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Health MPS: Health Table of Contents PRELIMINARY Foreword Abbreviations and Acronyms Structure of Report 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 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: 501- 580 –Local Governments Response to Recommendations on the MPS for FY 2014/15 Ministerial Policy Statement ii iii ix x 1 81 97 110 119 132 144 157 167 177 188 200 210 222 233 251 260 271 283 297 307 319 333 344 i FOREWORD The Govemment of Uganda continues to facilitate the attainment of a good standard of health for all the people in Uganda.
The goal of the Health Sector is therefore to reduce morbidity and mortality as a contribution to poverty reduction as well as economic and social development of the people of Uganda.

The achievements of the Ministry during the FY 20l4ll5 were in accordance with the sector priorities as guided by the Health Sector Strategic and Investment Plan (HSSIP) and within the realm of the National Development Plan.
The structure of the MPS for FY 2015116 follows the Sector Vote Functions that link financial resources and other inputs to sector outputs and outcomes.

Despite the constrained resource envelope to the Sector in FY 2015116, the Ministry will continue to focus on key priority areas that will enhance efficiency and improve service delivery.

Special thanks go to His Excellency the President who has been at the fore front of promoting good health and sourcing investors to the Health Sector.
I thank fellow Cabinet members for the Health Sector policy guidance and development over years.

I wish to thank Members of Parliament most especially the Presidential Advisory Committee on Budget and the Health Committee whose relentless support has resulted into not only provision of additional resources for the sector but also better allocative efficiency.
My appreciation is also extended to the Health Sector Development Partners who have continued to offer financial and technical support to the sector.

Their support in implementing key strategic policies and priorities is much appreciated.

Lastly, many thanks go to the Local Governments, Private Sector and Civil Society Organizations that have continued to play a critical role in the implementation and delivery of health services in the country.
The technical guidance from Ministry of Finance, Pllanning and Economic Development is also much cherished.

-/t\sHON.
DR. ELIODA TUMWESIGYE MII{ISTER OF HEALTH 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 DHO DHT 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 Diarrhoeal 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) District Health Officer District Health Team iii 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 East African Integrated Disease Surveillance Network Enrolled Comprehensive Nurses East Central and Southern Africa Epidemic and Disease Prevention, Preparedness and Response Elizabeth Glaser Paediatric Foundation Environmental Health Division Environmental Health Management Information System Environmental Health Programme Essential Medicines and Health Supplies Essential Medicines List of Uganda Emergency Obstetric Care Ear, Nose and Throat Expanded Programme on Immunization Emergency Preparedness and Response External Quality Control Health Sub-District DISP DLT DOTS DPs DPOs DPT DTLS DTS DVS EAC EAIDANet ECN ECSA EDP EGPAF EHD EHMIS EHP EMHS EMLU EmOC ENT EPI EPR EQC ESD ERT Energy for Rural Transformation Fiscal Decentralization Strategy FDS Family Planning FP Financial Year FY Global Alliance for Improvement of Nutrition GAIN Global Acute Malnutrition GAM Global Alliance for vaccines and Immunisation GAVI Global Drug Fund GDF Gender Based Violence GBV Global Fund for HIV/AIDS, TB & Malaria GFATM GH General Hospital GoU GPS Global Positioning System HAB HAF HBMF HC HCT HDP HDPG HIV HMBC HMIS HP&E HPA HPAC HPSI HPV 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 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 Government of Uganda iv Human Resource 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 Intensive Care Unit ICU IDA International Development Agency IDB Islamic Development Bank Internally Displaced Persons IDPs Integrated Disease Surveillance and Response IDSR Information Education and Communication IEC International LabourOrganisation ILO Integrated Management of Childhood Illness IMCI Infant Mortality Rate IMR Inter-Ministerial Standing Coordinating Committee (education and health) IMSCC International Monitoring Team IMT Indicative Planning Figure IPF Intermittent Preventive Treatment IPT Indoor Residual Spraying IRS Integrated Sanitation and Hygiene ISH Integrated Support Supervision ISS In-service training IST Information Technology IT Insecticide Treated Nets ITNs Integrated Vector Management IVM Infant and Young Child Feeding IYCF JAF Joint Assessment Framework JCRC Joint Clinical Research Centre JICA JMC JMS JRM KCC KIU LC LGDP LGMSDP LLITNs LRA LTIA MAAF MCP MDA MDGs MDR MIS 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 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 v MMR MNT MNTE MOES MOFPED 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 NW & SC OH &S OOB OPD ORS ORT PAF PAD PC PCV PEAP PEP PEPFAR PHAST Maternal Mortality Rate Maternal Neonatal Tetanus Maternal Neonatal Tetanus Elimination Ministry of Education and Sports Ministry of Finance, Planning and
 Economic Development 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 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 vi 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 Sexually Transmitted Infection 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 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 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 vii UNEPI UNF UNFPA UNHRO UNICEF UPE URA URCI USAID USD USE Ugshs UVRI VBDC VHF VHT VPH WFP WHO WISN YCF YSP ZTLSs 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 viii STRUCTURE OF THE MINISTERIAL POLICY STATEMENT Vote Functions The preparation of the Ministerial Policy Statement and the budget estimates is centered on the notion of Vote Functions.
A Vote Function is a set of programmes, projects, and Local Government Grants, defining the roles and responsibilities of a vote/institution, and contributing towards the attainment of vote and overall sector objectives.
As such, a Vote Function provides detailed information on centralized services, by capturing allocations to Central Ministries and Stand Alone Votes, and decentralized services funded via grants to Local Governments ix EXECUTIVE SUMMARY The Government of Uganda continues to facilitate the attainment of a good standard of health for all the people in Uganda.
The goal of the Health Sector is therefore to reduce morbidity and mortality as a contribution to poverty reduction as well as economic and social development of the people of Uganda.

The achievements of the Ministry during the FY 2014/15 were in accordance with the sector priorities as guided by the Health Sector Strategic and Investment Plan (HSSIP) and within the realm of the National Development Plan.

The key areas of focus for FY 2015/16 are; 1.


Improve health infrastructure with the key focus on General Hospitals.

2.

Human resource (attraction, motivation and retention).

3.

Improving Primary Health Care (disease prevention and health promotion, functionalizing health sub-districts).

4.

Improvement of maternal and child health services including reproductive health.

5.

Control of HIV/AIDS, Malaria and TB.

6.


Reduction of referrals abroad (equipping, recruitment, staff motivation and acquisition of specialized medicines).

7.

Enhancing blood collection under the Uganda Blood Transfusion Services.

8.

Control/preparedness for disease outbreaks including surveillance.

9.

Strengthen community health extension systems across the country.
x Health Sector Key Performance Indicators FY 2015/16 Sector Sector Outcome Indicators 1 Outcomes Increased deliveries in health facilities 2 3 Children under one year old protected against life threatening diseases Health facilities receive adequate stocks of essential medicines and health supplies (EMHS) Proportion of approved posts that are filled (public facilities including National and Regional Referral Hospitals) Proportion of Deliveries in health facilities(Health centers and Hospitals, Public and Private Not For Profit) Proportion approved posts in public General Hospitals and Health Centers (HC II, III & IV) filled % of one year old children immunized against measles % of children under one year immunised with 3rd dose of Pentavalent vaccine Percapita OPD utilisation rate Proportion of health facilities without stock out of any of the six tracer medicines (ACTs, Depoprovera, Sulphadoxine /Pyrimethamine, measles vaccine, ORS, Cotrimoxazole)in a specific quarter Proportion of health facilities without stock outs first line anti-malarials (ACTs) in a specific quarter Proportion of health facilities without stock outs of Depoprovera in a specific quarter Proportion of health facilities without stock outs of Sulphadoxine /pyrimethamine in a specific quarter Proportion of health facilities without stock outs of measles vaccine in a specific quarter Proportion of health facilities without stock outs of ORS in a specific quarter Base line 2013/14 Target FY 2015/16 64% 75% 44.4% 48% 63% 75% 82% 93% 90% 95% 1.0
 57% 1.1 62% 87% 95% 95% 96% 88% 95% 94% 95% 71% 85% xi Proportion of health facilities without stock outs of Cotrimoxazole in a specific quarter 87% 95% KEY ACHIEVEMENTS FOR THE SECTOR DURING FY 2014/15 AND PLANNED OUTPUTS FOR FY 2015/16 ARE SUMMARIZED BELOW:- 1.
During FY 2014/15 the Ministry continued with the ongoing construction program for the nine (9) hospitals under the World Bank support equivalent to US$ 52 million.

The construction is at different stages and the hospitals are: Moroto, Mityana, Nakaseke, Kiryandongo, Nebbi, Anaka, Moyo, Entebbe and Iganga.

In addition, construction of Kawempe and Kiruddu hospitals at a cost of US$ 29 million is progressing well and expected to be completed by mid-2016.

2.
2.

Construction, expansion, rehabilitation and equipping of Mulago Hospital estimated at US$ 47 million is underway and will be completed by December 2016.

The construction of specialized Maternal and Neonatal unit in Mulago hospital under Islamic Development Bank (IDB) is expected to commence in May, 2015 and will cost US$ 24 million.

The Ministry is also in advanced stages with the procurement of ten (10) ambulances for the planned Ambulance System for Kampala metropolitan area.
The Ambulances are expected to be delivered by June, 2015.

3.

Construction of Out Patient Department (OPD), theatre, accident and emergency departments in Hoima and Kabale hospitals by JICA is underway and shall be completed by 2016.

Under the same program, medical equipment shall be supplied to Fort portal, Hoima and Kabale hospitals.

4.

The Ministry will continue with the program for the rehabilitation of the following general hospitals:-Adjumani, Kitgum, Kabarole Kiboga.
Kapchorwa, Kamwenge Pallisa, Itojo, Kitagata Bugiri, Atutur, Apac, Abim Bundibugyo Kaberamaido and Masindi.

It will also procure assorted essential medical equipment and furniture for 10GHs, 10HCIVs, 30HCIII and 20HCIIs countrywide.

Basic equipment will also be supplied to lower level facilities country wide under GoU.

5.
5.

Under the GoU & Italian Support, the Karamoja region will be provided with staff housing (69 units) at HC IIIs in districts of Kaabong, Abim, Kotido, Moroto, Amudat,Napak and Nakapiripirit.

Under the GoU & Spanish Debt Swap Grant; Kawolo and Busolwe Hospitals will be reconstructed.

These constructions will also address reproductive health issues.
(i.e OPD extension/Casualty unit, Construction of an obstetric Theatre, Expansion xii of the delivery suites, improvement of Maternity ward and construction of a mortuary.)

Under the GoU & Saudi Fund/OFID and BADEA, Yumbe and Kayunga Hospitals will be rehabilitated, expanded and equipped.

Staff houses shall be constructed and provision of ambulance, medical furniture and equipment shall be made.

6.
6.

The Ministry plans to implement a sharpened plan “A promise renewed” to accelerate investments in maternal, newborn and child health.

Key features of this plan include; improving antenatal care by providing comprehensive ANC improving malaria prevention and management with a focus on the needs of pregnant women, providing HIV voluntary counseling and testing services and nutritional supplements to pregnant women.

services, 7.
services, 7.

There shall be continuous efforts towards the reduction of Maternal Mortality Ratio through implementation and distribution of Emergency Obstetric Care (EmONC) lifesaving medicines, Family Planning equipment and commodities to health facilities and improving the referral and support supervision.

The Ministry of Health will continue to conduct Maternal and perinatal death audits including scaling up community sensitization and mobilization.

8.
8.

Districts shall be supervised during the implementation of reproductive health activities and independent maternal health audits countrywide shall be conducted.

Surgical camps will be held in all the 14 regional referral hospitals, 5 general hospitals and selected HC IVs.

The camps will include mentoring on long term family planning methods and post abortion care.

The safe motherhood day will also be held and the sharpened plan for reproductive health distributed.

9.
9.

Vaccination against Human Papilloma Virus (HPV) will be rolled out country wide and two other new vaccines will be introduced in the FY 2015/16 and these are: - inactivated polio vaccine for children under one year and Rota virus vaccine.

The sector intends to conduct a country wide mass measles campaign for all children from 6 months to 5 years old.

It will undertake support supervision of in poorly performing districts and integrate monthly support supervision in all districts.
Administration of traditional vaccines including the Pentavalent and Pneumococcal conjugate vaccines shall also continue.

immunization services 10.

The Ministry plans to scale up the implementation of the existing four strategies for the control of malaria and these include: (i) Long Lasting Impregnated Nets (LLIN), (ii) Indoor Residual Spraying (IRS), (iii) Larviciding and (iv) Case Management.

So far there these strategies have been successful in controlling malaria.

xiii 11.
xiii 11.

The Tuberculosis (TB) case detection, management and infection control shall be enhanced by increasing the MDR TB treatment centers and equipping more health facilities with Gene Xpert machines.

The ministry will also orient health workers in new TB/HIV mode of management (1one stop center).

12.

NMS will continue to emboss medicines and medical supplies delivered to Government health facilities in order to avert pilferage.
Focus shall also be put on procurement and distribute essential medicines and health supplies in accordance with procurement plans for general hospitals, regional referral hospitals and national referral hospitals.

Specialized items will be procured and distributed to UHI, UCI and UBTS in accordance with the availed procurement plans and budgets and in adherence to the published schedule.
Further improvements in the supply chain and management for vaccines will be realized through logistic supplies procured under the GAVI project.

13.

In the FY 2014/15, the Cancer Institute completed a new building for the research centre with initial phase of equipment on the ward (i.e ICT clinical management system, a chemistry analyzer and diagnostic equipment) and successfully performed two surgical camps in the new theatre.
In the FY 2015/16, the cancer institute plans to complete a radiotherapy bunker and nuclear medicine department.

In addition, the institute will undertake procurement for the physical plans and designs for strengthening of Mbarara cancer center.

Uganda Cancer Institute has been chosen to be a centre of excellence for Cancer treatment in East Africa and a loan request to operationalize this has been tabled before Parliament.

The Cancer Institute Bill has also been approved by Cabinet.

14.
14.

The Uganda Heart Institute installed cardiac catheterization facility and a theatre that can handle at least 1000 operations/ procedures per year when fully operational.

The UHI shall continue to scale up cardiac operations, and offering fellowship training programmes for super specialised procedures.

(UHI) has newly 15.
(UHI) has newly 15.

During the FY 2014/15, Uganda Virus Research Institute (UVRI) conducted surveillance for measles and AFP cases in eastern Uganda (Jinja, Bugiri, Iganga, Kamuli, Kaliro, Mbale and Soroti).

The Dried Blood Spots (DST) proficiency testing panels were distributed to 250 testing sites and shall continue expanding the malaria research capacity.

Phase two of the HIV rapid test will be evaluated.


In FY 2015/16, Surveillance on common diseases such as, polio, measles, rubella, Hepatitis, Rota-virus and human papilloma virus will be carried out and documented.

In addition, the Natural Chemotherapeutics Research to undertake laboratory research work in reference to the WHO Regional strategy on traditional medicine (2014-2023).

Institute shall continue xiv 16.


The Uganda Blood Transfusion Services (UBTS) collected and distributed 163,750 units of safe blood by end March thereby achieving 68% of the target for FY 2014/15.

UBTS plans to implement a blood donor recognition and acknowledgement program in order to motivate and retain more communities to donate blood on a regular basis.

UGX 840 million has been allocated for this activity.
Additional UGX 750 million will be spent to support the two newly created blood collection teams in Lira and Angal in Nebbi.

17.

The partnerships with the private sector will continue to be improved for better service delivery.

The arrangement for an affordable credit facility for health private sector will be finalized.

Gender and human rights including the disabled and most vulnerable populations will be mainstreamed in all local government health work plans for equitable access to health services.
The ministry plans also to sponsor training of post-basic and post- graduates.

18.

The Health Service Commission has so far made190 appointments and advertised 675 positions in FY2014/15.

The Commission plans to recruit 900 Health Workers of all categories for Ministry of Health Headquarters, National Referral Hospitals, CUFH-Naguru, RRHs, UBTS, Prisons Health Services and NCTL.
1200 HRH Cases of confirmation, corrigenda, re- designation, study leave, Interdictions, abscondments, retirement on medical grounds will be processed.

19.

The Ministry prepared the following reports and documents:-Budget Framework Paper for FY 2014/15, Ministerial Policy Statement for FY 2014/15, three Quarterly performance progress reports, National e-health Information Policy, Strategy, Governance and Technologic Framework and Local Government grant guidelines and transfers.
Quarterly monitoring visits and HMIS data validation exercises were conducted in regional referral hospitals, selected Local Governments and Private not for Profit (PNFP) Institutions.

The national health accounts study for FY 2010/11 and 2011/12 was also conducted.

20.

The Ministry is currently developing a new Sector Development Plan that will be aligned to the National Development Plan II.

The National Health Insurance Bill will be presented to Cabinet and Parliament.
The sector plans shall continue to focus on strengthening health systems such as improving human resource staffing, operationalizing the existing health infrastructure, making drugs and necessary equipment more available.

21.

HIV/AIDS: > New infections declined from 147,000 in 2011 to 137,000 in 2013) and the HIV prevalence is estimated at 7.3% The PMTCT facility coverage has increased significantly over the past year; from 2,138 in the year 2013 to 3,248 facilities by 2014.
The proportion of pregnant women tested for HIV increased from 30% in 2008 to 95% in 2014.

The proportion xv of pregnant women living with HIV receiving ARVs increased from 33% in 2007 to 87% in 2014.

The number of infections in new born children has also significantly declined- from 28,000 in the year 2009 to a projected 8,000 as at the end of 2014.
The sector has been accelerating the accreditation of health facilities that provide ARVs and the number of sites increased from 475 in 2011 to 1,603 by December 2014- 100% public hospitals, 91% HCIVs are providing ART and 87% of HCIVs are also providing pediatric ART.

The Ministry of Health and Uganda Aids Commission are developing guidelines for the operationalization of the Uganda HIV/AIDS Fund with the aim of financing the various HIV/AIDS interventions.
In the FY 2015/16 the sector shall continue to focus on the priorities in the National Prevention Strategy including (i) rapid scale up of annual HCT coverage of 50% of 15-49 years population (with target of HCT of 90% by 2020), (ii)Behavior Change Communication programs coverage to achieve a reduction in multiple sexual partnerships by 25%, (iii) condoms program coverage to 80%, (iv) Safe Male Circumcision coverage to 80% ,(v) expand ART coverage to 80%, with test and treat for most at risk populations and,(vi) elimination of Mother To Child Transmission coverage to 95%.
However, it is important to note that the sector is facing significant funding gaps for the HIV response particularly for antiretroviral drugs for those already on treatment, laboratory commodities and supplies previously procured by Centers for Disease Control, HIV Test Kits, and Circumcision Kits.

22.
22.

Primary Health Care (Vote 501-850- Local Governments) Achievements for FY 2014/15 Local Governments carried out the following range of Primary Health Care Services;  Reproductive and child health services  Routine immunization through static and outreach services  HIV/AIDS, Malaria and TB services  Health promotion and disease prevention  Sanitation and hygiene policy on ODF villages especially in the 30 Districts.
 Health infrastructure development  Installation of medical and energy equipment  Management of disease and epidemic outbreaks  VHTs capacity enhancement  Monitoring, supervision and inspection of Primary health care service delivery in both public and private facilities including schools xvi Details of the out puts are contained in the BFP submissions .Under health infrastructure, the LGs renovated, rehabilitated, consolidated and functionalized existing health facilities through; construction of maternity wards, theatres, pit latrines, placenta pits, incinerators, rehabilitation of health units, procurement of medical supplies and equipment, procurement of vehicles, construction of staff houses, construction of OPDs and maintenance of existing infrastructure.
The main focus was on construction of staff accommodation and fictionalization of the physical performance achieved by the end of 3rd quarter of financial year 2014/15; following were theatres.
The Planned activity Construction of Mortuary Actual number achieved by end of quarter 3 02 Construction Laboratory of 01 Comments Supported by GOU and partners Supported by GOU and partners Construction of pediatric wards 02 Supported by GOU and partners Construction of medicines stores 05 Supported by GOU and partners Construction of surgical ward of Construction latrines in Health centres Construction incinerators VIP of 01 63 17 Placenta pits constructed 23 Pick-ups purchased 04 Mattresses received 4463 Hospital beds procured 555 Procurement cycles of motor 04 Supported by GOU and partners Supported by GOU and partners Supported by GOU and partners Supported by GOU and partners Supported by GOU and partners Supported by GOU and partners Supported by GOU and partners Supported by GOU and partners xvii Procurement ambulance of 02 Solar panels installed Rehabilitation of Health centres-replacement of roofing OPD fridges of medical constructed/rehabilitated Staff houses constructed and kitchen Number of health facilities fenced Procurement of and gas Number theatres of constructed/rehabilitated and made functional Number building/wards constructed Number wards constructed New HIV/AIDs Testing Value delivered Uganda sanitation fund- Villages declared ODF Number of medical staff recruited of maternity medicines offering HCIVs of 14 17 53 182 13 11 15 18 53 15 98 Billion 26 183 Supported by GOU and partners Supported by GOU and partners Supported by GOU and partners Supported by GOU and partners Supported by GOU
 and partners Supported by GOU and partners Supported by GOU and partners Supported by GOU and partners Supported by GOU and partners Supported by GOU and partners Supported by GOU and partners Supported by GOU and partners Number of training/CPD sessions held 112 Supported by GOU and partners Governments - FY 2015/16 Other Interventions to be undertaken in Local  Under the Italian Support for Karamoja region: Staff housing (69 units) will be constructed at HC IIIs in the Karamoja Region districts of Kaabong, Abim, Kotido, Moroto ,Amudat,Napak and Nakapiripirit.
xviii  Under the Spanish Debt Swap Grant; Kawolo and Busolwe Hospitals will be reconstructed.

These constructions will also OPD health address extension/Casualty unit, Construction of an obstetric Theatre, Expansion of the delivery suites, improvement of Maternity ward and construction of a mortuary.)

reproductive issues.

(i.e  Under the Saudi Fund/OFID and BADEA, Yumbe and Kayunga Hospitals will be rehabilitated, expanded and equipped.
Staff houses shall be constructed and ambulance and medical furniture and equipment provided.
 Under GOU Shs 8.2 Billion has been allocated for facelift and rehabilitation of PHC facilities, Some HCIVs will be upgraded to General Hospitals and 16 General Hospitals will be rehabilitated This include:Adjumani,Kapchorwa,Kiboga,Bundibugyo,Kitagata,Abi m,Kabarole,Apac,Kitgum,Kamwenge,Itojo, Masindi,Bugiri,Atutur,Pallisa,Kaberamaido  Under GOU, Shs 12 Billion has been earmarked for procurement of medical furniture, beds and some equipments for PHC facilities country wide.
in functionalize  Under GOU, shs 18.8 Billion has been earmarked for rehabilitation of health facilities country wide and making the country.
Under health functional all HCIVs infrastructure, the LGs shall renovate, rehabilitate, consolidate and through; existing health construction of maternity wards, theatres, pit latrines, placenta pits, incinerators, rehabilitation of health units, procurement of medical supplies and equipments, procurement of vehicles, construction of staff houses, construction of OPDs and maintenance of existing infrastructure.

Details are contained in the Budget framework papers of the Local Governments for FY 2015/16.
facilities MAJOR CHALLENGES FACED BY THE HEALTH SECTOR.

1.

Rehabilitation of general hospitals.

Many of the general hospitals some of which were constructed long time are in dire need of renovations since the infrastructure has broken down.
According to a recent report by the Ministry’s infrastructure division, the total requirement for civil works, medical equipment, furniture and transport for 25 general hospitals xix excluding those being covered under the ongoing projects is estimated at Ushs 820 billion.

2.

Human Resources for Health i.

Wage enhancement for health workers: The sector faces a challenge of attracting key human resources for health which has caused a persistent service delivery gap in health facilities.

ii.
ii.

Wage provision for bonded health workers: In an attempt to solve the Human Resource challenge the Ministry of Health working with development partners offers scholarships to persons pursuing courses in selected medical fields and thereafter they are bonded.

The sector requires UGX 2.54bn to recruit and pay the available human resource under this category.

iii.

There are vacant posts, pension and gratuity.


Ushs 708 million is required to cover 44 critical posts that require to be filled urgently and UGX1.4billion is required for pension and gratuity.

The vacancies arise out retirement and therefore recruitment will be on replacement basis.

3.

Huge disease burden owing mainly to HIV/AIDS, Malaria, Tuberculosis, pneumonia and diarrhea particularly in children.

The challenge is that most of the support under these disease programmes is funded by external donors.
This causes a challenge of sustainability incase the donors withdraw their support or phase out funding to these programmes.

4.

Emergencies and Epidemics: The health sector continues to experience outbreaks of epidemics.

The budget provision for handling emergencies and epidemics is inadequate to respond promptly and adequately to such emergencies.
In fulfillment of the presidential directive, the sector in consultation with the Ministry of Public Service to upgrade the division of surveillance into a full-fledged and resourced department that will have the capacity to detect, prevent and control diseases including zoonotic ones.

This is aimed at reducing outbreak of epidemics.

The Ministry requires additional UGX 5 billion to kick start the activities of the new department of disease surveillance.

5.
5.

Hepatitis B: There is an immediate need of Ushs 29.5bn for the emergency response towards mitigating the Hepatitis B outbreak in the country.

This is to cover immunization for both children and adults.

The money shall cover procurement of vaccines and test kits and management costs to cover the whole country.

6.

Construction of oxygen plant for hospitals-Ushs 6bn is needed for constructing oxygen plants for 12 Regional Referral Hospitals xx 7.
Maintenance of medical equipment nationwide is carried out through the maintenance workshops at regional referral hospitals and the national workshop at wabigalo.

However, the available budget is Shs.7.5 bn for revitalization of equipment which is inadequate to maintain all the equipment in health centers and hospitals excluding the imaging and radiology equipment.

Nationwide maintenance of medical equipment requires Ushs 49bn to maintain the current stock of medical equipment countrywide annually.

8.
8.

Costs of medical referrals abroad, there is need to equip selected referral hospitals (Mulago, Mbale, Gulu, Mbarara) as a way of implementing the presidential directive to reduce referrals abroad.

These facilities will require investments in the area of cancer services, renal dialysis, imaging and radiology, surgery, lab equipment, ophthalmology and requisite staff training.

The total amount required is Ushs 175bn.

9.


Operationalization of the newly completed cancer ward requires an immediate budget provision of Ushs 5.5bn.

This is meant to be part of Governments actions to increase provision of cancer services at the cancer institute to reduce the referrals abroad.

10.
10.

Counterpart funding obligations for Government for some projects that are funded by development partners>, There is inadequate budget provisions for the counterpart obligations that arise out of the MoUs and agreements between Government and Development Partners.

The projects affected include; rehabilitation of Mulago National Referral Hospital, construction of specialized Maternal and Neonatal unit in Mulago , construction of Kirundu and Kawempe Hospitals etc.
The shortfall for the counterpart funding for FY is UGX 16.3 bn.

11.

Up-grading of HC II to IIIs in 235 Sub Counties Country wide: Access to the reproductive services is still a challenge to expectant mothers as the maternity wards are based in HC IIIs which are located at County level.

To take the services nearer there is need to upgrade the HC II in 235 sub counties to IIIs by providing maternity wards, requisite staff housing and equipment.

This estimated to cost UGX 225 bn.

12.


VAT: The service procured by the sector attract Value Added Tax as provided for in the VAT (amendment) Bill 2014.The most affected services include civil works and health equipment.

The required resource for VAT stands at UGX 39.7 billion.

xxi 13.
xxi 13.

Reagents: Procurement of Laboratory Suppliers to bridge the gap created by the phasing out of CDC support is very critical and UGX: 50 billion is required annually to procure reagents for HIV, hematology and other related tests.

14.

Health care waste management: Health facilities are constrained with management and disposal of waste.

UGX 2.5bn is required for a waste management programme across the country.

15.
15.

Clearing and handling charges for reproductive health commodities supplied under the UNFPA.

Effective January 2013, UNFPA communicated that the Government should take over the payment of these charges.

For this purpose, the sector requiresUshs 2.5bn annually.

16.

Health service delivery in Local Governments is seriously affected by significant shortage of qualified health staff especially in hard to reach and stay districts.
The proportion of approved positions filled by qualified health workers is now 64%; this figure however masks the gross mal -distribution of health workers in the country, with some districts having less than 43% of positions filled.

Staff shortage is further compounded by absenteeism and inability to retain critical cadres even when health workers have been recruited.

The above shortcomings have been compounded by inadequate supervision of health facilities by Local Governments.

17.
17.

The PHC health budget is grossly inadequate and the Ministry is experiencing severe pressures owing to increase of Local Government health services and expansion of health infrastructure.

