1,500 Physiotherapy sessions, 123 Occupational therapy sessions 100 Orthopaedic appliances formulated, Family planning services were provided to 2,255 contacts, 7,600 ANC contacts, and 2,125 EMTCT contacts 6 Specialist outreaches carried out to problematic hospitals and Health centre IVs in the region , 11,168 RCT/VCT tests were conducted.
IMMUNISATION The Hospital provided 15,458 Vaccinations against childhood illnesses, carried out 55 Health Education sessions, 4 Radio talk shows, and 8 EPI Surveillance activities All cases of Epidemic potential were investigated and Contact tracing activities undertaken AUDIT The auditor made 2 Quarterly audit reports, audited procurements, carried out Quarterly stores, all deliveries were witnessed, verified and taken on charge and Fixed assets Register appraised CAPITAL DEVELOPMENT PROJECTS With GOU funding the Construction of Maternity and Children’s Complex completion rate is at 40% and Construction of foundation for staff Hostel is 40% completed Procurement of ECG machine at evaluation stage, Patients waiting Chairs Procured and delivered Construction of Oxygen Plant House started, Renovation of Dental clinic initiated, supervision of construction projects undertaken, Site meeting held and Payment affected for works done (iv) Medium Term Plans 114 Masaka Referral Hospital Ministerial Policy Statement Vote: 169 Masaka Referral Hospital The following strategic interventions will be undertaken in the medium term: CompletingÊÊÊÊthe Construction of the Maternity and childrenÕs Complex in order to improve health delivery services.
Completing the equipping of the Maternity and ChildrenÕs Complex To complete the construction of a 40 StaffÊÊhostel in order to increase retention and attraction of staff.
To accelerate mobilisation and education of the Masaka Region Community to adopt healthy living lifestyles To improve aggressively quality improvement initiatives in health care services delivery ÊThe hospital intends to establish Adolescent friendly services.ÊÊ To intensify initiatives that save life particularly emergency care Establish a fully fledged diagnostic unit through a Public Private Partnership arrangement with Equator University of Science and Technology.
To continue with water harvesting on all new buildings and alternate source of power on service delivery areas.

Ê To complete the 30 unit staff hostel in order to attract and retain staff.

(v) Summary of Past Performance and Medium Term Budget Allocations Table V1.1: Overview of Vote Expenditures (UShs Billion) 2016/17 MTEF Budget Projections 2015/16 Outturn Approved Budget Expenditure by End Dec 2017/18 2018/19 2019/20 2020/21 2021/22 Recurrent Devt.

Wage Non Wage GoU Ext.

Fin.
GoU Total Total GoU+Ext Fin (MTEF) Arrears Total Budget A.I.A Total Grand Total Total Vote Budget Excluding Arrears (VI) Budget By Economic Clasification Table V6.1 2016/17 and2017/18 Budget Allocations by Item 2016/17 Approved Budget 2017/18 Draft Estimates 115 Masaka Referral Hospital Ministerial Policy Statement Vote: 169 Masaka Referral Hospital Billion Uganda Shillings Output Class : Outputs Provided GoU Ext.
Fin 0.000 3.978 AIA Total 0.365 4.344 GoU Ext.
Fin 0.000 4.175 AIA Total 0.350 4.525 211 Wages and Salaries 212 Social Contributions 213 Other Employee Costs 221 General Expenses 222 Communications 223 Utility and Property Expenses 224 Supplies and Services 227 Travel and Transport 228 Maintenance Output Class : Capital Purchases 281 Property expenses other than interest 312 FIXED ASSETS Output Class : Arrears 321 DOMESTIC Grand Total : Total excluding Arrears (VII)ÊBudgetÊByÊProgrammeÊAndÊSubprogrammeÊÊÊ Table V7.1: Past Expenditure Outturns and Medium Term Projections by Programme and SubProgramme Billion Uganda shillings FY 2016/17 Medium Term Projections FY 2015/16 Outturn Approved Budget SpentÊByÊ End Dec 2017-18 Proposed Budget 2018-19 2019-20 2020-21 2021-22 56 Regional Referral Hospital Services
 5.408 01 Masaka Referral Hospital Services 02 Masaka Referral Hospital Internal Audit 1004 Masaka Rehabilitation Referral Hospital Total for the Vote Total Excluding Arrears (VIII) ProgrammeÊPerformanceÊandÊMediumÊTermÊPlansÊÊÊÊÊÊ Table V8.1: Programme Outcome and Outcome Indicators Programme : 56 Regional Referral Hospital Services Programme Objective : To provide Specialized and higher level health services through provision of curative, preventive, rehabilitative, and pro motive health services to all people of Masaka region Responsible Officer: Dr Tugumisirize Florence 116 Masaka Referral Hospital Ministerial Policy Statement Vote: 169 Masaka Referral Hospital Programme Outcome: Quality and accessible Regional Referral Hospital Services Sector Outcomes contributed to by the Programme Outcome 1.
Inclusive and quality healthcare services Outcome Indicators 2015/16 2016/17 2017/18 2018/19 2019/20 Actual Target Actual Target Projection Projection Performance Targets ¥Ê%Êincrease in diagnostic investigations carried out ¥ÊBed Occupancy rate ¥Ê%Êincrease of specialised clinic outpatients attendences SubProgramme: 01 Masaka Referral Hospital Services Output: 01 Inpatient services No.

of in-patients (Admissions) Output: 02 Outpatient services No.

of general outpatients attended to No.


of specialised outpatients attended to 10% 85% 6% 13% 85% 8% 15% 85% 10% 43000 43300 44550 108500 108950 108991 151447 151550 152000 Output: 03 Medicines and health supplies procured and dispensed Value of medicines received/dispensed (Ush bn) 1500000000 1520000000 1525000000 Output: 04 Diagnostic services No.

of laboratory tests carried out No.

of patient xrays (imaging) taken Output: 06 Prevention and rehabilitation services No.
of antenatal cases (All attendances) No.

of children immunised (All immunizations) No.

of family planning users attended to (New and Old) 553900 554000 554800 19964 23000 23800 15601 34317 3500 15750 34517 3850 15900 34817 4000 (IX) Major Capital Investments And Changes In Resource Allocation Table 9.1: Major Capital Investment (Capital Purchases outputs over 0.5Billion) FY 2016/17 FY 2017/18 Appr.
Budget and Planned Outputs Expenditures and Achievements by end Dec Proposed Budget and Planned Outputs Vote 169 Masaka Referral Hospital Program : 08 56 Regional Referral Hospital Services Development Project : 1004 Masaka Rehabilitation Referral Hospital Output: 08 56 81 Staff houses construction and rehabilitation 117 Masaka Referral Hospital Ministerial Policy Statement Vote: 169 Masaka Referral Hospital Monthly analysis of attendance to duty since we have procured the Machine will be done and displayed on a hospital notice board.
Ê Trained heads of departments and ward/ unit-ÊÊin charges in leadership Ê Hospital and unit Quality improvement teams formed and active Ê Maternal and neonatal mortality audits done Ê Regular Performance review meetings to be held Training of staff on customer care to improve patient handling and satisfaction (XI) Vote Cross Cutting Policy And Other Budgetary Issues Table 11.1: Cross- Cutting Policy Issues Issue Type: Objective : HIV/AIDS to provide comprehensive HIV/AIDS Services to all eligible patients who report to Masaka Regional Referral Hospital Issue of Concern : HIV/AIDs increasing incidence Planned Interventions : comprehensive monitoring and enrolling all eligible patients to treatment Budget Allocation (Billion) : 0.300 Performance Indicators: % increase in number of new patients accessing Comprehensive care Issue Type: Objective : Enviroment ensure odourless environment Issue of Concern : indiscriminate littering Planned Interventions : enhanced management of hospital waste Budget Allocation (Billion) : 0.060 Performance Indicators: Frequency and quality of cleaning services of Hospital Compound and clinics and improved waste disposal procedures Table 11.2: AIA Collections Source of AIA(Ush Bn) Other Fees and Charges Total (XII) Personnel Information 2016/17 Budget 2016/17 Actual by Dec 2017/18 Projected 0.000 0.000 0.000 0.000 0.350 0.350 118 Masaka Referral Hospital Ministerial Policy Statement Vote: 169 Masaka Referral Hospital TableÊ12.1Ê:ÊVoteÊStaffingÊProfileÊÊbyÊPost Post Authorised
Post Authorised Establishme nt Filled Posts Vacant Posts Cleared for filling in 2017/18 Number of Posts Estimate d for 2017/18 Scale Gross Salary Rate per Month Annual Cost of Filled Posts 2017/18 Annual Cost of Estimated Posts 2017/18 CONSULTANT DISPENSER ENROLLED MIDWIFE ENROLLED NURSE LABORATORY ASSISTANT (MEDICAL) MEDICAL OFFICER MEDICAL OFFICER SPECIAL GRADE MORTUARY ATTENDANT PHARMACY ATTENDANT PRINCIPAL CLINICAL OFFICER PSYCHIATRIC CLINICAL OFFICER SENIOR CONSULTANT SENIOR DISPENSER SENIOR NURSING OFFICER SENIOR PRINCIPAL
 NURSING OFFICER SENIOR PSYCHIATRIC CLINICAL OFFICER SENIOR RADIOGRAPHER THEATRE ASSISTANT Vote Total 5 2 19 31 3 9 2 1 1 0 2 0 1 36 11 U1SE 2,785,630 13,928,150 33,427,560 3 U5SC 898,337 1,796,674 10,780,044 21 U7U 40 U7U 4 U7U 577,257 10,967,883 6,927,084 577,257 17,894,967 6,927,084 569,756 1,709,268 6,837,072 10 U4SC 1,322,163 11,899,467 15,865,956 11 U2SC 2,150,009 4,300,018 25,800,108 2 U8U 2 U8L 327,069 327,069 3,924,828 292,166 292,166 3,505,992 1 U3SC 1,534,858 0 18,418,296 4 U5SC 911,089 1,822,178 10,933,068 4 U1SE 3,774,120 0 45,289,440 2 U4SC 1,322,163 1,322,163 15,865,956 41 U4SC 729,024 26,244,864 8,748,288 1 U2SC 2,000,000 2 U4SC 1,321,674 0 0 24,000,000 15,860,088 2 U4SC 1,234,008 1,234,008 14,808,096 4 U6U 623,409 1,870,227 7,480,908 116 49 19 165 22,949,989 13,928,150 275,399,868 119 Mbale Referral Hospital Ministerial Policy Statement Vote: 170 Mbale Referral Hospital V1: Vote Overview (i) Vote Mission Statement To provide general and specialized, curative preventive, promotive, and rehabilitative services in the 14 Districts of Elgon catchment area (ii) Strategic Objective (iii) Major Achievements in 2016/17 SiteÊforÊconstructionÊofÊsurgicalÊcomplexÊhandedÊoverÊtoÊcontractor,ÊPhaseÊoneÊofÊÊconstructionÊ15%ÊofÊworks,ÊAdvertsÊrunÊforÊ renovation of ward 6/7, bids sold, evaluated bid to select best bidder, and contract awarded to the best bidder.
awaiting certificates of works.

paid staff salaries , pension and gratuity.Audited and monitored pay roll, supplies, cleaning and sanitation done, (iv) Medium Term Plans Complete surgical complex, procure medical equipment, purchase vehicles to replace aging vehicles, procure hospital beds and bedding.
Control medical waste (v) Summary of Past Performance and Medium Term Budget Allocations Table V1.1: Overview of Vote Expenditures (UShs Billion) 2016/17 MTEF Budget Projections 2015/16 Outturn Approved Budget Expenditure by End Dec 2017/18 2018/19 2019/20 2020/21 2021/22 Recurrent Devt.

Wage Non Wage GoU Ext.