A further shs 36 bn (in addition to the shs 5bn provided) to the PHC NWR is needed.
xxii Sector Budget Allocations CODE VOTE 014 Health FY 2013/14 FY 2014/15 FY 2015/16 462.391 577.130 514.357 107 114 115 116 Uganda Aids Commission( Statutory) 5.448 6.950 Uganda Cancer Institute Uganda Heart Institute 6.482 10.400 5.111 9.080 6.950 15.637 11.085 National Medical Stores 219.375 218.610 218.614 134 Health Service Commission 3.583 4.070 151 Uganda Blood Transfusion Service (UBTS) 4.057 6.360 4.070 8.646 161 Mulago Hospital Complex 37.985 38.130 39.635 162 Butabika Hospital 9.108 9.110 9.108 163-176 Regional Referral Hospitals 70.350 68.920 69.508 501-850 District NGO Hospitals/Primary Health Care 17.195 17.190 17.189 501-850 District Primary Health Care 274.610 296.530 289.236 501-850 District Hospitals 5.943 9.140 14.143 501-850 District Health Sanitation Grant 2.208 4.510 122 KCCA Health Grant 3.638 5.000 4.678 5.000 SUB-TOTAL HEALTH 1,127.484 1,281.130 1,220.97 xxiii Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health V1: Vote Overview (i) Vote Mission Statement To facilitate the attainment of a good standard of health by all people of Uganda in order to promote a healthy and productive life (ii) Summary of Past Performance and Medium Term Budget Allocations Table V1.1: Overview of Vote Expenditures (UShs Billion) (i) Excluding Arrears, Taxes 2013/14 Outturn Approved Budget Rel.
by End Mar 2014/15 MTEF Budget Projections 2015/16 2016/17 2017/18 Wage 5.091 6.494 5.166 6.494 6.819 7.160 Recurrent Non Wage 25.842 29.665 24.245 34.665 37.438 40.808 Development GoU Ext.
Fin 9.354 12.975 8.933 29.175 52.589 527.996 409.125 444.022 37.453 90.749 52.434 36.342 GoU Total 40.287 49.135 38.345 70.335 81.711 100.402 Total GoU + Ext Fin (MTEF) 92.876 577.131 447.470 514.357 172.460 136.744 (ii) Arrears and Taxes Arrears Taxes 0.000 2.980 0.372 4.238 0.372 2.329 1.772 5.504 Total Budget 95.856 581.741 450.171 521.633 N/A N/A N/A N/A N/A N/A The chart below shows total funding allocations to the Vote by Vote Function over the medium term: Chart V1.1: Medium Term Budget Projections by Vote Function (Excluding Taxes, Arrears) n o i l l i B s h s U 350 300 250 200 150 100 50 , 2014/15 Approved Budget Estimates 2015/16 Budget Projections 2016/17 Budget Projections Vote Overview 1 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health V2: Vote Performance for FY 2014/15 and Planned Outputs for FY 2015/16 This section describes past vote performance and planned Outputs, in terms of key vote outputs (i) Past Vote Outputs Preliminary 2014/15 Performance The Ministry registered the following achievements in FY 2014/15; Under Immunisation, DPT3 coverage is now at 101% while that of measles is at 96% of targeted infants.
Regarding Nodding disease control, 3 supervision visits were conducted in Pader-Atanga Treatment center, Kitgum general Hospital and Lamwo district.

Six supervision visits were also conducted by the Gulu Regional Referral hospital.

In addition the families taken to US for genetic study on Nodding disease were followed up.

Furthermore, autopsy on 2 nodding disease associated deaths was conducted.
To improve access to care for Nodding disease patients 106 outreaches were conducted (5 in Gulu, 30 in Lamwo, 24 in Kitgum, 23 in Pader and 12 in Amuru).

All health nodding disease treatment facilities received anti- convulsant medicines with no reports of stock out Malaria; Indoor Residual Spraying (IRS) using Bendiocarb is ongoing in Kumi and Ngora districts.

The Ministry distributed 3M Long Lasting Insecticides (LLIN) treated nets covering 112 districts of Uganda.
Procurement of mosquito larvicides is being finalised and pre-application larviciding field activities on going in Nakasongola district.

The Ministry continued to carryout disease Surveillance activities which led to the detection, investigation and confirmation of the following disease outbreaks; Marburg VHF outbreak in Kampala, Mpigi and Kasese, the cause of confirmed Polio cases in Kamuli and Kween.

Weekly bulletins on disease surveillance were also produced.
During FY 2014/15 the Ministry continued with the ongoing construction program for the nine (9) hospitals under the World Bank support equivalent to US$ 52 million.

The construction is at different stages and the hospitals are: Moroto, Mityana, Nakaseke, Kiryandongo, Nebbi, Anaka, Moyo, Entebbe and Iganga.

In addition, construction of Kawempe and Kiruddu hospitals at a cost of US$ 29 million is progressing well and expected to be completed by mid-2016.
V3: Detailed Planned Outputs for FY 2015/16 2015/16 Planned Outputs The key areas of focus for FY 2015/16 are; 1.

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

2.

 Improvement of maternal and child health services including reproductive health.

3.

 Control of HIV/AIDS, Malaria, TB & Hepatitis .

4.
4.

 Improving Primary Health Care (disease prevention and health promotion, nutrition , environmental sanitation , hygiene, functionalizing lower level health facilities).

5.

 Reduction of referrals abroad (equipping, training, recruitment of specialists, staff motivation and acquisition of specialized medicines).

6.

 Enhancing blood collection under the Uganda Blood Transfusion Services.

7.

 Control/preparedness for disease outbreaks including surveillance.

8.
8.

 Infrastructural rehabilitation and remodeling as well as constructing new facilities.

Vote Overview 2 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health 9.
Strengthening the community health extension system The detailed activities are in Table V3.1 of this Ministerial Policy Statement Table V3.1: Vote Function Profiles, Programme/Project Profiles and Workplan Outputs Vote Function: 08 01 Sector Monitoring and Quality Assurance Vote Function Profile Responsible Officer: Commissioner Quality Assurance Services: Supervision, monitoring & evaluation of health service delivery at all levels.
Vote Function Projects and Programmes: Project or Programme Name Recurrent Programmes 03 Quality Assurance Programme 03 Quality Assurance Programme Profile Responsible Officer Commissioner Quality Assurance Responsible Officer: Commissioner Quality Assurance Objectives: Conduct regular health sector performance review, monitoring and evaluation; Ensure standards and guidelines are developed, disseminated and used effectively at all levels.
Ensure that a regular support supervision system is established and strengthened at all levels; Coordinate capacity building for internal quality assurance in districts and health facilities.

Outputs: Outputs:Standards and Guidelines developed; Standards and Guidelines disseminated; Comprehensive Supervision system established and Sector supervised and inspected.
Quality assurance capacity built; Operations research done; sector performance monitored a Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 01 01 Sector performance monitored and evaluated 2 Quarterly review meetings conducted 7 Senior Management Committee meetings held Bi-annual review (one) meetings conducted Joint Review Mission 2013 conducted National Health Assembly conducted 3 Senior Management Committee meetings Office Supplies received Quarterly for fuel and stationery Compiling performance review reports carried out for Quarterly Review, AHSPR and Government Annual Performance Review Report (GAPR)conducted IHP+ report compiled and submitted GAPR 2013/14 FY compiled and submitted to OPM 12 Senior Management Committee meetings Office Supplies received Quarterly for fuel and stationery Health Sector component of the NDP report 2013/14 compiled and submitted Draft reports for the Client Satisfaction survey reviewed conducted and shared with the Technical Working Group.
Performance review reports carried out for Department, Sector Quarterly Review, Government Annual Performance Review Report (GAPR) and other reports requested Total Wage Recurrent Non Wage Recurrent 228,000 101,000 127,000 93,249 52,265 40,984 228,000 101,000 127,000 08 01 02 Standards and guidelines disseminated Radiation and Imaging Safety Guidelines, to all referral Hospital disseminated.
Rolled out Client Charter to 7 Regional Referral Hospitals Disseminated Client Charter Comprehensive supervision and monitoring guidelines and tools disseminated to all districts.
Vote Overview 3 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 01 Sector Monitoring and Quality Assurance Programme 03 Quality Assurance Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.

Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Comprehensive supervision and monitoring guidelines disseminated.
National Infection Prevetion and Control Guidelines to all referral hospitals disseminated.

key messages to 45 district General Hospitals and HC IVs.

Dissemination of National Infection Prevention & Control Guidelines to 25 districts carried out Client Charter disseminated to all districts.
5S Guidelines and Handbook disseminated Client satisfaction survey disseminated Training of District Supervisors in the HFQAP conducted in 10 district (Jinja, Mitooma, Bukwo, Budaka, Kibuku, Kween, Bulambuli, Mbale, Sironko and Kapchorwa) National Infection Prevention and Control Guidelines disseminated in 50 districts Patient and family centered care guidelines disseminated to all districts and referral hospitals Patient and family centered care guidelines launched Client satisfaction survey results disseminated Total Wage Recurrent Non Wage Recurrent 73,000 0 73,000 19,842 0 19,842 73,000 0 73,000 08 01 03 Support supervision provided to Local Governments and referral hospitals 2 Support supervision visits per district conducted Quality Improvement Interventions (QI) supervised Area Team support supervision to Regional Referral Hospital, General Hospitals and HC IVs for all the 112 districts.
Pre-JRM field visits to 16 districts was conducted Quality Improvement Interventions (QI) supervised in 35 districts Pre-NHA/JRM visits to 16 selected districts conducted and field report was presented to JRM meeting in October 2014 Inspection visits were conducted for 35 districts.
Client and Family Centred Care Assessment carried out in Fort Portal RRH 2 Support supervision visits per district conducted Quality Improvement Interventions (QI) supervised in 60 districts 60 DHOs trained in support supervision skills Quality of care assessment monitored in 50 districts Quality of care assessment conducted in 14 referral hospitals PreJRM visits conducted in 16 districts Total Wage Recurrent Non Wage Recurrent 392,000 0 392,000 134,563 0 134,563 392,000 0 392,000 08 01 04 Standards and guidelines developed Develop and Print 10,000 copies of the support supervision strategy.
Update and translate patient charter into local language Printed the Client Charters for the 11 Regional Referral Hospitals; Guidelines for developing Client Charters for the Health Sector; Client charter key messages for General Hospitals and HC IVs.

Health Facility Quality Assessment Programme tools printing process initiated The Health Sector Support Supervision Monitoring and Inspection strategy developed.
Review M&E paln for HSDP Inventory of standards and guidelines reviewed to align to HSDP and current service delivery standard Guidelines for developing health sector guidelines developed QI Strategic plan finalized QI launched Total Wage Recurrent Non Wage Recurrent 112,000 0 112,000 38,979 0 38,979 112,000 0 112,000 Vote Overview 4 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 01 Sector Monitoring and Quality Assurance Programme 03 Quality Assurance GRAND TOTAL Wage Recurrent Non Wage Recurrent 805,000 101,000 704,000 286,633 52,265 234,368 805,000 101,000 704,000 Vote Overview 5 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 02 Health systems development Vote Function Profile Responsible Officer: Commissioner Clinical Services Services: Development and management of health sector infrastructure and equipment.
Vote Function Projects and Programmes: Project or Programme Name Development Projects 0216 0232 1027 1123 1187 1243 1314 1315 District Infrastructure Support Programme Rehab.
Of Health Facilities in Eastern Region Insitutional Support to MoH Health Systems Strengthening Support to Mulago Hospital Rehabilitation Rehabilitation and Construction of General Hospitals Rehabilitation and Equiping of Health Facilities in Western R Construction of Specialised Neonatal and Maternal Unit in M Responsible Officer Permanent Secretary Under Secretary Finance and Admnistration PS Health Permanent Secretary Permanent Secretary Health PS Health PS-Ministry of Health Project 0216 District Infrastructure Support Programme Project Profile Responsible Officer: Permanent Secretary Objectives: The central objective of this project is to improve the infrastructure of the health system by purchasing essential equipment and undertaking rehabilitation of Regional and District health facilities.
Outputs: a)District Health facilities Rehabilitated/constructed b)District Health facilities equipped c)Ambulance trucks and station wagons vehicles procured Start Date: 7/1/2010 Projected End Date: 6/30/2015 Donor Funding for Project: Projected Donor Allocations (UShs) Africa Development Bank (ADB) 401 Total Donor Funding for Project 2013/14 Budget 0.000 0.000 2014/15 Budget 0.000 0.000 MTEF Projections 2015/16 2016/17 2017/18 0.000 0.000 25.000 25.000 0.000 0.000 Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 02 01 Monitoring, Supervision and Evaluation of Health Systems -Maintenance of imaging and theatre equipment.

(ushs 547 mil) - Monthly technical supervision carried out for health infrastructure developments at the 13 RRHs, 2 national.
Hospitals and all districts - detailed health facilities inventory for HC II - III carried out for whole country - Vehicles Maintained -Reports and inventories printed and bound, stationery procured - Maintained equipment in the central region - Carried out monthly technical supervision of health infrastructure developments in regional referral hospitals, Mpigi district and Mulago NRH - 65% of Imaging and thaetre equipment maintained & kept in good condition at RRHs, 20 GHs and 30 HC Ivs - Technical support supervision carried out for infrastructure development nationwide at regional referral hospitals and districts Total GoU Development External Financing 697,564 697,564 0 87,504 87,504 0 698,000 698,000 0 Vote Overview 6 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 02 Health systems development Project 0216 District Infrastructure Support Programme Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 02 77 Purchase of Specialised Machinery & Equipment Total GoU Development External Financing 0 0 0 Procurement of assorted essential medical equipment and furniture for general hospitals and lower level health facilities undertaken.

Payment for shipping and clearing costs for donated items made.

0 0 0 12,900,436 12,900,436 0 08 02 80 Hospital Construction/rehabilitation .
• Buyiga HCIII: Completion of Construction and equipping carried out.

Initial allocations were not sufficient to complete the works.

- Completed the construction works for the initial scope - 90% completion for additional works for the OPD - procurement of equipment initiated.

Total GoU Development External Financing GRAND TOTAL GoU Development External Financing 700,000 700,000 0 1,397,564 1,397,564 0 0 0 0 87,504 87,504 0 Project 0232 Rehab.

Of Health Facilities in Eastern Region Project Profile 1.
Partial rehabilitation of Kapchorwa Hospital by construction of 4. two bedroom staff housing units 2.2.
Payment of retention monies for the construction and equipping of Buyiga HC III – Mpigi District (50million) 699,564 699,564 0 14,298,000 14,298,000 0 Responsible Officer: Objectives: Outputs: Start Date: Donor Funding for Project: Projected Donor Allocations (UShs) Japan 523 Total Donor Funding for Project 7/1/2004 Projected End Date: 6/30/2015 2013/14 Budget 2.640 2.640 2014/15 Budget 0.000 0.000 MTEF Projections 2015/16 2016/17 2017/18 0.000 0.000 0.000 0.000 0.000 0.000 Vote Overview 7 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 02 Health systems development Project 1027 Insitutional Support to MoH Project Profile Responsible Officer: Under Secretary Finance and Admnistration Objectives: Outputs: 1.
This project aims to rehabilitate and retool the Ministry of Health Headquarters and the associated Health Councils offices, and to improve the capacity of the Ministry to raise Non Tax Revenues.

This covers the renovation works on offices, provision of office space, and other service rooms adequate for availing a good working environment for staff.

2.

It is also intended to address the need to develop and install network systems to enable the Health Ministry to fully utilize ICTs.

3.
3.

To create additional office space and other service rooms, procurement of transport equipment and facilitating the development of strategic plans for health institutions.
a)Full rehabilitation and retooling of the Ministry of Health Headquarters b)Additional office space and other service rooms created c)A fully equipped and staffed institutional clinic d)Office furniture, ICT equipment and motor vehicles for the H/qtr procured e)Capacity building process for the effective monitoring of the ongoing works, projects as well as monitoring of the various Health facilities in the country provided for.
Start Date: 7/1/2010 Projected End Date: 6/30/2015 Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 02 01 Monitoring, Supervision and Evaluation of Health Systems Total GoU Development External Financing 0 0 0 08 02 72 Government Buildings and Administrative Infrastructure Undertake phase 2 of renovation of Old Ministry of Health Headquarters at Wandegeya including retiling, plumbing refurbishment, resurfacing the parking lot and widening the drainage system to tackle flooding.
Total GoU Development External Financing 580,000 580,000 0 08 02 75 Purchase of Motor Vehicles and Other Transport Equipment vehicles completed.

Procurement of a Station Wagon for the Uganda Virus research institute undertaken.
VAT on the vehicles Paid Undertake studies on improving the efficiency and effectiveness of various health financing mechanisms Ministry of Health Contracts Committee capacity enhanced Budget monitoring and accountability undertaken 0 0 0 192,000 192,000 0 Revamped the wiring system at the Ministry Head quarters Rehabilitation of Ministry of Health building constructed a perimeter wall fence at Wabigalo Central Mechanical Workshop Done the drainage system and levelled the compound at Wabigalo Central Maechanical Workshop Rehabilitation of the HQ completed in phase 2 0 0 0 150,000 150,000 0 Procurement of a Station Wagon for the Uganda Virus research institute undertaken.
Procurement of a Station Wagon for one Senior Manager undertaken Taxes for imported transport equipment Vote Overview 8 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 02 Health systems development Project 1027 Insitutional Support to MoH Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Total GoU Development External Financing 470,651 470,651 0 08 02 76 Purchase of Office and ICT Equipment, including Software Purchase of computer and IT equipment Total GoU Development External Financing 08 02 77 Purchase of Specialised Machinery & Equipment Total GoU Development External Financing 08 02 78 Purchase of Office and Residential Furniture and Fittings Total GoU Development External Financing GRAND TOTAL GoU Development External Financing Procurement of 10 new desk top computers, UPS, for headquarters including those for Planning Department undertaken 50,000 50,000 0 Pay required costs (VAT, courier, project fees etc) for donated items and related services.
Import duties paid for imported equipment 1,009,083 1,009,083 0 Procurement of assorted office furniture (Including that for the budget division) undertaken 100,000 100,000 0 2,701,083 2,701,083 0 Vote Overview 9 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 02 Health systems development Project 1123 Health Systems Strengthening Project Profile Responsible Officer: PS Health Objectives: Overall Objective; The Project Development Objective is to deliver Uganda Minimum Health Care Package to Ugandans, with a focus on maternal health and family planning.
The specific objectives of UHSSP are: Outputs: • To improve development and management of the health work force • To improve infrastructure of existing health facilities • To strengthen management, leadership and accountability for health service delivery • To improve access to, and quality of maternal health, new born care and family planning services Systems for Human Resource Development and Management strengthened through offering sholarships to health workers, support to professional councils, physical functionality of health facilities enhanced by renovating health facilities, leadership and management strengthened in the areas of logistics and procurement, performance contracting, health communication and feedback management, accreditation of health facilities and training of managers of health facilities.
Rehabilitation of 2 regional referral hospitals ,17 general hospitals and 27District HC Ivs Start Date: 7/1/2010 Projected End Date: 6/30/2015 Donor Funding for Project: Projected Donor Allocations (UShs) International Development Association (IDA) 410 Total Donor Funding for Project Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2013/14 Budget 107.420 107.420 2014/15 Budget 80.610 80.610 MTEF Projections 2015/16 2016/17 2017/18 0.000 0.000 29.452 29.452 81.610 81.610 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 02 01 Monitoring, Supervision and Evaluation of Health Systems Construction works at beneficiary health facilities monitored Award of scholarships to health workers from hard to reach areas pursuing specialised courses Procuring family planning supplies Procurement of mama kits Supporting village health teams to register mothers Leadership and management (develop and pilot a hospital accreditation system, consultancy to develop a communication strategy, prescription habits study, review the health sub district concept, develop business plans 60% of scheduled works have been completed and most of the 9 Hospitals are at finishing stage.
Works to be completed by February 2016.

The Hospitals include: Moroto, Moyo, Nebbi, Anaka, Kiryandongo, Nakaseke, Mityana and Entebbe.
Medical equipment procured in previous quarter is now in use at 46 health facilities for general and specialised equipment and 230 health facilities for Emergency Obsetric and Neonatal Care equipment Construction works at beneficiary health facilities monitored Award of scholarships to health workers from hard to reach areas pursuing specialised courses Procuring family planning supplies Procurement of mama kits Leadership and management (develop and pilot a hospital accreditation system, consultancy to develop a communication strategy, disseminate client charters, and improved supply chain management for medicines) Vote Overview 10 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 02 Health systems development Project 1123 Health Systems Strengthening 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) for professional councils and improved supply chain management for medicines) Total GoU Development External Financing 11,400,000 400,000 11,000,000 08 02 80 Hospital Construction/rehabilitation Construction works for 9 hospitals and 27 HC Ivs undertaken.

Another 13 hospitals and 27 HC Ivs are scheduled for rehabilitation using the additional USD 90 Million from the World Bank.
These are Pallisa, Kitgum, Apac, Bugiri, Abim, Atutur, Kitagata, Masindi, Buwenge, Bukwo, Itojo, Mubende and Moroto hospitals.

The HC Ivs are Kasanda, Kiganda, Ngoma, Mwera, KyantungoKikamulo, Kabuyanda, Mwizi, Kitwe, Rubare, Aboke, Aduku, Bwijanga, Bullisa, Padibe, Atyak, Obongi, Pakwach, Buvuma, Budondo, Ntenjeru- Kojja, Buyinja, Nankoma, Bugono, Kiyunga, Kibuku and Budaka.
52,050,778 161,890 51,888,888 11,799,653 299,653 11,500,000 60% of the scheduled works have been completed and most of the facilities are at finishing stage.

We envisage that the contractors will require extensions of about 6 months from August 2015 to complete.

Contracts have been awarded for renovation of 26 HCIVs using available resources.

The Bank's decision on additional financing of US$ 90 million is still awaited.
Completion of renovation of 9 Hospitals (Mityana, Nakaseke, Anaka, Moyo, Entebbe, Nebbi, Moroto RRH, Iganga & Kiryandongo) by February 2016.

Embark on renovation of 26 HCIVs ( Kasanda, Kiganda, Ngoma, Mwera, Kyantungo, Kikamulo, Kabuyanda, Mwizi, Kitwe, Rubare, Aboke, Aduku, Bwijanga, Bullisa, Padibe, Atyak, Obongi, Pakwach, Buvuma, Budondo, Ntenjeru- Kojja, Buyinja, Nankoma, Bugono, Kiyunga, Kibuku and Budaka.)
Total GoU Development External Financing GRAND TOTAL GoU Development External Financing 69,760,000 150,000 69,610,000 81,160,000 550,000 80,610,000 6,269,046 0 6,269,046 58,319,824 161,890 58,157,933 70,110,000 0 70,110,000 81,909,653 299,653 81,610,000 Vote Overview 11 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 02 Health systems development Project 1187 Support to Mulago Hospital Rehabilitation Project Profile Responsible Officer: Permanent Secretary Objectives: a.
Capacity development and system strengthening b.

Revitalize referral and counter referral systems c.Expanded and improved health facilities and services through enabling Mulago Hospital and two new regional referral hospitals in Kampala City enhance efficiency through using latest systems and technology.

3.3 Expected Outputs Outputs: 1.

Master plan for Mulago, health workers trained, Ambulance management system 2.
Kawempe & Kiruddu Hospitals and lower Mulago construction started 3.
Supervision of infrastructure development at lower Mulago, Kawempe and Kiruddu hospitals carried out Start Date: 1/10/2012 Projected End Date: 6/30/2015 Donor Funding for Project: Projected Donor Allocations (UShs) Africa Development Bank (ADB) 401 Total Donor Funding for Project Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2013/14 Budget 13.425 13.425 2014/15 Budget 55.830 55.830 MTEF Projections 2015/16 2016/17 2017/18 16.138 16.138 0.000 0.000 55.830 55.830 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 02 01 Monitoring, Supervision and Evaluation of Health Systems Health workers trained, services for the management for the ambulance system procured, supervision for lower mulago, kawempe and Kiruddu hospitals under taken.

60 middle level managers and 30 top level managers from Mulago Hospital and KCCA have completed training in governance, leadership and management.
Health workers trained, services for the management of ambulances procured, supervision of civil works for Lower Mulago, Kawempe and Kiruddu under taken 15 medical workers from Mulago hospital completed 3 months renal transplant training in India.

The supervision of civil works for Kawempe, Kiruddu and Lower Mulago are ongoing and the consultants submit monthly reports.

Procurement process for the 10 ambulances are on-going.
Total GoU Development External Financing 4,200,000 700,000 3,500,000 2,621,240 263,261 2,357,978 1,350,000 850,000 500,000 08 02 80 Hospital Construction/rehabilitation Construction of Kawempe ,Kiruddu and rehabilitation of Lower Mulago Hospital under taken Construction works for Kawempe and Kiruddu hospitals completed.

Rehabilitation of Lower Mulago Hospital will continue.

The progress of construction work for Kawempe Hospital is at 35%.
The structure is complete and the contractor is doing block walling and internal plastering.

While the construction work at Kirrudu Hospital is at 40%.

The structure is complete and the contractor is doing block walling, internal plastering and electromechanical first fix.
The contractor for the renovation work of Lower Vote Overview 12 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 02 Health systems development Project 1187 Support to Mulago Hospital Rehabilitation Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Total GoU Development External Financing GRAND TOTAL GoU Development External Financing 52,330,000 0 52,330,000 56,530,000 700,000 55,830,000 Mulago commenced work during the second quarter and to date 19% of phase 1 work has been completed.
28,406,644 0 28,406,644 31,027,884 263,261 30,764,622 55,430,000 100,000 55,330,000 56,780,000 950,000 55,830,000 Project 1243 Rehabilitation and Construction of General Hospitals Project Profile Responsible Officer: Permanent Secretary Health Objectives: To improve the referral system Outputs: Rehabilitation of Kawolo hospital.
Start Date: 7/1/2012 Projected End Date: 6/30/2014 Donor Funding for Project: Projected Donor Allocations (UShs) Spain 542 Total Donor Funding for Project Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2013/14 Budget 12.590 12.590 2014/15 Budget 12.590 12.590 MTEF Projections 2015/16 2016/17 2017/18 0.000 0.000 0.000 0.000 12.590 12.590 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 02 80 Hospital Construction/rehabilitation Kawolo hospital;- Expanding and rehabilitation of the Outpatient department, expanding and renovating the theatre and maternity, constructing 4 units of staff houses and mortuary.
At Kawolo Hospital: Consulting firm was recruited, Designs were finalised, Advertisement for civil works expected to be done in May 2015 Civil works expected to commence in August 2015 Kawolo hospital;- Expanding and rehabilitation of the Outpatient department, expanding and renovating the theatre and maternity, constructing 4 units of staff houses and mortuary.
Total GoU Development External Financing GRAND TOTAL GoU Development External Financing 12,590,000 0 12,590,000 12,590,000 0 12,590,000 0 0 0 0 0 0 12,590,000 0 12,590,000 12,590,000 0 12,590,000 Vote Overview 13 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 02 Health systems development Project 1314 Rehabilitation and Equiping of Health Facilities in Western Region Project Profile Responsible Officer: PS Health Objectives: The Overall/ General Objective To improve the functionality of the Regional Referral System through an improved quality of primary health care services in Uganda.
This will improve access to health care and hence health status of the surrounding population.

The specific Objective 1.

Improve the functionality of the Out Patient Departments (OPD) at the Regional Referral Hospitals 2.

Improve the per capita patient attendance at the Regional Referral Hospitals 3.
Enhance the management of medical logistics at Regional Referral Hospitals Outputs: a)New OPD constructed at Kabale and Hoima Regional Referral Hospitals b)New Operation Theatre constructed at Kabale and Hoima Regional Referral Hospitals c)New maternity ward constructed at Kabale and Hoima Regional Referral Hospitals d)Medical Equipment supplied to Kabale, Hoima and Fort Portal Regional Referral Hospitals Start Date: 7/1/2014 Projected End Date: 6/30/2019 Donor Funding for Project: Projected Donor Allocations (UShs) Japan 523 Total Donor Funding for Project Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2013/14 Budget 0.000 0.000 2014/15 Budget 43.580 43.580 MTEF Projections 2015/16 2016/17 2017/18 0.000 0.000 0.000 0.000 43.580 43.580 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 02 80 Hospital Construction/rehabilitation Equipping Fort Portal regional referral hospital undertaken.

Construction and equipping of OPD complex with casuality unit and theaters in Hoima and Kabale hospitals also undertaken.
- construction works up 34% complete - equipment contract signed but no delivery yet New facilities (OPD, Theatres and Maternity wards) contructed and equipped at Hoima and Kabale hospital, and equipment supplied and installed at Fort Portal Hospital Total GoU Development External Financing GRAND TOTAL GoU Development External Financing 43,580,000 0 43,580,000 43,580,000 0 43,580,000 0 0 0 0 0 0 43,580,000 0 43,580,000 43,580,000 0 43,580,000 Vote Overview 14 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 02 Health systems development Project 1315 Construction of Specialised Neonatal and Maternal Unit in Mulago Hospital Project Profile Responsible Officer: PS-Ministry of Health Objectives: Improving of Maternal and Child healthcare services delivery at MNRH through improvement of infrastructure, supply of equipment/materials and training of personnel; and Decongesting the MNRH by focusing on provision of tertiary and specialized Maternal and Child healthcare services in the Obstetric/Gynecology Department.
Outputs: Improved infrastructure for maternal health care (buildings & Equipment); Additional skills through personnel training; Improved quality of specialized RH care services; Introduction of new and advanced services; Decongested MNRH particularly the OBGYN Dpt.
Reduction in Maternal and Neonatal morbidity and mortality in Uganda Start Date: 7/1/2014 Projected End Date: 6/30/2019 Donor Funding for Project: Projected Donor Allocations (UShs) Islamic Development Bank 414 Total Donor Funding for Project Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2013/14 Budget 0.000 0.000 2014/15 Budget 13.440 13.440 MTEF Projections 2015/16 2016/17 2017/18 0.000 0.000 0.000 0.000 13.440 13.440 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 02 01 Monitoring, Supervision and Evaluation of Health Systems Specialist Staff training undertaken.

Contract staff salaries for the project staff were paid.

Contract staff salaries for the project staff paid.

Contract staff salaries for the project staff paid.

Project Vehicles were serviced and fuelled.
Vehicles serviced and fuelled Vehicles serviced and fuelled Total GoU Development External Financing 500,000 500,000 0 08 02 80 Hospital Construction/rehabilitation Marternal and neonatal hospital construction undertaken Supervision of civil works undertaken 697,875 226,547 471,328 699,564 699,564 0 Marternal and neonatal hospital construction undertaken Supervision of civil works undertaken Acceptable ,updated design drawings,details and tender documents were submitted by the design consultant.
An invitation for prequalification of contractors for civil works was advertised on 25th september 2014.

Final project design report for detailed engineering designs and tender documents was completed and submitted.

Prequalification of building contractors completed.
Vote Overview 15 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 02 Health systems development Project 1315 Construction of Specialised Neonatal and Maternal Unit in Mulago Hospital Project, Programme 2015/16 2014/15 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Total GoU Development External Financing GRAND TOTAL GoU Development External Financing 13,740,000 300,000 13,440,000 14,240,000 800,000 13,440,000 Evaluation of Bids for civil works contractor and supervision consultant completed and submitted to the bank 894,287 15,200 879,087 1,592,162 241,747 1,350,415 13,640,436 200,436 13,440,000 14,340,000 900,000 13,440,000 Vote Overview 16 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 03 Health Research Vote Function Profile Responsible Officer: Director General of UNHRO Services: - Undertake basic, epidemiological, applied,interventional and operational research.
- Chemotherapeutic research -Cordinate research activities Vote Function Projects and Programmes: Project or Programme Name Recurrent Programmes 04 05 Research Institutions JCRC Programme 04 Research Institutions Programme Profile Responsible Officer: PERMANENT SECRETARY Responsible Officer PERMANENT SECRETARY Director JCRC Objectives: To monitor diseases and performance of their interventions, investigate outbreaks, research on natural products and traditional methods in the treatment and control of human diseases,carry out research on tropical diseases and their interventions, identify, set and enforce research areas and policies,Build research capacity.
Outputs: Diseases monitored, performance of interventions monitored, outbreaks investigated, research on natural products and traditional methods in the treatment and control of human diseases carried out, research on tropical diseases and interventions carried out,research areas and policies identified,set and enforced, research capacity built.
Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 03 03 Research coordination Wages for staff under the research institutions paid Wages for staff under the research institutions paid Total Wage Recurrent Non Wage Recurrent 952,000 952,000 0 477,279 477,279 0 952,000 952,000 0 08 03 52 Support to Uganda National Health Research Organisation(UNHRO) UVRI UVRI UVRI Salaries paid Indoor residual spraying activities in affected villages of West Nile monitored.
Influenza surveilance conducted staff trained in surveillance; Insecticide resistance in main malaria vector population across Uganda determined Malaria patterns and risk areas determined across Uganda Immune responses for plague, yellow fever and other out- breaks due to highly pathognic viruses monitored.

DTS proficiency testing panels distributed to all HIV testing sites and support supervision done.

Procurement of uniforms for Support Staff .


UVRI strategic plan printed and desseminated Support suppervision and monitoring in the 4 UVRI field stations carried out.

Monitored and Supported indoor residual spraying activities in affected villages of West Nile.
Monitored immune responses for plague, yellow fever and other out-breaks due to highly pathognic viruses Distributed DTS proficiency testing panels distributed to all HIV testing sites; support supervision provided; refresher training done Procured 17 uniforms for support staff Carried out Epidemiological research in HIV/AIDS , Malaria and Acute Viral Outbreaks Conducted surveillance for measles and AFP cases Indoor residual spraying activities in affected villages of West Nile monitored.
Influenza surveilance conducted staff trained in surveillance; Insecticide resistance in main malaria vector population across Uganda determined Malaria patterns and risk areas determined across Uganda Immune responses for plague, yellow fever and other out- breaks due to highly pathognic viruses monitored.

DTS proficiency testing panels distributed to all HIV testing sites and support supervision done.

Procurement of uniforms for Support Staff .


UVRI strategic plan printed and desseminated Tools for monitoring absentism Vote Overview 17 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 03 Health Research Programme 04 Research Institutions Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Conducted a trainning on Procurement ans disposal of public assets Paid burial expences for the death of our staff, Mr. Odokonyiro Godffrey Paid Utility and Telephone bills Fueled the Generators and Institute Vehicles Procured stationary and office equiptment for daily office running.
NCRI Herbal medicines/ therapies developed and Standardized:sensitiziation of the THPs Moringa oleifera in the districts of Bukwo,Mubende,Masaka,Kalun gu,Bukomansimbi,Mityana,Waki so,Busia,,Nutrition and health sensitiziation.in the Wakiso and Mityana.

General Institutional infrastructure and support structures developed and maintained: payment of the utility bills,institutional buildings renovated and repaired,contract staff paid, vehicles serviced.
Data bases for medicinal plants of Uganda; identification,documentation and herbarium refernce materials archived,and chemical screening of active ingredients in Bukwo and Amuria districts UNHRO Salaries of staff paid Utility bills paid General Institutional infrastructure and support structures developed and maintained Data bases for medicinal plants of Uganda Tools for monitoring absentism and Access Control in procured.
Staff of UVRI given welfare 95% of all measles results reported on time; 99% of AFP results reported on time 100% phase two of the rapid test evaluation completed Epidemiological research in Kasensero and Dimu landing site in Rakai district done Epidemiological research in HIV/AIDS , Malaria and Acute Viral Outbreaks carried out Available research capacity through training and supervision of young researchers improved Staff trained in Performance Management and Appraisal Senior Management Staff trained in Leadership and Management Procurement of stationary and office equiptment New staff oriented and Inducted Administrative, Human Resource, Accounts and Audit support given.
NCRI Herbal medicines/Herbal therapies developed and standardised; research information and research work disseminated.

General institutional infrastructure and support structures developed and maintained.

Medicinal plants of Uganda databases established (at NCRI and regional community centres for Traditional medicine).

UNHRO General institutional maintenance and support carried out.

UNHRO strategic plan developed.


National research priorities developed in various field of health care ( Malaria ,MCH, HIV/AIDs etc).

UNHRO oversight and stewardship.

Policies, Guidelines and standards for Health Research developed.

Research Co-ordination and Knowledge translation done.

and Access Control in procured.
Staff of UVRI given welfare 95% of all measles results reported on time; 99% of AFP results reported on time 100% phase two of the rapid test evaluation completed Epidemiological research in Kasensero and Dimu landing site in Rakai district done Epidemiological research in HIV/AIDS , Malaria and Acute Viral Outbreaks carried out Available research capacity through training and supervision of young researchers improved Staff trained in Performance Management and Appraisal Senior Management Staff trained in Leadership and Management Procurement of stationary and office equiptment New staff oriented and Inducted Administrative, Human Resource, Accounts and Audit support given.
NCRI Herbal medicines/Herbal therapies developed and standardised; research information and research work disseminated.

General institutional infrastructure and support structures developed and maintained.

Medicinal plants of Uganda databases established (at NCRI and regional community centres for Traditional medicine).

UNHRO General institutional maintenance and support carried out.

UNHRO strategic plan developed.


National research priorities developed in various field of health care ( Malaria ,MCH, HIV/AIDs etc).

UNHRO oversight and stewardship.

Policies, Guidelines and standards for Health Research developed.

Research Co-ordination and Knowledge translation done.
MALARIA RESEARCH CENTRE ACTIVITIES (USHS 200M) Vote Overview 18 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 03 Health Research Programme 04 Research Institutions Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 1,219,000 0 1,219,000 2,171,000 952,000 1,219,000 517,472 0 517,472 994,751 477,279 517,472 1,509,000 0 1,509,000 2,461,000 952,000 1,509,000 Programme 05 JCRC Programme Profile Responsible Officer: Director JCRC Objectives: To provide specialised medical research in HIV/AIDS and Clinical care Outputs: Specialised medical research in HIV/AIDS conducted and Clinical care given Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 03 51 Specialised Medical Research in HIV/AIDS and Clinical Care (JCRC) Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent Wage subvention paid Wage subvention paid to JCRC 242,000 0 242,000 242,000 0 242,000 121,000 0 121,000 121,000 0 121,000 242,000 0 242,000 242,000 0 242,000 Vote Overview 19 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 04 Clinical and public health Vote Function Profile Responsible Officer: Director Clinical and Community Health Services Services: Coordination of the implementation of the basic package, routine surveillance, management of epidemics, health disasters and public health emergencies Development of policies and technical guidelines for service delivery for the Basic Health Care Package Provision of technical and logistical support to districts and lower levels for implementing the basic health care package Building core capacities for implementation of the basic package Monitoring and evaluation of technical programmes Vote Function Projects and Programmes: Project or Programme Name Recurrent Programmes 06 07 08 09 11 Development Projects Community Health Clinical Services National Disease Control Shared National Services Nursing Services Responsible Officer Comissioner Community Health Commissioner Clinical services Commissioner NDC Director P&D Commissioner Nursing 1148 1218 Public Health
 Laboratory strengthening project Uganda Sanitation Fund Project Permanent Secretary Ministry of Health Programme Manager Programme 06 Community Health Programme Profile Responsible Officer: Comissioner Community Health Objectives: To support provision of integrated public health services and control of epidemic and endemic diseases.
Outputs: Prevention and control of communicable and non-communicable diseases; training and capacity building for service providers; Policies, laws guidelines, plans and strategies; Technical support, supervision, monitoring and evaluation of service providers and Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 04 01 Community health services provided (control of communicable and non communicable diseases) NON COMMUNICABLE DISEASE (NCD) National NCD strategy developed, National cancer policy developed, NCD public awareness promoted, healthy lifestyles promoted, Early detection and treatment of breast and cervical cancer in 12 HC Ivs, capacity building of health facilities to deliver quality NCD management, Support supervision conducted in 12 Health facilities in 3 regions, NCD surveillance systems strengthened, COMMUNITY HEALTH DEPARTMENT(CHD) Poorly performing districts covered priorty interventions NUTRITION SECTION Six meetings for World Breastfeeding Week were held at the Ministry of Health (MoH) Head office and the World Breastfeeding week was launched .
A national Nutrition Stake holders’ meeting was held with 100 participants from national, regional and district level at Ridar Hotel –Seeta Mukono.

Two (2) Anaemia Working Group meetings were held at MoH and Two (2) meetings for National Working Group For Food Fortification (NWGFF) were held in Golf hotel and Protea Kampala.
Conducted training for 26 Biostasticians and 18 logistics officers in Nutrition and EPI data management in regions of NON COMMUNICABLE DISEASE (NCD) National NCD strategy developed, National cancer policy developed, NCD public awareness promoted, healthy lifestyles promoted, Early detection and treatment of breast and cervical cancer in 12 HC Ivs, capacity building of health facilities to deliver quality NCD management, Support supervision conducted in 12 Health facilities in 3 regions, NCD surveillance systems strengthened, COMMUNITY HEALTH DEPARTMENT(CHD) Poorly performing districts covered priorty interventions Vote Overview 20 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 04 Clinical and public health Programme 06 Community Health Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) strengthened in 20 weak districts, Monthly Community health departmental meetings held, vehicle and equipment for CH office operations maintained, Fuel and stationary provided for Commissioner's Office NUTRITION 4 Preparatory meetings and National event commemorated, 5 Nutrition media messages disseminated national wide, 4 coordination meetings held, Comprehensive Micronutrient guidelines finalized, FBGDs developed and finalized, 54 health facilities supervised, 100 health workers trained and followed up, 85% Vitamin A and Deworming coverage, 15 thematic meetings and 4 stakeholders meetings, monthky cluster and office meetings conducted.
REPRODUCTIVE HEALTH (RH) 60 districts monitored for implementation of Roadmap.

Independent maternal death audits conducted in 8 districts.

Safe Motherhood day commemorated, Rh vehicles serviced and supplied with fuel.

Annual reproductive health stakeholder's meeting.. 4 Surgical camps for FP carried out ENVIRONMENTAL HEALTH (EH) Consultative meetings held to review the PHA.

National sanitation week commemorated.

Quarterly technical support supervision carried out.
Office stationary and equipment procured.

WASH and Environmental Health issues coordinated well both nationally and internationally.
CHILD HEALTH (CH) 66% of sick or malnourished U5s and newborns in 40 districts reached with effective treatment for pneumonia, diarrhea and malaria, CSS strategy disseminated in 80 districts and 10 training institutions 15 messages aired per months 66% Health Facilities in 60 districts implementing and complying with standards for newborn and child health care, Quarterly newborn and ICCM TWG meetings and funds mobilized for CHD, Masaka, Kabale and Mbarara was planned and implemented at Bravo Hotel - Masaka.
Developed Final Draft of the Guideline for Positive Deviance Hearth (PDH) for Management of Community Based Malnutrition at Mpigi.

Held four thematic Working Group meeting on Anaemia and nutrition.

The second international nutrition conference in Italy was attended by 2 officers accompanied by the Hon.

Minister of state for primary health care.

Procured fuel for office running for nutrition officers.

Trained health workers on the PDHearth guidelines and training manuals.
Carried out EPI/Nutrition support supervision in the districts of Mpigi, Kayunga, Mukono, Luwero and Buvuma.

This helped health workers in vaccine handling, temperature recording and record management.

Finalised the Micronutrient Powder M&E framework and piloting was pretested in the districts of Amuria and Kanungu.

Developed the IMAM ITC,OTC and Community guidelines and training manuals.

Developed growth Monitoring and Promotion Guidelines and finalized the road map to IYCF.
Fuel, stationary provided and vehicles maintained for daily office operations.

Held one Micro Nutrient Powders Training of Trainers Workshop.

Coordinated commemoration of the World Health Day.

Reviewed the Integrated Management of Acute Malnutrition guidelines and training modules on the Inpatient Therapeutic Care.

Conducted Training of Trainers on the Semi Quantitative Evaluation of Access and Coverage (SQUEAC) held in Moroto district.
Feedback meeting on Semi Quantitative Evaluation of Access and Coverage (SQUEAC) held in Kampala district.

Conducted priotising and budgeting for district level activities in Accelerating Nutrition Improvement (ANI) supported districts (Western region (Kibaale, Hoima, Masindi), Eastern region (Luuka, Namutumba and Iganga).Coordinated the implementation of Child Days Plus.

Assessed the available nutrition resources in selected districts (Nebbi, Bushenyi, Ntugamo, Namutumba, Maracha).
Vote Overview strengthened in 20 weak districts, Monthly Community health departmental meetings held, vehicle and equipment for CH office operations maintained, Fuel and stationary provided for Commissioner's Office NUTRITION 4 Preparatory meetings and National event commemorated, 5 Nutrition media messages disseminated national wide, 4 coordination meetings held, Comprehensive Micronutrient guidelines finalized, FBGDs developed and finalized, 54 health facilities supervised, 100 health workers trained and followed up, 85% Vitamin A and Deworming coverage, 15 thematic meetings and 4 stakeholders meetings, monthky cluster and office meetings conducted.
REPRODUCTIVE HEALTH (RH) The Ministry will supervise all districts for implementation of reproductive health activities and conduct independent maternal death audits countrywide.

Surgical camps will be held in all the 14 regional referral and 5 general hospitals.

The camps will include mentoring on long term family planning methods and post abortion care.

The safe motherhood day will also be held and the sharpened plan for reproductive health distributed.
ENVIRONMENTAL HEALTH (EH) Consultative meetings held to review the PHA.

National sanitation week commemorated.

Quarterly technical support supervision carried out.

Office stationary and equipment procured.

WASH and Environmental Health issues coordinated well both nationally and internationally.
CHILD HEALTH (CH) 66% of sick or malnourished U5s and newborns in 40 districts reached with effective treatment for pneumonia, diarrhea and malaria, CSS strategy disseminated in 80 districts and 10 training institutions 15 messages aired per months 66% Health Facilities in 60 districts implementing and complying with standards for newborn and child health care, 21 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 04 Clinical and public health Programme 06 Community Health Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) ORAL HEALTH (OH) 20 New districts Supervised on oral health management, Provide fuel and maintain vehicles and office eqipment in good working condition SCHOOL HEALTH (SH) School health Support supervision tools developed and consecus gained among stakeholders.

Consensus solicited on the final school health policy document.

6 districts itrained on school health.


School Health programs in the districts supervised.

Well maintained office equipment Well maintained programme vehicles .
Implementation of school health services improved, PUBLIC HEALTH EMERGENCIES(PHE) Technical Support Supervision of activities carried out in 80 districts PHE Rapid / immediate response to PHE provided to 30 districts Disseminated to 30 districts affected by PHE major PHE Weekly / monthly coordination / meetings on PHE held at district and central levels, Technical support supervision conducted to 30 districts reporting PHEs,HP&E VHTs established in 10 additional districts, Health awareness and sensitisation conducted in 85 districts.
VECTOR CONTROL (VC) 40 districts supported and supervised on NTDs, Vector Control Office stationary procured, VETERINARY PUBLIC HEALTH (VPH) Influenza, brucellosis and other zoonotic diseases in Uganda istrict and hospital health staff traine 12 districts supervised, Undertake Zoonotic diseases investigations and advocacy in high risk districts for rabies, DISABILITY 4 International days Commmemorated, workshop to develop advocacy strategy Payment of salaries for 5 contract staff ENT equipment and wheelchairs donated to Disability section cleared.
NON COMMUNICABLE DISEASES (NCD) Ten (10) health education meetings on Non communicable diseases and their risk factors were held in 10 health facilities (regional and health centre IVs) in the districts of; Wakiso, Mukono, Mityana, Buyikwe, Kampala, Kayunga, Masaka and Bugiri.

A school drama competition to create awareness on NCDs was held at Kazo Primary school in Wakiso district.

A school sports competition was held in Mukono district to create awareness on NCDs and their risk factors .
Eight schools from the district participated in the event.

Screening for NCDs and their risk factors was done in Kazo Mixed primary school.

NCDs Health education talks in schools were conducted in three schools: Africa Children’s’ Choir, Entebbe, Kazo Mixed Primary school, Wakiso and Bishop West primary school, Mukono.

Support supervision on NCD was done in Rwekubo, Nyamiyanja, Kabuyanda HCIVs in Isingiro district.

Held commemoration of World Cancer Day in Kiryandongo district.
World Diabetes day was held in Mukono district.

Procured equipment and supplies to strengthen diabetic clinics in two regional referral Hospitals and Health centre IV.

Drafted information and Education materials for Non communicable diseases.

A two day consultative meeting to be held at Ridar Hotel Mukono.

Organised school health education talks on non communicable diseases for six nominated schools in Kamuli and Mbale district.
Community awareness sports event conducted in Mityana district to sensitize the population in regular physical activity to prevent non communicable diseases.

Screening for NCDs and their risk factors was done in Mityana district.

Paid NCDs contract Staff salaries Conducted health education talks on NCDS in 2 schools.

Carried out regional training of Health workers in Masaka and Hoima regions.

Implemented NCD awareness/screening camp at statehouse Nakasero.
Participated in sports competition/NCD awareness camp in Mbarara.

Conducted support supervision of NCD activities in Kitagata Hospital and in Kinoni and Bwizibwera HC IVs.
COMMUNITY HEALTH Quarterly newborn and ICCM TWG meetings and funds mobilized for CHD, ORAL HEALTH (OH) 20 New districts Supervised on oral health management, Provide fuel and maintain vehicles and office eqipment in good working condition SCHOOL HEALTH (SH) School health Support supervision tools developed and consecus gained among stakeholders.

Consensus solicited on the final school health policy document.

6 districts itrained on school health.

School Health programs in the districts supervised.
Well maintained office equipment Well maintained programme vehicles .
Implementation of school health services improved, PUBLIC HEALTH EMERGENCIES(PHE) Technical Support Supervision of activities carried out in 80 districts PHE Rapid / immediate response to PHE provided to 30 districts Disseminated to 30 districts affected by PHE major PHE Weekly / monthly coordination / meetings on PHE held at district and central levels, Technical support supervision conducted to 30 districts reporting PHEs,HP&E VHTs established in 10 additional districts, Health awareness and sensitisation conducted in 85 districts.
VECTOR CONTROL (VC) 40 districts supported and supervised on NTDs, Vector Control Office stationary procured, VETERINARY PUBLIC HEALTH (VPH) Influenza, brucellosis and other zoonotic diseases in Uganda istrict and hospital health staff traine 12 districts supervised, Undertake Zoonotic diseases investigations and advocacy in high risk districts for rabies, DISABILITY 4 International days Commmemorated, workshop to develop advocacy strategy Payment of salaries for 5 Vote Overview 22 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 04 Clinical and public health Programme 06 Community Health Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Meetings held on good practices on older Persons health in 2 Districts, Alll Disability staff knowladgeable in sign language 5 vehicles maintained, 1 HARK out reach activities in 4 districts 2 conferences, Pre- massive distribution of Anti-biotic (MDA), Training of CMDS/ VHTS, No.

Of policies completed, launched.

And disseminated.
30 Districts and 6 orthopaedic workshops Meetings to Disseminate baseline survey results in 7 districts surveyed Registration of communities, supervision during implementation in 35 districts endemic with trachoma 2 vehicles maintained CONTROL OF DIARRHOEAL DISEASES (CDD) Fuel quarterly; tyres once a year; vehicle service quarterly 16 districts supervised, 40 health workers per district for 8 districts, 320 health workers contract staff ENT equipment and wheelchairs donated to Disability section cleared.
Meetings held on good practices on older Persons health in 2 Districts, Alll Disability staff knowladgeable in sign language 5 vehicles maintained, 1 HARK out reach activities in 4 districts 2 conferences, Pre- massive distribution of Anti-biotic (MDA), Training of CMDS/ VHTS, No.

Of policies completed, launched.

And disseminated.
30 Districts and 6 orthopaedic workshops Meetings to Disseminate baseline survey results in 7 districts surveyed Registration of communities, supervision during implementation in 35 districts endemic with trachoma 2 vehicles maintained CONTROL OF DIARRHOEAL DISEASES (CDD) Fuel quarterly; tyres once a year; vehicle service quarterly 16 districts supervised, 40 health workers per district for 8 districts, 320 health workers DEPARTMENT (CHD) Poorly performing districts covered priority interventions were strengthened in 40 weak districts for Child Health days and Family Health Days.
Monthly Community health departmental meetings were held, vehicle and equipment for CH office operations maintained.

Fuel, stationary provided and vehicles maintained for daily office operations.

REPRODUCTIVE HEALTH (RH) Mentored 40 Health Workers on Emergency Obstetric and Newborn Care in the districts of Rubirizi, Mitoma and Maracha.

Technical Support Supervision on RH Services was done in 112 districts using Area Teams.
Orientation and formation of 14 Male Action Groups in 7 districts of Bushenyi, Kabale, Bugiri, Ibanda, Namayingo, Iganga and Isingiro was done .

Family planning National conference at held at Serena Hotel Kampala.

Procured partograph and protocols on post partum Heamorrhage, Post abortion care.

Mentoring Health workers on Emergency Obstetric and Newborn Care done in districts of: Shema, Masindi, Palisa and Kabale.

A package on re-integration of fistula repaired clients was developed.
Guidelines on teenage pregnancy management were developed by MOH and MOES and Maternal death surveillance and response was finalized.

Health Workers were trained on Hepatitis E in Napak district Fistula repair camps in 13 RRHs Mulago, Jinja, Mbale, Mbarara, Gulu.

Moroto, Lira, Mubende, Hoima Mulago, Kabale, Gulu, Soroti, Virika, Masaka , Mbale, Kitovu Hoima, Arua and Virika Hospital were undertaken.

Finalized and Launched family planning costed implementation plan(FP-CIP) in Royale Imperial, Kampala.
Family Planning Supervision and Mentoring and Pretesting of the FP Integrated guidelines in done the districts of Gulu, Bundibugyo and Kitgum.

Supervised Family Planning /Long Term Family planning Training of Trainers and Trainings in Esella Hotel for districts of Kanungu, Mubende, Gulu, Arua, Kotido, Moroto districts.

Integrated Reproductive Health/Family Planning supervision in Oyam and Yumbe.
Total Market Approach [TMA] for Family Vote Overview 23 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 04 Clinical and public health Programme 06 Community Health Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Planing and Post Abortion Care conducted in Bukedea, Pallisa, Iganga, Mubende, Busia, Luwero, Buikwe and Mukono districts.
Trained 55 service providers in family planning long term and permanent methods in Kaliro and Iganga Districts.Trained 600 Village health teams (VHTs) in Sayana press as Community based FP method in Katakwi, Kumi, Iganga, Amuria, Mubende, Gulu districts .Attended IGAD meeting in ADDIS on RH/HIV and Non Communicable Diseases.

Finalised of compilation of maternal and perinatal death review (MPDR) report.

Trained health workers on Maternal and perinatal death review in Kiboga, Kyankwanzi and Hoima Districts.
Dissemination of the Maternal and perinatal death review report done in Mubende and Soroti districts.

Carried out Family planning camps in Amudat Arua, Bundibugyo, Gulu, Kitgum and Nakapiripirit districts.

Mapping of adolescent health services in central region.

On-job mentoring of health workers on Adolescent health in Arua, Amudat, Bundibugyo,Gulu,Kitgum,Nakap iripit.

Training and establishment of adolescent health services in selected facilities in central region.
Mentoring of Health workers in emergency maternal and newborn obstetric care (EMnOC) in Kabale, Buhweju, Sheema and Rubirizi districts.

Reviewed Human rights and gender mainstreaming guidelines in reproductive health.

Reviewed the training Curriculum on sexual and gender based violence (SGBV) clinical management.

Launched the male involvement strategy , implementation guidelines, and training Manual, done in Entebbe.

Safe motherhood day commemoration held in Tororo District.
Follow up support supervision and on job mentoring on infant and maternal nutrition done.

ENVIRONMENTAL HEALTH (EH) Commemorated the National Sanitation week in Kifamba Primary School, Kabulasoke sub county, Gomba District.

Trained the district extension staffs on community led total sanitation (CLTS) for the District of Lira, Apac, Otuke, Alebtong, Kole, Arua, Maracha and Zombo.
Conducted technical support supervision to the districts of Dokolo, Amolatar, Kaberamaido, Vote Overview 24 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 04 Clinical and public health Programme 06 Community Health Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Mbarara, Bushenyi and Sheema.

Held stakeholders consultation meeting to review the Public Health Act, meeting was at Crested Crane Hotel – Jinja.

Technical support supervision in the seven districts of Serere, Ngora, Soroti, Katakwi, Amuria, Kaberamaido, Dokolo and Amolatar under Uganda Sanitation Fund was undertaken.

USF mid-term review carried out by the Water Supply and Sanitation Collaborative Council.
Draft report presented to Senior Top Managers.

Hosted the Consultant for Sustainability of USF and the Monitoring team from WSSCC – Geneva.

Signing of the MoU by all the new expansion fifteen districts under Uganda Sanitation Fund (15).

Carried out Monday EHD and eight (8) USF programme meetings.

Carried out three (3) monthly Country Programme Monitor meetings.

Carried out one (1) Programme Coordination Mechanism meeting.

Consultative meetings held to review the PHA.


National sanitation week commemorated.

Quarterly technical support supervision carried out.

Office stationary and equipment procured.

Fuel, stationary provided and vehicles maintained for daily office operations.

CHILD HEALTH (CH) Held national newborn steering committee meetings.

Rolled out HBB plus training in 8 Karamoja districts and in Acholi sub-region.
Finalised the national peri-natal audit report Finalized and disseminated the national Protect Prevent Treat Implementation Framework.

Trained in integrating use of Antenatal Corticosteroids (ACS) during preterm birth in 7 health facility in 5 districts (Mulago national Referral Hospital, Mubende and Hoima Regional Referral Hospitals, Kiboga and Kayunga District Hospitals,).

Support supervision of the Village health workers implementing iCCM in 42 districts.
Piloting a system for including iCCM medicines and commodities in the national supply chain system.

Participatory Village planning and VHT mappings done in Kayunga and Sheema districts.

Diarrhoea Pneumonia Coordinating Committee (DPCC) bi monthly meetings held.

Supported implementation of iCCM in the districts of Sheema, Kayunga, Wakiso and Kamwenge.
Conducted support Vote Overview 25 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 04 Clinical and public health Programme 06 Community Health Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) supervision to village health workers implementing iCCM in the 4 districts of Sheema, Kayunga, Wakiso and Kamwenge.

Held biannual Diarrhoea, Pneumonia Coordinating Committee (DPCC) meeting.

Fuel, stationary provided and vehicles maintained for daily office operations.

SCHOOL HEALTH (SH) Finalised school health policy and obtained census from the key stakeholders.
Held a validation workshop for the School Health Policy (Kampala) Integrated Child and School Health support supervision in Gulu, Nakapiripirit, Mbale, Lira and Soroti.
Support supervision in schools regarding implementation of Sexuality Education in the district of Nwoya in collaboration with Ministry of Education and Sports Regional consultative meeting in the development of National Child Protection Strategy in collaboration with MGLSD (Central, East Central, South Western, North Central, North East and Eastern.

Fuel, stationary provided and vehicles maintained for daily office operations.
Supported deworming of school going children in the districts of Kabale, Ntungamo, Butateja, Moroto, Sembabule and Napak.

PUBLIC HEALTH EMERGENCIES (PHE) During the period under review the following outbreaks were reported and appropriate control interventions instituted.

The outbreaks were Marburg, typhoid and cholera.

Marburg outbreak in Kampala, Kasese, Mpigi and Kamwenge districts was successfully controlled.
Rapid / immediate response to PHEs was provided to the 5 districts with suspected Marburg outbreak- Kampala, Mpigi, Kasese, Kamwenge and Wakiso.

Only one Marburg case was confirmed.

A total of 197 contacts were followed up for 21 days and non developed the disease.

Ebola preparedness was stepped up.

Weekly / monthly coordination / meetings on PHE held at district and central levels to coordinate response and mobilise funds for PHEs.
The epidemic task force were key in coordination of Marburg, typhoid and cholera response.

Rapid / immediate response to major PHE provided to all districts reporting PHEs.
Typhoid was reported in Kampala and surrounding Vote Overview 26 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 04 Clinical and public health Programme 06 Community Health Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.

Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) districts and Cholera in Kasese districts.
Appropriate response was provided to control these outbreaks.

Conducted technical support supervision to districts reporting outbreaks and those at highest risk of PHEs.

The districts supervised to strengthen outbreak preparedness and response were: Kampala, Mukono, Wakiso, Kasese, Busia, Buliisa, Kayunga and Mbale.

Mobilised additional technical, medical, financial and logistical support to districts reporting disease outbreaks – Kampala and Kasese districts.
Guided the districts to institute epidemic control measures; Kampala for typhoid and Kasese for cholera.

The two outbreaks are now controlled or being controlled.

Cholera in Kasese is restricted to the border town of Bwera, where less than 1 case daily is reported.

Typhoid in Great Kampala is limited to Central Kampala.

Disseminated guidelines and IEC materials on Prevention, mitigation and control of PHEs to all districts with more focus on 30 districts which are highly prone major PHE.
Trained health workers on Ebola prevention, preparedness and control with focus on country entry points.

HEALTH PROMOTION AND EDUCATION (HP&E) Development, production and distribution of Typhoid IEC materials in Kampala, Wakiso, Mukono, Mpigi Development and airing of typhoid prevention radio and TV spot messages on 20 radio stations and 4 TV stations.

Conducted House to House sensitization on typhoid prevention and control by VHTs and Red Cross Volunteers.
Trained health workers from districts bordering South Sudan on Viral Hemorrhagic Fevers (VHF).