Fin.
GoU Total Total GoU+Ext Fin (MTEF) Arrears Total Budget A.I.A Total Grand Total Total Vote Budget Excluding Arrears (VI) Budget By Economic Clasification Table V6.1 2016/17 and2017/18 Budget Allocations by Item Billion Uganda Shillings Output Class : Outputs Provided GoU Ext.
Fin 0.000 6.425 AIA Total 0.350 6.775 GoU Ext.
Fin 0.000 6.688 AIA Total 0.350 7.038 211 Wages and Salaries 4.130 0.000 0.180 4.310 4.135 0.000 0.180 4.315 2016/17 Approved Budget 2017/18 Draft Estimates 120 Mbale Referral Hospital Vote: 170 212 Social Contributions 213 Other Employee Costs 221 General Expenses 222 Communications 223 Utility and Property Expenses 224 Supplies and Services 225 Professional Services 226 Insurances and Licenses 227 Travel and Transport 228 Maintenance 273 Employer social benefits Output Class : Capital Purchases 312 FIXED ASSETS Output Class : Arrears 321 DOMESTIC Grand Total : Total excluding Arrears Mbale Referral Hospital Ministerial Policy Statement (VII)ÊBudgetÊByÊProgrammeÊAndÊSubprogrammeÊÊÊ Table V7.1: Past
Table V7.1: Past Expenditure Outturns and Medium Term Projections by Programme and SubProgramme Billion Uganda shillings FY 2016/17 Medium Term Projections FY 2015/16 Outturn Approved Budget SpentÊByÊ End Dec 2017-18 Proposed Budget 2018-19 2019-20 2020-21 2021-22 56 Regional Referral Hospital Services 6.528 12.104 5.129 10.794 7.904 7.904 7.904 7.904 01 Mbale Referral Hospital Services 02 Mbale Referral Hospital Internal Audit 03 Mbale Regional Maintenance 1004 Mbale Rehabilitation Referral Hospital 1478 Institutional Support to Mbale Regional Hospital Total for the Vote Total Excluding Arrears (VIII) ProgrammeÊPerformanceÊandÊMediumÊTermÊPlansÊÊÊÊÊÊ Table V8.1: Programme Outcome and Outcome Indicators Programme : 56 Regional Referral Hospital Services Programme Objective : To construct surgical, emergency unit, cancer ward and equip with modern medical equipment 121 Mbale Referral Hospital Ministerial Policy Statement Vote: 170 Mbale Referral Hospital Responsible Officer: Hospital Director, Dr. J.S.O Obbo Programme Outcome: Quality and accessible health services Sector Outcomes contributed to by the Programme Outcome 1.
Inclusive and quality healthcare services Outcome Indicators 2015/16 2016/17 2017/18 2018/19 2019/20 Actual Target Actual Target Projection Projection Performance Targets ¥Ê%Êincrease of specialised clinic outpatients attendences; % increase of diagnostic investigations carried; Average length of stay; bed occupancy rate SubProgramme: 01 Mbale Referral Hospital Services Output: 01 inpatients services No.
of in-patients (Admissions) Output: 05 Hospital Management and support services Timely submission of quarterly financial/activity 15% 25% 25% 63000 63000 63000 12 12 12 (IX) Major Capital Investments And Changes In Resource Allocation Table 9.1: Major Capital Investment (Capital Purchases outputs over 0.5Billion) FY 2016/17 FY 2017/18 Appr.
Budget and Planned Outputs Expenditures and Achievements by end Dec Proposed Budget and Planned Outputs Vote 170 Mbale Referral Hospital Program : 08 56 Regional Referral Hospital Services Development Project : 1004 Mbale Rehabilitation Referral Hospital Output: 08 56 83 OPD and other ward construction and rehabilitation Major construction of surgical and cancer ward, construction of bigger incenerator, Renovation of existing wards purchase of assorted medical equipments Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: A.I.A: 4,979,857 4,979,857 0 0 Development Project : 1478 Institutional Support to Mbale Regional Hospital Output: 08 56 83 OPD and other ward construction and rehabilitation Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: 0 0 0 Surgical complex constructed, , 1,237,485 1,237,485 0 0 0 0 0 2,000,000 2,000,000 0 0 830,429 830,429 0 122 Mbale Referral Hospital Ministerial Policy Statement Vote: 170 Mbale Referral Hospital A.I.A: 0 0 0 Table 9.2: Key Changes in Vote Resource Allocation (X) Vote Narrative For Past And Medium Term Plans Vote Challenges Low staffing levels, in adequate allocation of funds for pension and gratuity, inÊadequateÊstaffÊaccommodation.ÊLowÊMTFÊÊallocationÊtoÊvoteÊtoÊdevelopmentÊprojects Plans to improve Vote Performance streamÊlineÊprocurementÊprocess,ÊsubmitÊvacantÊpostsÊtoÊMinistryÊÊPublicÊservice (XI) Vote Cross Cutting Policy And Other Budgetary Issues Table 11.1: Cross- Cutting Policy Issues Table 11.2: AIA Collections Source of AIA(Ush Bn) Other Fees and
 Charges Total (XII) Personnel Information TableÊ12.1Ê:ÊVoteÊStaffingÊProfileÊÊbyÊPost 2016/17 Budget 2016/17 Actual by Dec 2017/18 Projected 0.000 0.000 0.000 0.000 0.350 0.350 Post Authorised Establishme nt Filled Posts Vacant Posts Cleared for filling in 2017/18 Number of Posts Estimate d for 2017/18 Scale Gross Salary Rate per Month Annual Cost of Filled Posts 2017/18 Annual Cost of Estimated Posts 2017/18 Askari Enrolled Midwife Enrolled Nurse Medical Officer Medical Records Assistant Nursing Officer(Midwifery) Nursing Officer(Nursing) Princ.
Laboratory Technologist Psychiatric Clinical Officer Sen.
Consultant Surgeon Vote Total U8 26 U7 44 U7 15 U4 6 U7 30 U5 68 U5 1 U3 1 U5 1 U1 Soroti Referral Hospital Ministerial Policy Statement Vote: 171 Soroti Referral Hospital V1: Vote Overview (i) Vote Mission Statement To increase access to all people in the region to quality general and specialised health services (ii) Strategic Objective (iii) Major Achievements in 2016/17 Prevention and Rehabilitation services by end of Quarter 2 731-Physiotherapy 794-Family Planning 865- ANC Management Services by end of Quarter 2 Maintained clean environment Paid Salaries to date Facilitated officers to carryout their duties Ensured staff attendance Procured goods and Services Diagnostics by end of Quarter 2 123682- Lab Tests 2361-ultra sound scans 1465- blood transfusion Inpatients Services by end of Quarter 2.
6403- Inpatients 1064-Deliveries 366- Major Surgeries ALOS-5DAYS BOR- 106% Out Patients Services by end of Quarter 2 26404-General out patients 537- Surgical outpatients 580- Paediatrics 587-gyne 2438- eye out patients 1132-ENT Capital Developments by end of Quarter 2 Private wing block construction to 90% Staff house construction up to 89 % (iv) Medium Term Plans Increase on MTF ceiling on procurement of medical and non medical equipment and Pensions .Increase staffing levels and staff supervision.
Rehabilitation/Renovation of wards and Adm blocks Operationalise the newly constructed private wing building to generate revenue.
Maintain efficiency in management of drug stocks 124 Soroti Referral Hospital Ministerial Policy Statement Vote: 171 Soroti Referral Hospital (v) Summary of Past Performance and Medium Term Budget Allocations Table V1.1: Overview of Vote Expenditures (UShs Billion) 2016/17 MTEF Budget Projections 2015/16 Outturn Approved Budget Expenditure by End Dec 2017/18 2018/19 2019/20 2020/21 2021/22 Recurrent Devt.

Wage Non Wage GoU Ext.

Fin.
GoU Total Total GoU+Ext Fin (MTEF) Arrears Total Budget A.I.A Total Grand Total Total Vote Budget Excluding Arrears (VI) Budget By Economic Clasification Table V6.1 2016/17 and2017/18 Budget Allocations by Item Billion Uganda Shillings Output Class : Outputs Provided GoU Ext.
Fin 0.000 4.142 AIA Total 0.045 4.187 GoU Ext.
Fin 0.000 4.265 AIA Total 0.045 4.310 2016/17 Approved Budget 2017/18 Draft Estimates 211 Wages and Salaries 212 Social Contributions 213 Other Employee Costs 221 General Expenses 222 Communications 223 Utility and Property Expenses 224 Supplies and Services 227 Travel and Transport 228 Maintenance 282 Miscellaneous Other Expenses Output Class : Capital Purchases 281 Property expenses other than interest 312 FIXED ASSETS Output Class : Arrears Soroti Referral Hospital Ministerial Policy Statement Vote: 171 Soroti Referral Hospital 321 DOMESTIC Grand Total : Total excluding Arrears 0.254 5.455 5.201 0.000 0.000 0.000 0.000 0.045 0.045 0.254 5.500 5.246 0.117 5.870 5.753 0.000 0.000 0.000 0.000 0.045 0.045 0.117 5.915 5.798 (VII)ÊBudgetÊByÊProgrammeÊAndÊSubprogrammeÊÊÊ Table V7.1: Past Expenditure Outturns and Medium Term Projections by Programme and
 SubProgramme Billion Uganda shillings FY 2016/17 Medium Term Projections FY 2015/16 Outturn Approved Budget SpentÊByÊ End Dec 2017-18 Proposed Budget 2018-19 2019-20 2020-21 2021-22 56 Regional Referral Hospital Services 5.404 5.500 3.157 5.915 5.778 5.793 5.818 5.843 01 Soroti Referral Hospital Services 02 Soroti Referral Hospital Internal Audit 03 Soroti Regional Maintenance 1004 Soroti Rehabilitation Referral Hospital 1471 Institutional Support to Soroti Regional Referral Hospital Total for the Vote Total Excluding Arrears (VIII) ProgrammeÊPerformanceÊandÊMediumÊTermÊPlansÊÊÊÊÊÊ Table V8.1: Programme Outcome and Outcome Indicators Programme : 56 Regional Referral Hospital Services Programme Objective : To provide specialized and general health care, conduct training, research and support supervision to other health facilities in the region.To improve quality of services.
Responsible Officer: Batiibwe Paul Emmanuel Programme Outcome: quality and accessible regional health services Sector Outcomes contributed to by the Programme Outcome 1.

Inclusive and quality healthcare services Outcome Indicators 2015/16 2016/17 2017/18 2018/19 2019/20 Actual Target Actual Target Projection Projection Performance Targets 126 Soroti Referral Hospital Vote: 171 ¥Êquality health Soroti Referral Hospital SubProgramme: 01 Soroti Referral Hospital Services Output: 02 Outpatient services No.
of general outpatients attended to No.

of specialised outpatients attended to Output: 04 Diagnostic services No.

of laboratory tests carried out No.

of patient xrays (imaging) taken Output: 06 Prevention and rehabilitation services No.

of antenatal cases (All attendances) No.

of children immunised (All immunizations) No.


of family planning users attended to (New and Old) Ministerial Policy Statement 15 20 25 84000 6800 85000 6900 86000 7000 160000 160100 160200 4000 4100 4200 4800 15000 2800 4900 15100 2900 5000 16200 3000 (IX) Major Capital Investments And Changes In Resource Allocation Table 9.1: Major Capital Investment (Capital Purchases outputs over 0.5Billion) FY 2016/17 FY 2017/18 Appr.
Budget and Planned Outputs Expenditures and Achievements by end Dec Proposed Budget and Planned Outputs Vote 171 Soroti Referral Hospital Program : 08 56 Regional Referral Hospital Services Development Project : 1004 Soroti Rehabilitation Referral Hospital Output: 08 56 81 Staff houses construction and rehabilitation - Continuation with payment for the completed staff house payment was made against 2 certificates of works for staff house for the 2 quarters.
Payments for supervision of works was also made Hospital continues to construct 24 units of staff house.

Supervision by supervising engineer will be undertaken.
Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: A.I.A: 929,857 929,857 0 0 Table 9.2: Key Changes in Vote Resource Allocation (X) Vote Narrative For Past And Medium Term Plans Vote Challenges 709,087 709,087 0 0 947,424 947,424 0 0 127 Soroti Referral Hospital Ministerial Policy Statement Vote: 171 Soroti Referral Hospital Pensions sent from the centre which is not budgeted for, ÊLowÊfundingÊtoÊprocurementÊofÊmedicalÊandÊtransportÊequipment, ÊSmallÊcapitalÊallocationÊforÊtheÊpaymentÊofÊÊcompletingÊstaffÊhouse Staffing levels which affect achievement of vote mandate.
Plans to improve Vote Performance ÊIncreaseÊonÊMTFÊceilingÊonÊÊProcurementÊofÊmedicalÊandÊnonÊmedicalÊequipmentÊandÊPensioners.ÊÊIncreaseÊstaffingÊlevelsÊandÊ improvement in capital allocation.Improve on supervision of staff attendance by installation of Bio-metric machines (XI) Vote Cross Cutting Policy And Other Budgetary Issues Table 11.1: Cross- Cutting Policy Issues Table 11.2: AIA Collections Source of AIA(Ush Bn) Other Fees and Charges Total (XII) Personnel Information TableÊ12.1Ê:ÊVoteÊStaffingÊProfileÊÊbyÊPost 2016/17 Budget 2016/17 Actual by Dec 2017/18 Projected 0.000 0.000 0.000 0.000 0.045 0.045 Post Authorised Establishme nt Filled Posts Vacant Posts Cleared for filling in 2017/18 Number of Posts Estimate d for 2017/18 Scale Gross Salary Rate per Month Annual Cost of Filled Posts 2017/18 Annual Cost of Estimated Posts 2017/18 Lab Technician Medical Officer MOSG(Obs/Gyn) MOSG(Peadetrician) MOSG(Surgeon) Nutritionist Vote Total 0 8 0 0 0 0 8 1 2 1 1 1 1 7 0 0 0 0 0 0 0 1 U5 10 U4 1 U2 1 U2 1 U2 1 U4 15 880,083 0 10,560,996 1,320,107 10,560,856 15,841,284 2,150,009 2,215,831 2,150,009 1,248,057 9,964,096 0 0 0 0 0 25,800,108 26,589,972 25,800,108 14,976,684 119,569,152 128 Lira Referral Hospital Ministerial Policy Statement Vote: 172 Lira Referral Hospital V1: Vote Overview (i) Vote Mission Statement To be a Regional Center of Excellence in providing specialized and super specialized quality health services, conduct tertiary medical training, research and contributing to National Health policy.
(ii) Strategic Objective Improvement in the total health of the people within Lango Sub Program in order to Promote a productive population (iii) Major Achievements in 2016/17 (iv) Medium Term Plans 1.

Revamping the Hospital Sewerage system.

2.

Procurement and installation of a Solar Powered security system.

3.

Thorough site clearance for the JICA Development partner's construction project of a new OPD and attendant Wardrooms and offices.

4.
4.

Construction of the super structure for the 1st phase of the Staff Accommodation flat.

(v) Summary of Past Performance and Medium Term Budget Allocations Table V1.1: Overview of Vote Expenditures (UShs Billion) 2016/17 MTEF Budget Projections 2015/16 Outturn Approved Budget Expenditure by End Dec 2017/18 2018/19 2019/20 2020/21 2021/22 Recurrent Devt.

Wage Non Wage GoU Ext.

Fin.
GoU Total Total GoU+Ext Fin (MTEF) Arrears Total Budget A.I.A Total Grand Total Total Vote Budget Excluding Arrears (VI) Budget By Economic Clasification Table V6.1 2016/17 and2017/18 Budget Allocations by Item Billion Uganda Shillings GoU Ext.
Fin AIA Total GoU Ext.
Fin AIA Total 2016/17 Approved Budget 2017/18 Draft Estimates 129 Lira Referral Hospital Ministerial Policy Statement Vote: 172 Lira Referral Hospital Output Class : Outputs Provided 211 Wages and Salaries 212 Social Contributions 213 Other Employee Costs 221 General Expenses 222 Communications 223 Utility and Property Expenses 224 Supplies and Services 225 Professional Services 227 Travel and Transport 228 Maintenance 273 Employer social benefits Output Class : Capital Purchases 281 Property expenses other than interest 312 FIXED ASSETS Output Class : Arrears 321 DOMESTIC Grand Total : Total excluding Arrears 6.302
0.000 1.488 0.001 1.487 0.242 0.242 6.544 6.302 (VII)ÊBudgetÊByÊProgrammeÊAndÊSubprogrammeÊÊÊ Table V7.1: Past Expenditure Outturns and Medium Term Projections by Programme and SubProgramme Billion Uganda shillings FY 2016/17 Medium Term Projections FY 2015/16 Outturn Approved Budget SpentÊByÊ End Dec 2017-18 Proposed Budget 2018-19 2019-20 2020-21 2021-22 56 Regional Referral Hospital Services 5.482 6.013 2.570 6.544 6.160 6.170 6.180 6.190 01 Lira Referral Hospital Services 02 Lira Referral Hospital Internal Audit 03 Lira Regional Maintenance 1004 Lira Rehabilitation Referral Hospital 1477 Institutional Support to Lira Regional Hospital Total for the Vote Total Excluding Arrears (VIII) ProgrammeÊPerformanceÊandÊMediumÊTermÊPlansÊÊÊÊÊÊ Table V8.1: Programme Outcome and Outcome Indicators 130 Lira Referral Hospital Ministerial Policy Statement Vote: 172 Lira Referral Hospital Programme : 56 Regional Referral Hospital Services Programme Objective : To offer comprehensive, specialized, curative, promotive, and rehabilitative healthcare services in the region.
Responsible Officer: Hospital Director Programme Outcome: Quality and accessible Regional Referral Hospital Services Sector Outcomes contributed to by the Programme Outcome 1.
Inclusive and quality healthcare services Outcome Indicators 2015/16 2016/17 2017/18 2018/19 2019/20 Actual Target Actual Target Projection Projection Performance Targets ¥ÊPercentage (%) increase of specialised clinic outpatients attendences ¥ÊPercentage (%) increase of diagnostic investigations carried ¥ÊPercentage bed occupancy rate SubProgramme: 01 Lira Referral Hospital Services Output: 01 Inpatient services No.