Sensitised district leaders and councils on VHF in Kisoro, Bundibugyo, Ntoroko, Kibaale, Haoima, Gulu, Amuru, Nebbi, Zombo and Wakiso.

Distributed IEC materials on Viral Hemorrhagic Fevers in the districts of Kisoro, Bundibugyo, Ntoroko, Kibaale, Haoima, Gulu, Amuru, Nebbi, Zombo and Wakiso.
Conducted technical support supervision and monitoring of health promotion and education activities in 7 regions in south western, western, Eastern, mid eastern, northern, West Nile and Karamoja.
The following districts were also covered - Mityana, Mubende, Kyegegwa, Vote Overview 27 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 04 Clinical and public health Programme 06 Community Health Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Kyenjonjo, Kabarole, Bundibugyo, Ntoroko and Kamwenge.

Social mobilisation and advocacy to prevent teenage pregnancy in Kabarole, Hoima, Kyegegwa, Bundibugyo, Ntoroko, Kamuli, Namutumba, Iganga and Mubende districts.

Mobilised communities using the film van to promote good health in the districts of Katakwi, Buikwe, Hoima, Amolator, Kamwenge and Kayunga.
Village Health teams Held two consultative meetings with key stakeholders to review the VHT national assessment report.

Conducted sensitization of district Health officials (DHTs) in 5 regions on Demand creation for Family Planning using the VHT strategy (South- western, western, mid-west, northern and eastern).

Finalization of the communication platform was done.

Supervision and monitoring of World Vision activities in North Rukiga.

Presentation of the communication platform to partners done.
Held BCC working group meeting.

Held Health Promotion and Environmental Health Working Group meeting.
Conducted technical support supervision in central region (Wakiso, Mpigi, Lwengo, Masaka , Bukomansimbi, Rakai, Lyantonde) Reviewed electronic and print messages on ITNs, Teenage pregnancy, Family planning.Film vans activities on SMC, EMTCT, Family planning, ANC services, Obstetric Fistula, breast feeding, ASRH, Adolescent health, HIV/AIDS, counseling in Kyegegwa, Kabale, Hoima, Buikwe, Arua, Gulu, Katakwi, Soroti, Serere, Bugiri, Iganda, Kamuli and Luwero.
Distributed IEC materials to 20 districts namely; Oyam, Apac, Dokolo, Amuru, Kabarole, Kyenjojo, Mubende and Mityana.

Supervision of the VHT activities in West-Nile and Lango sub-regions was done.

Developed and printed IEC materials for Marburg and Ebola; Posters, Leaflets, Fact sheet for business community, Poster for Health Workers, Question and Answer booklet.

Distribution of IEC done in 25 districts.

Developed and dissemination of Marburg prevention and control messages on 40 radio stations.
Development and dissemination of Ebola messages on 54 radio stations.

Conducted regional Vote Overview 28 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 04 Clinical and public health Programme 06 Community Health Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) orientation meetings for rolling out Obulamu campaign country wide.

Commemorated Safe Motherhood day in Tororo district.

Orientated community leaders on Marburg/ Ebola prevention and control strategies in central, western districts; Kampala, Mukono, Wakiso, Mpigi, Kabarole, Kyegegwa, Kasese, Bundibugyo, Kamwenge.

Held meetings with Healthy child project Mbarara.


Technical support supervision conducted for the districts in eastern region (Busia, Tororo, Bugiri, Iganga, Jinja, Mayuge, Buikwe, Mukono).

Social mobilization of Health Extension workers on disease control in Nakasongola, Bulisa, Kiryandongo, Kibale, Hoima, Masindi, Kasese, Budibugyo, Ntoroko, Kabale, Kisoro, Kanungu, Bushenyi and Sheema done.
Community film show sensitisation on SMC, RTI, EMTCT, EPI, Malaria, Nutrition, Cholera, ANC services, Obstetric Fistula, breast feeding, ASRH, Adolescent health, HIV/AIDS, counseling in Kirandongo, Jinja, Kyegegwa, Iganga, Wakiso, Kampala, Otuke, Lira, Dokolo, Arua, Kampala, Kabale, Hoima, Buikwe, Arua, Gulu, Katakwi, Soroti, Serere, Bugiri, Iganda, Kamuli and Luwero.

Media Briefings on Marburg out breaks carried out.

Fuel, stationary provided and vehicles maintained for daily office operations.
VECTOR CONTROL (VC) Held advocacy meetings in districts where treatment of onchocerciasis has stopped.

The districts were: Bududa, Manafwa, Kamwenge, Ibanda, Mitooma, Rubirizi, Bushenyi and Buhweju.

Conducted monitoring and evaluation activities for Lymphatic Filariasis in Pader, Nwoya, Gulu, Amuru, Kitgum, Lamwo and Agago districts.
Conducted impact assessment for trachoma in Dokolo, Nwoya, Gulu and Amuru Conducted impact assessment for schistosomiasis in Adjumani, Arua, Gulu, Gombe, Kamwenge, Kitgum, Moyo, Mpigi, Ntoroko and Pader.

Provided Mass treatment of Schistosomiasis in primary school children in Kamuli, Mubende, Dokolo, Nakasongola and Maracha districts.
Parasitological Impact assessment of s chistosomiasis control in Kaberamaido district.Reviewed and updated Vote Overview 29 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 04 Clinical and public health Programme 06 Community Health Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) NTDs Master Plan.

Held NTDs Technical Committee Meeting.

Carried out technical support supervision of Bilharzia control specific activities in done in Nebbi, Arua and Koboko districts.

Support supervision of Lymphatic Filariasis program specific activities was done in the districts of Arua, Nebbi and Zombo.
Transmission Assessment surveys done in Dokolo, Bundibugyo, Ntoroko, Abim, Kotido, Kaabong, Moroto, Nakapiripirit, Moroto and Napak districts.

Trachoma impact assessments in Moroto, Kabong, Nakapiripirit, Amudat, Napak, Agago, Pader and Kotido.

Trachoma baseline surveys in Kaberamaido, Bukedea, Katakwi and Amuria.

Support supervision to sleeping sickness treatment centres done.

Active screening for sleeping sickness was done in Dokolo district.
Conducted mapping of Schistosomiasis in suspected low endemic districts namely: Kibuku, Bukedea, Nakapiripirit, Napak, Zombo, Lyantonde, Sembabule and Sheema.

Health infrastructure capacity assessment for management of Human African Trypanosomiasis conducted in Alebtong, Dokolo, Kaberamaido, Kole ad Lira districts Lymphatic Filariasis Transmission Assessment Surveys (TAS) carried out in the districts of Moroto, Napak, Kotido, Kaabong, Nakapiripirit and Amudat.
COMMUNITY ORAL HEALTH Community oral health support supervision was done in Mityana, Mubende, Wakiso, Masaka, Mbarara, Lyantonde, Rakai, Sembabule, Kalungu, Mpigi, Budaka, Palisa, Bududa, Manafwa, Mityana, Mubende, Wakiso, Kyankwanzi, Budaka, Palisa, Manafwa, Lira, Apac, Amolatar, Kaliro, Buyende, Namutumba, Luuka, Sironko, Kumi, Mbulambuli, Bukedea, Soroti and Kiryandongo districts .
Provided fuel and maintained vehicles and office equipment, all are in good working condition VETERINARY PUBLIC HEALTH (VPH) Technical support supervision on zoonotic diseases and strengthening of brucellosis surveillance and laboratory diagnosis was conducted in Nakaseke, Nakasongola, Masindi, Luwero Jinja, Kamuli, Iganga, Bugiri, Kaliro and Namayingo districts.
Vote Overview 30 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 04 Clinical and public health Programme 06 Community Health Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Launched tsetse fly and typanosomiasis (T&T) awareness Day and opening of the T&T regional information centre for Northern Uganda at Dokolo district headquarters.

The North Uganda districts to benefit from these activities are: Alebtong, Dokolo, Amolatar, Lira and Kaberamaido.

Conducted technical supervision on Family Health Days / integrated child Health days to districts of Bundibugyo and Ntoroko.
DISABILITY AND REHABILITATION Commemorated international disability days in Kayunga in January 2015.

Developed eye health clinical guidelines.

Initiated development of eye health advocacy strategy.

Held consultative meetings to discuss the draft Advocacy Strategy on refractive errors(Kampala).

Held National Prevention and Blindness (NPBC) Technical and General meetings (MOH).

Planned for the activity to roll out the good practices in Tororo and Mbarara Districts.
Physiotherapy manual course attended (Mulago).

Injury policy guideline presented to senior management.

Sensitized district local leaders on Wheel chair issues in Acholi Sub-region including identification, assessment, fitting and training the users and care takers of children with disabilities assessed in Mubende and Kabarole districts.

Radio programs on refractive errors evaluated in Arua, Yumbe, Kitgum and Mbale.

Held workshop to finalize draft Advocacy Strategy on refractive errors.
Meeting held in Kampala.

Held four regional trainings on leadership and governance for Child Eye Health.

Training held in the districts of Kampala, Mbale Mbarara and Gulu.

International Older persons day was commemorated in Yumbe district.

International White cane and World Sight Day commemorated in Kampala.

Two staffs on contracts engaged (DPAR office).

Office Imprest received.

Physiotherapy Annual general meeting held in Mulago, Kampala.
Reviewed Strategies and priorities of the Wheel chair Committees children with disabilities assessed in Gulu and Lira district.
CONTROL OF DIARRHOEAL DISEASES (CDD) Cholera outbreaks in Arua, Vote Overview 31 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 04 Clinical and public health Programme 06 Community Health Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Namayingo, Moyo, Kasese districts were followed up and controlled.

Cholera prone districts were supervised namely; Kasese, Buliisa, Kayunga and Busia.

Health workers were trained to conduct enhanced cholera and diarrheal disease surveillance in the two districts.

Aquatic cholera surveillance initiated using rapid tests.
1,142,596 507,391 635,205 1,142,596 507,391 635,205 3,112,000 947,000 2,165,000 3,112,000 947,000 2,165,000 Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 3,112,000 947,000 2,165,000 3,112,000 947,000 2,165,000 Vote Overview 32 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 04 Clinical and public health Programme 07 Clinical Services Programme Profile Responsible Officer: Commissioner Clinical services Objectives: Outputs: 1.
To provide policies, guidelines and standards for health infrastructure, pharmaceutical and curative services.

2.

To provide technical support supervision, monitoring and evaluation of health infrastructure, pharmaceutical and curative services.

3.

To provide capacity building including mentorship to health workers on health infrastructure, pharmacuticals and curative services.

4.

Provide emergency response (Assessment, case definition and case management) 5.
Coordination of infrastructure development, pharmaceutical policy implementation, supply chain planning and management, integrated curative services interventions I1.

Policies, guidelines and standards for health infrastructure, pharmaceutical and curative services.

2.

Reports on status and performance of health infrastructure and quality of pharmaceutical and curative services in the country.

3.
3.

Reports on capacity building and mentorship of health workers on infrastructure, pharmaceutical and curative services 4.

Reports on emergency response and case management 5.

Reports on coordination of infrastructure, pharmacutical supply chain management and curative services implementation Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 04 02 Clinical health services provided (infrastructure, pharmaceutical, integrated curative) Outputs COMMISSIONERS OFFICE 4 Departmental meetings held, Office equipments, furniture and stationery procured, Office imprest provided.

Departmental vehicles serviced and maintained.

Drafting of Human tissue bill finalised.

Guidelines to improve clinical services developed.


Service delivery standards developed.

Inspection of ongoing works and clinical audits conducted, 2 meetings of expert committees for specialized services held.
INTERGRATED CURATIVE Office of ACHS; 4 division meetings held, Mental health bill finalised, Community health department in hospitals guidelines reviewed, Interns policy developed, Palliative care polict and Gidelines on palliative care services developed, Tertiary health institutions bill finalised, Injection safety policy reviewed, Statutory instruments for optometrists finalised, National oral health plan developed.
Mental health bill finalised, Ambulance and emergency medical services policy developed, 4 integrated support supervision visits to 13 RRHs conducted, 18 medical board meetings held, 4 Travel for seminars and meetings supported, 1 annual consultants PHARMACY Supervision; Participated in Area Team visits to selected districts in the North, Central and Western regions.

Conducted training of 195 health workers from 19 districts in Logistics management of vaccines, with support of GAVI funds.
Participated in supervision of medicines availability for Nodding disease in the North.

Participated in Child Days Plus supervision.

National Drug Policy Review Task Force team to review the policy constituted, held two meetings with key stake holders with support funds from HEPS.

National and Local Consultants identified by WHO to guide the review process and key documents shared.

Exercise to be completed in quarter 4 and will be supported by WHO.
Formulary for RRH; Activity not conducted due to none release of funds from GoU for Q3 Supply Chain activities, TWG, meetings coordinated; The QPP Unit quantified key indicator medicines and two monthly stock status reports produced.

Participated in quantification of medicines for RH, Nodding disease, Palliative Care and UN Life saving commodities.
Held two (2) Medicines & Health Supplies TWG meetings, Division represented on Task Force for Vote Overview COMMISSIONER’S OFFICE 4 Departmental meetings held, Office Equipments, furniture and stationery procured, Office imprest provided.

Departmental vehicles serviced and maintained.

Drafting of Human tissue bill finalised.

Guidelines to improve clinical services developed.

Service delivery standards developed.


Inspection of on- going works and clinical audits conducted, 2 meetings of expert committees for specialized services held.
INTERGRATED CURATIVE OFFICE OF ACHS; 4 division meetings held, Mental health bill finalized, Community health department in hospitals guidelines reviewed, Interns policy developed, Palliative care policy and Guidelines on palliative care services developed, Tertiary health institutions bill finalised, Injection safety policy reviewed, Statutory instruments for optometrists finalized, IPC Guidelines disseminated, National oral health plan developed.
Mental health bill finalised, Ambulance and emergency medical services policy developed, 4 integrated support supervision visits to 13 RRHs conducted, 18 medical board meetings held, 4 Travel for seminars and meetings supported, 1 annual consultants meeting held 33 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 04 Clinical and public health Programme 07 Clinical Services Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) meeting held DENTAL SECTION A National/Regional Oral Health Survey conducted.

A National Oral Health Plan developed.

Technical Support Supervision of dental units at 2 NRH and13 RRH done.

Oral health workers trainned in Atraumatic dentistry.

Database on oral diseases in primary school children generated.

Oral health days commemorated.

Small office equipment procured.


4 Confrences attended CURATIVESECTION Strategy for control of Hepatitis finalized.

Support supervision to RRHs , Genaeral and NGO hospitals done.

Health workers trainned on HCWM.

Small office equipment procured.

NURSING Equitable deployment of nurses cordinated.

Support supervison of RRHs done.

Health workers trainned Community Health Guidelines reviewed.

Confrences attended MENTAL Child and adolscent policy guidelines developed.
Tobacco control policy finalized Mental Health strategic plan finalized Drug control Master plan finalized.

Tobacco control code of conduct developed.

Tobacco control strategic plan finalized Support supervison conducted improved supply chain of ARVs and ACTs in the EAC region by CiplaQCIL and participated in two (2) meetings with key stake holders (MTIC, Mo FA, Northern Corridor, Private Sector/Industry, and Export Promotion Board).
Division represented on the Steering Committee for fast tracking implementation of RPMPoA in the EAC region.

Participated in two (2) meetings with key stake holders (MTIC, Northern Corridor, Private Sector/Industry, NDA, Research & Civil Society).

Participated in meetings with other health departments/programmes, PCAU Board.
Coordinated writing of HSS grant under the G Conferences held; Participated in a meeting in Rwanda to harmonize Laws and regulations on medicines registration and inspection in the EAC region in the, Participated in 2 meeting in Kenya to promote the supply to Kenya of ARVs and ACTs manufactured by CiplaQCIL.

Participated in a meeting in Rwanda to promote trade in pharmaceuticals between the two countries.
Pharmacy and Drug Act review; The Pharmacy Profession and Practice (PPP) bill is being reworked for re-tabling to Cabinet.

Held two (2) meetings to incorporate/address comments raised by various stake holders on the draft bill.

Routine medical equipment maintenance carried out in 3 RRHS (Masaka, Mubende & Jinja), 5GHs (Gombe, Rakai, Kalisizo, Lyantonde and Mityana) and 24HCIVs.

Essential basic spare parts procured.


Laboratory medical equipment inventory data entry and analysis for 3RRHs, 32GHs, 52HCIVs and 290HCIIIs in central region carried out.

Medical equipment inventory data entry for 290HCIIIs in central region completed.

Maintenance of solar systems in 519 health centres carried out in 23 Districts Integrated curative Carried out technical support supervision.
Trained health workers on traumatic dentistry Generated data base on oral diseases in schools Developed strategy for hepatitis control Vote Overview DENTAL SECTION A National/Regional Oral Health Survey conducted.

A National Oral Health Plan developed.

Technical Support Supervision of dental units at 2 NRH and13 RRH done.

Oral health workers trainned in Atraumatic dentistry.

Database on oral diseases in primary school children generated.

Oral health days commemorated.

Small office equipment procured.


MENTAL Child and adolescent policy guidelines developed.

Mental Health strategic plan finalized Tobacco control code of conduct developed.

Tobacco control strategic plan finalized Support supervision conducted International conferences attended.

Psychosocial care in cases of emergency disease outbreak provided.

International days commemorated Stakeholder meetings coordinated.

CURATIVE SECTION Strategy for control of Hepatitis finalized.
Roll out mass vaccination on Hepatitis B Support supervision to RRHs , General and NGO hospitals done.

Health workers trained on HCWM.

Review clinical guidelines Procure office equipment NURSING Coordination of deployment of nurses.

In service training of Health workers.

Review of Community Health Guidelines reviewed.


Attend international conferences 34 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 04 Clinical and public health Programme 07 Clinical Services Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Community health guidelines were reviewed on Nursing.

Mental Health Child and adolescent policy developed Mental health strategic plan and drug and tobacco master plan finalised HEALTH INFRASTRUCTURE Well maintained medical equipment in central region health facilities Assorted spare parts procured for maintenance of medical equipment.
Supervision of Health Infrastructure: construction/Rehabilitation Guidelines on donated medical equipment and accessories.

Biomedical engineering PALLIATIVE CARE ACTIVITIES -Ushs 155M international confrences attended.

Psychsocial care in cases of emmergencey disesase outbreak provided.

International days commemorated Stakeholder meetings cordinated.

PHARMACY Support supervision conducted.

National Drug Policy reviwed.

Formulary for RRH devloped.

Supply chain activities,TWG meetings, cordinated.


Confrences atteneded.

Pharmacy and drug act reviewed Total Wage Recurrent Non Wage Recurrent 1,855,649 1,021,000 834,649 848,951 620,197 228,754 1,810,649 1,021,000 789,649 08 04 04 Technical support, monitoring and evaluation of service providers and facilities Specialist outreach services Specialist consultants will be supported to support lower level facilities to offer specialized medical services.
These interventions may be carried out through surgical camps.

SPECIALIST OUTREACHES Support Specialist outreach services Specialist through Medical and Surgical camps.

Specialist support supervision of LLHFs Screening services for CDC and NCDs Supervision on the Basic Health Package.
Fistula camps – support and supervision Total Wage Recurrent Non Wage Recurrent 200,000 0 200,000 73,500 0 73,500 200,000 0 200,000 08 04 10 Maintenance of medical and solar equipment Well maintained medical equipment in central region health facilities • Assorted spare parts procured for maintenance of medical equipment.

• Guidelines on donated medical equipment and accessories.
• Biomedical engineering training carried out for 15 Technicians/Engineers • Guidelines for medical equipment disposal prepared • Updated Guidelines for Health care waste management and disposal Health infrastructure condition assessment report • Medical equipment maintenance condition assessment report • Performance audit reports and minutes of meetings • Supervision reports Vote Overview Maintain solar energy systems carried out in 40 ERT Project beneficiary HCs Maintain solar energy systems carried out in 15 Districts for 155HCs of ERT I Project Supervision and monitoring installation and maintenance of solar energy systems in all ERT Project beneficiary Districts carried out.
65% of available medical equipment kept in good maintenance condition Medical equipment spare parts procured 25 technicians trained in servicing and maintenance of laboratory and theatre equipment 35 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 04 Clinical and public health Programme 07 Clinical Services Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Medical equipment maintenance workshop management committee meetings and Regional Workshop Managers' meetings Medical equipment inventory and condition assessment Well maintained imaging and other selected sophisticated medical equipment 5,400,351 0 5,400,351 7,411,000 1,021,000 6,390,000 99,149 0 99,149 1,021,600 620,197 401,402 Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 400,000 0 400,000 2,455,649 1,021,000 1,434,649 Vote Overview 36 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 04 Clinical and public health Programme 08 National Disease Control Programme Profile Responsible Officer: Commissioner NDC Objectives: 1.
Prevent and Control both endemic and epidemic diseases, 2.

Improve epidemic preparedness and comply with International Health Regulations, 3.

Strengthen programs targeting diseases for eradication and elimination Outputs: Endemic and epidemic diseases prevented and controlled, Epidemic preparedness enhanced, compliance with International Health Regulations ensured, programs targeting diseases for eradication and elimination strengthened.
Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 04 03 National endemic and epidemic disease control services provided World Malaria/TB/AIDS/Leprosy Days Commemorate ,capacity for epidemic management and control built, Coordination meetings held, Advocacy for disease control carried out, Quarterly Technical Support Supervision carried out, Programs' M&E conducted, Operational research conducted, Disease Surveillance carried out, Program strategies and plans developed and disseminated, Disease control policies updated and distributed, Disease control guidelines reviewed and distributed, Enhance skills of health workers in all districts for communicable disease and NTDs prevention and control, All outbreaks investigated and controlled, National IHR compliance attained, TB/HIV care integrated, NTDs controled and managed World Malaria/TB/AIDS/Leprosy Days Commemorated ,capacity for epidemic management and control built, Coordination meetings held, Advocacy for disease control carried out, Quarterly Technical Support Supervision carried out, Programs' M&E conducted, Operational research conducted, Disease Surveillance carried out, Program strategies and plans developed and disseminated, Disease control policies updated and distributed, Disease control guidelines reviewed and distributed, Enhance skills of health workers in all districts for communicable disease and NTDs prevention and control, All outbreaks investigated and controlled, National IHR compliance attained, TB/HIV care integrated, NTDs controled and managed World leprosy day commemorated in Soroti district, World TB day commemorated in Gulu district.World AIDS Day commemorated in Fort portal .The National Disease Control Department continued to carryout disease a Surveillance activity which has led to the detection, investigation and confirmation of the following disease outbreaks; Marburg VHF outbreak in Kampala, Mpigi and Kasese, the cause of confirmed Polio cases in Kamuli and Kween.
Weekly bulletins on disease surveillance were also produced for the 13 weeks in the quarter and currently we detected and investigated the typhoid outbreak in Kampala and provided the technical support in disease surveillance at community and health facility level.

We supported the re-activation of the National Task Force on epidemic preparedness, prevention and control and Kampala District Task Force.
Supported the establishment of the typhoid treatment centres at Kisenyi IV, Kisugu and Kiswa Health centre III.
Built the capacity of health workers in Integrated Disease Surveillance and Response, 60 health workers were trained in Mpigi and 236 health workers trained in Kasese districts respectively Trained Field Epidemiologist focal persons in Masaka, Kalungu, Bukomansimbi, Lyantonde and Lwengo to be able to detect, investigate and respond to disease outbreaks in their respective districts, created a pool of TOT’s on Integrated Disease Surveillance and Response.
Advocacy for disease control carried out in Kampala and other districts across the country.

Continued to maintain the transmission and control of the Vote Overview 37 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 04 Clinical and public health Programme 08 National Disease Control Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) neglected tropical diseases at 95% including guinea worm, onchocerciasis, Sleeping sickness, Leishmaniasis, Lymphatic Filariasis and non- filarial elephantiasis (Podoconiosis) and other worms in all the known endemic districts of Uganda through strengthened community surveillance.

Technical support supervision was conducted in 5- districts (Kitgum.

Lamwo,Pader, Gulu & Nwoya).


Supervised the provision of medicines for case management on guinea worm eradication in Kalamoja region (Nakapiripirit, Amudat, Moroto, Napak, Abim, Kotido and Kaabong) and West nile region (Nebbi, Arua, Moyo, Koboko, Yumbe and Adjumani).

Convened national certification committee meetings in Kampala to review and update the current NTD’s status in the country.

Mentored 40 laboratories personnel in Moroto, Jinja, Mbale and Soroti regional Referral Hospital.
Conducted technical support supervisions for laboratory disease control in Bundibugyo, Kasese, Fortportal, Ibanda and Kyenjojo districts and this mechanism will help to build a strong capacity to improve laboratory services across the country.

Paid ground rate for Central Public Health Laboratories worth 400 Million shillings, mentored 40-Laboratory Health workers in Moroto, Jinja, Mbale and Soroti Regional Referral Hospitals by the central Public Health Laboratories (CPHL).
Participated in two TB/Leprosy performance review meetings in South Western Region and Central Region, attended international and national conferences (Pediatric-TB and medicines), meetings and workshops on Tuberculosis.
Technically supported Tororo, MorotoMpigi, Kampala, Kasese ,Sheema, Rakai, Lira, Gulu and Kasese ; Conducted 2-cohort reviews and Mult Drug Resistance-TB Trained Napak and Moroto health workers on Mult Drug Resistance -TB management, Conducted a TOT for Mult Drug Resistance- TB management ,TOT for IPT in Mukono district and Trained private practitioners in TB diagnosis and treatment.
Drafted a one-stop shop centre policy guidelines for TB/HIV integration,Drafted a TB- Advocacy, communication and Social mobilization (ACSM) Vote Overview 38 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 04 Clinical and public health Programme 08 National Disease Control Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) strategy, Produced the 2nd National TB & Leprosy Program annual performance report, FY 2013/14 and Drafted curriculum training for child hood TB diagnosis and treatment.

AIDS- Held the National campaign on HIV was coordinated in Namboole –Kampala district, and held a Joint Global Fund HIV-TB Concept Note preparation and submission to Global Fund in Geneva.
CDTI household surveys were conducted in 3 districts (Kitgum, Lamwo, Pader) and Treatment conducted in 22-districts.

Conduct National Technical Review of the Public Health Response to HIV in Kampala,Strengthened District response & Coordination through Development of District Led Programming (DLP) Minimum Standards & SOPs for IPs & Districts.

Conducted modeling estimation of people living with HIV/AIDS in the country, Conduct National eMTCT stakeholder meetings, Lunched eMTCT campaign in Hoima.
Accreditated more Health Facilities to provide ART ,Rolled out the new Consolidated HIV prevention and treatment Guidelines to all Health Facilities across the country.

Piloted couple counseling and testing using the VHT promotion Approach in Kamwenge and Amolatar districts and an evaluation is underway to inform the role out plan for the Approach, Organised and attended EAC health and scientific conference & trade faire at Serena Hotel Kampala.
Currently piloting Pediatric & Adolescent HCT in 5 districts:Isingiro, Fort Portal, Sembabule Mukono & Oyam districts Uganda National Ambulance Services (UNAS) conducted the National certification Committee (NCC) technical support supervision in Karamoja & West Nile; UNAS Logo was developed & adopted for the Uganda.

Discussions are on-going with the Ministry of Public service regarding the operationalisation of the Uganda National Ambulance service structure as advised by Cabinet.
We have distributed 7M Long Lasting Insecticides (LLIN) treated nets covering all the 112 districts of Uganda hence achieving 100% universal coverage.

Vote Overview 39 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 04 Clinical and public health Programme 08 National Disease Control Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Total Wage Recurrent Non Wage Recurrent 2,689,000 1,359,000 1,330,000 8,751,840 711,503 8,040,337 2,271,000 1,359,000 912,000 08 04 05 Immunisation services provided 1-Support districts to adhere to the set standards and policy guidelines for delivery of quality immunization services 2-Surveillance of EPI diseases carried out 3-National and supplemental immunization activities conducted 1.
Conduct a country wide measles campaign in all children from 6 months to 5 years old 2.

Conduct Support Supervision of Immunisation services by Senior top Management to poorly performing districts (4 trips in a year) 3.

Integrated monthly support supervision by UNEPI- 2 days per district 4.

Train cold chain technicians- 30 newly recruited cold chain technicians trained for 2 weeks 5.
Train newly recruited health workers in OPL/MLM immunization course-20 health workers trained for 5 days in 32 districts Immunization program has been able to reach 101% DPT3 coverage and 96% measles coverage of targeted infants in 2014 calendar year and we have continued to conduct Support supervision on immunization services to 28 districts of Uganda.
Carried out Effective Vaccine Management Assessment (EVMA) through training of field assessors and actual assessment through administration of a questionnaire in selected districts, undertook Feedback meetings on EVMA for all districts.

Implemented Country wide Cold chain maintenance and regional feedback meetings, Conducted 3rd round Periodic Intensified Routine National and regional micro planning workshops were held in preparation for the Polio campaign to be undertaken in January 2015.
Conducted two (2) rounds of polio campaign, where the 1st Round covered the whole country (targeted under five children were 7,378,760 using the 2014 census preliminary results and of these 7,834,957 (106%) children below five years of age were vaccinated );and 2nd Round covered 41 districts.

Routine continues to be carried out in all health facilities across the country.
Total Wage Recurrent Non Wage Recurrent 860,120 0 860,120 286,537 0 286,537 865,000 0 865,000 08 04 08 Photo-biological Control of Malaria -Small scale and large scale field testing of mosquito larviciding completed -Policy guidelines on mosquito larviciding developed Photo-biological control of malaria implemented in Jinja and Mbale Municipalities plus Nakasongola, Namayingo and Sembabule districts Planning for large scale field evaluation of mosquito larvicides has been finalized, Procurement of mosquito larvicides is being finalised and pre-application larviciding field activities are on-going in Nakasongola district.
Large scale field testing of mosquito larviciding completed -Policy guidelines on mosquito larviciding developed Photo-biological control of malaria implemented in Jinja, Mbale Soroti Municipalities Total Wage Recurrent Non Wage Recurrent 1,000,000 0 1,000,000 256,650 0 256,650 1,000,000 0 1,000,000 08 04 11 Coordination of clinical and public health emergencies including the response to the nodding syndrome Public health emergencies mitigated 1-Appropriate treatment and case management to affected children provided.
2-Psychological support to affected children and their care givers provided.

All health nodding disease treatment facilities received anti- convulsant medicines with no reports of stock out and we Continued providing anticonvulsant medicines on bimonthly basis for case management from NMS, re- 1-Respond to Nodding Disease 2-Investigate and respond to disease outbreaks 3-Respond to Jiggers 4-Respond to Hepatis B 5.
Undertake mass public awareness campaigns (300m) Vote Overview 40 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 04 Clinical and public health Programme 08 National Disease Control Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 3-Livelihood improvements and diet diversification to affected households promoted.

4-Rehabilitative education programmes affecting special needs provided.

5-Advocacy and sensitization of the community conducted Integrated disease surveillance at community and health facility level strengthened.

6-Coordination, monitoring and support supervision at central and district level conducted.
7- Public Health Emergencies (Mobilisation, surveillance, health education, studies, case management and response) quantification of anticonvulsants has been done, technical support supervision to case management treatment centers in the affected districts has been carried out , validation of data on Black fly and Onchocerciasis following aerial spraying and ground application of larvicide.

Held coordination meetings.


Conducted 3- technical supervision in Pader-Atanga Treatment center, Kitgum general Hospital and Lamwo district.

6-technical support supervisions were also conducted by the Gulu Regional Referral hospital.

Made a follow up on the families taken to US for genetic study on Nodding disease.

Autopsy on 2 nodding disease associated deaths was conducted.
Conducted Nodding disease patients 106 outreaches were conducted; 5 in Gulu, 30 in Lamwo, 24 in Kitgum, 23 in Pader and 12 in Amuru.

To improve access to care for Nodding disease patients, 106 outreaches were conducted;5 in Gulu, 30 in Lamwo, 24 in Kitgum, 23 in Pader and 12 in Amuru.

Conducted 18 district task force meetings and radio talk shows in 2 districts, conducted out 21 outreaches in 7 districts on case identification.
Provided supplementary feeding for admitted patients in Kitgum General Hospital, conducted 15 rehabilitation outreaches from Gulu Regional Referral Hospital to the affected districts.

Conduct monthly meetings with VHT in the districts of Lamwo, Kitgum and Pader (9 meetings) on Integrated Disease Surveillance Response as part of community involvement approach and Held coordination meetings.
Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 2,100,000 0 2,100,000 6,649,120 1,359,000 5,290,120 554,928 0 554,928 9,849,956 711,503 9,138,453 3,000,000 0 3,000,000 7,136,000 1,359,000 5,777,000 Vote Overview 41 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 04 Clinical and public health Programme 09 Shared National Services Programme Profile Responsible Officer: Director P&D Objectives: To provide medicines and medical supplies Outputs: Medicines and medical supplies provided Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 04 12 National Ambulance Services provided Total Wage Recurrent Non Wage Recurrent 08 04 51 Medical Intern Services Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 0 0 0 0 0 0 0 0 0 1.

Training manuals for ambulance personnel produced (Reference manual, trainers manual and trainees manual) 2.
Final Copies of set up guidelines, strategic plan, budget and Implementation plans developed and printed 3.

Management team skills enhance through bench marking in Ghana, India, UK and South Africa 4.

Provide technical support and on-job training for call centre and regional staff 5.Procuring a technical advisor to support the set up of the national ambulance system.
500,000 0 500,000 Payment of allowances for medical interns and contract health workers 6,430,000 0 6,430,000 6,930,000 0 6,930,000 0 0 0 0 0 0 0 0 0 Vote Overview 42 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 04 Clinical and public health Programme 11 Nursing Services Programme Profile Responsible Officer: Commissioner Nursing Objectives: To provide regular techinical support supervision, mentoring and monitoring the improved quality of nursing and midwifery services in the country .
To promote collaboration and coordination of nursing and Midwifery activities with stakeholders both nationally and internationally.

Outputs: Health systems to deliver quality nursing care services strengthed, Leadership skills, guidance and techinical support and mentorship given to nursing and midwifery services.
Coordination and collaboration with stakeholders in nursing activities both at Nationally and Internationally and collaborated with interdepartments Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 04 04 Technical support, monitoring and evaluation of service providers and facilities Conducted 8 support supervisions 2 NRH, 4 RRH, 8 GH in Butabika & Mulago NRHs, Soroti, Hoima Mubende & F/Portal RRHs & Kawolo,Iganga, Bukedea, Atutur, Kumi Kiboga, Masindi, & Masafu.
Integrated Technical support supervision underUNFPA Nursing services verified and improved in all boarding schools Strengthened Nursing and midwifery Leadership International conferences attended Telecom servies subscribed Stationery photocopying sub procured Fuel and lubricants Conducted 6 support supervisions in 2 NRH, 6 RRH, 8 GH in Butabika & Mulago NRHs, Hoima, F/portal, Kabaale, Mbale, Gulu, Lira& Arua.

Mbarara Gen. hosp.
Mbarara Gen. hosp.

Kisoro, Itojo, Busolwe, Kapchorwa, Kitgum, Anak, Nebbi, Koboko Attended national and international conferences, ICM, ICN, LAMRAN Safe Motherhood, Womens day.
Conducted integrated support supervision with R/H 1 Nurse leaders meeting conducted 1 support supervision visit conducted to kagando Bwera ibanda hospitals hospitals,Apac,Atutur and Kaberamaido Welfare and entatainement office well maintained 2 Travel abroad by one officer to Hrarre and Check Republic done 4 Tyres procurred Quality improvement mentorship conducted in Kabaale and Mubende RRHs Stationery procured conducted in isingiro, Rakai, Lyantonde, Kaabong, Kotido, Nakapiririt health facities.
1 Nurse leaders meeting conducted in welness center mulago complex 2 Meetings of finalization of scheme of service conducted in Eureka hotel Fuel and lubricants purchased 2 Meetings in Arusha and Nairobi attended by 1 officer 4 Technical support supervision visits conducted in isingiro, lyntonde, Kabaale, Itojo, Kisoro, Kapchorwa, Bududa, Busia, tororo, Pallisa,Jinja RRH,kawolo, Butabika PRRH, Prisons, Arua, Nebbi, Koboko, Yumbe, Maracha Arua.

2 Nurse leaders meetings held in welness center mulago comolex.
1 Policy meeting held in Silver springs Fuel and lubricants purchased Received welfare and office maintained 1 Vehicle repaired tyres procurred 2 Officers attended womens day in kabaale Vote Overview 43 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 04 Clinical and public health Programme 11 Nursing Services Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 182,251 72,000 110,251 182,251 72,000 110,251 90,529 42,344 48,185 90,529 42,344 48,185 232,175 72,000 160,175 232,175 72,000 160,175 Vote Overview 44 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 04 Clinical and public health Project 1148 Public Health Laboratory strengthening project Project Profile Responsible Officer: Permanent Secretary Ministry of Health Objectives: The project aims to establish a network of efficient, high quality, accessible public health laboratories for the diagnosis and surveillance of TB and other communicable diseases.
This project is implemented in the 5 East African countries including Uganda, Kenya, Tanzania, Rwanda, and Burundi.

The East Central and Southern Health Community (ECSA-HC) under the East African Community (EAC) plays the oversight role and offers guidance to ensure effective implementation of the project.

This is a five year project that became effective on Jan. 31st 2011.
In Uganda, the project is to construct laboratories in Arua, Lacor, Mabarara, mable and Mulago and a reference Laboratory at Butabika.
3.2.1 The specific objectives of the project are to: a)Strengthen the regional capacity to diagnose communicable diseases of public health importance and share information to mount an effective regional response b)Support joint training and capacity building to expand the pool of qualified laboratory technicians and c)Fund joint operation research and promote knowledge sharing to enhance the evidence base for these investments and support regional coordination and programme management.
a)Project data collected from the satellites.

b)Support supervision carried out, c)laboratory mentorship done at the five satellites to establish quality systems.

d)Architectaul plans developed for the four laboratory (Arua, Mable, Mbarara and Lacor) and NTRL construction at Butabika.
e)Consultancy services to procured and install ventilation system on the new NTRL undertaken Outputs: Start Date: 7/1/2010 Projected End Date: 3/31/2016 Donor Funding for Project: Projected Donor Allocations (UShs) International Development Association (IDA) 410 Total Donor Funding for Project Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2013/14 Budget 13.430 13.430 2014/15 Budget 5.110 5.110 MTEF Projections 2015/16 2016/17 2017/18 0.000 0.000 0.000 0.000 5.110 5.110 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 04 01 Community health services provided (control of communicable and non communicable diseases) 1.Laboratory Management Information System maintained 2.Laboratory consumables for the 5 satellite labs procured, 3.Laboratory equipment at satellite sites maintained 4.Critical lab Equipment installed at the Butabika based National Tuberclosis/Leprosy Reference (NTRL) lab, 5.
Five satellite site labs assessed for Improved Step- wise Laboratory Improvement Process Towards Accreditation (SLIPTA) star rating of 6.Frame work for National laboratory acreditation in place -20 hws trained in LIMS, software installed at project sites and 3 suport supervision visits conducted.

-Gene Xpert catridges for the 11 machines in project sites procured.

-Critical lab equipment installed in the 5 project sites.

Equipment for NTRL will be installed after completion of civil works.
-2 lab peer assesments done in November 2014 and January 2015 by ASLM.

-Procurement process for the National acreditation process in progress.

1.Laboratory Management Information System maintained 2.Laboratory consumables for the 5 satellite labs procured, 3.Laboratory equipment at satellite sites maintained 4.Critical lab Equipment installed at the Butabika based National Tuberclosis/Leprosy Reference (NTRL) lab, 5.
Five satellite site labs assessed for Improved Step- wise Laboratory Improvement Process Towards Accreditation (SLIPTA) star rating of 6.Frame work for National laboratory acreditation in place Vote Overview 45 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 04 Clinical and public health Project 1148 Public Health Laboratory strengthening project Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 7.Health workers in satellite sites trained in LQMS, Internal audit disease surveillance and response ,LIMS.

7.Health workers in satellite sites trained in LQMS, Internal audit disease surveillance and response ,LIMS.
Total GoU Development External Financing 409,660 0 409,660 415,410 0 415,410 756,000 100,000 656,000 08 04 03 National endemic and epidemic disease control services provided 1.Cross border outbreak investigations and response done 2.Effective Intergrated disease surveillance data collected.

3.

Operational research on Malaria, TB and Enterics done -Trainning in cross border outbreak investigations done in Busia- Kenya.VHF table toptrainning conducted at Mbarara .Both were regional meetings.
1.Complete operational research on Malaria, TB and enterics.

2.Cross border disease outbreak investigations and response conducted Total GoU Development External Financing 670,000 150,000 520,000 36,000 36,000 0 1,283,000 50,000 1,233,000 -All 12 project staff paid salaries for the 9 months.

-Project data colected from project sites once every quarter -3 suport supervision visits conducted to the 5 project sites.
-3 mentorship visits conducted by mentors to the 5 project sites - 1 regional lab peer asesment done in Novemeber 2014 and lab audit done by ASLM in January 2015.

-6 regional meetings attended and participants suported.

-10 project cordination meetings held at the cordination office.

-Fuel and imprest procured for the project cordination office every quarter.

-Annual contribution to ECSA- HC done -Operational funds provided in one quarter to the 5 satellite sites 1.
Project data collected from the 5 project sites.

2 .Suport supervision conducted in the 5 project satellite sites.

3.

.Mentorship conducted in the 5 project sites.

4.

Project staff facilitated for in country and international travel to conduct project activities.

5 .Quartely TWG of the 6 TWGs conducted.

6 .Quartely funding to the 5 satellite sites to facilitate QIPs.

7. .
7. .

Annual ECSA-HC Contribution made 08 04 11 Coordination of clinical and public health emergencies including the response to the nodding syndrome 1.

Staff salaries paid to project staff 2.

Project data collected from Mulago, Arua, Lacor, Mbarara and Mbale hospitals 3.

Support Supervision carried out.

Mulago, Arua, Lacor, Mbarara and Mbale 4.


Laboratory mentorship done at the satellites sites ( Mulago, Arua, Lacor, Mbarara and Mbale to establish quality systems and prepare them to participate in regional assessment 5.Peer laboratory assessment conducted at Mulago, Arua, Lacor, Mbarara and Mbale and NTRL 6.Regional and incountry workshops conducted/ attended, for Laboratory networking and accreditation 7.
Officers supported to travel abroad for project coordination activities e.g steering committee and Regional Appraisal Panel meetings, VHF simulation exercises, Regional TWG meetings in Kenya Rwanda, Burundi and, Tanzania 8.

Quartely meetings for all the 6 TWGs under tha project held at the coordination Office.

9.

Annusl planning meetings for the coordination office and the satellite sites conducted 10.
Quarterly joint TWG meetings held Vote Overview 46 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 04 Clinical and public health Project 1148 Public Health Laboratory strengthening project Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.

Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 11.
Fuel Procured for the coordination office 11.

Office imprest paid.

12.

Vehicles for coordination of croject activitie maintained 13.

Annual ECSA contribution made.

14.

Satellite sites provided funds to carry out designated project activities as per the work plan.

Total GoU Development External Financing 2,155,340 100,000 2,055,340 0 0 0 1,045,000 200,000 845,000 08 04 72 Government Buildings and Administrative Infrastructure 1. construction of Mbale lab and remodelling of Lacor Lab .

2.
2.

NTRL construction at Butabika continues and completed 3 Ventilation system installed in the new NTRL 4. supervision of civil works at satellite sites of Mbale and Lacor -Final archtectual designs for Mbale and Lacor submitted and have been approved by HID.

Bidding process to commence.

- NTRL construction on schedule-completed roofing.

- HVAC consultant on site and has had 3 visits to the site 1.Const ruction o ofMbale laboratory and remodelling of Lacor laboratory.

2.
Supervision of civil works at Mbale and Lacor laboratories Total GoU Development External Financing GRAND TOTAL GoU Development External Financing 2,047,000 0 2,047,000 5,282,000 250,000 5,032,000 925,446 0 925,446 1,376,856 36,000 1,340,856 2,376,000 0 2,376,000 5,460,000 350,000 5,110,000 Vote Overview 47 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 04 Clinical and public health Project 1218 Uganda Sanitation Fund Project Project Profile Responsible Officer: Programme Manager Objectives: To increase development and utilisation of sanitation and hygiene facilities among project communities with a goal of contributing to the reduction of morbidity and mortality rates due to sanitation related diseases in the project area through improved access to the basic sanitation facilities and adoption of good hygiene practices.
Outputs: 1.

Number of new latrines constructed at household level.

2.

Number of new handwashing facilities installed.

3.

Number of old latrines improved.

Number of villages declared open defaecation free (ODF).

4.

Timely submission of reports.

5.

Number of Audit monitoring vists.

6.

One annual inter district meeting held.

7.

Number of Masons (Private sector) trained.

8.

Number of environmental health staff trained on sanitation and hygiene approaches.
Start Date: 7/1/2011 Projected End Date: 6/30/2016 Donor Funding for Project: Projected Donor Allocations (UShs) 454 United Nations Office for Project Services (UNOPS) Joint (Multi/Basket) Financing 420 Total Donor Funding for Project Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2013/14 Budget 2014/15 Budget 0.000 0.580 0.580 3.130 0.000 3.130 MTEF Projections 2015/16 2016/17 2017/18 0.000 0.000 0.000 0.000 0.000 0.000 3.130 0.000 3.130 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 04 01 Community health services provided (control of communicable and non communicable diseases) Creation of demand for sanitation and hygiene in 30 project districts.

Strengthening the sanitation and hygiene supply chain Improving the enabling environment for sanitation service delivery in 30 project districts IEC and other sanitation promotional materials printed, disseminated and distributed.
Number of new latrines constructed Number of new handwashing facilities constructed Number of households adopting handwashing with soap practices Number of villages triggered to stop open defaecation Number of villages declared open defaecation free (ODF) Stationery procured Staff salaries paid Vehicles in running condition Capacity of Environmental Health staff built Inter district sharing and learning meetings held Lessons learnt and best practices documented Semi annual and annual reports compiled Technical support supervision conducted Internal audit monitoring conducted Monitoring by the Programme Coordination Mechanism (PCM) done Staff retreat held District workplans and reports quality assured Technical support supervision in the seven old districts of Serere, Ngora, Soroti, Katakwi, Amuria, Kaberamaido, Dokolo and Amolatar undertaken and 9 expansion districts of Moyo, Yumbe, Koboko, Apac, Kole, Alebtong, Budaka, Butaleja and Bulambuli.
USF mid-term review carried out by the Water Supply and Sanitation Collaborative Council and draft report presented to Senior Top Managers.

Hosted the Consultant for Sustainability of USF and the Monitoring team from WSSCC – Geneva.

MoUs signed by expansion fifteen districts.

Carried out Monday EHD and eight (8) USF programme meetings.

Carried out three (5) monthly Country Programme Monitor meetings.

Carried out one (1) Programme Coordination Mechanism meeting.
30 districts conducted demand creation activities in the communities.

Masons were trained to strengthen supply chain.

2 Cluster meetings were held Technical support supervision was conducted.

One inter district meeting held.

Staff salaries paid Stationery procured.


Vote Overview 48 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 04 Clinical and public health Project 1218 Uganda Sanitation Fund Project Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Tyres procured for 2 double cabin pickups.
Fuel procured and vehicles serviced Total GoU Development External Financing 08 04 75 Purchase of Motor Vehicles and Other Transport Equipment Total GoU Development External Financing GRAND TOTAL GoU Development External Financing 3,180,000 50,000 3,130,000 100,000 100,000 0 3,280,000 150,000 3,130,000 0 0 0 0 0 0 0 0 0 3,130,000 0 3,130,000 Procure Vehicle for programme activitie 150,000 150,000 0 3,280,000 150,000 3,130,000 Vote Overview 49 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 05 Pharmaceutical and other Supplies Vote Function Profile Responsible Officer: -Commisioner Clinical Services Services: -Procurement and distribution of medicines, equipment and other health supplies Vote Function Projects and Programmes: Project or Programme Name Development Projects Responsible Officer 0220 1141 Global Fund for AIDS, TB and Malaria Gavi Vaccines and HSSP Permanent Secretary-MOH PS-MOH Project 0220 Global Fund for AIDS, TB and Malaria Project Profile Responsible Officer: Permanent Secretary-MOH Objectives: The ultimate aim of the project is to mitigate the negative effects of the three diseases thereby contribute to the National goal of expanded economic growth, increased social development and poverty eradication.
Outputs: Reduced rate of new infections of HIV by 40%,Expanded nationwide coverage and access to anti retroviral treatment and services, Skills development in counseling and special treatment of AIDS, TB and Malaria, Increased facilities accredited to provide ART Start Date: 7/1/2010 Projected End Date: 6/30/2015 Donor Funding for Project: Projected Donor Allocations (UShs) Global Fund for HIV, TB & Malaria 436 Total Donor Funding for Project Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2013/14 Budget 142.575 142.575 2014/15 Budget 255.800 255.800 MTEF Projections 2016/17 2017/18 50.611 50.611 0.000 0.000 2015/16 168.816 168.816 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 05 01 Preventive and curative Medical Supplies (including immuninisation) Medicines and pharmaceutical products acquired for HIV/AIDS, TB and Malaria Humane Resource Costs Paid, Technical Assistance to the Implementation of the Grants provided, ARVs and Contrimoxazole Procured, Procurement Supply and Chain Management (PSM)Costs, ACTs for treament of Malaria Procured, 1st Line and 2nd Line Anti-TB Drugs and health products , Medicines & Pharmaceutical Products, Health Products and Health Equipment like X-rays, Microscopes for Health Facilities Procured, Infrastructure and other Equipment procured.
Medicines and Pharmaceutical products, Health products and Health equipment such as ARVs, Cotrimoxazole, HIV Test Kits and Laboratory Reagents procured through the Pooled Procurement Management (PPM), Procurement Supply Chain Management (PSM) Costs paid to National Medical Stores(NMS), Conduct of MARPs, Conduct a Study to monitor uptake of PMTCT services in communities ( in its final stag Most At Risk Populations (MARPS) mobilized through their Peer Groups.
Operational research: MARPs, PMTCT, TB prevalence survey and Malaria indicator Survey Anti-TB 2nd Line Drugs for Multi -Drug Resistance (MDR - TB) Patients Prevalence Survey payments effected ,Paid courier services for routine surveillance of samples, Procured Laboratory services for Vote Overview 50 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 05 Pharmaceutical and other Supplies Project 0220 Global Fund for AIDS, TB and Malaria Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) MDRTB patients, Paid Salaries for 2 officers, and for MDRTB- Focal Person, , Procured Lofloxacine,2nd Line, Anti- Tb Drugs for MDR patients, Annual fees to the Green Light Committee paid.
Paid PSM Costs associated with the procurement of ACTs, RDTs,& Laboratory supplies which include, Air ticket, Packing, storage and distribution, Conducted RDT and Microscopy External Quality Assurance, Carried out mid term review of Malaria strategic plan , Developed Uganda malaria reduction strategy, supported implementation of Malaria Data base, Adoption of Existing IEC Materials into 8 Commonly spoken languages in Uganda, Malaria Vector surveillance and insecticide resistance monitoring, as well as Strengthening Human& Material resource Capacity at the program , Procurement of Photocopying papers and Computer Toners .
Conduct mass campaign sensitization on the use of LLIN, Train National supervisors, National level training of Master Trainers for Distribution of LLINs, Regional sensitization of Political, Civil religious and opinion leaders in different Regions on LLINS, Training of Data Entrants, Revision and Production of tools ( Training , registration materials plus logistics), Conduct Regional stakeholders Meeting, Sub -County Level Supervision, LLINS Transportation, Distribution and storage Activities / Costs Loading and off loading, Store management, security Cleaning Fumigation and locks.
Proposals Grant negotiations for HIV, TB, HSS and signing of the Malaria grant.
Proposal for assessment of primary prevention for HIV and Condom programming, RPMTs regional meetings and support supervision, Joint support supervision from the Centre and Submitted all PU/DR to GF Total GoU Development External Financing 246,319,433 0 246,319,433 196,447,936 0 196,447,936 168,815,973 0 168,815,973 08 05 03 Monitoring and Evaluation Capacity Improvement Salaries of 20 Staff paid, 8 press releases/ publications and or radio talk shows conducted, 19Fco (Core and Counterpart) supported staff paid, 6 Publications/ Press releases on Salaries of 18 Staff paid, 8 press releases/ publications and or radio talk shows conducted, Vote Overview 51 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 05 Pharmaceutical and other Supplies Project 0220 Global Fund for AIDS, TB and Malaria Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) status of Global Fund Implemented Activities/ Adverts paid for.

Over 8 Country Mission meetings and conferences held and attended.

4 M& E staff from the centre trained in DHIS II & CPDs.

1095 copies of different dailies per annum paid.

Break teas for staff paid, Refreshments for meetings procured and sundry expenses paid.
Assorted stationery for the F/Y 2014/2015 procured Postage and Courier expenses paid.

Internet subscription for 12 months for the Modems under Fco paid.

Joint Support Supervision of the Global Fund Supported Activities at sub- recipient levels carried out.

International Meetings facilitated in form of payment for Air tickets, Perdiem and other incidental costs.

Loading of Fuel to facilitate the co- ordination of the GF supported Programs carried out.
8 FCO Vehicles properly maintained in sound and proper running condition.

Paid for preventive maintenances service carried out for all Machines under the FCO.
2 Global Fund Focal Co- orrdination Office retreats /workshops held, 12 bi-annual regional Sub recipient meetings held, 2 SR meetings held, 6 FCO staff trained in Global Fund Activities, Newspapers for the FCO procured on daily basis, refreshments for the meetings supplied & paid for, Asset Verification Report produced, M & E Capacity building plan developed, FCO operational Manual printed, Global Fund Performance Reports printed, Staff facilitated to co-ordinate GF Activities, GF Mails delivered, Internet Subscription for FCO staff paid for, GF Sub recipients trained in Financial reporting, Training Data base developed, Spot checks, Data quality Audits & Joint Support Supervision conducted in 78 districts,GF implementation sites assessed, 6 FCO staff supported to participate in International Conferences, GF Vehicles fueled and maintained in good Condition, 100% equipment functional, Assorted Stationery procured, Technical reports prepared semi annually to provide programme specific and financial data, 4 Detailed Monitoring & Evaluation Reports prepared, Policies and plans for the CCM prepared, Minutes and Working papers of the CCM prepared and issued, Capacity of Focal Co-ordination Office Strengthened, Timely Progress Update reports and disbursement Requests, Strengthened monitoring of Gf supported Activities and GF grants properly managed.
Informative Newspaper pull outs, FCOstaff capacity developed.

Consultancy reports produced, Sub-Recipients Assessed for capacity in implementation.

Advances ledger properly maintained and updated regularly.
National TB Prevalence survey conducted VAT for GF partner institutions paid (Ushs 1 bn) Vote Overview 2 Global Fund Focal Co- orrdination Office retreats /workshops held, 12 bi-annual regional Sub recipient meetings held, 2 SR meetings held, 6 FCO staff trained in Global Fund Activities, Newspapers for the FCO procured on daily basis, refreshments for the meetings supplied & paid for, Annual Asset Verification Report produced, Monitoring & Evaluation Capacity building plan developed, FCO Final operations Manual printed, Global Fund Performance Reports printed, Staff facilitated to co-ordinate GF Activities, GF Mails delivered,Consultancy fees paid for preparation of Budgets, Concept Notes , No -Cost Extention Documents, PSM Plans,Writing Standard Application, under Different Grants paid.
Internet Subscription for FCO staff paid for, GF Sub recipients supported in Financial reporting, Training Data base developed, Spot checks, Data quality Audits & Joint Support Supervision conducted in 62 districts,GF implementation sites assessed, 4 FCO staff supported to participate in International Conferences, GF Vehicles fueled and maintained in good Condition, 100% equipment functional, Assorted Stationery procured, Technical reports prepared semi annually to provide programme specific and financial data, 4 Detailed Monitoring & Evaluation Reports prepared, Performance Reports in form of Progress Updates and Enhanced Finanacial Reporting (EFR) prepared and submitted to the GF,Capacity of Focal Co- ordination Office Strengthened, Timely Progress Update reports and disbursement Requests, Strengthened monitoring of Gf supported Activities and GF grants properly managed.
Informative Newspaper pull outs, FCOstaff capacity developed.

Consultancy reports produced, Concepted Notes finalised and Submitted, Standard Application proposals submitted to GF for Funding ,Sub-Recipients Assessed for capacity in implementation.

Advances ledger properly maintained and updated regularly.

Payment of preventive maintenance service carried out for all Machinery and Equipment under the FCO.
National TB Prevalence survey conducted VAT for GF partner institutions 52 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 05 Pharmaceutical and other Supplies Project 0220 Global Fund for AIDS, TB and Malaria Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) paid 1,883,848 1,883,848 4,870,000 4,870,000 0 One Field Vehicle procured 130,000 130,000 0 173,815,973 5,000,000 168,815,973 0 0 0 0 198,331,784 1,883,848 196,447,936 Total GoU Development External Financing 08 05 75 Purchase of Motor Vehicles and Other Transport Equipment Total GoU Development External Financing GRAND TOTAL GoU Development External Financing 14,273,611 5,014,002 9,259,609 0 0 0 260,593,044 5,014,002 255,579,042 Vote Overview 53 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 05 Pharmaceutical and other Supplies Project 1141 Gavi Vaccines and HSSP Project Profile Responsible Officer: PS-MOH Objectives: To contribute to the strengthening of the Ugandan health system for the purpose of delivering the Uganda National Minimum Health Care Package, including immunization, in an efficient, equitable and sustainable manner for the reduction of morbidity and mortality in Uganda.
Outputs: 1)Improve the delivery of UNMHCP, including immunization through provision of staff accommodation, vaccines and medicines storage space in selected districts, transport and logistics at all levels in the health sector.

Improve coordination of GAVI supported activities through recruitment of additional staff.

2)Support the participation of communities in health care delivery and decision making through establishment, training and equipping of Village Health Teams.
3)Train health workers at HSD level to manage and utilize HMIS data for decision making and equip 35 newly created districts with computers and internate connectivity.

4)Strengthen capacity of the private sector to deliver immunization and other child health services through training and provision of cold chain equipment.

-Medicine and Vaccine Stores for UNEPI Constructed.

-Workshop for maintenance of vaccine fridges constructed.
-Vaccine storage and transfer equipment purchased and installed.
-95% of infants immunized against Diphtheria Start Date: 1/1/2008 Projected End Date: 6/30/2015 Donor Funding for Project: Projected Donor Allocations (UShs) Global Alliance for Vaccines Immunisation 451 Total Donor Funding for Project Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2013/14 Budget 60.710 60.710 2014/15 Budget 48.290 48.290 MTEF Projections 2015/16 2016/17 2017/18 14.000 14.000 6.890 6.890 50.300 50.300 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 05 01 Preventive and curative Medical Supplies (including immuninisation) Traditional vaccines (Pentavalent, polio, TT, BCG, Miseals vaccines ) procured, Pneumococcal vaccine procured, immunization related supplies procured, immunization orientation practice, cold chain maintenance, community awareness and sensitization, laboratory reagents, monitoring tools and other immunization preparatory activities and UNEPI operations Based on the population projects obtained from UBOS, the following doses of the different antigens will be procured BCG: 7,880,600 OPV: 9,370,700 PENTA: 6,637,600 PCV: 6,288,700 IPV: 3,217,220 ROTA: 3,318,764 MEASLES: 3,318,765 HPV: 1,919,040 TT: 9,233,000 Doses of Penta procured using GAVI funds: 2574000 Doses of vaccine and syringes procured using Gou funds are shown below.
Doses BCG: 2436000 Measles: 925500 tOPV: 14767000 TT: 1,047,620 Syringes Syringes 5ml: 5192100 Syringes (0.05ml): 748,800 Syringes (0.5ml): 828,800 All regions received funds from UNICEF to support cold chain Maintenance.

Monitoring tools have not been purchased The tripartite agreement between Gou, UNICEF and GAVI was signed.
A national team was trained on Vote Overview 54 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 05 Pharmaceutical and other Supplies Project 1141 Gavi Vaccines and HSSP Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Polio Campaign including Microplanning during the quarter.