of in-patients (Admissions) Output: 02 Outpatient services No.
of general outpatients attended to No.

of specialised outpatients attended to Output: 04 Diagnostic services No.

of laboratory tests carried out No.

of patient xrays (imaging) taken 20% 15% 5% 35% 25% 4% 50% 40% 3% 1100 1150 1200 26000 26100 26200 200000 200100 200200 150500 150800 151000 1200 1300 1400 (IX) Major Capital Investments And Changes In Resource Allocation Table 9.1: Major Capital Investment (Capital Purchases outputs over 0.5Billion) FY 2016/17 FY 2017/18 Appr.
Budget and Planned Outputs Expenditures and Achievements by end Dec Proposed Budget and Planned Outputs Vote 172 Lira Referral Hospital Program : 08 56 Regional Referral Hospital Services Development Project : 1004 Lira Rehabilitation Referral Hospital Output: 08 56 77 Purchase of Specialised Machinery & Equipment Heavy duty photocopier and ptinter procured, Heavy duty washing machine procured, and general hospital medical equipment procured and delivered to lira reg referral hospital Total Output Cost(Ushs Thousand) Gou DevÕt: 519,857 519,857 279,976 279,976 0 0 131 Lira Referral Hospital Vote: 172 Ext Fin: A.I.A: Lira Referral Hospital 0 0 Output: 08 56 80 Hospital Construction/rehabilitation installation of oxygen plant Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: A.I.A: 78,571 78,571 0 0 Output: 08 56 81 Staff houses construction and rehabilitation Payment of retention for staff houses Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: A.I.A: 200,000 200,000 0 0 Table 9.2: Key Changes in Vote Resource Allocation Ministerial Policy Statement 0 0 0 0 0 0 0 0 0 0 Revamping of the Sewarage system 0 0 578,000 578,000 0 0 Super structure up to roofing level of a 16No.
Units Staff house (Phase one of the Construction project).
800,000 800,000 0 0 Major changes in resource allocation over and above the previous financial year JustificationÊforÊproposedÊÊChangesÊinÊExpenditureÊ and Outputs Programme : 08 56 Regional Referral Hospital Services Output: 08 5601 Inpatient services Change in Allocation (UShs Bn) : -3.478 Output: 08 5602 Outpatient services Change in Allocation (UShs Bn) : -0.082 Output: 08 5605 Hospital Management and support services Change in Allocation (UShs Bn) : 3.781 Output: 08 5606 Prevention and rehabilitation services Change in Allocation (UShs Bn) : -0.046 Output: 08 5607 Immunisation Services Change in Allocation (UShs Bn) : 0.008 Output: 08 5619 Human Resource Management Services Transferring all management related costs to the Hospital Management and Support Services Key Output Transferring all management related costs to the Hospital Management and Support Services Key Output (1) Incorporation of Pension and Gratuity expenses.
(2) Consolidation of all management related cost to the management and support services.
Transferring all management related costs to the Hospital Management and Support Services Key Output Transferring all management related costs to the Hospital Management and Support Services Key Output 132 Lira Referral Hospital Ministerial Policy Statement Vote: 172 Lira Referral Hospital Change in Allocation (UShs Bn) : 0.025 Output: 08 5620 Records Management Services Change in Allocation (UShs Bn) : 0.010 Output: 08 5680 Hospital Construction/rehabilitation Change in Allocation (UShs Bn) : 0.499 Output: 08 5681 Staff houses construction and rehabilitation Change in Allocation (UShs Bn) : 0.600 Threshold set by the mother Ministry of Public Service.
As a new output, included in an inelastic resource basket.

To revamp the overstretched Sewarage system which no longer matches with the current very high user population.

Commencement of the two phased project in order to uplift the morale of the staffs.

Output: 08 5683 OPD and other ward construction and rehabilitation Change in Allocation (UShs Bn) : 0.110 Required to enable the entity benefit from the JICA development partners goodwill of a fully fledged OPD with its attendant sub-units.
(X) Vote Narrative For Past And Medium Term Plans Vote Challenges (1) Overcrowding at the Outpatient and Inpatient centers yet the building capacities are limited.

(2) Limited staffing levels especially at Consultant and Senior Consultant Levels.

Plans to improve Vote Performance (1) Engaging district and lower facility leadership to revitalize service delivery (2) Publicity towards the general public to avoid self referrals and seek primary healthcare from the lower facilities.
(XI) Vote Cross Cutting Policy And Other Budgetary Issues Table 11.1: Cross- Cutting Policy Issues Issue Type: Objective : HIV/AIDS (1) To provide HIV services to adolescents and the youth at specialized clinics (2) To strengthen HIV/AIDS prevention through radio talk shows , provision of HIV/AIDS, TB and malaria drugs.

To continue strengthening HIV service provision at Lira Infectious Disease clinic to all persons without discrimination.
Issue of Concern : To provide HIV services to adolescents and the youth at specialized clinics Planned Interventions : Mass sensitization and Counseling.

Budget Allocation (Billion) : 0.050 Performance Indicators: Number of radio talk shows held, Number of Community outreaches organized and successfully implemented, Number of young men who have undergone safe male circumcision.
133 Lira Referral Hospital Ministerial Policy Statement Vote: 172 Lira Referral Hospital Issue Type: Objective : Issue of Concern : Gender (1) To improve Sexual and reproductive Health Services for young persons in Lira RRH Catchment areas (2) To eliminate mother to child transmission of HIV/AIDS and also to promote safe male circumcision and provide Tetanus Toxoid vaccine to voluntary male circumcision and women in reproductive age.

(3) To focus on the reduction of maternal and neonatal mortality.
To plan and procure medicine and other health supplies for emergency obstetric and new born care.
0817202453-(1) To improve Sexual and reproductive Health Services for young persons in Lira RRH Catchment areas (2) To eliminate mother to child transmission of HIV/AIDS and also to promote safe male circumcision and provide Tetanus Toxoid vaccine Planned Interventions : Provision of information on sexual reproductive health and counseling and support of teenage mothers on matters of Antenatal, Family planning and family support.
Budget Allocation (Billion) : 0.020 Performance Indicators: Number of young persons reached, Number of counseling services sessions reported.

Issue Type: Objective : Enviroment (1)To encourage the use of fuel efficient stoves for cooking in the hospital.

(2) To promote green environment through sensitization of our clients and staff and planting of trees and grass within the hospital.

(3) To improve on the management of medical and other wastes disposal within the hospital.
Issue of Concern : To encourage the use of fuel efficient stoves for cooking in the hospital and To improve on the management of medical and other wastes disposal within the hospital.

Planned Interventions : Sensitization about the use of fuel efficient stoves.

Procurement of heavy duty waste bins and Training in infection prevention and control.
Budget Allocation (Billion) : 0.030 Performance Indicators: 100% usage of fuel efficient stoves, 100% infection prevented and controlled, Table 11.2: AIA Collections Source of AIA(Ush Bn) Other Fees and Charges Total (XII) Personnel Information TableÊ12.1Ê:ÊVoteÊStaffingÊProfileÊÊbyÊPost 2016/17 Budget 2016/17 Actual by Dec 2017/18 Projected 0.000 0.000 0.000 0.000 0.040 0.040 Post Authorised Establishme nt Filled Posts Vacant Posts Cleared for filling in 2017/18 Number of Posts Estimate d for 2017/18 Scale Gross Salary Rate per Month Annual Cost of Filled Posts 2017/18 Annual Cost of Estimated Posts 2017/18 Pool Stenographer Accountant ANAESTHETIC OFFICER Assistant Procurement Officer 0 0 0 0 1 1 2 1 1 1 2 1 1 U5 L 1 U4 U 2 U5 1 U5 U 386,972 798,667 833,711 625,067 0 0 0 0 4,643,664 9,584,004 10,004,532 7,500,804 134 Lira Referral Hospital Ministerial Policy Statement Vote: 172 Lira Referral Hospital CLINICAL OFFICER CONSULTANT Dental Technologist Engineering Technician ENROLLED MIDWIFE ENROLLED NURSE Laboratory Technologist MEDICAL OFFICER MEDICAL OFFICER SPECIAL GRADE NURSING OFFFICER NURSING OFFICER Senior Consultant (Obs & Gyn) Senior Consultant (Surgery) Senior Nutritionist Senior Occupational Therapist SENIOR OPTHALMIC CLINICAL OFFICER SENIOR OTHOPEDIC OFFICER Senior Pharmacist SENIOR PHYSIOTHERAPIST SENIOR RADIOGRAPHER SENIOR RECORDS ASSISTANT SENIOR THEATER ASSISTANT Vote Total 1
U5 7 U1 1 U5 SC 1 U7 U 4 U7 4 U7 1 U5 SC 3 U4 8 U2 2 U5 6 U4 SC 845,442 2,835,683 753,862 447,080 527,468 519,721 753,862 1,396,677 2,278,515 845,442 845,442 1 US1E 3,616,565 1 US1E 3,616,565 1 U3 SC 1,315,765 1 U3 1 U4 1 U4 1,131,967 1,186,244 1,186,677 1 U3 SC 1,315,765 1 U4 1 U4 2 U6 1 U4 Mbarara Referral Hospital Ministerial Policy Statement Vote: 173 Mbarara Referral Hospital V1: Vote Overview (i) Vote Mission Statement To provide comprehensive, super specialized health services, conduct tertiary health training, research and contributing to the health policy.
(ii) Strategic Objective a.

Offer comprehensive super-specialised curative, promotive, preventive and rehabilitative health care services.

b.

Provide outreach specialist support supervision services for District general Hospitals and lower level Health Facilities.

c. Offer tertiary and continuing Professional Development to health workers.

d. Contribute to the formulation of policies and guidelines of the Ministry of Health.
e. Participate in the monitoring and evaluation of health services in the country.

f. Undertake and conduct operational, technical and professional research.

g. Provide quality assurance and support services to health care delivery system.

h. To improve on the infrastructure of the entity through provision of adequate staff accommodation, improve working conditions and increase patient space within the next five years.

i.
i.

To improve maternal child health care services and have safe deliveries, successful caesarean sections and eliminate fresh still births for mothers who come timely.

j.

To procure and maintain modern medical and non-medical equipment and furniture within the next five years to improve service delivery.
(iii) Major Achievements in 2016/17 Admissions: 17,879 Bed occupancy: 84% Average length of stay: 4 days Normal deliveries: 2,908 Caesarean sections: 1,629 Major surgeries: 5,646 General out patients: 20,818 Special clinics outpatient: 53,300 X-ray examinations: 2,315 Ultra sound: 4,620 Laboratory/pathological/blood transfusions: 54,660 Family planning contacts: 630 ANC/ PMTCT: 15,406 Management and support services: InauguratedÊtheÊboard,ÊÊheldÊtwoÊboardÊmeetings,Ê1,580 meals for malnourished children and TB patients, 4 contracts committee meetings, 16 other staff meetings, linen washed, utilities for the two quarters provided, serviced 4 vehicles, purchased 4 tires, end of year performance report, final accounts prepared, cleaned and maintained buildings and compounds.
Purchase of Motor Vehicles and Other Transport Equipment: Procurement process ongoing with the bid documents prepared.

Clearance issued by Ministry of Public Service and solicitation of biddersÊawaitsÊclearanceÊofÊspecificationsÊfromÊtheÊChiefÊMechanicalÊEngineer.ÊÊ Hospital Construction/rehabilitation: Solicitation bids issued for putting racks in medicines stores.
Renovation of the former laundry/kitchen building to convert it into a multi-purpose building is ongoing and progress is at 80%.ÊÊ Staff houses construction/rehabilitation: The super structure of the 16 units of flat apartments is at roofing level.

Purchase of Medical Equipment: Procurement process of assorted medical equipment including monitors to set up high dependence units on departments at issue of bids.
136 Mbarara Referral Hospital Ministerial Policy Statement Vote: 173 Mbarara Referral Hospital (iv) Medium Term Plans In the medium term service delivery is to concentrate on the specialists clinics to meet our core mission of being a referral hospital and improve working conditions through construction of staff houses, provision of basic tools to deliver services and improve data capture at all points.
In the medium term we also plan to renovate existing structures and fence the hospital to manage crowds and improve security.

(v) Summary of Past Performance and Medium Term Budget Allocations Table V1.1: Overview of Vote Expenditures (UShs Billion) 2016/17 MTEF Budget Projections 2015/16 Outturn Approved Budget Expenditure by End Dec 2017/18 2018/19 2019/20 2020/21 2021/22 Recurrent Devt.

Wage Non Wage GoU Ext.

Fin.
GoU Total Total GoU+Ext Fin (MTEF) Arrears Total Budget A.I.A Total Grand Total Total Vote Budget Excluding Arrears (VI) Budget By Economic Clasification Table V6.1 2016/17 and2017/18 Budget Allocations by Item Billion Uganda Shillings Output Class : Outputs Provided GoU Ext.
Fin 0.000 4.661 AIA Total 0.725 5.385 GoU Ext.
Fin 0.000 4.661 AIA Total 1.200 5.861 2016/17 Approved Budget 2017/18 Draft Estimates 211 Wages and Salaries 212 Social Contributions 213 Other Employee Costs 221 General Expenses 222 Communications 223 Utility and Property Expenses 224 Supplies and Services 227 Travel and Transport 228 Maintenance Output Class : Capital Purchases Mbarara Referral Hospital Ministerial Policy Statement Vote: 173 Mbarara Referral Hospital 312 FIXED ASSETS Output Class : Arrears 321 DOMESTIC Grand Total : Total excluding Arrears (VII)ÊBudgetÊByÊProgrammeÊAndÊSubprogrammeÊÊÊ Table V7.1: Past Expenditure Outturns and Medium Term Projections by Programme and SubProgramme Billion Uganda shillings FY 2016/17 Medium Term Projections FY 2015/16 Outturn Approved Budget SpentÊByÊ End Dec 2017-18 Proposed Budget 2018-19 2019-20
 2020-21 2021-22 56 Regional Referral Hospital Services 7.329 01 Mbarara Referral Hospital Services 02 Mbarara Referral Hospital Internal Audit 1004 Mbarara Rehabilitation Referral Hospital 1479 Institutional Support to Mbarara Regional Hospital Total for the Vote Total Excluding Arrears (VIII) ProgrammeÊPerformanceÊandÊMediumÊTermÊPlansÊÊÊÊÊÊ Table V8.1: Programme Outcome and Outcome Indicators Programme : 56 Regional Referral Hospital Services Programme Objective : Quality and accessible Regional Referral Hospital Services Responsible Officer: Dr. Barigye Celestine Hospital Director Programme Outcome: Quality and accessible Regional Referral Hospital Services Sector Outcomes contributed to by the Programme Outcome 1.
Inclusive and quality healthcare services Outcome Indicators 2015/16 2016/17 2017/18 2018/19 2019/20 Actual Target Actual Target Projection Projection Performance Targets 138 Mbarara Referral Hospital Ministerial Policy Statement Vote: 173 Mbarara Referral Hospital ¥Ê%Êincrease of specialised clinic outpatients attendences ¥Ê%Êincrease of diagnostic investigations carried ¥ÊÊBed occupancy rate SubProgramme: 01 Mbarara Referral Hospital Services Output: 01 Inpatient services No.
of in-patients (Admissions) Output: 02 Outpatient services No.

of general outpatients attended to No.

of specialised outpatients attended to Output: 04 Diagnostic services No.

of laboratory tests carried out No.

of patient xrays (imaging) taken Output: 06 Prevention and rehabilitation services No.

of antenatal cases (All attendances) No.

of children immunised (All immunizations) No.


of family planning users attended to (New and Old) SubProgramme: 1004 Mbarara Rehabilitation Referral Hospital Output: 80 Hospital Construction/rehabilitation No.

of reconstructed/rehabilitated general wards No.

of hospitals benefiting from the renovation of existing facilities Output: 81 Staff houses construction and rehabilitation No.
of staff houses constructed/rehabilitated Output: 85 Purchase of Medical Equipment Value of medical equipment procured (Ush Bn) (IX) Major Capital Investments And Changes In Resource Allocation Table 9.1: Major Capital Investment (Capital Purchases outputs over 0.5Billion) FY 2016/17 FY 2017/18 Appr.
Budget and Planned Outputs Expenditures and Achievements by end Dec Proposed Budget and Planned Outputs Vote 173 Mbarara Referral Hospital Program : 08 56 Regional Referral Hospital Services Development Project : 1004 Mbarara Rehabilitation Referral Hospital Output: 08 56 81 Staff houses construction and rehabilitation 139 Mbarara Referral Hospital Ministerial Policy Statement Vote: 173 Mbarara Referral Hospital Continuation of construction of sixteen units staff quarters The super structure in place 16 units staff quarters Completion of 16 units staff quarters Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: A.I.A: 659,986 659,986 0 0 Output: 08 56 85 Purchase of Medical Equipment Procure maternity delivery beds, Patient monitors for obsetrics and gynecology, ICT equipment for data capture in OPD, Emergency and all wards, patient monitors for ICU and neuro surgery equipment Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: A.I.A: 500,000 500,000 0 0 320,178 320,178 0 0 928,000 928,000 0 0 Procurement process at issue of bids Assorted medical equipment including monitors for high dependence units 131,932 131,932 0 0 300,000 300,000 0 0 Table 9.2: Key Changes in Vote Resource Allocation Major changes in resource allocation over and above the previous financial year JustificationÊforÊproposedÊÊChangesÊinÊExpenditureÊ and Outputs Programme : 08 56 Regional Referral Hospital Services Output: 08 5619 Human Resource Management Services Change in Allocation (UShs Bn) : 0.021 This is a new out put Output: 08
 5620 Records Management Services Change in Allocation (UShs Bn) : 0.004 This is a new out put Output: 08 5675 Purchase of Motor Vehicles and Other Transport Equipment Change in Allocation (UShs Bn) : 0.180 Staff transport has been a challenge and hiring is costly thus need to acquire a 30 sitter staff van Output: 08 5680 Hospital Construction/rehabilitation Change in Allocation (UShs Bn) : 0.172 Output: 08 5681 Staff houses construction and rehabilitation Change in Allocation (UShs Bn) : 0.268 Output: 08 5685 Purchase of Medical Equipment Change in Allocation (UShs Bn) : -0.200 Most of the wards are in need of rehabilitation thus the need to start with maternity especially the labor suit that is in very bad shape and the surgical ward This was a multi year project which we wanted to concluded and only remain with retention money Over years we have been allocating substantial amount of money and we have scale this output down to improve on others 140 Mbarara Referral Hospital Ministerial Policy Statement Vote: 173 Mbarara Referral Hospital (X) Vote Narrative For Past And Medium Term Plans Vote Challenges The challenges of the vote include inadequate funding for Medicines and sundries under NMS meeting on average about 50% of our requirements leaving clients to purchase common user items.
The staff structures have been stagnant for long leaving heavy word that compromises efficiency leaving the few available staff overburdened.

The infrastructure is old, dilapidated and inadequateÊleadingÊtoÊoverÊ50%ÊfloorÊcases.Ê Plans to improve Vote Performance In order to improve performance the entity has requested to fill all the existing vacancies within the available wage bill.

Will continue to allocate and utilize available resources efficiently.
AIA resources are allocated to cater for some of the critical supplies to benefit all the patients.
(XI) Vote Cross Cutting Policy And Other Budgetary Issues Table 11.1: Cross- Cutting Policy Issues Issue Type: Objective : HIV/AIDS To reduce incidence of HIV infections Issue of Concern : Increased incidence of HIV in the community and most at risk populations Planned Interventions : Safe male circumcision, treatment, post exposure prophylaxis exposed persons, health education towards responsible behavior and personal protection, counseling and testing, treat sexually transmitted infections.
Budget Allocation (Billion) : 0.400 Performance Indicators: Number cases, male circumcisions done, condoms issued, post exposure prophylaxis issued, number of people on HAART Objective : Elimination of mother to child infections Issue of Concern : Babies born with HIV when mothers are not diagnosed during antenatal and treatment given at birth Planned Interventions : Test every mother and husband during antenatal, those who are found positive are put on treatment and followed up until delivery.
Budget Allocation (Billion) : 0.005 Performance Indicators: Number of mothers and farthers tested, number of mothers on treatment of full HAART and number of children tested negative born of positive mothers Objective : To give HAART TO all that are eligible Issue of Concern : To reach the tipping point and safeguard the population from new infections.
Planned Interventions : Initiation of all clients whose CD4 count requires of HAART, counseling of positive clients to adhere and live positively Budget Allocation (Billion) : 0.400 Performance Indicators: Number of clients on full HAART, number of clients counseled, compliance levels of those clients on treatment Issue Type: Objective : Gender To have equal access to health services despite gender, age and social economic status Issue of Concern : Access to maternal child health services 141 Mbarara Referral Hospital Ministerial Policy Statement Vote: 173 Planned Interventions : Mbarara Referral Hospital Provission of free maternal child health services, automatic waiver for services under the paying wing for all mothers and children who cant afford paying Budget Allocation (Billion) : 0.008 Performance Indicators: Number of deliveries conducted in the facility and children below five treated Objective : To offer ambulatory services to all critically ill patients referred out of the facility Issue of Concern : Inappropriate ambulatory services for critically ill patients Planned Interventions : Provision of free ambulatory services for critically ill poor patients and on cost sharing basis for those who can afford Budget Allocation (Billion) : 0.002 Performance Indicators: Number of patients offered ambulatory services on referral out of the facility Objective : To educate the community about the dangers of late service seeking behavior Issue of Concern : Delayed health seeking behavior that results into
 complications Planned Interventions : Health education at hospital, outreach services to the catchment area Budget Allocation (Billion) : 0.010 Performance Indicators: Reduced numbers of mothers in obstructed labor as a result of delaying, fewer mothers going to traditional birth attendants, a link between the hospital and the village health team members Issue Type: Objective : Enviroment To eliminate facility based infections Issue of Concern : Facility based infections that result into sepsis Planned Interventions : Infection control and elimination of sepsis through provision of infection control materials, segregation of wastes and incineration and isolation of septic cases, autoclave, protective gear and proper cleaning.
Budget Allocation (Billion) : 0.060 Performance Indicators: Number of septic cases registered, level of infections on wards, quantity of infection control materials procured.

Objective : To have a clean and safe working environment Issue of Concern : Contamination resulting into cross infection Planned Interventions : Proper cleaning and decontamination, segregation of wastes and proper disposal, availability of running water, functional toilet facilities, full uniform for staff and linen for theater.
Budget Allocation (Billion) : 0.060 Performance Indicators: Level of cleanliness, availability of running water, level of segregation of wastes, availability of color coded bins, staff in full uniform Objective : Proper waste disposal and management Issue of Concern : Environmental pollution and public safety Planned Interventions : Slushing of compound, disposal of expired drugs, inceneration of dangerous wastes, disposal of waste water into National Water and Sewerage Corporation waste line Budget Allocation (Billion) : 0.400 Performance Indicators: Clean compound, expired drugs disposed, dangerous wastes being disposed, bills for waste water disposal Table 11.2: AIA Collections 142 Mbarara Referral Hospital Ministerial Policy Statement Mbarara Referral Hospital Vote: 173 Source of AIA(Ush Bn) Other Fees and Charges Total (XII) Personnel Information TableÊ12.1Ê:ÊVoteÊStaffingÊProfileÊÊbyÊPost 2016/17 Budget 2016/17 Actual by Dec 2017/18 Projected 0.000 0.000 0.437 0.437 1.200 1.200 Post Authorised Establishme nt Filled Posts Vacant Posts Cleared for filling in 2017/18 Number of Posts Estimate d for 2017/18 Scale Gross Salary Rate per Month Annual Cost of Filled Posts 2017/18 Annual Cost of Estimated Posts 2017/18 461,904 461,904 5,542,848 ACCOUNTS ASSISTANT Anaesthetic Officer Consultant Anaethesiology Consultant Orthopaedic Consultant Pathology CONSULTANT SURGEON CONSULTANT-PUBLIC HEALTH ENROLLED MIDWIFE ENROLLED NURSE MEDICAL OFFICER SPECIAL GRADE SENIOR ACCOUNTS ASSISTANT SENIOR CONSULTANT SENIOR ENROLLED
 NURSE Senior Hospital Administrator SENIOR PRINCIPAL STORES ASSISTANT Vote Total U7U 3 U5SC 0 1 U1SE 2,555,683 1 U1SE 255,683 1 U1SE 2,555,683 1 U1SE 2,555,683 1 U1SE 2,785,630 0 0 0 0 0 0 0 30,668,196 3,068,196 30,668,196 30,668,196 33,427,560 24 U7U 557,633 10,037,394 6,691,596 19 19 52 U7U 510,102 16,833,366 6,121,224 1 1 3 4 1 1 1 1 3 4 1 1 1 U2 2,028,715 0 24,344,580 2 U5U 569,040 569,040 6,828,480 4 U1SE 3,152,263 3,152,263 37,827,156 18 U5U 894,742 12,526,388 10,736,904 1 U3L 1 U4 902,612 824,075 0 0 10,831,344 9,888,900 44 44 113 20,609,448 461,904 247,313,376 143 Mubende Referral Hospital Ministerial Policy Statement Vote: 174 Mubende Referral Hospital V1: Vote Overview (i) Vote Mission Statement To be a center of excellence in providing both specialized and general curative, preventive, health promotion and rehabilitative services to the community in our catchment area.
(ii) Strategic Objective a.

To improve the quality and productivity of the people by enhancing good health through increasing awareness and uptake of disease prevention interventions.

b.

To reduce Maternal and Neo Natal Mortality.

c. To contribute to the body of knowledge in health care through training, research and disseminating best practices.

d. To combat HIV/AIDS, TB, Malaria and other infectious diseases.

e. To strengthen collaboration with other stake holders.
f. To build a formidable and highly motivated and committed health care work force.

(iii) Major Achievements in 2016/17 Finance: - 48% of the budget was released (1.98 billion out of 5.49 billion).
- 74% of funds were spent by mid year Inpatient services: - 8046 inpatients were seen, - ALOS 4 days, - 91% BOR, - 664 ceasarian sections were done Outpatient services: - 60700 outpatients were seen, - 35679 specialized cases were seen, - 5548 emergencies were seen, - 227 HIV+ people initiated on ART Diagnostic services: - 50754 Lab test were done, - 1893 Xrays were done, - 1546 ultrasounds were done, - 90 postmortems were done Prevention and rehabilitation: - 13514 immunizations were done, - 1109 Family planning users seen, - 99 HIV+ mothers initiated on option B+ Other achievements: - Continued construction of medical - pediatrics - mortuary block up to 2nd floor level, - Construction of oxygen plant house initiated, - Installation of heavy duty laundry initiated (iv) Medium Term Plans The Major medium Term Plans are to accelerate disease prevention and health promotion interventions, Increase space available forÊpatientsÊ(wards)ÊasÊwellÊasÊinitiateÊconstructionÊofÊstaffÊhousesÊasÊwellÊasÊanÊinternsÊmess.Ê (v) Summary of Past Performance and Medium Term Budget Allocations Table V1.1: Overview of Vote Expenditures (UShs Billion) 2016/17 MTEF Budget Projections 144 Mubende Referral Hospital Ministerial Policy Statement Vote: 174 Mubende Referral Hospital 2015/16 Outturn Approved Budget Expenditure by End Dec 2017/18 2018/19 2019/20 2020/21 2021/22 Recurrent Devt.
Wage Non Wage GoU Ext.

Fin.
GoU Total Total GoU+Ext Fin (MTEF) Arrears Total Budget A.I.A Total Grand Total Total Vote Budget Excluding Arrears (VI) Budget By Economic Clasification Table V6.1 2016/17 and2017/18 Budget Allocations by Item Billion Uganda Shillings Output Class : Outputs Provided GoU Ext.
Fin 0.000 4.367 AIA Total 0.060 4.427 GoU Ext.
Fin 0.000 4.375 AIA Total 0.130 4.505 2016/17 Approved Budget 2017/18 Draft Estimates 211 Wages and Salaries 212 Social Contributions 213 Other Employee Costs 221 General Expenses 222 Communications 223 Utility and Property Expenses 224 Supplies and Services 227 Travel and Transport 228 Maintenance 273 Employer social benefits Output Class : Capital Purchases 312 FIXED ASSETS Output Class : Arrears 321 DOMESTIC Grand Total : Total excluding Arrears Mubende Referral Hospital Ministerial Policy Statement Vote: 174 Mubende Referral Hospital (VII)ÊBudgetÊByÊProgrammeÊAndÊSubprogrammeÊÊÊ Table V7.1: Past Expenditure Outturns and Medium Term Projections by Programme and SubProgramme Billion Uganda shillings FY 2016/17 Medium Term Projections FY 2015/16 Outturn
 Approved Budget SpentÊByÊ End Dec 2017-18 Proposed Budget 2018-19 2019-20 2020-21 2021-22 56 Regional Referral Hospital Services 5.237 5.486 1.971 5.648 6.187 6.192 6.197 6.202 01 Mubende Referral Hospital Services 02 Mubende Referral Hospital Internal Audit 03 Mubende Regional Maintenance 1004 Mubende Rehabilitation Referal Hospital 1482 Institutional Support to Mubende Regional Hospital Total for the Vote Total Excluding Arrears (VIII) ProgrammeÊPerformanceÊandÊMediumÊTermÊPlansÊÊÊÊÊÊ Table V8.1: Programme Outcome and Outcome Indicators Programme : 56 Regional Referral Hospital Services Programme Objective : To provide specialized and general health care and treatment, disease prevention, rehabilitative and health promotion services.
Responsible Officer: Dr. Peter Mukobi Programme Outcome: Quality and accessible regional referral hospital services.

Sector Outcomes contributed to by the Programme Outcome 1.