Funds from UNICEF for Polio Campaign were not received due to administrative issues.

District supervisors for the polio Campaign were trained and dispatched to districts to prepare them and supervise the campaign that is planned for 17th - 19th Jan 2015.

UNFPA used PATH to carry out an assessment of VHT system.
The activity ended in Dec 2014 and a report is yet to be shared.

156,700 & doses of PCV 434,700 doses of Pentavalent vaccine Training 200 Health workers in Logistics Medicines Management Conduct National Assessment of VHT Training health workers 107 HSD levels in data management March 2014 -Decision to transfer procurements to UNICEF for 71 vehicles, assorted cold chain equipment, motorized boats, generators & EPI data tools .

Procurement on going.


Expected delivery time is w.e.f May 2015 Total GoU Development External Financing 29,339,040 3,200,000 26,139,040 2,939,409 2,820,000 119,409 7,400,000 7,400,000 0 08 05 02 Strengthening Capacity of Health Facility Managers 24 middle and operational managers trained in medicines and logistics management (MLM) , Administrative costs for implementation of GAVI supported activities .
MoH HQs and districts supported to carry out monitoring and support supervision of GAVI supported activities and data validation, 3 experts , accountant, M&E and Admin officer recruited to support GAVI grants, cold chain staff.
assessment, internal audit activities , external audit training of health educators operationalisation of VHT strategy targeting 36 poorly performing districts, 30 health workers for each of the functional 105 HSD trained in health information soft ware (DHIS2), 200 health workers from private clinics in Kampala trained, operationalise static and outreach immunization including child health days.
Vote Overview Regional support supervision conducted on quarterly basis Fuel procured for 112 generators National Support supervision visits conducted in all the 112 districts Support supervision visits and outreaches conducted at district level.
Internal audit field visits conducted to selected districts 3 Cold chain staff support delivery of Immunisation services M&E Specialist fully operational and salary paid GAVI funds audited HSD health workers trained in DHIS2 software Capacity for cold chain officers to manage cold chain activities developed 55 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 05 Pharmaceutical and other Supplies Project 1141 Gavi Vaccines and HSSP Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Total GoU Development External Financing 3,698,180 0 3,698,180 330,489 0 330,489 11,000,000 0 11,000,000 08 05 72 Government Buildings and Administrative Infrastructure Procure Consultancy services for design.

Construction and supervision of Central Vaccine Store a nd UNEPI Offices.

Medicines Stores in 20 new districts and 26 Staff houses in 13 districts with hard to reach areas.
Procure and install 2 (50KVA) generators for the CVS, 8 (25KVA) generators for the regional hubs and solar energy in 26 new staff houses Total GoU Development External Financing 10,703,150 0 10,703,150 08 05 75 Purchase of Motor Vehicles and Other Transport Equipment ) 4 (40HP) motorised boats for Namayingo, Kalangala Mukono, and Buvuma districts with deep water Islands 2) 6 (25HP) motorised boats for Wakiso, Kabale, Kisoro, Nakasongola, Mayuge and Bugiri 3) 4 insulated trucks for transportation of vaccine supplies, 69 Pick-up motor vehicles for districts and centre (UNEPI, CS, ESD,CC) and 2 station wagon vehicles for monitoring of GAVI operations 4) 584 Motorcycles for HC III's and 3,000 bicycles for HCII’s Total GoU Development External Financing 9,093,110 3,300,000 5,793,110 08 05 76 Purchase of Office and ICT Equipment, including Software Purchase 35 computers with all accessories and connectivity for new districts, administrative costs for implementation of GAVI activities supported, external firm contracted to audit implementation of GAVI project.
Total GoU Development External Financing 148,120 0 148,120 08 05 77 Purchase of Specialised Machinery & Equipment Procurement and installation of assorted cold chain equipment including, 22 cold rooms, 1 freezer room, 270 assorted cold Vote Overview Consultancy services for civil works procured 20 district medicines stores 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.
2 generators for National Vaccine Store procured 1 freezer room installed at National Vaccine Store 22,000,000 0 22,000,000 Taxes paid for marchinery and equipment.
Payment for the transport equipment made 10,930,000 1,830,000 9,100,000 35 new districts have email connectivity 100,000 0 100,000 Procure and install assorted cold chain equipment including, 22 cold rooms, 1 freezer room, 270 assorted cold chain 0 0 0 0 0 0 0 0 0 56 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 05 Pharmaceutical and other Supplies Project 1141 Gavi Vaccines and HSSP Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) chain equipment (refrigerators and freezers), 1000 vaccine carriers, assorted tool kits and spare parts for cvs, regional hubs and other HFs (public and private) Total GoU Development External Financing GRAND TOTAL GoU Development External Financing 1,808,400 0 1,808,400 54,790,000 6,500,000 48,290,000 equipment (refrigerators and freezers), 1000 vaccine carriers, assorted tool kits and spare parts for cvs, regional hubs and other HFs (public and private) Taxes paid for specialised machinery and equipment 8,900,103 800,000 8,100,103 60,330,103 10,030,000 50,300,103 0 0 0 3,269,898 2,820,000 449,898 Vote Overview 57 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 49 Policy, Planning and Support Services Vote Function Profile Responsible Officer: Permanent Secretary Services: -Policy development ,financial management, auditing, human resource development, planning, budgeting, administrative and nursing services.
Vote Function Projects and Programmes: Project or Programme Name Recurrent Programmes 01 02 10 Development Projects Headquarters Planning Internal Audit Department Responsible Officer Under Secretary (F & A) Commissioner Planning Assistant Commissioner Internal Audit 1145 Institutional Capacity Building Permanent Secretary Programme 01 Headquarters Programme Profile Responsible Officer: Under Secretary (F & A) Objectives: Give support services to the Ministry Outputs: - Provide Administrative, Political, Professional oversight and ensure efficiency in resource management to the sector.
Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.

Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 49 02 Ministry Support Services -500 & 650 employees at MoH Hqtrs and RRHs trained for one day in performance management.
-336/26 (HRIS) data users & 224/13 Health Information Assistants from 112 Districts / 13 RRHs trained for 3 days at 10 sites in the Districts in using (HRIS).

Two (HRIS) support supervision & monitoring visits carried out in 112 Districts & 13 RRHs.

-12 meetings of Rewards and Sanctions Committee for MoH Hqtrs held.

Rewards & Recognition ceremony held.

One support supervision visit for 13 RRHs Rewards & Sanctions Committee members carried out.

-Salary payments initiated.


Accountability and transparency in payroll management improved at MoH Hqtrs.

One Payroll monitoring visit for 13 RRHs carried out.

-Newly appointed health workers for MoH Hqtrs & RRHs deployed & inducted within one month.

-Welfare of employees at MoH improved for improved performance.

-336/26 (HRIS) data users & 224/13 Health Information Assistants from 112 Districts / 13 RRHs trained for 3 days at 10 sites in the Districts in using (HRIS).
Two (HRIS) support supervision & monitoring visits carried out in 112 Districts & 13 RRHs.

-12 meetings of Rewards and Sanctions Committee for MoH Hqtrs held.

Rewards & Recognition ceremony held.

One support supervision visit for 13 RRHs Rewards & Sanctions Committee members carried out.

-Salary payments initiated.

Accountability and transparency in payroll management improved at MoH Hqtrs.

One Payroll monitoring visit for 13 RRHs carried out.
-Newly appointed health workers for MoH Hqtrs & RRHs deployed & inducted within one month.

-Welfare of employees at MoH for improved performance.
Consolidated allowances Querried by AG and suspended -40 Records Assistants at MoH Hqtrs & RRHs trained for two HRIS implemented & monitored Recruitment plans for the sector compiled & implemented Performance management implemented & monitored Decentralization of payment of salaries implemented & payroll for MoHHqtrs / RRHs monitored HIV activities at the work place mainstreamed at MoH Hqtrs & 14 RRHs.

Management.

One support supervision visit carried out in 13 RRHs.
-Submissions to the Service Commissions for Human Resource actions made and minutes implemented.

-8 meetings of HRH Technical working group held.

Management of records in the registry at MOH & RRH computerized & strengthened Professionalization training and Management.
Periodic Financial Reports and statements in accordance with Public Finance Act and Vote Overview 58 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 49 Policy, Planning and Support Services Programme 01 Headquarters Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) -40 Records Assistants at MoH Hqtrs & RRHs trained for two days in Registry procedures and information management.

One support supervision visit carried out in 13 RRHs.

-Occupational health and safety guidelines disseminated in 13 RRHs.

-4 Staff trained & Developed professionally.

-Submissions to the Service Commissions for Human Resource actions made and minutes implemented.
-8 meetings of HRH Technical working group held.

-Delivery of mails & courier services facilitated.

- An IT based system for monitoring absenteeism and controlling access at MoH HQtrs developed.

Two follow ups on the management and utilization of Primary Health Care grants and other advances to Local Governments and Regional Referral Hospitals carried out.

Periodic Reports and statements submitted.

20 Departmental vehicles maintained.


Ministry premises in and outside at MoH HQtrs, CPHL & Wabigalo kept clean and tidy.

Two supervision visits for 13 RRHs on assets management & cleanliness carried out.

Office assets maintained and secured.

48 contracts Committee meetings held.

-200 Evaluation committee meetings held and facilitated 12 Departmental and Division meetings held and facilitated.

days in Registry procedures and information management.

One support supervision visit carried out in 13 RRHs.
-Occupational health and safety guidelines disseminated in 13 RRHs.

-4 Staff trained & Developed professionally.

-Submissions to the Service Commissions for Human Resource actions made and minutes implemented.

-8 meetings of HRH Technical working group held.

-Delivery of mails & courier services facilitated.

- An IT based system for monitoring absenteeism and controlling access at MoH HQtrs developed.
Two follow ups on the management and utilization of Primary Health Care grants and other advances to Local Governments and Regional Referral Hospitals carried out.

Periodic Reports and statements submitted.

20 Departmental vehicles maintained.

Ministry premises in and outside at MoH HQtrs, CPHL & Wabigalo kept clean and tidy.

Two supervision visits for 13 RRHs on assets management & cleanliness carried out.

Office assets maintained and secured.

48 contracts Committee meetings held.


-200 Evaluation committee meetings held and facilitated 12 Departmental and Division meetings held and facilitated.

Procurement plans implemented.

Procurement plans implemented.
Board of Survey Conducted, Board of Survey Conducted, -Distribution, verification and monitoring of stores in 13 RRHs and 40 General Hospitals carried out Utilities efficiently utilized and monitored Ministry assets inventory updated and uploaded on IFMS Accountability reports for released funds obtained from all individuals and Institutions -Distribution, verification and monitoring of stores in 13 RRHs and 40 General Hospitals carried out Utilities efficiently utilized and monitored Ministry assets inventory updated and uploaded on IFMS Accountability reports for released funds obtained from all individuals and Institutions -Responses to queries from oversight agencies given, Vote Overview regulations 2003 prepared.
Staff welfare provided for improved performance 20 Departmental vehicles maintained.

Ministry premises in and outside at MoHHQtrs, CPHL &Wabigalo kept clean and tidy.

Two supervision visits for 13 RRHs on assets management & cleanliness carried out.

Office assets maintained and secured.

48 contracts Committee meetings held.

12 Departmental meetings held and facilitated.

Conferences and Bilateral meetings held / Biannual meetings etc.

held.
held.

Departmental meetings held as well as Contracts Committee meetings Procurement plans implemented.

Board of Survey Conducted, Ascertain capacity of service providers Ministry assets inventory updated and uploaded on IFMS Accountability reports for advanced funds obtained from all individuals and Institutions, Responses to queries from oversight agencies given, PDU Adverts run Office supplies provided.

Cost effective measures for fuel utilization and fleet management implemented.
- 3 Site visits for health facilities under construction done.

One supervision visit for 13 RRHs on utilization of Development budget carried out.
Goods and services procured as per schedule in the procurement plans Initiate procurement of goods and services Periodical and news releases prepared and run ICT Services-Ushs 300 million 59 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 49 Policy, Planning and Support Services Programme 01 Headquarters Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) -Responses to queries from oversight agencies given, 50 Departmental Procurement & Dispasal adverts run Office supplies of assorted stationery and other consumables provided.

105 Department employees facilitated to deliver services.

Measures of cost effective fuel utilization and fleet management implemented.

- 3 supervisory site visits for health facilities under construction done.
One administrative supervision visit for 13 RRHs on utilization of Development budget carried out.

-operating manuals & guidelines printed & circulated.

-One pre retirement training conducted.

-Un serviceable/ obsolete stores disposed off.

-Five key Iternational meetings/ conferences attended -Quarterly market surveys & due deligence on prequalified firms carried out.

-Census of medical inventories in 2 NRHs & 13 RRHs carried out.

-30 security Guards maintained at all key Ministry premises.
50 Departmental Procurement & Dispasal adverts run Office supplies of assorted stationery and other consumables provided.

105 Department employees facilitated to deliver services.

Measures of cost effective fuel utilization and fleet management implemented.

- 3 supervisory site visits for health facilities under construction done.

One administrative supervision visit for 13 RRHs on utilization of Development budget carried out.

-operating manuals & guidelines printed & circulated.
-One pre retirement training conducted.

-Un serviceable/ obsolete stores disposed off.

-Five key Iternational meetings/ conferences attended -Quarterly market surveys & due deligence on prequalified firms carried out.

-Census of medical inventories in 2 NRHs & 13 RRHs carried out.

-30 security Guards maintained at all key Ministry premises.
Total Wage Recurrent Non Wage Recurrent 3,516,029 1,459,476 2,056,553 1,582,387 877,103 705,284 3,984,607 1,459,476 2,525,131 08 49 03 Ministerial and Top Management Services 2 Political and Top management supervision of sector activities in 112 Districts, 2 National Referrals and 13 Regional Referral Hospitals carried out.
42 Senior Top Management meetings held & facilitated -12 Senior Management meetings held and facilitated -12 HPAC meetings held & facilitated -20 consultative meetings with partners on health matters held 12 Gazette health sector events presided over.
12 core International meetings / Senior Top Management meetings held & facilitated 10 Administrative Monitering & supervision made of sector activities done - 2 National referrals and 13 Regional Hospitals carried out Four Consultative meetings in the DLGs on key policy proposals on health matters carried out 6 Cabinet memos / briefs prepared and submitted to the executive Senior Top Management meetings held & facilitated 2 Political and Top management supervision of sector activities in 112 Districts, 2 National Referrals and 13 Regional Referral Hospitals carried out.
36 Senior Top Management meetings held.

Gazette health sector events presided over.

4 core International meetings / conferences on health attended.
Cabinet memos / briefs prepared and submitted to the executive 48 press / media briefings on health issues held Vote Overview 60 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 49 Policy, Planning and Support Services Programme 01 Headquarters Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) -20 consultative meetings with partners on health matters held / 12 HPAC meetings held & facilitated -Emoluments for entitled officials provided -12 Gazette health sector events presided over.

conferences on health attended.
6 Cabinet memos / briefs prepared and submitted to the executive -Quarterly profile of sector acheivements printed & circulated 48 press / media briefings on health issues held -Emoluments for entitled officials provided Total Wage Recurrent Non Wage Recurrent 1,321,447 0 1,321,447 08 49 51 Transfers to International Health Organisation Transfer to International Health Organizations Transfers made Total Wage Recurrent Non Wage Recurrent 200,000 0 200,000 573,784 0 573,784 50,000 0 50,000 1,447,869 0 1,447,869 Transfer to International Health Organizations 300,000 0 300,000 08 49 52 Health Regulatory Councils Health regulatory Councils facilitated Contribution to Health Regulatory Councils made Transfers to Health Regulatory Councils made USD 92,000 balance to be met in the 4th quota A- PHARMACY COUNCIL OUTPUT 1.
Finalise the Pharmacy Bill 2.

Develop a website for the Pharmacy Board 3.

Carry out Joint Health Professions Activities in Four Regions 4.

Develop a harmonized tools for training, Internship and mutual recognition of pharmacists in the Region 5.
Participate in four Regional and One International Pharmaceutical meeting/Conference B- ALLIED HEALTH PROFESSIONALS' COUNCIL- OUT PUT 1-Allied Health facilities inspected in four regions 2- 30 Allied Health Training schools inspected 3-one regional and three local consultations on the establishment of the Health Professional Authorities carried out 3-UGANDA MEDICAL AND DENTAL PRACTITIONERS COUNCIL 1-Eighty health facilities inspected in 4 regions 2- Six medical/dental training schools inspected Vote Overview 61 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 49 Policy, Planning and Support Services Programme 01 Headquarters Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 3-One regional and 2 local consultative meetings on the establishment of the health professions' Authorities carried out 4-UGANDA NURSES AND MIDWIVES COUNCIL 1-Health facilities inspected in 4 regions 2-Nurses/Midwives training schools inspected 3-One regional and three local consultations on the establishment of Health professional authorities carried out Total Wage Recurrent Non Wage Recurrent 300,000 0 300,000 108,806 0 108,806 300,000 0 300,000 08 49 53 Support to the Recruitment of Health Workers at HC III and IV Recruitment for General Hospitals, HC IVs and HC IIIs coordinated.
to be done in the 4th quota Hard to reach Districts with MoH contracted health workers supported to recruit.

Recruitment for General Hospitals, HC IVs and HC IIIs coordinated.

Hard to reach Districts with MoH contracted health workers supported to recruit.
08 49 99 Arrears Total Wage Recurrent Non Wage Recurrent Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 1,900,000 0 1,900,000 372,243 0 372,243 7,609,719 1,459,476 6,150,243 146,745 0 146,745 372,243 0 372,243 2,833,965 877,103 1,956,862 1,900,000 0 1,900,000 1,772,244 0 1,772,244 9,704,719 1,459,476 8,245,244 Vote Overview 62 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 49 Policy, Planning and Support Services Programme 02 Planning Programme Profile Responsible Officer: Commissioner Planning Objectives: To provide policy consultation, planning, budgeting and monitoring services Outputs: Policy consultations provided, plans and budgets developed, monitoring and evaluation services provided.
Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 49 01 Policy, consultation, planning and monitoring services 4 HMIS Data Validation Exercises conducted, 1 HMIS stakeholder dissemination Workshops held, 4 HMIS & DHIS2 technical support supervision visits conducted, 4 regional mentorship meetings for district biostatisticians in data management conducted, 4 regional dissemination meetings, Photocopy and printing of HMIS materials at the Headquarters done, 12 ehealth TWG meetings held, 12 months Internet provided to HQ and remote sites, quarterly ensuring functionality of district libraries done.
Production of MOH Annual Statistical Abstract, finalisation of the national health information policy and strategic framework Fuels, oils and lubricants procured, Procure Assorted Office Stationery Budget Framework Paper 2015/16 produced, Ministerial Polcy Statement 2015/16 produced, National Health Accounts (NHA) prepared and report disseminated, Develop and disseminate Health Budget policy issues, Budget and implementation Performance Monitoring , Capacity of Budget and Finance division staff enhanced, Office Administration, Quarterly reports produced, Quarterly reports verification in LGs, LG transfers and guidelines produced and disseminated Integrating and planning for Gender and Human Rights Guidelines developed, 13 Regional Gender and Human Rights Workshops conducted, 1 Annual Health Sector Performance Report 1 DHO meeting report, 1 technical Review Meeting Held, 2 PPPH coordination reports.
PHP subsidy access report, 4 PRDP,NUSAFII,LRDP reports, 4 PNFP reports, 4 International health desk coordination reports, , 1 National Planning Meeting, 4 regional planning meetings reports, 1 Health Conducted one policy workshop on policy formulation, submitted 2 Bills to Cabinet; The Indigenous and Complementary Medicines Bill, 2015 and Uganda Cancer Institute Bill, 2015, submitted to Cabinet 1 Cabinet Information Paper on the 5th Annual East African Health, Scientific Conference International Health Exhibition and Trade Fair, Analysed the scope of practice for Uganda Nurses and Midwives, fessions Prof National Health 3 Bills; theill 2014, The Construction and equiping of an International Specialized Hospital and International Cancer Centre Bill 2014, Principles of the Uganda Ambulance Bill 2014, costing of the none Communication Disease Policy.
1 DHO meeting report, The 20th JRM/7th NHA was held and an aide memoire was signed,the annual performance report for the health sector for FY 2013/14 was prepared and printed and a DHO’s Consultative meeting was held.

Drafting of the Health Sector Development of HSDP commenced.Techinical working Groups and other stakeholder consultations ongoing.
1 DHO meeting report, supporting integrating and planning for Gender and Human Rights, (print disseminate, guidelines), support supervision to GBV safety centres, Carry out support visits to PNFPs, PRDP and NUSAF districts, participation in International/regional meetings policy and resource on mobilisation, 1 LG workplan implementation monitoring reports, compilation and reporting of Presidential pledges and manifesto isssues, Planning support to national and RRH reports ( financing , strategic planning issues BFP Ssubmitted, 2 budget monitoring sessions conducted, NHA report printed, PHC 4 HMIS data validation exercise conducted,12 monthly spot check of poorly performing district done,1 national stakeholders dissemination workshop held,4 HIMS regional stakeholder dissemination workshops held, 4 HMIS & DHIS technical support supervision visits conducted, 4 regional mentorship for district biostatisticians and data officers in RRH in data management conducted, photocopying and printing of HMIS materials at the headquarters done, 12 ehealth TWG meetings held, 12 months internet provided to HQ and remote sites, production of Annual statistical abstract produced, production of 12 monthly bulletin produced, supervision of community management information system conducted, dissemination of health information policy and strategic framework, fuel, oils and lubricants, procure assorted office stationary, 12 monthly airtime for coordination with district bought.
Budget Framework Paper 2016/17 produced, Ministerial Policy Statement 2016/17 produced, Develop and disseminate Health Budget policy issues, Budget and implementation Performance Monitoring , Capacity of Budget and Finance division staff enhanced, Office Administration, Quarterly reports produced, Quarterly reports verification in LGs, LG transfers and guidelines produced and disseminated Annual work plan 2016/17, Integrating and planning for Gender and Human Rights Guidelines, 13 Regional Gender and Human Rights Workshops conducted , 1 Annual Health Sector Performance Report, 1 DHO meeting report, 1 technical Review Meeting conducted, 2 PPPH coordination reports.
PHP subsidy access report, 4 PRDP,NUSAFII,LRDP reports, Vote Overview 63 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 49 Policy, Planning and Support Services Programme 02 Planning Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) guidelines disseminated, direct transfers release advice submitted,MPS draft report prepared, HFS draft report prepared, HSDP draft prepared, NHA inception report for 2013/14 launched.
The HMIS Quarterly Report for the QTR routinely generated from the DHIS2 for dissemination via email, MoH website and data review workshops both at district, regional and national level Conducted HMIS Data Validation Exercise in 10 Districts of Uganda Two meetings for the CAO’s, DHO's and Bio statisticians held in Kampala Central during end of project (Stop Malaria & Strides Project).
Conducted one National Training of Trainers workshop in eHMIS (mTRAC and DHIS2) Disseminated the Statistical abstract among key stakeholders Conducted two district orientation workshop on Community Health Management System Sector ,JRM held, AHSPR produced,Financing Strategy dissemination report, 2 RRH plans, 4 monitoring national and RRH repots, 4 International/regional meetings/studies reports, 4 district workplan monitoring reports 1 RIA Report, 2 Health Acts approved, 2 bills developed, 3 policy documents developed, 1 Policy Workshop conducted, 4 Policy Monitoring Reports, 2 policies costed, 2 Policy officers trained, 4 Policy Briefs produced, 12 Legal and Regulatory Meetings held, 1 policy survey, 1 Health Acts Revised, 4 cabinet memos submitted.
3 Memoranda drafted Assorted Office Equipment, IT supplies, Stationery, Fuels, oils and lubricants procured, Vehicles mantained Technical support supervision for HRD programmes provided, Sponsorship for training post-basic and post- graduates sourced, processed and awardees and training institutions monitored, 4 HRH stakeholders policy and planning meetings organised and conducted, 5 CPD Centres operationalsed, regularly supervised and monitored, Induction training organised and conducted for HMBs in 10 RRHs and 20 General Hospitals , 25 Districts in North and north- eastern Uganda supported for IST, 120 Health Managers at RRHs, DHTs, General Hospitals and HSDs trained in Governance ,Leadership and Management, HRDIS developed and incorporated into the main HRHIS and operationalised in 40 in districts, Vote Overview 4 PNFP reports, 4 International health desk coordination reports, , 1 National Planning Meeting, regional planning meetings reports, Technical planning support to LGs, JRM/NHA held, AHSPR produced ,Financing Strategy dissemination report, 2 RRH plans, 4 monitoring national and RRH reports, 4 International/regional meetings/studies reports, 4 district work plan monitoring reports, Bilateral cooperation-(4 Joint border committee meetings, travel abroad).
NHP II Mid Term Review- short term consultancy services, guidelines for harmonization of hospital private wings developed, consultation meetings and dissemination.

1 RIA Report, 2 Health Acts approved, bills developed , 3 policy documents developed , 1 Policy Workshop conducted , 4 Policy Monitoring Reports prepared , policies Costed ,Capacity building of 2 Policy officers , Policy Briefs produced , 12 Legal and Regulatory Meetings held , 1 policy survey, 5 Cabinet Memos submitted.
Memorandum of Understanding drafted, Assorted Office Equipment, IT supplies, Stationery, Fuels, oils and lubricants procured, Vehicles maintenance Technical support supervision for HRD programmes provided, Sponsorship for training 80 post-basic and post- graduates sourced, processed and awardees and monitored in 10 Health Training institutions, 4 HRH stakeholders policy and planning meetings organized and conducted, 5 CPD Centres operationalised, regularly supervised and monitored, Induction training organized and conducted for HMBs in 10 RRHs and 20 General Hospitals , 25 Districts in North and north- eastern Uganda supported for IST, 120 Health Managers at RRHs, DHTs, General Hospitals and HSDs trained in Governance ,Leadership and Management, Health Managers in 20 districts and 10 Regional referral hospitals trained on conducting Training Needs assessment and devt of training plans.
HRDIS developed and incorporated into the main HRHIS and operationalised in 40 in districts.
15 coordination meetings held with health training institutions and other stakeholders to share/ harmonize policies/ strategies 64 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 49 Policy, Planning and Support Services Programme 02 Planning Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Total Wage Recurrent Non Wage Recurrent 3,671,024 507,969 3,163,055 1,201,633 288,358 913,275 08 49 04 Health Sector reforms including financing and national health accounts NHIS quarterly reports done, NHIS Taskforce meetings conducted /reports written, NHIS TF subcommittees & inter-ministerial committee Meetings held, short term studies done, Technical reports on NHIS scale-up studies done, Short Term consultant services procured, consensus building,/stakeholder/disseminati on meetings conducted, Staff salaries paid, Legislation on the Bill (RIA, printing) done, Study tours done, Advertisements conducted, NHIS pre-launching activities held Compiled NHIS Q1,Q2 and Q3 reports.
Conductedf field visits to districts of Soroti, Mbale, Bugiri.

Mayuge, Kaliro, Iganga and Kapchorwa in Eastern Region to review Quality Improvement and consensus building in preparation for National Health Insurance scheme, 3 quarterly reports compiled, I taskforce meeting held, The draft National Health Insurance Scheme Bill was reviewed by the 1st Parliamentary council and sent back to Ministry of Health.
It is now a awaiting the certificate of financial implications from MoFPED after which will seek cabinet and parliamentary approval.

The draft National Health Insurance Scheme Bill was reviewed by the 1st Parliamentary council and sent back to Ministry of Health.

It is now a awaiting the certificate of financial implications from MoFPED after which will seek cabinet and parliamentary approval.
One NHIS quarterly report done, one NHIS Taskforce meetings conducted /reports written, parliamentary committee on health carried a study tour in isreal on the functionality of insurance schemes.
on HRH Development.Healthworkforce projections reviewed 3,775,969 507,969 3,268,000 Financing Strategy report disseminated, National Health Accounts (NHA) prepared and report disseminated, 4 NHIS quarterly reports,4 NHIS Taskforce meetings, NHIS 8 TF subcommittees and inter Ministerial committee meetings, short term studies, prepare 4 technical reports to scale up NHIS, short term consultancy services, consensus building/stakeholders/disseminat ion meetings, Payment of staff salaries, legislation on the Bill (RIA), printing, study tours, advertising and Public relations( Hold TV talk shows, radio DJ meetings, print media, IEC’s, Promotional program, branding materials), NHIS pre-launching activities, procure Fuel and Lubricants, maintenance of vehicles, office printing & stationary, computer consumables and IT, equipment Institutionalizing the NHIS- Advocacy meetings, DLG meetings, National and DLG level meetings Welfare and entertainment Travel inland and travel abroad Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 706,000 0 706,000 4,377,024 507,969 3,869,055 219,358 0 219,358 1,420,991 288,358 1,132,633 706,000 0 706,000 4,481,969 507,969 3,974,000 Vote Overview 65 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 49 Policy, Planning and Support Services Programme 10 Internal Audit Department Programme Profile Responsible Officer: Assistant Commissioner Internal Audit Objectives: Internal Auditing is an Independent,Objective
 assurance and consulting activity designed to add value and improve the ministerial operations.it helps the ministry to accomplish its objectives by bringing a systematic,displined approach to evaluate and improve the effectiveness of the risk management,control and governance processes.
Outputs: Quartely Internal Audit Reports and Audit committee reports through evalutions,reviews and cordination of internal operational controls and financial management systems.
Key outputs incclude: Quarterly internal audit reports, annual internal audit reports,special audit reports, quarterly review and activity reports, VFM audit reports Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 49 02 Ministry Support Services Quarterly Internal Audit reports and internal audit committee reports through evaluation reviews and conduct oprational control and financial management systems Key outputs include quarterly internal audit reports,Annual internal audit reports,special internal audit reports,quarterly reviews, activity reports and value for money audit reports Conducted payroll audit and carry out human resource management audit Inspection of construction works Review of assets and utility management Monthly departmental meeting,Quarterly internal audit reports and Internal Audit committee reports through evaluation reviews and conduct operational control and financial management systems.Key outputs include quarterly internal audit reports,Annual Internal Audit reports,Special Audit reports,Quarterly reviews, Value for money Audit Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 416,000 75,000 341,000 416,000 75,000 341,000 180,359 40,294 140,065 180,359 40,294 140,065 416,000 75,000 341,000 416,000 75,000 341,000 Vote Overview 66 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 49 Policy, Planning and Support Services Project 1145 Institutional Capacity Building Project Profile Responsible Officer: Permanent Secretary Objectives: Overall objective: To improve effective delivery of an integrated Uganda National Minimum Health Care Package.
Outputs: Specific objective: The strengthening of the Planning, Leadership and Management capacities of the health staff at national level and local government levels.