Inclusive and quality healthcare services Outcome Indicators 2015/16 2016/17 2017/18 2018/19 2019/20 Actual Target Actual Target Projection Projection Performance Targets ¥ÊBed Occupancy Rate (BOR) ¥ÊPercentage increase of diagnostic investigations carried out.
¥ÊPercentage increase of specialised clinic outpatients attendences SubProgramme: 01 Mubende Referral Hospital Services Output: 01 Inpatient services No.

of in-patients (Admissions) Average Length of Stay (ALOS) - days Bed Occupancy Rate (BOR) Number of Major Operations (including Ceasarian se 85% 5% 5% 88% 5% 5% 90% 5% 5% 18000 18500 19000 4 85 4 90 3.5 90 2200 2250 2300 146 Mubende Referral Hospital Ministerial Policy Statement Vote: 174 Mubende Referral Hospital Output: 02 Outpatient services No.
of general outpatients attended to No.

of specialised outpatients attended to Referral cases in Output: 04 Diagnostic services No.

of laboratory tests carried out No.

of patient xrays (imaging) taken Number of Ultra Sound Scans Output: 05 Hospital Management and support services Assets register updated on a quarterly basis Timely payment of salaries and pensions by the 2 Timely submission of quarterly financial/activity Output: 06 Prevention and rehabilitation services No.
of antenatal cases (All attendances) No.

of children immunised (All immunizations) No.
of family planning users attended to (New and Old) Number of ANC Visits (All visits) Percentage of HIV positive pregnant women not on H Output: 07 Immunisation Services Number of Childhood Vaccinations given (All contac 29288 30000 31000 SubProgramme: 1004 Mubende Rehabilitation Referal Hospital Output: 80 Hospital Construction/rehabilitation No.
of hospitals benefiting from the renovation of existing facilities No.

of reconstructed/rehabilitated general wards Cerificates of progress/ Completion SubProgramme: 1482 Institutional Support to Mubende Regional Hospital Output: 80 Hospital Construction/rehabilitation No.

of hospitals benefiting from the renovation of existing facilities No.
of reconstructed/rehabilitated general wards Cerificates of progress/ Completion Output: 85 Purchase of Medical Equipment Value of medical equipment procured (Ush Bn) 0 1 1 1 0 1 0 1 1 1 0 1 0 1 1 1 0 1 .085 .100 .1 147 Mubende Referral Hospital Ministerial Policy Statement Vote: 174 Mubende Referral Hospital (IX) Major Capital Investments And Changes In Resource Allocation Table 9.1: Major Capital Investment (Capital Purchases outputs over 0.5Billion) FY 2016/17 FY 2017/18 Appr.
Budget and Planned Outputs Expenditures and Achievements by end Dec Proposed Budget and Planned Outputs Vote 174 Mubende Referral Hospital Program : 08 56 Regional Referral Hospital Services Development Project : 1004 Mubende Rehabilitation Referal Hospital Output: 08 56 80 Hospital Construction/rehabilitation Continuation of construction of pediatric/mortuary building and supevision of works done.
Old building for Admin, Med, ANC & Paed wards renovated Oxygen Plant procured Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: A.I.A: 1,058,257 1,058,257 0 0 Table 9.2: Key Changes in Vote Resource Allocation - Medical-Mortuary-Medical block constructed 529,129 529,129 0 0 675,000 675,000 0 0 Major changes in resource allocation over and above the previous financial year JustificationÊforÊproposedÊÊChangesÊinÊExpenditureÊ and Outputs Programme : 08 56 Regional Referral Hospital Services Output: 08 5602 Outpatient services Change in Allocation (UShs Bn) : 0.075 Output: 08 5604 Diagnostic services Change in Allocation (UShs Bn) : 0.032 Output: 08 5606 Prevention and rehabilitation services Change in Allocation (UShs Bn) : 0.026 Output: 08 5607 Immunisation Services Change in Allocation (UShs Bn) : 0.044 Output: 08 5619 Human Resource Management Services Change in Allocation (UShs Bn) : 0.020 Funding required to address enable improve quality and quantity of services provided at Outpatient level Increase in funding to enable increase in number of investigations and quality services Funding required to address disease prevention and health promotion as a priority of the sector Funding required to improve immunization services to reduce immunizable diseases Funding required to functionalize the Human Resource Management functions 148 Mubende Referral Hospital Ministerial Policy Statement Vote: 174 Mubende Referral Hospital Output: 08 5620 Records Management Services Change in Allocation (UShs Bn) : 0.005 Output:
 08 5685 Purchase of Medical Equipment Change in Allocation (UShs Bn) : 0.085 (X) Vote Narrative For Past And Medium Term Plans Vote Challenges Major Vote challenges include: Funding required to enable the establishment of a functional registry Funding required to enable the purchase of emergency medical equipment and assorted orthopedic workshop as well as physiotherapy equipment - Insufficient funds to accomplish projects on time thus increasing overall project costs - Lack of staff accommodation leading
 to poor retention of staff and demotivate - Insufficient space on wards leading to presence floor cases that affects customer satisfaction - Low remuneration of staff thus poor service delivery as a result of demotivation - Insufficient Medical Equipment thus affecting quality of services provided - Insufficient Budget allocation for medicines and health supplies thus frequent stock-outs of medicines Plans to improve Vote Performance Increase in advocacy for improved budget allocations shall be done henceforth attempt to address the vote challenges most of whichÊcanÊbeÊredressedÊbyÊbetterÊallocations.Ê (XI) Vote Cross Cutting Policy And Other Budgetary Issues Table 11.1: Cross- Cutting Policy Issues Issue Type: Objective : Issue of Concern : Planned Interventions : HIV/AIDS Reduce transmission of HIV among Women, men, children and youth in Mubende Region - High sero-prevalence - Low male involvement - Poor stock levels of supplies - Routine static & community services -Promote male involvement in talk shows - Increased advocacy of increased funding Budget Allocation (Billion) : 0.084 Performance Indicators: - HIV sero-prevalence among women reduced from 3.4% to less than 3% Issue Type: Objective : Gender To ensure equitable access to quality health services to all women, men and children in Mubende Region Issue of Concern : Equitable access to quality health care for all; women,men, children and the youth.
Planned Interventions : Sensitization through radio talk shows, establish adolescent friendly services/clinics, ramps on new buildings, separation of male & female toilets Budget Allocation (Billion) : 0.010 Performance Indicators: 4 stakeholders meetings, 12 radio talk shows and 1 functional adolescent clinic, 1 new buildings with ramp.
149 Mubende Referral Hospital Ministerial Policy Statement Vote: 174 Mubende Referral Hospital Issue Type: Objective : Issue of Concern : Planned Interventions : Enviroment To mitigate the environmental impact of health care interventions at Mubende Regional Referral Hospital.

Environmental degradation as a result of hospital activities e.g poor incineration system and garbage collection and poor sanitation - Proper incineration system - improve garbage management - improve drainage system.
Budget Allocation (Billion) : 0.002 Performance Indicators: -1 Functional incinerator in place - Garbage disposal bins in place in all areas - 1 improved drainage system Table 11.2: AIA Collections Source of AIA(Ush Bn) Sale of drugs Other Fees and Charges Total (XII) Personnel Information TableÊ12.1Ê:ÊVoteÊStaffingÊProfileÊÊbyÊPost 2016/17 Budget 2016/17 Actual by Dec 2017/18 Projected 0.000 0.000 0.000 0.000 0.000 0.000 0.039 0.091 0.130 Post Authorised Establishme nt Filled Posts Vacant Posts Cleared for filling in 2017/18 Number of Posts Estimate d for 2017/18 Scale Gross Salary Rate per Month Annual Cost of Filled Posts 2017/18 Annual Cost of Estimated Posts 2017/18 Accounts Assistant Anaesthetia Artisanmate Assistant Medical Records Officer Clinical Officer Consultant Radiologist Dental Surgeon Dhobi Dispenser Domestic Assistant EN MID WIFE EN Nurse Engineering Assistant Engineering Technician Kitchen Attendant U6U 2 U5 2 U8 2 U5L 11 U5 1 U1 1 U4 6 U8 4 U5SC 3 U7 20 U7 40 U7 2 U7 2 U6U 7 U8 Mubende Referral Hospital Ministerial Policy Statement Vote: 174 Mubende Referral Hospital 10 U4 1,131,967 6,791,802 13,583,604
 Medical Officer MOSG paediatric MOSG Public health NO Office Attendant Pharmacy Attendant Princ Lab Technologist Principal Anaesthetic Officer Psych Clinical Officer Records Assistant Sen Clinical Officer Sen Psych Clinical Officer Senior Accounts Assistant Senior Labaratory Technologist Senior Nursing Officer Stenographer/Secretary Stores Assistant Vote Total 1,992,454 1,315,765 0 0 23,909,448 15,789,180 753,862 26,385,170 9,046,344 209,859 209,859 2,518,308 0 1,315,765 1,315,765 0 0 0 0 15,789,180
 15,789,180 753,862 2,261,586 9,046,344 377,781 377,781 4,533,372 1,131,967 2,263,934 13,583,604 1 U2 1 U3 37 U5 2 U8 2 U8 1 U3 1 U3 4 U5 3 U7 3 U4 2 U4 2 U5 6 0 0 35 15 U4 1,131,967 7,923,769 13,583,604 1,131,967 753,862 3 U4SC 0 1 U5 2 U7 753,862 377,781 0 0 0 13,583,604 9,046,344 0 0 0 0 9,046,344 4,533,372 262,947,252 122 75 72 197 21,912,271 151 Moroto Referral Hospital Ministerial Policy Statement Vote: 175 Moroto Referral Hospital V1: Vote Overview (i) Vote Mission Statement Vote Mission: To increase access of all people in Karamoja Region and Beyond to quality general and specialized health services (ii) Strategic Objective To provide comprehensive, super specialized health service, contact tertiary health training, research and contributing to health policy and planning.
(iii) Major Achievements in 2016/17 ¥ 6,163 in-patient admissions ¥ 5 days Average length of Stay ¥ 85% Bed Occupancy Rate ¥ 35,904 General Out Patient Attended ¥ 6,673 Specialized Out Patients attended ¥ 33,948 Laboratory tests carried out ¥ 3,228 Patients xrays(Imaging) taken ¥ 2152ÊAntenatalÊÊcasesÊattended ¥ 7924 Children immunized ¥ 396 Family planning users( New and old ¥ 0 Hospital Management Board meetings held ¥ 0 Monthly Senior staff meetings held ¥ 2ÊÊtopÊmanagementÊmeetings ¥ 0 quarterly general staff meetings held (iv) Medium Term Plans 1.
Continue with construction of staff houses especially completing of the second 10 unit and third 10 units, procurement of furniture and medical equipment to fully operationalize the utilization of the new OPD.

2.

Continue to lobby for construction of theater- maternity ward-pediatric ward- Medical and surgical ward private ward complex,ÊAdministrationÊblockÊEyeÊandÊENTÊwardsÊandÊmortuaryÊprocurementÊofÊÊICTÊequipmentÊandÊstaffÊshuttle.Ê 3.
Continue to lobby for recruitment of more staff especially specialized staff to improve the quality of services.

4.

Operationalize the community health department to scale up hospital based efforts of health promotion and disease prevention.

Strengthen support supervision to lower level facilities.

5.

Make functional all the hospital sub-committees to strengthen management structures in the hospital.

6.

7.

Develop none monitory mechanism for motivating the staff like staff SACCO.

8.
8.

Strengthen all quality improvement efforts in the hospital by facilitating formation of quality improvement projects.

9.

Continuously improve the work environment through enforcing rewards and sanctions measures through the reward and sanctions committee.
(v) Summary of Past Performance and Medium Term Budget Allocations Table V1.1: Overview of Vote Expenditures (UShs Billion) 2016/17 MTEF Budget Projections 2015/16 Outturn Approved Budget Expenditure by End Dec 2017/18 2018/19 2019/20 2020/21 2021/22 Recurrent Wage Non Wage 1.437 1.510 2.827 0.895 0.795 0.620 2.977 1.089 2.827 1.094 2.827 1.094 2.827 1.094 2.827 1.094 152 Moroto Referral Hospital Ministerial Policy Statement Vote: 175 Moroto Referral Hospital Devt.

GoU Ext.

Fin.
GoU Total Total GoU+Ext Fin (MTEF) Arrears Total Budget A.I.A Total Grand Total Total Vote Budget Excluding Arrears (VI) Budget By Economic Clasification Table V6.1 2016/17 and2017/18 Budget Allocations by Item Billion Uganda Shillings Output Class : Outputs Provided GoU Ext.
Fin 0.000 3.723 AIA Total 0.000 3.723 GoU Ext.
Fin 0.000 4.067 AIA Total 0.025 4.092 2016/17 Approved Budget 2017/18 Draft Estimates 211 Wages and Salaries 212 Social Contributions 213 Other Employee Costs 221 General Expenses 222 Communications 223 Utility and Property Expenses 224 Supplies and Services 225 Professional Services 227 Travel and Transport 228 Maintenance Output Class : Capital Purchases 312 FIXED ASSETS Output Class : Arrears 321 DOMESTIC Grand Total : Total excluding Arrears (VII)ÊBudgetÊByÊProgrammeÊAndÊSubprogrammeÊÊÊ Table V7.1: Past Expenditure Outturns and Medium Term Projections by Programme and SubProgramme Billion Uganda shillings FY 2016/17 Medium Term Projections 153 Moroto Referral Hospital Ministerial Policy Statement Vote: 175 Moroto Referral Hospital FY 2015/16 Outturn
 Approved Budget SpentÊByÊ End Dec 2017-18 Proposed Budget 2018-19 2019-20 2020-21 2021-22 56 Regional Referral Hospital Services 3.621 4.781 1.515 6.019 5.454 5.454 5.454 5.454 01 Moroto Referral Hosptial Services 02 Moroto Referral Hospital Internal Audit 03 Moroto Regional Maintenance 1004 Moroto Rehabilitation Referal Hospital 1472 Institutional Support to Moroto Regional Referral Hospital Total for the Vote Total Excluding Arrears (VIII) ProgrammeÊPerformanceÊandÊMediumÊTermÊPlansÊÊÊÊÊÊ Table V8.1: Programme Outcome and Outcome Indicators Programme : 56 Regional Referral Hospital Services Programme Objective : To provide comprehensive, super specialized Health services, contact tertiary Health training, research and contributing to the Health policy and planning.
Responsible Officer: Dr. Nyeko John Filbert Programme Outcome: Quality and accessible regional health services Sector Outcomes contributed to by the Programme Outcome 1.
Inclusive and quality healthcare services Outcome Indicators 2015/16 2016/17 2017/18 2018/19 2019/20 Actual Target Actual Target Projection Projection Performance Targets ¥ÊPercentage increase of speciliezed clinic out patient attendance ¥ÊBed Occupancy ¥ÊDiagonostic services SubProgramme: 01 Moroto Referral Hosptial Services Output: 01 Inpatient services No.
of in-patients (Admissions) Average Length of Stay (ALOS) - days Bed Occupancy Rate (BOR) Number of Major Operations (including Ceasarian se Output: 02 Outpatient services No.

of general outpatients attended to No.

of specialised outpatients attended to 20% 71% 20% 20% 71% 20% 20% 71% 20% 14557 18000 18000 5 71% 1476 75000 14600 5 71% 1500 90000 16000 5 71% 1500 90000 16000 154 Moroto Referral Hospital Ministerial Policy Statement Vote: 175 No.
of specialised outpatients attended to Moroto Referral Hospital Referral cases in Output: 04 Diagnostic services No.

of laboratory tests carried out No.

of patient xrays (imaging) taken Number of Ultra Sound Scans Output: 05 Hospital Management and support services Assets register updated on a quarterly basis Timely payment of salaries and pensions by the 2 Timely submission of quarterly financial/activity Output: 06 Prevention and rehabilitation services No.

of antenatal cases (All attendances) No.


of children immunised (All immunizations) No.
of family planning users attended to (New and Old) Number of ANC Visits (All visits) Output: 07 Immunisation Services 14600 2700 16000 3240 16000 3888 92941 111530 133836 6886 4066 8263 4800 9916 5760 1 1 1 20th of every Month 20th of every Month 20th of every Month 30th of the Month after the end of a quarter, 30th of the Month after the end of the quarter 30th of the Month after the end of the quarter 4500 21033 2000 4500 5400 25239 2400 5400 6480 30287 2880 6480 Number of Childhood Vaccinations given (All contac 21003 25239 30287 SubProgramme: 1004 Moroto Rehabilitation Referal Hospital Output: 81 Staff houses construction and rehabilitation No.
of staff houses constructed/rehabilitated Cerificates of progress/ Completion Output: 82 Maternity ward construction and rehabilitation No.

of maternity wards constructed No.

of maternity wards rehabilitated Output: 85 Purchase of Medical Equipment Value of medical equipment procured (Ush Bn) SubProgramme: 1472 Institutional Support to Moroto Regional Referral Hospital Output: 81 Staff houses construction and rehabilitation No.
of staff houses constructed/rehabilitated Cerificates of progress/ Completion Output: 85 Purchase of Medical Equipment Value of medical equipment procured (Ush Bn) 10 5 1 1 10 5 1 1 10 5 0 0 200000000 1500000000 200000000 10 5 10 5 10 5 200000000 200000000 150000000 155 Moroto Referral Hospital Ministerial Policy Statement Vote: 175 Moroto Referral Hospital (IX) Major Capital Investments And Changes In Resource Allocation Table 9.1: Major Capital Investment (Capital Purchases outputs over 0.5Billion) FY 2016/17 FY 2017/18 Appr.
Budget and Planned Outputs Expenditures and Achievements by end Dec Proposed Budget and Planned Outputs Vote 175 Moroto Referral Hospital Program : 08 56 Regional Referral Hospital Services Development Project : 1004 Moroto Rehabilitation Referal Hospital Output: 08 56 81 Staff houses construction and rehabilitation commencement of second phase of 10 of units staff house and payment of retention for phase one Procurement process on going 10 units staff house constructed Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: A.I.A: 769,857 769,857 0 0 Table 9.2: Key Changes in Vote Resource Allocation 99,733 99,733 0 0 1,200,000 1,200,000 0 0 Major changes in resource allocation over and above the previous financial year JustificationÊforÊproposedÊÊChangesÊinÊExpenditureÊ and Outputs Programme : 08 56 Regional Referral Hospital Services Output: 08 5601 Inpatient services Change in Allocation (UShs Bn) : 0.061 Dilapidated structures have increased the cost of maintenance Output: 08 5602 Outpatient services Change in Allocation (UShs Bn) : 0.046 New structures for OPD with additional funding for cleaning and utilities.
Output: 08 5678 Purchase of Office and Residential Furniture and Fittings Change in Allocation (UShs Bn) : 0.068 Output: 08 5681 Staff houses construction and rehabilitation Change in Allocation (UShs Bn) : 0.430 Output: 08 5685 Purchase of Medical Equipment Change in Allocation (UShs Bn) : 0.200 New OPD needs more furniture for the staff and also in the different meeting rooms and Board room.
Board room is planned to become a revenue generating source for the hospital in the coming financial year Increased staffing levels have increased the need for accommodation.
therefore the need to complete phase two quickly to meet these needs Need for new equipment like new Ultra-sound since the current one is old and breaks frequently and also need to start new departments like the orthopeadic department which are non existant in the hospital 156 Moroto Referral Hospital Ministerial Policy Statement Vote: 175 Moroto Referral Hospital (X) Vote Narrative For Past And Medium Term Plans Vote Challenges Inadequate funds for major capital development infrastructure activities like staff accommodation Inadequate and stagnant NWR funding 1.
2.

3.

Under staffing for both specialized and support staff 4.

Absence of incentives to attract and retain both specialized and support health staff like hard to reach allowance, high cost of living and high cost of accommodation, and lack of social amenities Poor infrastructure like roads, inconsistent and unstable electricity and water 5.

6.

High cost of utilities like fuel, electricity and water 7.
Old, inadequate and dilapidated infrastructure especially wards, administration block and mortuary that are condemned and becoming public nuisance Sparse population increasing the cost of service delivery ÊHighÊcostÊofÊcleaningÊandÊInfrastructureÊandÊequipmentÊmaintenanceÊattributedÊtoÊhighÊtransportÊcostsÊÊ 8.

9.

Plans to improve Vote Performance 157 Moroto Referral Hospital Ministerial Policy Statement Vote: 175 Moroto Referral Hospital 1.
Continue head hunting for crucial carders at personal levels and institutional level.

And the exercise of head hunting is ongoing.

This has resulted into increasing the number of Anesthetic Officers and Medical Doctors already.Ê 2.

Continue to lobby for the Phase two of the World Bank project for construction of the hospital wards and other facilities like the Hospital pathology department (Mortuary) which are essential for the service delivery.

3.
3.

Start a Neonatal Care Unit for the region to reduce on the Neonatal Mortality in the region.

4.

Start the hospital Orthopedic department for the region to reduce on the cost of treatment on patients who travel outside the region for such services.

5.

Operationalize the community Health Department of the Hospital to support health promotion and prevention activities within the region through the support of the implementing Partners.

6.
6.

Formation of a task force for starting a nursing school in Moroto Regional Referral hospital given the status of the hospital and its growing potential of becoming the regionÕsÊbestÊfacility.Ê 7.

Working on an improved relationship with the district for mutual benefits of the people in the area as theÊhospitalÊgrowsÊinÊsizeÊandÊservice.Ê 8.
Construction of more staff houses the phase 2 of the ten units needed to be started and funds should be lobbiedÊforÊthisÊproject,ÊtoÊmitigateÊonÊtheÊchallengesÊofÊstaffÊaccommodation.Ê 9.

Payment of top up for medical officer as an incentive to motivate and retain them, whereas this may be a worthwhile effort from management this however is not sustainable at the long run should we continueÊtoÊmakeÊpositiveÊeffortsÊonÊattractingÊmoreÊmedicalÊofficersÊinÊtheÊhospitalÊ 10.
Staff attraction and retention policy needs to be developed to help the hospital to strategically plan for theÊnumerousÊactivitiesÊthatÊneedsÊtoÊbeÊundertakenÊÊunderÊthisÊprojectÊsinceÊtheÊcurrentÊapproachesÊ seem to be unsustainable 11.
Working with partners and stake holders to plan for scaling up of service provision in the hospital, it should be noted that various partners operating in the region in health sector have the potential to support the hospital to implement key strategic health interventions especially in the areas of nutrition, reproductive and child health and HIV/AIDS and public health interventions.

12.
12.

Capacity building for the existing staff, the hospital needs to build the capacity of the existing staff who have sacrificed to work in this region for better intervention for example in areas of multi-tasking since the number of staff is not growing as expected.

13.
13.

Plan for income generating activities within the hospital to supplement the hospital finances from the treasury through different projects like the private wing, private pharmacy, hospital guest house, hospital canteen, Hospital SACCO to mention but a few.

14.

Plan for construction of interns mess for accommodation of Intern Medical Doctors to boost the number of Medical Officers, Nurses and Pharmacist for continuous and quality service provision.
(XI) Vote Cross Cutting Policy And Other Budgetary Issues Table 11.1: Cross- Cutting Policy Issues Issue Type: Objective : Issue of Concern : HIV/AIDS HIV/AIDS services High and increasing prevalence especially among the youth and females, New incidence of Mother to child transmission of HIV and low access to care for eligible patients 158 Moroto Referral Hospital Ministerial Policy Statement Vote: 175 Planned Interventions : Moroto Referral Hospital Scaling up of counseling and testing services in all hospital service points, Talk shows, Treatment of the infected persons Scaling up activities in the youth corner for youth friendly services, Distribution of condoms, Tracing up of lost clients Budget Allocation (Billion) : 0.006 Performance Indicators: Number of people counseled and tested, Number of clients initiated on ART treatment Number client successfully traced and brought back on treatment Number of circumcisions conducted, Number of positive Mothers and babies enrolled into care, Issue Type: Objective : Issue of Concern : Gender Gender based Violence center Rampant sexual harassment of females and domestic violence, Inadequate skilled Birth attendants, Limited access and acceptability of family planning services, Inadequate equipment and personnel to handle Emergency Obstetric care.
Planned Interventions : Provision of shelter to survivors, counseling, care and treatment of survivors.

Increase the recruitment of Midwives and Obstetricians Lobby for construction of a better maternity ward, labor suit and theatre Budget Allocation (Billion) : 0.007 Performance Indicators: Number of survivors counseled and treated Number Mid-wives and Obstetricians recruited.

Number of Obstetric specific equipment procured.
Issue Type: Objective : Enviroment Conducive environment Issue of Concern : Reducing tree cover as a result of infrastructure development around the hospital Planned Interventions : Planting more drought resistant trees to both replace and increase vegetation cover, Planting more grass and watering during dry season Improving on waste disposal through proper incineration and waste disposal Budget Allocation (Billion) : 0.009 Performance Indicators: Number of trees planted on the hospital compound, Area in square meter planted with grass, Number in kilograms of waste incinerated according to acceptable standards.
Table 11.2: AIA Collections Source of AIA(Ush Bn) Sale of non-produced Government Properties/assets Total (XII) Personnel Information 2016/17 Budget 2016/17 Actual by Dec 2017/18 Projected 0.000 0.000 0.000 0.000 0.025 0.025 159 Moroto Referral Hospital Ministerial Policy Statement Vote: 175 Moroto Referral Hospital TableÊ12.1Ê:ÊVoteÊStaffingÊProfileÊÊbyÊPost Post Authorised Establishme nt Filled Posts Vacant Posts Cleared for filling in 2017/18 Number of Posts Estimate d for 2017/18 Scale Gross Salary Rate per Month Annual Cost of Filled Posts 2017/18 Annual Cost of Estimated Posts 2017/18 Accountant Accounts Assistant Artsan Electrician Assistant Engineering Officer Assistant Medical Records Officer Clinical Officer Consultant Driver Enrolled Midwife Enrolled Nurse Medical Officer Medical Social Worker Nursing Officer Nursing Nursing Officer Psychiatric Radiographer Records Assistant Senior Anaesthetic Officer Senior Hospital Administrator Senior LabaratoryTechnician Senior Nursing Officer Senior Principal Nursing Officer Senior Public Health Dental Officer Stores Assistant Theater Assistant Vote Total U4 U 2 U7 U 4 U8 U 2 U5 SC 970,145 970,145 11,641,740 528,195 528,195 6,338,340 322,657 911,089 0 0 3,871,884 10,933,068 3 U5 L 528,235 528,235 6,338,820 12 U5 SC 937,360 5,624,160 11,248,320 10 U1 SC 2,785,630 2,785,630 33,427,560 1 U8 U 356,789 0 4,281,468 18
 U7 U 564,163 3,949,141 6,769,956 40 U7 M 564,243 9,592,131 6,770,916 10 U4 SC 1,322,163 7,932,978 15,865,956 2 U4 L 794,023 794,023 9,528,276 20 U5 SC 937,360 3,749,440 11,248,320 20 U5 SC 936,360 6,554,520 11,236,320 2 U5 SC 937,360 0 11,248,320 4 U7 L 484,657 1,453,971 5,815,884 2 U4 SC 1,322,163 1,322,163 15,865,956 2 U3 L 1,017,621 1,017,621 12,211,452 2 U4 SC 1,322,163 1,322,163 15,865,956 12 U4 SC 1,322,163 7,932,978 15,865,956 1 U2 SC 1,895,091 0 22,741,092 2 U4 SC 1,332,163 1,332,163 15,985,956 2 U7 U 416,956 416,956 5,003,472 4 U6 652,017 0 7,824,204 66 113 61 179 23,160,766 970,145 277,929,192 160 Naguru Referral Hospital Ministerial Policy Statement Vote: 176 Naguru Referral Hospital V1: Vote Overview (i) Vote Mission Statement TO PROVIDE COMPREHENSIVE GENERAL AND SPECIALIZED REFERRAL HEALTH SERVICES, TRAIN HEALTH PROFESSIONALS, AND CONDUCT RESEARCH (ii) Strategic Objective a.
To provide a range of specialized curative, promotive, preventive and rehabilitative services.

b.

To contribute to regional human resource development through training of various cadres of health workers.

c. To contribute to national and conduct operational level research.

d. To contribute as requested to the MinistryÕs national policy and support supervision.
(iii) Major Achievements in 2016/17 The period July to December 2016 has been characterized with increase in patient load specifically specialized clinics, inpatient pediatricÊandÊÊmaternityÊunits WithÊregardÊtoÊAIAÊforÊtheÊperiodÊJulyÊtoÊDecember,ÊÊtheÊreleasedÊamountsÊwasÊUGXÊ125MÊbutÊtheÊÊexpenditureÊtotaledÊtoÊUGXÊ 74,340,637.ÊThisÊwasÊpartiallyÊattributedÊtoÊÊunpresentedÊclaimsÊasÊwellÊasÊsystemÊfailure Construction of the drug store continued with almost 60% of the works complete.
Procurement of assorted specialized equipment, ÊhoweverÊthereÊwereÊnotableÊdelaysÊinÊexecutionÊofÊconstructionsÊworksÊonÊtheÊretainingÊwallÊdueÊtoÊdelayÊinÊapprovalÊofÊvariationÊ order of the nature of the retaining wall.

(iv) Medium Term Plans Embark on the Construction of other blocks of the staff hostel to be able to accommodate staff on call and improve their productivity towards patient.
This will furthercontribute to improved health outcomes and subsequently lead to a productive population (v) Summary of Past Performance and Medium Term Budget Allocations Table V1.1: Overview of Vote Expenditures (UShs Billion) 2016/17 MTEF Budget Projections 2015/16 Outturn Approved Budget Expenditure by End Dec 2017/18 2018/19 2019/20 2020/21 2021/22 3.023 1.222 1.308 4.246 0.988 1.058 1.412 0.285 0.214 4.246 1.013 1.056 4.246 1.087 1.523 4.246 1.087 1.523 4.246 1.087 1.523 4.246 1.087 1.523 Recurrent Devt.
Wage Non Wage GoU 161 Naguru Referral Hospital Ministerial Policy Statement Vote: 176 Naguru Referral Hospital Ext.