1.

The MoH strengthened in its organizational and institutional capacity.

2.

Two Regional Referral Hospital (Fort Portal and Arua RRH)) and general hospitals, located within the catchments area of each of the the RRH, are strengthened in their institutional and organizational capacity.

3.
3.

District management teams are strengthened in their managerial capacity, leadership and planning functions.

4.

A comprehensive approach on capacity building of HSD management teams is operational.

5.

Health Manpower Development Centre in Mbale is revitalized for capacity building of district and HSD management teams 6.
A Scientific Support team accompanies the capacity building process in the Ugandan health sector, in order to capitalize on experiences and translation into pol 7.Build capacity in Arua and Fort portal regions 8.
Procure ambulances Start Date: 12/11/2009 Projected End Date: 6/30/2014 Donor Funding for Project: Projected Donor Allocations (UShs) Belgium 504 Total Donor Funding for Project 2013/14 Budget 13.903 13.903 2014/15 Budget 9.616 9.616 MTEF Projections 2015/16 2016/17 2017/18 9.616 9.616 10.000 10.000 0.000 0.000 Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 49 01 Policy, consultation, planning and monitoring services Improved organizational and institutional performance of the Ministry of Health HQ and the health institutions in the two selected regions.
Organizational and Institutional Capacity strengthened at regional and district levels in Rwenzori and West-Nile regions Organizational and Institutional Capacity strengthened at regional and district levels in Rwenzori and West-Nile regions Improved organizational and institutional performance of the Ministry of Health HQ and the health institutions in the two selected regions.
Organizational and Institutional Capacity strengthened at regional and district levels in Rwenzori and West-Nile regions Organizational and Institutional Capacity strengthened at regional and district levels in Rwenzori and West-Nile regions 1) Funded the National validation meeting on draft supervision monitoring and inspection (SMI) strategic plan for the MOH.

2) Funded the meeting to review the performance of quarter 3 and 4, 2013/2014 of the Ministry.
3) Conducted patient centered care assessments and planning in Arua and Fort portal RRHs.

2) Conducted training of hospital management boards in Arua & Fort portal hospitals.

5) Carried out induction training of newly recruited public officers in Arua & Adjumani districts.

6) Trained district Ambulance team in Buhweju & Koboko districts.

7) Supported the revision and updating of HUMC & HMB training modules in the two regions.
8) Funded GovernanceLeadership Vote Overview 67 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function: 08 49 Policy, Planning and Support Services Project 1145 Institutional Capacity Building 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) management training phase I & II in Rwenzori & West Nile regions.

9)Conducted the TNA trainings in Rwenzori & West Nile regions.

10)Funded the drafting of HMDC strategic investment plan (SIP) principles.

11)Conducted e-learning mentorship and technical support in the two regions.

12) Supported implementation of district activities through the execution agreements to the tune of UGX 873 Million.
15)Supported members from Arua & Fort portal RRHs to participate in the Uganda Nurses & Midwives conference.

16) Conducted Gender & Health Human Rights Workshops in Rwenzori & West Nile regions.

17) Supported Nebbi district to conduct a study on the population catchment area for health services.

17) Procured heavy duty projector for the Ministry.

18) Procured projectors for 15 districts in the two regions.

19) Conducted patient centered care assessments and planning in Fort portal & Masaka RRHs.
Funded the DHO’s Total GoU Development External Financing GRAND TOTAL GoU Development External Financing 9,615,897 0 9,615,897 9,615,897 0 9,615,897 4,048,053 0 4,048,053 4,048,053 0 4,048,053 9,615,897 0 9,615,897 9,615,897 0 9,615,897 Table V3.2: Past and Medum Term Key Vote Output Indicators* Vote Function Key Output Indicators and Costs: 2013/14 Outturn 2014/15 Approved Plan Releases Prel.
Actual MTEF Projections 2015/16 2016/17 2017/18 0.614 0.614 Vote: 014 Ministry of Health Vote Function:0801 Sector Monitoring and Quality Assurance Vote Function Cost (UShs bn) VF Cost Excluding Ext.

Fin Vote Function:0802 Health systems development Number of hospitals renovated Number of hospitals constructed Number of health centre Ivs renovated Vote Function Cost (UShs bn) VF Cost Excluding Ext.

Fin Vote Function:0803 Health Research Vote Function Cost (UShs bn) VF Cost Excluding Ext.
Fin N/A N/A N/A 4.057 3.046 1.743 1.743 0.805 0.805 N/A N/A N/A 210.511 4.461 2.413 2.413 Vote Overview 0.479 0.479 No info No info No info 92.663 2.390 1.685 1.685 0.805 9 1 26 223.325 19.149 2.703 9 1 26 36.528 N/A 48.577 N/A 68 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Vote Function Key Output Indicators and Costs: 2013/14 Outturn 2014/15 Approved Plan Releases Prel.
Actual MTEF Projections 2015/16 2016/17 2017/18 N/A N/A N/A N/A N/A N/A N/A Vote Function:0804 Clinical and public health No.

of health workers receiving in- service training in the various programme areas (EPI, RH, CH, Nutrition, Comprehensive HIV/AIDS e.t.c) No.

of health students accessing distance education courses No.
and proportion of health workers given scholarships/bursaries for further training** No of support supervision visits to Regional Referral Hospitals conducted Couple Years of Protection (Estimated number of couples protected against pregnancy during a one-year period) No.

of weekly surveillance reports released No.

of districts supervised quarterly on EPI, RH, CH, Nutrition, Comprehensive HIV/AIDS e.t.c) No.
of mass measles campains carried out**(rounds made) Vote Function Cost (UShs bn) VF Cost Excluding Ext.

Fin Vote Function:0805 Pharmaceutical and other Supplies Number of people tested and counseled for HIV and who received results No.

and percentage of ART centres without stock outs of ARVs lasting more than 1 week during the reportng period No.

and percentage of public health facilities with no reported stock-outs of ACTs any time during the reporting period.

No.
No.

and percentage of districts/reporting units reporting no stock-out of first-line anti-TB drugs during the reporting period.

Vote Function Cost (UShs bn) VF Cost Excluding Ext.

Fin Vote Function:0849 Policy, Planning and Support Services Vote Function Cost (UShs bn) VF Cost Excluding Ext.

Fin Cost of Vote Services (UShs Bn) Vote Cost Excluding Ext Fin.
9.610 9.610 92.105 39.516 57.032 5.453 19.050 19.050 N/A N/A N/A N/A N/A N/A No info 3,000 3,000 100 200 No info No info 14 No info 110 250 14 112 250 14 N/A No info 4,000,000 4,400,000 52 No info N/A No info 1 No info 52 111 1 52 112 1 29.451 21.211 21.790 20.449 33.561 25.321 N/A N/A N/A No info 9,183,365 9,183,365 9,183,365 N/A No info 100 100 100 N/A No info 100 100 100 N/A No info 100 100 100 312.304 8.214 21.646 12.030 577.131 49.135 319.651 6.417 11.202 6.926 447.470 38.345 231.516 15.030 22.446 12.830 514.357 514.357 79.235 N/A 24.743 N/A 140.505 N/A N/A N/A 48.577 N/A * Excluding Taxes and Arrears Medium Term Plans 1.
Improving the management of human resources by rolling out the Human Resource for Health (HRH) Management Information System to provide information on levels and distribution of health workers.

With the guidance of the Ministry of Public Service, the Hard to Reach Area Incentive Framework (HRIF) will continue to be implemented.

2.
2.

Further improvements in the supply chain management for essential medicines, vaccines and other health Vote Overview 69 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health supplies will be realized through improved and innovative strategies in the supply system.

Supervision will be enhanced through collaboration with partners, local governments and other stake holders.
By expediting procurement, improving the collaboration with NMS and reducing leakages, the availability of medicines and vaccines will be improved.

Procurement plans from health facilities shall serve as the basis for improving resource allocation for medicines at the various levels.

3.

Development plans for Regional Referral Hospitals will be implemented and will form the basis for allocating Development funds more efficiently.

4.
4.

Emphasis will continue to be placed on consolidating the existing health infrastructure through equipping and renovation, rather than the construction of new facilities.

5.

Further improve the functionality and coverage of village health teams 6.

Scale up the road map for Reproductive and Maternal health and the Child Survival Strategy countrywide 7.

Enhance budget monitoring in the sector and improve the overall resource allocation criteria 8.
Implement the new resource allocation formula for PHC grants.

9.

Training in Leadership and Management will be carried out country wide 10.

Enhancing public –private partnership (i) Measures to improve Efficiency To ensure efficiency and value for money over the medium term, the sector will implement the following strategies; 1.
Implement a transparent and technically sound process to allocate resources to distribute to districts, Hospitals and other spending institutions including formulation and or review of resource allocation formulas.

In addition, decision of new programs will give special preference to districts with highest poverty incidence, poorest mortality indicators, hard to reach and hard to stay areas in allocation of resources.

2.
2.

Reduce waste in health sector through minimizing inputs for any given output by; improving management and performance of health workers by paying them reasonably well, providing of their welfare through incentives, and improving logistics and procurement management systems.
Given the high value of third party commodities, the sector will explore ways of improving efficiency in health spending through; management of donations of medicines, reduce waste in pharmaceuticals, reduce the costs of clearing and handling charges of medicines and vaccines and drugs procurement and deliveries.

Other initiatives include the financial and commodities trucking system (FACTS).

3.
3.

Undertake efficiency studies in health facilities to investigate factors that affect efficiency and how efficiency can be improved.

4.

Develop the health financing strategy.

5.

Partnership with the private sector in areas of comparative advantage..

6.

Establish a criteria to access financial implications of new projects and programmes.

7.

Strengthen future analysis and value for money audit.
Table V3.3: Key Unit Costs of Services Provided and Services Funded (Shs '000) Unit Cost Description Proposed 2015/16 Planned 2014/15 Actual 2014/15 Actual 2013/14 Costing Assumptions and Reasons for any Changes and Variations from Plan Vote Overview 70 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Unit Cost Description Actual 2013/14 Planned 2014/15 Actual 2014/15 Proposed 2015/16 Costing Assumptions and Reasons for any Changes and Variations from Plan Vote Function:0802 Health systems development Staff house 2 BED RM Staff house 1 BED RM.
PLACENTA PIT MEDICAL WASTE PIT HC IV OPERATING THEATRE 90,720 55,000 3,000 3,000 99,792 60,500 3,300 3,300 99,792 60,500 3,300 3,300 99,792 1 UNIT X 81 sq M x 1.232mil per sq mtr 60,500 1 UNIT X 44 sq M x 1.375mil per sq mtr 3,630 3,630 198,400 218,240 218,240 218,240 155 sq M x 1.408 mil per sq meter HC IV OPD 564,480 620,928 620,928 620,928 441 sq M x 1.408 mil per sq meter HC IV MORTUARY 30,450 33,495 33,495 33,495 29 sq M x 1.155 mil per sq meter HC IV MATERNITY WARD HC IV GENERAL WARD HC III Out Patients Department HC III GENERAL/MATERNI TY WARD 221,200 243,320 243,320 243,320 177 sq M x 1.374 mil per sq meter 195,176 214,693 214,696 214,694 157.4 sq M x 1.363 mil per sq meter 194,680 214,148 214,148 214,148 157 sq M x 1.364 mil per sq meter 314,880 346,368 346,368 346,368 246 sq M x 1.408 mil per sq meter 214 177,500 195,250 195,250 195,250 142 Sq M x 1.375 mil per sq meter (ii) Vote Investment Plans Allocations over the medium term are geared towards health systems development.
The funds are allocated with the aim of functionalizing existing facilities, enhancing maternal and reproductive health and provision of requisite medical equipment.
Table V3.4: Allocations by Class of Output over the Medium Term Billion Uganda Shillings 2014/15 2015/16 2016/17 2017/18 2014/15 2015/16 2016/17 2017/18 (i) Allocation (Shs Bn) (ii) % Vote Budget Consumption Expendture(Outputs Provided) Grants and Subsidies (Outputs Funded) Investment (Capital Purchases) Grand Total Table V3.5: Major Capital Investments (Outputs of class Capital Purchases over 0.5Billion) 2014/15 2015/16 Project, Programme Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditures and Outputs by End March (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Vote Function: 08 02 Health systems development Project 0216 District Infrastructure Support Programme 08 02 77 08 02 80 Purchase of Specialised Machinery & Equipment Total GoU Development External Financingt Hospital Construction/rehabili tation Procurement of assorted essential medical equipment and furniture for general hospitals and lower level health facilities undertaken.
Payment for shipping and clearing costs for donated items made.

12,900,436 12,900,436 0 0 0 0 0 0 0 .

• Buyiga HCIII: Completion of Construction and equipping carried out.

Initial allocations - Completed the construction works for the initial scope - 90% completion for additional works for the OPD 1.
Partial rehabilitation of Kapchorwa Hospital by construction of 4. two bedroom staff housing units Vote Overview 71 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Project, Programme Vote Function Output UShs Thousand 2014/15 2015/16 Approved Budget, Planned Outputs (Quantity and Location) Expenditures and Outputs by End March (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) were not sufficient to complete the works.
- procurement of equipment initiated.

Total GoU Development External Financingt 700,000 700,000 0 Project 1027 Insitutional Support to MoH 08 02 75 08 02 77 Purchase of Motor Vehicles and Other Transport Equipment Total GoU Development External Financingt Purchase of Specialised Machinery & Equipment Total GoU Development External Financingt vehicles completed.

Procurement of a Station Wagon for the Uganda Virus research institute undertaken.
VAT on the vehicles Paid 470,651 470,651 0 0 0 0 Project 1123 Health Systems Strengthening 08 02 80 60% of the scheduled works have been completed and most of the facilities are at finishing stage.

We envisage that the contractors will require extensions of about 6 months from August 2015 to complete.

Contracts have been awarded for renovation of 26 HCIVs using available resources.

The Bank's decision on additional financing of US$ 90 million is still awaited.
Hospital Construction/rehabili tation Construction works for 9 hospitals and 27 HC Ivs undertaken.

Another 13 hospitals and 27 HC Ivs are scheduled for rehabilitation using the additional USD 90 Million from the World Bank.

These are Pallisa, Kitgum, Apac, Bugiri, Abim, Atutur, Kitagata, Masindi, Buwenge, Bukwo, Itojo, Mubende and Moroto hospitals.
The HC Ivs are Kasanda, Kiganda, Ngoma, Mwera, KyantungoKikamulo, Kabuyanda, Mwizi, Kitwe, Rubare, Aboke, Aduku, Bwijanga, Bullisa, Padibe, Atyak, Obongi, Pakwach, Buvuma, Budondo, Ntenjeru- Kojja, Buyinja, Nankoma, Bugono, Kiyunga, Kibuku and Budaka.

0 0 0 0 0 0 0 0 0 2.2.

Payment of retention monies for the construction and equipping of Buyiga HC III – Mpigi District (50million) 699,564 699,564 0 Procurement of a Station Wagon for the Uganda Virus research institute undertaken.
Procurement of a Station Wagon for one Senior Manager undertaken Taxes for imported transport equipment 1,200,000 1,200,000 0 Pay required costs (VAT, courier, project fees etc) for donated items and related services.

Import duties paid for imported equipment 1,009,083 1,009,083 0 Completion of renovation of 9 Hospitals (Mityana, Nakaseke, Anaka, Moyo, Entebbe, Nebbi, Moroto RRH, Iganga & Kiryandongo) by February 2016.
Embark on renovation of 26 HCIVs ( Kasanda, Kiganda, Ngoma, Mwera, Kyantungo, Kikamulo, Kabuyanda, Mwizi, Kitwe, Rubare, Aboke, Aduku, Bwijanga, Bullisa, Padibe, Atyak, Obongi, Pakwach, Buvuma, Budondo, Ntenjeru- Kojja, Buyinja, Nankoma, Bugono, Kiyunga, Kibuku and Budaka.)
Total GoU Development External Financingt 69,760,000 150,000 69,610,000 6,269,046 0 6,269,046 70,110,000 0 70,110,000 Project 1187 Support to Mulago Hospital Rehabilitation Vote Overview 72 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health 2014/15 2015/16 Project, Programme Vote Function Output 08 02 80 UShs Thousand Hospital Construction/rehabili tation Approved Budget, Planned Outputs (Quantity and Location) Construction of Kawempe ,Kiruddu and rehabilitation of Lower Mulago Hospital under taken Expenditures and Outputs by End March (Quantity and Location) The progress of construction work for Kawempe Hospital is at 35%.
The structure is complete and the contractor is doing block walling and internal plastering.

While the construction work at Kirrudu Hospital is at 40%.

The structure is complete and the contractor is doing block walling, internal plastering and electromechanical first fix.

The contractor for the renovation work of Lower Mulago commenced work during the second quarter and to date 19% of phase 1 work has been completed.
28,406,644 0 28,406,644 At Kawolo Hospital: Consulting firm was recruited, Designs were finalised, Advertisement for civil works expected to be done in May 2015 Civil works expected to commence in August 2015 Proposed Budget, Planned Outputs (Quantity and Location) Construction works for Kawempe and Kiruddu hospitals completed.

Rehabilitation of Lower Mulago Hospital will continue.
55,430,000 100,000 55,330,000 Kawolo hospital;- Expanding and rehabilitation of the Outpatient department, expanding and renovating the theatre and maternity, constructing 4 units of staff houses and mortuary.
Total GoU Development External Financingt 52,330,000 0 52,330,000 Project 1243 Rehabilitation and Construction of General Hospitals 08 02 80 Hospital Construction/rehabili tation Kawolo hospital;- Expanding and rehabilitation of the Outpatient department, expanding and renovating the theatre and maternity, constructing 4 units of staff houses and mortuary.
Total GoU Development External Financingt 12,590,000 0 12,590,000 0 0 0 12,590,000 0 12,590,000 Project 1314 Rehabilitation and Equiping of Health Facilities in Western Region 08 02 80 Hospital Construction/rehabili tation Equipping Fort Portal regional referral hospital undertaken.

Construction and equipping of OPD complex with casuality unit and theaters in Hoima and Kabale hospitals also undertaken.
- construction works up 34% complete - equipment contract signed but no delivery yet New facilities (OPD, Theatres and Maternity wards) contructed and equipped at Hoima and Kabale hospital, and equipment supplied and installed at Fort Portal Hospital Total GoU Development External Financingt 43,580,000 0 43,580,000 0 0 0 43,580,000 0 43,580,000 Project 1315 Construction of Specialised Neonatal and Maternal Unit in Mulago Hospital 08 02 80 Hospital Construction/rehabili tation Marternal and neonatal hospital construction undertaken Supervision of civil works undertaken Marternal and neonatal hospital construction undertaken Supervision of civil works undertaken Acceptable ,updated design drawings,details and tender documents were submitted by the design consultant.
An invitation for prequalification of contractors for civil works was advertised on 25th september 2014.

Final project design report for detailed engineering designs and tender documents was completed and submitted.

Prequalification of building contractors completed.
Vote Overview 73 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Project, Programme Vote Function Output UShs Thousand 2014/15 2015/16 Approved Budget, Planned Outputs (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Expenditures and Outputs by End March (Quantity and Location) Evaluation of Bids for civil works contractor and supervision consultant completed and submitted to the bank Total GoU Development External Financingt 13,740,000 300,000 13,440,000 894,287 15,200 879,087 13,640,436 200,436 13,440,000 Vote Function: 08 04 Clinical and public health Project 1148 Public Health Laboratory strengthening project 08 04 72 Government Buildings and Administrative Infrastructure 1. construction of Mbale lab and remodelling of Lacor Lab .
2.

NTRL construction at Butabika continues and completed 3 Ventilation system installed in the new NTRL 4. supervision of civil works at satellite sites of Mbale and Lacor -Final archtectual designs for Mbale and Lacor submitted and have been approved by HID.

Bidding process to commence.

- NTRL construction on schedule-completed roofing.

- HVAC consultant on site and has had 3 visits to the site 1.Const ruction o ofMbale laboratory and remodelling of Lacor laboratory.

2.
2.

Supervision of civil works at Mbale and Lacor laboratories Total GoU Development External Financingt 2,047,000 0 2,047,000 925,446 0 925,446 2,376,000 0 2,376,000 Vote Function: 08 05 Pharmaceutical and other Supplies Project 1141 Gavi Vaccines and HSSP 08 05 72 08 05 75 Government Buildings and Administrative Infrastructure Procure Consultancy services for design.

Construction and supervision of Central Vaccine Store a nd UNEPI Offices.
Medicines Stores in 20 new districts and 26 Staff houses in 13 districts with hard to reach areas.
Procure and install 2 (50KVA) generators for the CVS, 8 (25KVA) generators for the regional hubs and solar energy in 26 new staff houses Total GoU Development External Financingt Purchase of Motor Vehicles and Other Transport Equipment 10,703,150 0 10,703,150 ) 4 (40HP) motorised boats for Namayingo, Kalangala Mukono, and Buvuma districts with deep water Islands 2) 6 (25HP) motorised boats for Wakiso, Kabale, Kisoro, Nakasongola, Mayuge and Bugiri 3) 4 insulated trucks for transportation of vaccine supplies, 69 Pick-up motor vehicles for districts and centre Vote Overview Consultancy services for civil works procured 20 district medicines stores 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.
2 generators for National Vaccine Store procured 1 freezer room installed at National Vaccine Store 0 0 0 22,000,000 0 22,000,000 Taxes paid for marchinery and equipment.
Payment for the transport equipment made 74 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Project, Programme Vote Function Output UShs Thousand 2014/15 2015/16 Approved Budget, Planned Outputs (Quantity and Location) Expenditures and Outputs by End March (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 05 77 Total GoU Development External Financingt Purchase of Specialised Machinery & Equipment (UNEPI, CS, ESD,CC) and 2 station wagon vehicles for monitoring of GAVI operations 4) 584 Motorcycles for HC III's and 3,000 bicycles for HCII’s 9,093,110 3,300,000 5,793,110 Procurement and installation of assorted cold chain equipment including, 22 cold rooms, 1 freezer room, 270 assorted cold chain equipment (refrigerators and freezers), 1000 vaccine carriers, assorted tool kits and spare parts for cvs, regional hubs and other HFs (public and private) Total GoU Development External Financingt 1,808,400 0 1,808,400 0 0 0 0 0 0 10,930,000 1,830,000 9,100,000 Procure and install assorted cold chain equipment including, 22 cold rooms, 1 freezer room, 270 assorted cold chain equipment (refrigerators and freezers), 1000 vaccine carriers, assorted tool kits and spare parts for cvs, regional hubs and other HFs (public and private) Taxes paid for specialised machinery and equipment 8,900,103 800,000 8,100,103 (iii) Priority Vote Actions to Improve Sector Performance To address insufficient availability of qualified health staff at task, the sector shall,
 continue Implementing the motivation and retention strategy for health workers, roll out Human Resources for Health Management Information System (HRHMIS) to additional all districts in the country and implementation of the hard to reach incentive scheme to all districts involved, Establish a Department t of Human Resources for Health in the Ministry of Health to coordinate HRH development and management, fill and build capacity for management functions (positions and structures) for hospitals (regional and general and HC IV).
To address low functionality of VHTs, the sector will extend the establishment of VHTS to more additional districts; undertake Sensitization and capacity improvement of VHTs through seminars and training exercises.

In order to address inadequate health infrastructure and equipment, capital investment plans will continue to be geared towards consolidating existing infrastructure Increased infant immunisation 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 immunisation 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.
Table V3.6: Vote Actions to Improve Sector Performance 2014/15 Planned Actions: 2015/16 Planned Actions: 2014/15 Actual Actions: MT Strategy: Sector Outcome 1: Increased deliveries in health facilities Vote Overview 75 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health 2014/15 Planned Actions: 2014/15 Actual Actions: 2015/16 Planned Actions: MT Strategy: Vote Function: 08 01 Sector Monitoring and Quality Assurance VF Performance Issue: Uncoordinated development and poor operationalisation of standards at service delivery points Client Charter disseminated to all districts.
Client satisfaction survey disseminated Develop and implement a national health facility accreditation programme Disseminate the new service delivery standards Assess and rank health facilities on compliance to the standards in the national health facility quality of care programme Vote Function: 08 49 Policy, Planning and Support Services -Right staff numbers and skills VF Performance Issue: The sector shall, continue Implementing the motivation and retention strategy for health workers, the hard to reach incentive scheme to all districts involved and build capacity for management functions for health facilities Sector Outcome 2: Further continue Implementing the motivation and retention strategy for health workers, the hard to reach incentive scheme to all districts involved and build capacity for management functions for health facilities Children under one year old protected against life threatening diseases Further continue Implementing the motivation and retention strategy for health workers, the hard to reach incentive scheme to all districts involved and build capacity for management functions for health facilities Vote Function: 08 03 Health Research VF Performance Issue: Poor health research coordination Implement research health policy and the strategic plan Vote Function: 08 04 Clinical and public health Continue implementing the strategic Plan for research Institutions.
This includes identification of research priorities, production of research policies and guidelines and carrying out health research Continue implementing the strategic Plan for research Institutions.

This includes identification of research priorities, production of research policies and guidelines and carrying out health research Inadequate coverage of Village Health Teams.
VF Performance Issue: Operationalise the VHT strategy in 36 poorly performing districts VF Performance Issue: Implement the M&E strategy.
Irregular and ineffective support supervision Implement the recommendations of the VHT assessment exercise Establish national coverage of the revised VHT strategy Institutionalize the regional structure for support supervision, monitoring, inspection and planning functions Roll out the supervision, monitoring and inspection strategic plan Train district Health teams in support supervision Disseminate new supervision guidelines Vote Function: 08 49 Policy, Planning and Support Services VF Performance Issue: Availability of information and compliance with the laws and regulations.
National Health Information Strategy (NHIS) implemented Sector Outcome 3: Health facilities receive adequate stocks of essential medicines and health supplies (EMHS) National Health Information Strategy (NHIS) implemented Vote Function: 08 05 Pharmaceutical and other Supplies VF Performance Issue: Uncoordinated and defficient supply chain management (procurement planning and distribution of medicines and health supplies) Further continue implementing the Government Policy on procurement of medicines and medical supplies Involve stake holders such as hospital and facility managers in procurement planning and delivery scheduling of supplies.
Strengthen stakeholder management Vote Overview 76 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health V4: Proposed Budget Allocations for 2015/16 and the Medium Term This section sets out the proposed vote budget allocations for 2015/16 and the medium term, including major areas of expenditures and any notable changes in allocations.
Table V4.1: Past Outturns and Medium Term Projections by Vote Function* * Excluding Taxes and Arrears Vote: 014 Ministry of Health 0801 Sector Monitoring and Quality Assurance 0802 Health systems development 0803 Health Research 0804 Clinical and public health 0805 Pharmaceutical and other Supplies 0849 Policy, Planning and Support Services Total for Vote: 2014/15 MTEF Budget Projections 2013/14 Outturn Appr.
Budget Releases End Mar 2015/16 2016/17 2017/ (i) The Total Budget over the Medium Term The budget projections for FY 2015/15 are Ushs 514.357 bn of which wage is Ushs 6.494bn, NWR is Ushs 34.665bn, GoU Development Ushs 29.175 and Donor project is Ushs 444.022.
The projections for 2016/17 and 2017/18 are Ushs 172.46 bn and Ushs 136.744 bn respectively.

(ii) The major expenditure allocations in the Vote for 2015/16 The major services provided by the vote which take up major shares of the vote expenditure are; procurement of vaccines, infrastructural development nationwide and epidemic control.

(iii) The major planned changes in resource allocations within the Vote for 2015/16 The major planned changes in resource allocation are described in the table below.
Table V4.2: Key Changes in Vote Resource Allocation Changes in Budget Allocations and Outputs in 2015/16 from 2014/15 Planned Levels: Justification for proposed Changes in Expenditure and Outputs Vote Function:0801 Health systems development Output: UShs Bn: -2.058 0802 01 Monitoring, Supervision and Evaluation of Health Systems The reduction is in line with the work plan and projected disbursement under project 1187- Support to Mulago Hospital Rehabilitation for FY 2015/16.
Some of the activities in the FY 2014/15 work plan will not be repeated in FY 2015/16 hence the reduction.
Output: UShs Bn: Output: UShs Bn: 0802 77 Purchase of Specialised Machinery & Equipment 13.910 0802 80 Hospital Construction/rehabilitation 3.500 Funds have been reallocated from PHC-Development to the Ministry of health to facilitate pooled procurement of medical equipment and furniture for lower level facilities in all the districts of Uganda The increment is in line with the projected disbursements under the projects for construction of Kawempe and Kiruddu hospitals and rehabilitation of Lower Mulago Hospital in FY 2015/16 Vote Function:0809 Clinical and public health Output: UShs Bn: -2.082 0804 09 Indoor Residual Spraying (IRS) services provided The funds were temporarily moved to mitigation of other public health emergencies until such a time when more funds are acquired to enable more meaningful IRS coverage (More than the routine 2 districts).
Examples of the public Health Emergencies include Hepatitis B, jiggers, Ebola, Marburg etc.

Output: UShs Bn: 0804 10 Maintenance of medical and solar equipment 5.000 The Ministry was allocated additional funds ( Ushs 5bn) for maintenance of medical equipment countrywide.
Vote Function:0801 Pharmaceutical and other Supplies Output: 0805 01 Preventive and curative Medical Supplies (including immuninisation) Vote Overview 77 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Changes in Budget Allocations and Outputs in 2015/16 from 2014/15 Planned Levels: Justification for proposed Changes in Expenditure and Outputs UShs Bn: -99.443 The reduction in donor projections are in line with the ceiling provided for donor projects for FY 2015/16.
Output: UShs Bn: Output: UShs Bn: Output: UShs Bn: Output: UShs Bn: Output: UShs Bn: 0805 02 Strengthening Capacity of Health Facility Managers 7.302 The allocation is under GAVI and is meant for; regional support supervision, procurement of fuel for 112 generators, cold chain support, project staff salaries and capacity development for cold chain officers to manage cold chain activities.
0805 03 Monitoring and Evaluation Capacity Improvement -9.404 The reduction is in line with the donor project work plan for the FY 2015/16.