Fin.
GoU Total Total GoU+Ext Fin (MTEF) Arrears Total Budget A.I.A Total Grand Total Total Vote Budget Excluding Arrears (VI) Budget By Economic Clasification Table V6.1 2016/17 and2017/18 Budget Allocations by Item Billion Uganda Shillings Output Class : Outputs Provided GoU Ext.
Fin 0.000 5.235 AIA Total 0.250 5.485 GoU Ext.
Fin 0.000 5.260 AIA Total 0.400 5.660 2016/17 Approved Budget 2017/18 Draft Estimates 211 Wages and Salaries 212 Social Contributions 213 Other Employee Costs 221 General Expenses 222 Communications 223 Utility and Property Expenses 224 Supplies and Services 225 Professional Services 226 Insurances and Licenses 227 Travel and Transport 228 Maintenance Output Class : Capital Purchases 281 Property expenses other than interest 312 FIXED ASSETS Output Class : Arrears 321 DOMESTIC Grand Total : Total excluding Arrears (VII)ÊBudgetÊByÊProgrammeÊAndÊSubprogrammeÊÊÊ Table V7.1: Past Expenditure Outturns and Medium Term Projections by Programme and SubProgramme 162 Naguru
 Referral Hospital Ministerial Policy Statement Vote: 176 Naguru Referral Hospital Billion Uganda shillings FY 2016/17 Medium Term Projections FY 2015/16 Outturn Approved Budget SpentÊByÊ End Dec 2017-18 Proposed Budget 2018-19 2019-20 2020-21 2021-22 56 Regional Referral Hospital Services 5.553 01 Naguru Referral Hosptial Services 02 Naguru Referral Hospital Internal Audit 1004 Naguru Rehabilitation Referal Hospital 1475 Institutional Support to Uganda China Friendship Hospital Referral Hospital- Naguru Total for the Vote Total Excluding Arrears (VIII) ProgrammeÊPerformanceÊandÊMediumÊTermÊPlansÊÊÊÊÊÊ Table V8.1: Programme Outcome and Outcome Indicators Programme : 56 Regional Referral Hospital Services Programme Objective : ToÊprovideÊcomprehensiveÊÊqualityÊSpecializedÊhospitalÊservices Responsible Officer: HOSPITAL DIRECTOR Programme Outcome: Quality and accessible Regional Referral Hospital Services Sector Outcomes contributed to by the Programme Outcome 1.
Inclusive and quality healthcare services Outcome Indicators 2015/16 2016/17 2017/18 2018/19 2019/20 Actual Target Actual Target Projection Projection Performance Targets 163 Naguru Referral Hospital Ministerial Policy Statement Vote: 176 Naguru Referral Hospital ¥Ê%Êincrease in diagnstic investigations carried ¥Êbed occupancy ¥Ê%Êincrease of specialised clinics outpatients attendences SubProgramme: 01 Naguru Referral Hosptial Services Output: 01 Inpatient services No.
of in-patients (Admissions) Output: 02 Outpatient services No.

of general outpatients attended to No.

of specialised outpatients attended to Referral cases in 5% 100% 10% 7% 100% 10% 10% 100% 10% 15213 16734 18408 156460 172106 189317 115758 127338 140072 240 240 240 Output: 03 Medicines and health supplies procured and dispensed Value of medicines received/dispensed (Ush bn) 1.0 1.0 1.0 Output: 04 Diagnostic services No.

of laboratory tests carried out No.


of patient xrays (imaging) taken Output: 05 Hospital Management and support services Timely payment of salaries and pensions by the 2 Timely submission of quarterly financial/activity Output: 06 Prevention and rehabilitation services No.

of antenatal cases (All attendances) No.

of children immunised (All immunizations) No.


of family planning users attended to (New and Old) SubProgramme: 1004 Naguru Rehabilitation Referal Hospital Output: 81 Staff houses construction and rehabilitation No.

of staff houses constructed/rehabilitated Output: 83 OPD and other ward construction and rehabilitation Cerificates of progress/ Completion Output: 84 Theatre construction and rehabilitation No.
of theatres constructed Cerificates of progress/ Completion (IX) Major Capital Investments And Changes In Resource Allocation Table 9.1: Major Capital Investment (Capital Purchases outputs over 0.5Billion) 134954 141702 148787 14248 14960 15708 4 4 27500 47393 3997 1 1 0 1 4 4 30250 52132 4397 1 0 0 0 4 4 33275 57345 4837 -1 0 0 0 164 Naguru Referral Hospital Ministerial Policy Statement Vote: 176 Naguru Referral Hospital FY 2016/17 FY 2017/18 Appr.
Budget and Planned Outputs Expenditures and Achievements by end Dec Proposed Budget and Planned Outputs Vote 176 Naguru Referral Hospital Program : 08 56 Regional Referral Hospital Services Development Project : 1004 Naguru Rehabilitation Referal Hospital Output: 08 56 81 Staff houses construction and rehabilitation Retention fees paid for the staff hostel in Kireka.

Works on wall on going, funds encumbered Retaining wall construction done and supervised at the Kireka staff hostel site.
Total Output Cost(Ushs Thousand) Gou DevÕt: Ext Fin: A.I.A: 645,000 645,000 0 0 Table 9.2: Key Changes in Vote Resource Allocation - Second block of an 8 unit - two bed roomed apartment staff hostel constructed - ConsultantÕs supervision fees paid - Retention fees for the staff hostelÕs retention wall paid 48,769 48,769 0 0 527,000 527,000 0 0 Major changes in resource allocation over and above the previous financial year JustificationÊforÊproposedÊÊChangesÊinÊExpenditureÊ and Outputs Programme : 08 56 Regional Referral Hospital Services Output: 08 5603 Medicines and health supplies procured and dispensed Change in Allocation (UShs Bn) : -0.006 Output: 08 5605 Hospital Management and support services Change in Allocation (UShs Bn) : -4.438 Output: 08 5606 Prevention and rehabilitation services Change in Allocation (UShs Bn) : 0.027 Output: 08 5619 Human Resource Management Services Change in Allocation (UShs Bn) : 4.493 Output: 08 5620 Records Management Services Change in Allocation (UShs Bn) : 0.004 Gou Allocation to item has reduced due to reduction in self picks.
To note is that the relative increase in the AIA allocation for medicines and related supplies(following the need for increased specialized medicines that are may not be accessed from NMS Funds for salaries, welfare, training, death, etc have been transferred to the human resource function following its creation .
Increased Prevention of diseases ,promotes and maintains positive mental and emotional health and subsequently contributes to a healthy and productive population New sub programme created to promote the HR management function New sub proramme created to promote records management in facilities Output: 08 5672 Government Buildings and Administrative Infrastructure 165 Naguru Referral Hospital Ministerial Policy Statement Vote: 176 Naguru Referral Hospital Change in Allocation (UShs Bn) : -0.165 The drug store will be completed awaiting expiry of the defects liability period Output: 08 5676 Purchase of Office and ICT Equipment, including Software Change in Allocation (UShs Bn) : 0.031 There is need to intensify security by upgrading the CCTV cameras, equip ICT equipment in newly completed drug stores and upgrade software for medical equipments Output: 08 5677 Purchase of Specialised Machinery & Equipment Change in Allocation (UShs Bn) : 0.062 Specialized machinery were increased due to the need to procure biomedical engineering as well as civil and electrical equipments to allow for routine and preventive maintenance.
Output: 08 5678 Purchase of Office and Residential Furniture and Fittings Change in Allocation (UShs Bn) : 0.038 With the completion of drug stores, there will be need to equip it with the relevant furniture for safe custody of the drugs and supplies.

Output: 08 5683 OPD and other ward construction and rehabilitation Change in Allocation (UShs Bn) : 0.052 The infrastructure has grossly deteriorated due to influx of patients hence the need to renovate the affected areas.
Output: 08 5684 Theatre construction and rehabilitation Change in Allocation (UShs Bn) : 0.030 Output: 08 5685 Purchase of Medical Equipment Change in Allocation (UShs Bn) : 0.069 (X) Vote Narrative For Past And Medium Term Plans Vote Challenges The interior of theater has largely depreciated and hence need for rehabilitation.

There is need to functionalise some departments specifically eye, laboratory and obstetrics and gynecology a.
Under funding of development projects has limited the implementation of the master plan and strategic plans b.

Human resource challenges i.e some key human resources are not provided for in the structure yet very critical e.g statistician, planner.
c.ÊEscalatingÊpricesÊofÊgoodsÊandÊservicesÊagainstÊaÊrestrictedÊbudgetÊÊÊcontinueÊÊtoÊcompromiseÊserviceÊdelivery Plans to improve Vote Performance Continue to partner with stakeholders like WHO, UNICEF, AHF-Uganda cares, training institutions in the implementation of programs (XI) Vote Cross Cutting Policy And Other Budgetary Issues Table 11.1: Cross- Cutting Policy Issues Issue Type: Objective : Gender Improve services for the disadavantages groups Issue of Concern : gender 166 Naguru Referral Hospital Ministerial Policy Statement Vote: 176 Planned Interventions : Naguru Referral Hospital - procure equipment for physiotherapy, and occupational therapy -support social work activities such as settling displaced an dabandoned children Provide nutritional support to marginalised such as speciall meals to children and mothers Budget Allocation (Billion) : 0.065 Performance Indicators: -Number of physio and occupational therapy equpment - Report of Social work department on activities undertaken fo rthe marginalised groups Issue Type: Objective : Enviroment Improve waste management, Protect the environment from noise pollution, minimise hospital acquired infections Issue of Concern : Environment Planned Interventions : - Procure services for waste Management - Vaccination -Procurement of protective gears - Procure hand washing facilities and disinfectants - close supervision of cleaners -Functionalise the infection control committee Budget Allocation (Billion) : 0.060 Performance Indicators: - Waste evacuated 3 times a week - Record of meetings -No.
of staff vaccinated against yellow fever an hepatitis B - No.
of protective wear - Hand washing facilities in - Monthly reports Table 11.2: AIA Collections Source of AIA(Ush Bn) Rent & rates ÐÊproduced assets ÐÊfrom private entities Other Fees and Charges Total (XII) Personnel Information TableÊ12.1Ê:ÊVoteÊStaffingÊProfileÊÊbyÊPost 2016/17 Budget 2016/17 Actual by Dec 2017/18 Projected 0.000 0.000 0.000 0.072 0.118 0.190 0.000 0.400 0.400 167 Naguru Referral Hospital Ministerial Policy Statement Vote: 176 Naguru Referral Hospital Post Authorised Establishme nt Filled Posts Vacant Posts Cleared for filling in 2017/18 Number of Posts Estimate d for 2017/18 Scale Gross Salary Rate per Month Annual Cost of Filled Posts 2017/18 Annual Cost of Estimated Posts 2017/18 Assistant Supplies Officer Civil Technician Consultant (Anesthesia) Consultant (ENT) Consultant (Psychiatry) Consultant (Radiology) Consultant (Surgery) DRIVER ELECTRICAL TECHNICIAN Engneering Assistant ENROLLED MIDWIFE ENROLLED NURSE KITCHEN ATTENDANT LABORATORY TECHNICIAN LABORATORY TECHNOLOGISTS MEDICAL RECORDS OFFICER MOSG (ENT) MOSG (MEDICINE) MOSG (OBS & GYN) MOSG (Opthalmology) MOSG (Psychiatry) MOSG (Public Health) NUTRITIONIST OFFICE ATTENDANT Office Supervisor Office Typist Pool stenographer Principal Occupational Therapist Principal Ophtalmic Officer PSYCHATRIC CLINICAL OFFICER 0 0 0 0 0 0 0 3 0 0 19 38 U5L 2 U5L 616,554 1,539,084 1 U1SE 2,785,630 1
1 U5L 2 U5L 616,554 1,539,084 1 U1SE 2,785,630 1 U1SE 2,785,630 1 U1SE 2,785,630 1 UISE 2,785,630 1 U1SE 2,785,630 0 0 0 0 0 0 0 7,398,648 18,469,008 33,427,560 33,427,560 33,427,560 33,427,560 33,427,560 5 U8U 1 U5 (SC) 2 U6U 20 U7U 40 U7U 7 U8L 1 U5 (SC) 1 U5 (SC) 2 U4L 1 U2 (SC) 1 U2 (SC) 1 U2 (SC) 1 U2 (SC) 1 U2 (SC) 1 U2 (SC) 1 U4 (SC) 2 U8U 1 U5L 2 U7L 2 U6L 1 U3U (SC) 1 U3U (SC) 2 U5 (SC) 305,822 917,466 3,669,864 937,360 1,122,184 0 0 11,248,320 13,466,208 560,730 10,653,870 6,728,760 557,633 21,190,054 6,691,596 303,832 1,519,160 3,645,984
Naguru Referral Hospital Ministerial Policy Statement Naguru Referral Hospital Vote: 176 Security Officer Senior Accounts Assistant SENIOR NURSING OFFICER Senior Nutritionist Senior Occupational Therapist SENIOR PHYSIOTHERAPIST Senior Records Officer Senior Stores Assistant (Senior Inventory Management Officer) Stores Assitant (Inventory Officer) Supplies Officer TELEPHONE OPERATOR Vote Total U5L 2 U5L 616,554 0 7,398,648 616,554 616,554 7,398,648 15 U4U 1,276,442 11,487,978 15,317,304 1,460,248 1,276,442 0 0 17,522,976 15,317,304 1,276,442 1,276,442 15,317,304 2 U6U 1,233,108 1,047,087 1,012,684 745,816 0 0 0 0 12,565,044 14,797,296 12,152,208 8,949,792 466,002 466,002 5,592,024 1 U3 (SC) 2 U4 (SC) 2 U4 (SC) 1 U3L 2 U7L 1 U4L 2 U7L 78 58 58 136 54,721,900 0 656,662,800 169 Uganda Virus Research Institute (UVRI) Ministerial Policy Statement Vote: 304 Uganda Virus Research Institute (UVRI) V1: Vote Overview (i) Vote Mission Statement To conduct scientific investigation on viral and other diseases to contribute to
 knowledge, policy and practice and engage in capacity development for improved public health (ii) Strategic Objective To reposition UVRI into a dynamic, internationally competitive research institution, contributing as a centre of excellence in health research to the global challenges of addressing communicable diseases in order to achieve the SDGS and contribute to economicÊgrowthÊandÊÊdevelopmentÊknowledge.
(iii) Major Achievements in 2016/17 ÊÊÊÊÊÊÊÊ103 UVRI staff were paid salaries on time.

Supported and supervised 20 HIV testing sites for proficiency HIV rapid testing.

Conducted surveillance for 1319 sera samples from suspected measles cases country wide.

Conducted an AFP (Acute Flaccid Paralysis) surveillance of 4191 stool samples.

No wild Polio was confirmed in any of the samples tested.

The Polio laboratory was also fully accredited.


Fully contained the Polio Laboratory10 participants recruited from Mbale and Wakiso districts10% of the Electricity and water bills was paid.

One International EDCTP conference was attended .UVRI premises, laboratories and offices were cleaned and maintained.

Human resource audit was carried out and I.T support was given to UVRI field stations of Kyamulibwa, Arua and Rakai.
Collected around 100 mosquitoes in the dry season and put in the laboratories for surveillance.

Carried out Routine surveillance of arboviruses was carried out in in Kisubi (Zika Forest), Nkokonjeru (both in the community and an in Nkokonjeru St. Francis Hospital) and Sseganga in North Eastern Wakiso District.
Carried out epidemiological and behavior research in HIV/AIDS, Malaria and acute Viral out breaks in 2 fishing communities of Kasensero and Dima landing site in Rakai district (iv) Medium Term Plans 1.Mentor,ÊsupportÊandÊretrainÊHIVÊtestingÊlaboratoriesÊinÊtheÊcountryÊthatÊfailÊproficiencyÊtests.ÊEÊpidemiologicalÊandÊbehaviorÊ research in HIV, Malaria and Acute viral outbreaks in 15 communities in the lake Victoria region.
Collect data from 26 standalone HIV clinics and merge collected data with Rakai cohort data.

2.StaffÊestablishmentÊatÊUVRIÊandÊsitesÊdeterminedÊandÊdevelopÊÊjobÊdescriptionsÊandÊappraiseÊstaff.ÊTrainÊandÊmentorÊstaffÊinÊ scientificÊwritingÊ,ÊpolicyÊandÊresearchÊcommunicationÊandÊknowledgeÊtranslation;ÊÊÊ 3.Develop and print annual report.
4.TrainÊstaffÊinÊÊGCLP,biosafety,ÊspecimenÊhandlingÊandÊriskÊmanagement.ÊConductÊscienceÊandÊopenÊdayÊforÊregionalÊprimaryÊ schools to interest pupils in the science career.

5.OrientÊgovernmentÊandÊcontractÊstaffÊonÊstandingÊorderÊ,provideÊpensionersÊwithÊtheirÊtravelÊallowance.ÊMaintainÊITÊ equipment,ÊpayÊwater,ÊelectricityÊandÊInternetÊbillsÊandÊÊprovideÊITÊsupportÊAruaÊLaboratoryÊoffice.
Ê6.Map out areas of Arboviral activity and populations at risk of outbreaks in 48 hours, influenza disease,ILI and SARI surveillanceÊatÊsentinelÊsitesÊandÊdiagnoseÊatÊleastÊÊ1200 samples.

Ê7.IFMSÊÊpayment,ÊprocurementÊaudits,ÊassetsÊregisterÊauditÊ,assetsÊandÊutilitiesÊmanagementÊreviewÊandÊaÊreviewÊofÊtheÊtrainingÊ workshops, stores management and non-tax revenue.
8.SurveillanceÊforÊplagueÊdiseasesÊandÊidentifyÊsuspectedÊÊplagueÊcasesÊandÊoutbreaks,ÊandÊcontainÊthem.ÊDetermineÊimmuneÊ profiles during epidemics: Plague, Yellow fever and highly pathogenic viruses for protection of communities.
9.ConductÊfieldÊvisitsÊandÊcollectÊÊandÊtestÊatÊleastÊ1000ÊÊHepatitisÊBÊsamplesÊÊforÊHepÊBÊvirusÊfromÊinfestedÊsitesÊinÊEasternÊandÊ NorthernÊdistrictsÊinÊUganda.ÊCollectÊandÊtestÊsamplesÊandÊconfirmÊallÊsuspectedÊmeaslesÊcases,outbreaksÊandÊAFPÊcasesÊandÊ report results within the expected TRT.

10.MalariaÊandÊZikaÊvirusÊvectorÊdistributionÊpatternsÊandÊÊestimateÊtheÊÊriskÊofÊdiseaseÊ transmissionÊwithinÊtheÊsentinelÊsites.
(v) Summary of Past Performance and Medium Term Budget Allocations Table V1.1: Overview of Vote Expenditures (UShs Billion) 2016/17 MTEF Budget Projections 2015/16 Outturn Approved Budget Expenditure by End Dec 2017/18 2018/19 2019/20 2020/21 2021/22 170 Uganda Virus Research Institute (UVRI) Ministerial Policy Statement Vote: 304 Uganda Virus Research Institute (UVRI) Recurrent Devt.

Wage Non Wage GoU Ext.

Fin.
GoU Total Total GoU+Ext Fin (MTEF) Arrears Total Budget A.I.A Total Grand Total Total Vote Budget Excluding Arrears 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 N/A 0.000 0.000 0.952 0.709 0.000 0.000 1.661 1.661 0.000 1.661 N/A 1.661 1.661 0.198 0.105 0.000 0.000 0.303 0.303 0.000 0.303 N/A 0.303 0.303 0.952 0.501 0.400 0.000 1.853 1.853 0.031 1.883 N/A 1.883 1.853 1.000 0.601 0.520 0.000 2.120 2.120 0.000 2.120 N/A 2.120 2.120 1.050 0.661 0.624 0.000 2.335 2.335 0.000 2.335 N/A 2.335 2.335 1.102 0.760 0.749 0.000 2.611 2.611 0.000 2.611 N/A 2.611 2.611 1.157 0.760 0.749 0.000 2.666 2.666 0.000 2.666 N/A 2.666 2.666 (VI) Budget By Economic Clasification Table V6.1 2016/17 and2017/18 Budget Allocations by Item Billion Uganda Shillings Output Class : Outputs Provided GoU Ext.
Fin 0.000 1.661 AIA Total 0.000 1.661 GoU Ext.
Fin 0.000 1.453 AIA Total 0.000 1.453 2016/17 Approved Budget 2017/18 Draft Estimates 211 Wages and Salaries 212 Social Contributions 213 Other Employee Costs 221 General Expenses 222 Communications 223 Utility and Property Expenses 224 Supplies and Services 227 Travel and Transport 228 Maintenance Output Class : Capital Purchases 312 FIXED ASSETS Output Class : Arrears 321 DOMESTIC Grand Total : Total excluding Arrears (VII)ÊBudgetÊByÊProgrammeÊAndÊSubprogrammeÊÊÊ Table V7.1: Past Expenditure Outturns and Medium Term Projections by Programme and SubProgramme 171 Uganda Virus Research Institute (UVRI) Ministerial Policy Statement Vote: 304 Uganda Virus Research Institute (UVRI) Billion Uganda shillings FY 2016/17 Medium Term Projections 03 Virus Research 01 Headquarters 02 Health Research Services 03
 Internal Audit 1437 Institutional Support toUVRI 1442 UVRI Infrastructual Development Project Total for the Vote Total Excluding Arrears FY 2015/16 Outturn Approved Budget SpentÊByÊ End Dec 2017-18 Proposed Budget 2018-19 2019-20 2020-21 2021- (VIII) ProgrammeÊPerformanceÊandÊMediumÊTermÊPlansÊÊÊÊÊÊ Table V8.1: Programme Outcome and Outcome Indicators Programme : 03 Virus Research Programme Objective : To conduct scientific investigations on viral and other diseases for prevention, policy and capacity development Responsible Officer: Prof. Pontiano Kaleebu Programme Outcome: Quality and accessible virus research Services Sector Outcomes contributed to by the Programme Outcome 1.
Competitive healthcare centres of excellence Outcome Indicators 2015/16 2016/17 2017/18 2018/19 2019/20 Actual Target Actual Target Projection Projection Performance Targets 172 Uganda Virus Research Institute (UVRI) Ministerial Policy Statement Vote: 304 Uganda Virus Research Institute (UVRI) ¥ÊPropotion of informed research policy and guidelines.

¥ÊPropotion of Reseach planned activities SubProgramme: 01 Headquarters Output: 04 Administration and Support Services Percentage execution of the workplan.
Quarterly internal audit report produced SubProgramme: 02 Health Research Services Output: 06 Arbovirology, Emerging and Remerging Disease Research No.

of Research services coordinated and supervise SubProgramme: 03 Internal Audit Output: 04 Administration and Support Services Percentage execution of the workplan.
(IX) Major Capital Investments And Changes In Resource Allocation Table 9.1: Major Capital Investment (Capital Purchases outputs over 0.5Billion) N/A 70% 85% 75% 90% 80% 95% 100% 100% 100% 4 4 4 4 4 4 100% 100% 100% Table 9.2: Key Changes in Vote Resource Allocation Major changes in resource allocation over and above the previous financial year JustificationÊforÊproposedÊÊChangesÊinÊExpenditureÊ and Outputs Programme : 08 03 Virus Research Output: 08 0372 Government Buildings and Administrative Insfrastructure Change in Allocation (UShs Bn) : 0.250 This is a new capital development code.
The funds allocated here are therefore being allocated for the first time in this output.

(X) Vote Narrative For Past And Medium Term Plans 173 Uganda Virus Research Institute (UVRI) Ministerial Policy Statement Vote: 304 Vote Challenges Uganda Virus Research Institute (UVRI) I.

High expenditure on power and water bills, most of the research infrastructure and equipment at the institute are dilapidated.

2.Insufficient wage and Human resource Bill.


3.Increased disease burden Non communicable Infectious diseases and merging and re-merging infections calling for diversified infections.

Plans to improve Vote Performance 1.Expand the malaria and TB research capacity.

2.Expand research an surveillance on viral diseases e.g hepatitis, rota virus, human papilloma virus (HPV).

3.Establish research on non- communicable diseases (NCDs).
Investigate factors associated with vial hemorrhagic fever (VHF) out breaks.ÊÊ4.Strengthen existing mentorship programs.

5.Support training for long and short term courses.

Jointly conduct research training in areas of interest of UVRI staff.

6.Establish a Laboratory Informaton ÊManagemet System (LIMS).

Ê7.Ensure a functional stores management system and enough storage space.

8.Ensure enough and alternate power back up system.
9.Utilize the available liquid nitrogen capacity for more reliable long term storage.
10.Develop and operationalize a communication strategy (XI) Vote Cross Cutting Policy And Other Budgetary Issues Table 11.1: Cross- Cutting Policy Issues Table 11.2: AIA Collections (XII) Personnel Information TableÊ12.1Ê:ÊVoteÊStaffingÊProfileÊÊbyÊPost Post Authorised Establishme nt Filled Posts Vacant Posts Cleared for filling in 2017/18 Number of Posts Estimate d for 2017/18 Scale Gross Salary Rate per Month Annual Cost of Filled Posts 2017/18 Annual Cost of Estimated Posts 2017/18 Ac Director/deputy director Accountant Technician Vote Total 0 1 0 1 5 1 4 10 5 1 2 8 5 U1 2,543,627 0 30,523,524 2 U4 UP 934,922 934,922 11,219,064 4 U5 (SC) 11 635,236 4,113,785 0 0 7,622,832 49,365,420 174 501-850 Local Governments Ministerial Policy Statement Vote: 500 501-850 Local Governments V1: Vote Overview (i) Vote Mission Statement (ii) Strategic Objective (iii) Major Achievements in 2016/17 (iv) Medium Term Plans (v) Summary of Past Performance and Medium Term Budget Allocations Table V1.1: Overview of Vote Expenditures (UShs Billion) Recurrent Devt.
2016/17 MTEF Budget Projections 2015/16 Outturn Approved Budget Expenditure by End Dec 2017/18 2018/19 2019/20 2020/21 2021/22 Wage 0.000 280.355 70.089 291.312 305.877 321.171 337.230 354.091 Non Wage GoU Ext.

Fin.
0.000 0.000 0.000 45.851 11.463 47.066 56.479 62.127 9.500 1.864 2.375 0.000 9.622 2.278 12.509 15.010 0.000 0.000 71.446 18.012 0.000 71.446 18.012 0.000 GoU Total 0.000 335.706 83.927 348.000 374.865 398.309 426.689 443.550 Total GoU+Ext Fin (MTEF) 0.000 337.570 83.927 350.278 374.865 398.309 426.689 443.550 Arrears 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Total Budget 0.000 337.570 83.927 350.278 374.865 398.309 426.689 443.550 A.I.A Total N/A N/A N/A N/A N/A N/A N/A N/A Grand Total 0.000 337.570 83.927 350.278 374.865 398.309 426.689 443.550 Total Vote Budget Excluding Arrears 0.000 337.570 83.927 350.278 374.865 398.309 426.689 443.550 (VI) Budget By Economic Clasification Table V6.1 2016/17 and2017/18 Budget Allocations by Item 2016/17 Approved Budget 2017/18 Draft Estimates Billion Uganda Shillings Output Class : Outputs Funded GoU Ext.
Fin 1.864 335.706 AIA Total 0.000 337.570 GoU Ext.
Fin 2.278 348.000 321 DOMESTIC Grand Total : Total excluding Arrears 335.706 335.706 335.706 1.864 1.864 1.864 0.000 337.570 348.000 0.000 337.570 348.000 0.000 337.570 348.000 2.278 2.278 2.278 AIA Total 0.000 350.278 0.000 350.278 0.000 350.278 0.000 350.278 175 501-850 Local Governments Ministerial Policy Statement Vote: 500 501-850 Local Governments (VII)ÊBudgetÊByÊProgrammeÊAndÊSubprogrammeÊÊÊ Table V7.1: Past Expenditure Outturns and Medium Term Projections by Programme and SubProgramme Billion Uganda shillings FY 2016/17 Medium Term Projections 81 Primary Healthcare 05 Health 1385 HEALTH DEVELOPMENT Total for the Vote Total Excluding Arrears FY 2015/16 Outturn Approved Budget SpentÊByÊ End Dec 2017-18 Proposed Budget 2018-19 2019-20 2020-21 2021- (VIII) ProgrammeÊPerformanceÊandÊMediumÊTermÊPlansÊÊÊÊÊÊ Table V8.1: Programme Outcome and Outcome Indicators Programme : 81 Primary Healthcare Programme Objective : To offer quality primary care health services to the people of Uganda Responsible Officer: Chief Administrative Officers Programme Outcome: Quality of health care and patient safety Sector Outcomes contributed to by the Programme Outcome 1.
Inclusive and quality healthcare services Outcome Indicators 2015/16 2016/17 2017/18 2018/19 2019/20 Actual Target Actual Target Projection Projection Performance Targets ¥ÊÊInfant mortality rate per 1000 ¥ÊÊUnder-five mortality rate per 1000 ¥ÊMaternal mortality per 100000 N/A (IX) Major Capital Investments And Changes In Resource Allocation Table 9.1: Major Capital Investment (Capital Purchases outputs over 0.5Billion) N/A 48 53 363 46 52 348 44 51 320 176