72 Government Buildings and Administrative Infrastructure 0805 11.297 The allocation is for construction of a national vaccine store, 20 district medicines stores , 2 staff houses for 13 districts in hard to reach areas and functionalising solar systems for the 26 houses.
The following will also be undertaken; 12 cold chain equipment procured and installed, 2 generators for National Vaccine Store procured and 1 freezer room installed at National Vaccine Store.

0805 75 Purchase of Motor Vehicles and Other Transport Equipment 5.267 The funds are for payment of transport equipment being procured under GAVI.
This equipment includes; motorised boats, insulated trucks for transportation of vaccine supplies, Motorcycles for HC III's, pick-up motor vehicles for districts and centre (UNEPI, CS, ESD,CC) and station wagon vehicles for monitoring of GAVI operations.
0805 77 Purchase of Specialised Machinery & Equipment 7.092 The allocation is for procurement and installation of assorted cold chain equipment including, 22 cold rooms, 1 freezer room, 270 assorted cold chain equipment (refrigerators and freezers), 1000 vaccine carriers, assorted tool kits and spare parts for cvs, regional hubs and other HFs (public and private).

Table V4.3: 2015/16 and 2016/17 Budget Allocations by Item Million Uganda Shillings GoU Ext.

Fin Total GoU Ext.
Fin Total GoU Ext.

Fin 2014/15 Approved Budget 2015/16 Draft Estimates Output Class: Outputs Provided 211101 General Staff Salaries 211102 Contract Staff Salaries (Incl.
Casuals, Temp 211103 Allowances 212101 Social Security Contributions 213001 Medical expenses (To employees) 213002 Incapacity, death benefits and funeral expen 221001 Advertising and Public Relations 221002 Workshops and Seminars 221003 Staff Training 221005 Hire of Venue (chairs, projector, etc) 221007 Books, Periodicals & Newspapers 221008 Computer supplies and Information Technol 221009 Welfare and Entertainment 221010 Special Meals and Drinks 36,680.2 5,749.4 3,224.6 1,227.3 172.5 110.0 32.0 358.5 1,030.9 1,366.5 102.5 46.6 110.9 389.6 3.3 221011 Printing, Stationery, Photocopying and Bind 1,308.8 221012 Small Office Equipment 221016 IFMS Recurrent costs 221017 Subscriptions 221020 IPPS Recurrent Costs 222001 Telecommunications 222002 Postage and Courier 222003 Information and communications technolog 223001 Property Expenses 223005 Electricity 223006 Water Vote Overview 0.0
164.0 33.5 0.0 207.9 0.0 26.8 0.0 0.0 0.0 0.0 0.0 Total 253,133.7 4,935.4 5,097.0 1,604.1 218.2 100.0 102.0 586.0 1,862.7 21,014.3 99.9 53.1 176.1 522.0 155.0 1,674.6 117.1 58.0 211.5 25.0 177.5 12.0 483.2 240.0 317.9 130.0 78 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health Million Uganda Shillings GoU Ext.
Fin Total GoU Ext.
Fin 2014/15 Approved Budget 2015/16 Draft Estimates 223007 Other Utilities- (fuel, gas, firewood, charcoa 277.1 0.0 6,016.1 286,218.1 1,198.6 1,746.7 160.0 11,214.2 224001 Medical and Agricultural supplies 225001 Consultancy Services- Short term 225002 Consultancy Services- Long-term 225003 Taxes on (Professional) Services 227001 Travel inland 227002 Travel abroad 227004 Fuel, Lubricants and Oils 228002 Maintenance - Vehicles 228003 Maintenance – Machinery, Equipment & Fu 228004 Maintenance – Other 1,500.0 4,974.8 834.5 1,603.0 694.6 751.8 569.3 273101 Medical expenses (To general Public) 1,850.4 281401 Rental – non produced assets 282103 Scholarships and related costs 0.0 0.0 Output Class: Outputs Funded 262101 Contributions to International Organisations 10,291.0 200.0 263104 Transfers to other govt.
Units (Current) 263204 Transfers to other govt.
Units (Capital) 264101 Contributions to Autonomous Institutions 264102 Contributions to Autonomous Institutions ( Output Class: Capital Purchases 231001 Non Residential buildings (Depreciation) 231004 Transport equipment 231005 Machinery and equipment 231006 Furniture and fittings (Depreciation) 231007 Other Fixed Assets (Depreciation) 281503 Engineering and Design Studies & Plans for 281504 Monitoring, Supervision & Appraisal of cap 3,119.0 300.0 6,430.0 242.0 6,401.6 1,580.0 463.7 120.0 0.0 0.0 0.0 0.0 312105 Taxes on Buildings & Structures 3,300.0 312204 Taxes on Machinery, Furniture & Vehicles Output Class: Arrears 321612 Water arrears(Budgeting) 321613 Telephone arrears (Budgeting) 321614 Electricity arrears (Budgeting) Grand Total: Total Excluding Taxes and Arrears 200.4
3,300.0 938.0 372.2 67.4 0.0 0.0 0.0 0.0 200.4 5,303.1 1,772.2 70.0 130.0 304.9 1,572.2 0.0 0.0 0.0 216.0 0.0 0.0 0.0 0.0 0.0 0.0 Total V5: Vote Cross-Cutting Policy and Other Budgetary Issues This section discusses how the vote's plans will address and respond to the cross-cutting policy, issues of gender and equity; HIV/AIDS; and the Environment, and other budgetary issues such as Arrears and NTR.. (i) Cross-cutting Policy Issues (a) Gender and Equity Objective: Issue of Concern : Improve sexual and reproductive health Reduction of maternal and neonatal mortality Proposed Intervensions 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 Allocations UGX billion 6 Performance Indicators Vote Overview 79 Ministry of Health Ministerial Policy Statement Vote: 014 Ministry of Health (b) HIV/AIDS Objective: Reduce HIV/AIDS prevalence Issue of Concern : Rising HIV/AIDS prevalence Proposed Intervensions 1.

Elimination of Mother to Child Transmission, 2.

Safe male circumcision, 3.


Behavior change promotion Budget Allocations UGX billion 5 Performance Indicators (c) Environment Objective: Infection control Issue of Concern : Safe waste disposal Proposed Intervensions 1.

Roll out Village Health Teams to educate people about safe waste disposal 2.
Construct incinerators in health facilities Budget Allocations UGX billion 2 Performance Indicators (ii) Non Tax Revenue Collections Vote Overview 80 Uganda Cancer Institute Ministerial Policy Statement Vote: 114 Uganda Cancer Institute V1: Vote Overview (i) Vote Mission Statement The Uganda Cancer Institute exists to provide state of the art cancer care services while advancing knowledge through research and training of healthcare professionals in cancer care (ii) Summary of Past Performance and Medium Term Budget Allocations Table V1.1: Overview of Vote Expenditures (UShs Billion) (i) Excluding Arrears, Taxes 2013/14 Outturn Approved Budget Rel.
by End Mar 2014/15 Recurrent Development Wage Non Wage GoU Donor GoU Total Total GoU+Donor (MTEF) (ii) Arrears and Taxes Arrears Taxes** Total Budget (iii) Non Tax Revenue Grand Total Excluding Taxes, Arrears MTEF Budget Projections 2015/16 2016/17 2017/18 2.199 1.798 8.400 3.239 12.397 15.637 0.000 0.315 15.952 2.309 1.942 9.412 31.406 13.663 45.069 N/A N/A N/A 2.425 4.239 13.177 37.851 19.841 57.692 N/A N/A N/A 1.089 1.143 1.201 17.041 N/A N/A 16.726 46.213 58.892 The chart below shows total funding allocations to the Vote by Vote Function over the medium term: Chart V1.1: Medium Term Budget Projections by Vote Function (Excluding Taxes, Arrears) n o i l l i B s h s U 50 45 40 35 30 25 20 15 10 5 0 s e c i v r e S r e c n a C 2014/15 Approved Budget Estimates 2015/16 Budget Projections 2016/17 Budget Projections Vote Overview 81 Uganda Cancer Institute Ministerial Policy Statement Vote: 114 Uganda Cancer Institute V2: Vote Performance for FY 2014/15 and Planned Outputs for FY 2015/16 This section describes past vote performance and planned Outputs, in terms of key vote outputs (i) Past Vote Outputs Preliminary 2014/15 Performance With support from the Government of Uganda the Institute was able to complete construction of a six cancer ward with the aim of reducing the current congestion
 levels at the Institute and increase service delivery.
The construction of the Mayuge community cancer surveillance clinic Institute was successfully completed.

The development of the Ten year strategic plan was completed.

The Institute continued to provide quality cancer care services and meals to patients.

During the FY under review the Institute provided care and social psychosocial support to 41595 inpatient-days.

In a bid to increase Cancer awareness the Institute conducted 34 community outreach screening campaigns countrywide.
The institute kept up to date with salary payments to the in-post staff adhering to the salary payments deadline of 28th day of every month Maintenance and servicing of the Institute’s infrastructure, machinery and equipment was carried out.

In line with the Institute’s strategic goals the Institute’s ICT infrastructure was upgraded.

The process of integrating the radiotherapy service into UCI main stream was initiated.
V3: Detailed Planned Outputs for FY 2015/16 2015/16 Planned Outputs During the financial year the Institute will complete the integration of the Radiotherapy services into the Main stream UCI services.

The institute will embark on the process of operationalizing the new ward building by minimally equipping the new cancer ward to enable patient admission into the new ward building.
The Institute will design and construct a Radiotherapy Bunker to enable the installation of the already procured radiotherapy equipment.

The Institute shall procure physical plans and designs for the Mbarara Cancer Centre.
Table V3.1: Vote Function Profiles, Programme/Project Profiles and Workplan Outputs Vote Function: 08 57 Cancer Services Vote Function Profile Responsible Officer: Director Services: Cancer treatment, research and training Vote Function Projects and Programmes: Project or Programme Name Recurrent Programmes 01 02 03 04 Development Projects Management Medical Services Internal Audit Radiotherapy 1120 1345 Uganda Cancer Institute Project ADB Support to UCI Programme 01 Management Programme Profile Responsible Officer Senior Hospital Administrator Deputy Director Internal Auditor Senior Consultant Radiation Oncologist Director, UgandaCancer Institute Director Uganda Cancer Institute Responsible Officer: Senior Hospital Administrator Objectives: Provide Administrative support supervision and ensure efficiency in resource management.
Vote Overview 82 Uganda Cancer Institute Ministerial Policy Statement Vote: 114 Uganda Cancer Institute Vote Function: 08 57 Cancer Services Programme 01 Management Outputs: • Staff welfare, Appraisal and Development; • Review and appraise appropriateness of structures and facilities; • Facilitate information sharing; • Implement policies and guidelines; • Settle utilities; • Asset management; • Facilitate cleaning and hygiene environment.
Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 57 04 Cancer Institute Support Services Staff welfare, Appraisal and Development; Review and appraise appropriateness of structures and facilities; Facilitate information Collection, Processing and sharing with both internal customers and the public; Develop, interpret and Implement policies, guidelines and Instructions from line ministries and partner institutions; Settle obligations for utilities and other services; Asset and facilities management; Facilitate cleaning and hygiene environment.
The 138 established staffs were paid their salaries for the first half of the financial year.

In same line allowances were paid as per guidelines.
Telephone bills and internet charges were met All vehicles (An ambulance, Director’s vehicle, 2 mammography vans and a pickup) were maintained in sound conditions Two standby generators were comprehensively maintained All Institute equipment (Laboratory and imaging equipment, refrigerators and Air conditioners to help in storage of medicines, Autoclaves) were serviced and maintained Tools and instruments were maintained Buildings were maintained and repaired including occasional repair of water and sewerage systems and electrical infrastructure) Management, Statutory and performance reports like end of year final accounts, activity progress reports were compiled and submitted for consideration by management and the Board.
The process of developing the client Charter was initiated with handling internal consultations being under taken.
Refresher trainings were conducted in the area of performance management in which new and continuing staffs underwent performance appraisal training Three nurses were supported to pursue degrees in nursing and Continuous Medical Education trainings were conducted once weekly, other short courses such as surgical camp were conducted in various disciplines both in Uganda and Outside for both medical and support staffs.
Ongoing activities were monitored such as finalization of the construction of the Outpatients Research Building Security to UCI property was provided by both UCI security team and Uganda Police in which the newly constructed Cancer buildings and the Community cancer surveillance Vote Overview 83 Uganda Cancer Institute Ministerial Policy Statement Vote: 114 Uganda Cancer Institute Vote Function: 08 57 Cancer Services Programme 01 Management Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) site at Mayuge were provided security Wards, offices and compound were regularly cleaned to the highest standard of hygiene and fumigation and disinfection to deal with pests and rodents were carried out IT being very vital with most other activities continuously relying on it, it was well maintained to have other services run smoothly.

A management Information System known as clinical master was procured.
Internal consultations and assessments for gaps are on going.
358,503 112,636 245,867 358,503 112,636 245,867 1,241,673 450,673 791,000 1,241,673 450,673 791,000 Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 886,493 450,673 435,820 886,493 450,673 435,820 Vote Overview 84 Uganda Cancer Institute Ministerial Policy Statement Vote: 114 Uganda Cancer Institute Vote Function: 08 57 Cancer Services Programme 02 Medical Services Programme Profile Responsible Officer: Deputy Director Objectives: To provide super-specialised cancer services Outputs: • Provide state of the art, evidence based holistic Cancer care for all.
• Advance knowledge of Cancer risk factors, prevention, diagnosis and treatment.

• Foster the use of research as a resource in professional development and provision of care.

• Provide training to a broad category of health care professionals using Cancers available in our setting as models in understanding Cancer medicines.
Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 57 01 Cancer Research Research policy developed Institutional Review Board (IRB) instituted Community Advisory Board (CAB) instituted Scientific Review Committee (SRC) instituted Research Ethics and Regulations Training conducted Training Policy developed Training Strategic Plan developed Subscribing to international journals Studies conducted Community Based Cancer Registry established Medical Records Management System procured New cancer research projects Publications and reports on cancer Presentations and conferences (abstracts) on cancer New innovations (ideas) Training for staff (staff development) Faculty development and education Standard Operating Procedures (SoPs) and guidelines development Draft research policy was developed IRB was institutionalized but pending Inspection by the UNCST prior to issuance of a certification of accreditation to make it fully functional CAB and SRB activities being dependent on functionality of the IRB yet it is not yet accredited, these activities are still pending.
Thirty (30) staff members were trained in Conduct research Ethics and Regulations Training policy and strategic plan were developed Physical structure for establishment of a cancer registry was finalized and plans to start the clinic are ongoing.
Institute has access to an e- library in which various e- journals are accessible and has access to e-libraries like HINARI and UPTODATE The Information Management system (Clinical Master) was procured Total Wage Recurrent Non Wage Recurrent 483,201 348,401 134,800 403,692 310,640 93,052 483,201 348,401 134,800 08 57 02 Cancer Care Services Patient Registration diagnosis and treatment Patient Counseling and reviews Provision of Social Support and physiotherapy Provision of palliative care Patients fed Support drugs and oral chemotherapy dispensed to all patients Patient Registration diagnosis and treatment Patient Counseling and reviews Provision of Social Support and physiotherapy Provision of palliative care Patients fed Support drugs and oral chemotherapy dispensed to all patients 14138 Chemotherapy reconstitutions were provided 1080 routine ward rounds undertaken Conducted 1260 intrathecal chemotherapies and 402 bone marrow aspirations 18698 meals were served to the patients Offered 104560 patient days of quality oncology nursing services.
13945 person days of outpatient care provided 2454 Ultra sound scans were performed 3713 x-ray examinations were performed Offered Psychosocial Support to 750 patients Vote Overview 85 Uganda Cancer Institute Ministerial Policy Statement Vote: 114 Uganda Cancer Institute Vote Function: 08 57 Cancer Services Programme 02 Medical Services Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Total Wage Recurrent Non Wage Recurrent NTR 2,004,801 758,879 345,922 900,000 08 57 03 Cancer Outreach Service Static Cancer screening clinics Patient follows up Survivors' programs established Cancer awareness campaigns established.

Information Education and Communication Materials produced.

TV and Radio Talk shows conducted.


Community programs conducted Conduct Mobile cancer care and continuity clinics 2,468,621 758,879 620,742 1,089,000 Static Cancer screening clinics Patient follows up Survivors' programs established Cancer awareness campaigns established.

Information Education and Communication Materials produced.

TV and Radio Talk shows conducted.
Community programs conducted Conduct Mobile cancer care and continuity clinics 1443 patient days of Physiotherapy sessions conducted 42242 Laboratory investigations were performed 35 Pathology reviews conducted 2706 new patient admissions 1,229,845 704,380 238,539 286,925 Carried out 225,000 Education programs and awareness campaigns which included radio and TV programs Screened 8540 clients for cancers and conducted 354 biopsy, FNAC and papsmears 142000 people educated and sensitized during the Friday Static cancer clinics, outreaches and referrals of whom 3928 were screened for cancer; with 2955 screened for breast cancer, 1975 for cervical cancer, 573 prostate cancer,336 for other cancers including hepatitis B and other chronic illnesses while 337 were referred for further care 16 Visiting Nursing officers, 35 Students involved in screening were enrolled for training in cancer screening 11 static weekly-Friday cancer screening clinics conducted at UCI, 18 outreaches conducted during which 5 schools were reached 15000 IEC materials, 800 cancer magazines and 25600 brochures about cancer awareness were distributed.
Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 515,731 361,331 154,400 3,003,733 1,468,611 635,122 900,000 196,623 90,233 106,390 1,830,160 1,105,254 437,981 286,925 515,731 361,331 154,400 3,467,553 1,468,611 909,942 1,089,000 Vote Overview 86 Uganda Cancer Institute Ministerial Policy Statement Vote: 114 Uganda Cancer Institute Vote Function: 08 57 Cancer Services Programme 03 Internal Audit Programme Profile Responsible Officer: Internal Auditor Objectives: Ensure that UCI activities are conducted as per the running Finance act and in accordance to plan Outputs: Audit of procurements, drugs, sundries, activities and expenditure plus collections (NTR) Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 57 05 Internal Audit rugs and sundries audited Fixed assets and ongoing construction projects reviewed Payments reviewed Procurement cycle reviewed Non-tax revenue audited Payroll audited Stores audited Other special assignments conducted Drugs and sundries audited Fixed assets and ongoing construction projects reviewed Payments reviewed Procurement cycle reviewed Non-tax revenue audited Payroll audited Stores audited Other special assignments conducted Conducted auditing for proper ordering from National Medical Stores, Storage and usage of drugs and sundries during Construction of cancer clinic and offices at Kigandalo HCIV in Mayuge District was reviewed Adherence of Payments to laid down laws, Rules and regulations was audited.
NTR was audited to confirm that all revenue collected is properly recorded and accounted for.

Salaries payrolls were audited to ensure that the right staffs are paid right salaries.
Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 25,218 13,218 12,000 25,218 13,218 12,000 11,572 3,105 8,467 11,572 3,105 8,467 25,218 13,218 12,000 25,218 13,218 12,000 Vote Overview 87 Uganda Cancer Institute Ministerial Policy Statement Vote: 114 Uganda Cancer Institute Vote Function: 08 57 Cancer Services Programme 04 Radiotherapy Programme Profile Responsible Officer: Senior Consultant Radiation Oncologist Objectives: Provision of world-class radiotherapy services Outputs: Minimizing variations in access to radiation services Mininizing waiting times for radiation services Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 57 06 Radiotherapy Services 2000 new patients to be treated 400 brachytherapy insertions 1600 patients to be simulated 150 patients treated daily 400 patients of re-treated 3500 patients followed-up New patients treated Brachytherapy insertions conducted Patients simulated Patients re-treated Patients followed-up 4275 patient days of cancer care provided 1742 new patients seen 449 patients simulated 1468 patients treated on cobalt machine 384 patients treated on caesium machine 452 patients treated with chemotherapy 2940 patient days of re- attendance were provided 1100 patients followed up Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 281,967 266,967 15,000 281,967 266,967 15,000 38,278 27,605 10,674 38,278 27,605 10,674 351,967 266,967 85,000 351,967 266,967 85,000 Vote Overview 88 Uganda Cancer Institute Ministerial Policy Statement Vote: 114 Uganda Cancer Institute Vote Function: 08 57 Cancer Services Project 1120 Uganda Cancer Institute Project Project Profile Responsible Officer: Director, UgandaCancer Institute Objectives: The project aims to set up new and develop the existing infrastructure in Uganda Cancer Institute into a modern cancer treatment center.
Outputs: Medical equipments,Infrastructure development, furnitures and fixtures Start Date: 7/1/2010 Projected End Date: 6/30/2015 Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 57 72 Government Buildings and Administrative Infrastructure Construction of Radio Therapy Bunker.

Completion of payment of Retention, interest on extra works and Idle Charges relating to the cancer ward.

Consultant for the design of the structural designs for the radiotherapy Bunker was procured and the designs are being finalized.
Construction of Radio Therapy Bunker and department, Engineering and Design Studies & Plans for capital works and Monitoring, Supervision & Appraisal of capital works Total GoU Development External Financing 5,300,000 5,300,000 0 1,110,064 1,110,064 0 5,900,000 5,900,000 0 08 57 77 Purchase of Specialised Machinery & Equipment Assortment of medical equipment for the new cancer ward procured.

The procurement processes for was completed and the assortments of medical equipment are due for delivery.
Assortment of ICT tools was procured Assortment of medical equipment for the new cancer ward procured, Oxgyen plant installed, blood bank refregerator, flow cytometer, automated coagulation machine, Pathology equipment and Imaging equipment procured, Total GoU Development External Financing GRAND TOTAL GoU Development External Financing 3,407,942 3,407,942 0 8,707,942 8,707,942 0 541,881 541,881 0 1,651,946 1,651,946 0 2,500,000 2,500,000 0 8,400,000 8,400,000 0 Vote Overview 89 Uganda Cancer Institute Ministerial Policy Statement Vote: 114 Uganda Cancer Institute Vote Function: 08 57 Cancer Services Project 1345 ADB Support to UCI Project Profile Responsible Officer: Director Uganda Cancer Institute Objectives: 3.2.1To address the crucial labour market shortages in highly skilled professionals in oncology sciences and cancer management in Uganda and the EAC region in general.
3.2.2 To reduce on the number of patients seeking cancer treatment from countries with superior facilities like India, South Africa and U.S.A among others thereby saving on foreign currency spent by Government of Uganda and the EAC member states.

3.2.3 To facilitate the integration of NCD Management in the EAC member states through knowledge sharing based on each CoEs focus area.

This will in turn support development of the regional NCD registry.
3.2.4 To increase the number of health workers with appropriate cancer knowledge at the various levels of the health systems infrastructure within the individual EAC member states thereby increasing capacity for national and regional cancer control.

Outputs: 3.3.1Expanded and improved infrastructure and equipment at Uganda Cancer Institute (UCI) as a Centre of Excellence in Cancer Care, Management and Research.
3.3.2 Cancer Control programs strengthened through increased numbers of health workers with appropriate cancer knowledge.
3.3.3Integrated higher education and labour market regulation 3.3.4Project managed and coordinated Start Date: Projected End Date: Donor Funding for Project: Projected Donor Allocations (UShs) Africa Development Bank (ADB) 401 Total Donor Funding for Project 2013/14 Budget 0.000 0.000 2014/15 Budget 0.000 0.000 MTEF Projections 2015/16 2016/17 2017/18 3.239 3.239 31.406 31.406 37.851 37.851 Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 57 04 Cancer Institute Support Services Total GoU Development External Financing 08 57 72 Government Buildings and Administrative Infrastructure Total GoU Development External Financing Salary top for PMU staff, expenses for Advertisement, fuel and lublicants for the vehicles, carriage expenses, travel expenses for the monitoring and benchmarking exercises, consultancy services for project activieis, commisons on top management meetings and workshops for project activities facilitated 1,877,893 0 1,877,893 Structural and architectual designs for the Multipurpose building designed 300,000 0 300,000 0 0 0 0 0 0 0 0 0 0 0 0 Vote Overview 90 Uganda Cancer Institute Ministerial Policy Statement Vote: 114 Uganda Cancer Institute Vote Function: 08 57 Cancer Services Project 1345 ADB Support to UCI Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 57 75 Purchase of Motor Vehicles and Other Transport Equipment Total GoU Development External Financing 08 57 76 Purchase of Office and ICT Equipment, including Software Total GoU Development External Financing GRAND TOTAL GoU Development External Financing 0 0 0 0 0 0 0 0 0 One Van, One cancer fied truck, one 4WS and one pick up purchased to be used in the running of the project activities.
1,268,925 315,055 953,870 One heavy duty photocopier, 7 office desks, 14 visitors' chairs, 7 executive office chairs, 1 big safe, 1 medium size safe, 7 filling cabinets, 2 medium size refrigerators, 7 computers (desktops), 2 Laptops, a projector and one heavy duty network printer purchased, 3 Acs installed, 107,695 0 107,695 3,554,514 315,055 3,239,458 0 0 0 0 0 0 0 0 0 Table V3.2: Past and Medum Term Key Vote Output Indicators* Vote Function Key Output Indicators and Costs: Vote: 114 Uganda Cancer Institute Vote Function:0857 Cancer Services Vote Function Cost (UShs bn) VF Cost Excluding Ext.
Fin Cost of Vote Services (UShs Bn) * Excluding Taxes and Arrears 2013/14 Outturn 2014/15 Approved Plan Releases Prel.

Actual MTEF Projections 2015/16 2016/17 2017/18 6.481 6.481 6.481 6.481 11.297 11.297 11.297 11.297 8.032 8.032 8.032 8.032 16.726 46.213 58.892 16.726 46.213 58.892 Medium Term Plans • Streamline the Institute’s legal status and finalize a strategic and master plan.
• Increasing the Institute’s capacity of managing the increasing numbers of Cancer cases through remodeling the existing facilities, finalization of the construction of the Cancer ward and operationalisation of Mayuge satellite center.

• Facilitate better service delivery by providing more tools and equipments.

• Broaden the range of services provided at the institute.
• Expansion of LAN, ICT and Communication Services in the UCI • Comprehensive Cancer Outreach programs countrywide • Cancer Research and operation of a multi-disciplinary Cancer management team.
(i) Measures to improve Efficiency Expenditure according to workplans and procurement plans Table V3.3: Key Unit Costs of Services Provided and Services Funded (Shs '000) Unit Cost Description Proposed 2015/16 Planned 2014/15 Actual 2014/15 Actual 2013/14 Costing Assumptions and Reasons for any Changes and Variations from Plan Vote Overview 91 Uganda Cancer Institute Ministerial Policy Statement Vote: 114 Uganda Cancer Institute Unit Cost Description Actual 2013/14 Planned 2014/15 Actual 2014/15 Proposed 2015/16 Costing Assumptions and Reasons for any Changes and Variations from Plan Vote Function:0857 Cancer Services Feeding of Patients chemotherapy for patients 3 567 3 650 3 650 3 Average unit cost estimated at 3000 per patient day in admission 135 On average each patient gets six cycles each cycle is on average made up of three different drugs amounting on average 650,000UGX, we are still underfunded , as a result can not meet all chemotherapy requiremnts of all patients Vote Overview 92 Uganda Cancer Institute Ministerial Policy Statement Vote: 114 Uganda Cancer Institute (ii) Vote Investment Plans Due to the anticipated phased manner in which funds for the capital development are to be released we expect that from our budgeted 25bn for equiping the new cancer ward will be attained if released on an increamental level annually for next three years Table V3.4: Allocations by Class of Output over the Medium Term Billion Uganda Shillings 2014/15 2015/16 2016/17 2017/18 2014/15 2015/16 2016/17 2017/18
 Consumption Expendture(Outputs Provided) Investment (Capital Purchases) Grand Total 4.2 7.1 11.3 7.0 9.8 16.7 16.9 29.3 46.2 24.5 34.4 58.9 37.2% 41.6% 36.7% 41.5% 62.8% 58.4% 63.3% 58.5% 100.0% 100.0% 100.0% 100.0% (i) Allocation (Shs Bn) (ii) % Vote Budget Table V3.5: Major Capital Investments (Outputs of class Capital Purchases over 0.5Billion) 2014/15 2015/16 Project, Programme Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditures and Outputs by End March (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Vote Function: 08 57 Cancer Services Project 1120 Uganda Cancer Institute Project 08 57 72 08 57 77 Government Buildings and Administrative Infrastructure Total GoU Development External Financingt Purchase of Specialised Machinery & Equipment Construction of Radio Therapy Bunker.
Completion of payment of Retention, interest on extra works and Idle Charges relating to the cancer ward.

5,300,000 5,300,000 0 Assortment of medical equipment for the new cancer ward procured.

Consultant for the design of the structural designs for the radiotherapy Bunker was procured and the designs are being finalized.
Construction of Radio Therapy Bunker and department, Engineering and Design Studies & Plans for capital works and Monitoring, Supervision & Appraisal of capital works 1,110,064 1,110,064 0 5,900,000 5,900,000 0 The procurement processes for was completed and the assortments of medical equipment are due for delivery.
Assortment of ICT tools was procured Assortment of medical equipment for the new cancer ward procured, Oxgyen plant installed, blood bank refregerator, flow cytometer, automated coagulation machine, Pathology equipment and Imaging equipment procured, Total GoU Development External Financingt Project 1345 ADB Support to UCI 08 57 75 Purchase of Motor Vehicles and Other Transport Equipment Total GoU Development External Financingt 3,407,942 3,407,942 0 0 0 0 541,881 541,881 0 0 0 0 2,500,000 2,500,000 0 One Van, One cancer fied truck, one 4WS and one pick up purchased to be used in the running of the project activities.
1,268,925 315,055 953,870 (iii) Priority Vote Actions to Improve Sector Performance Move to Public Private Partnership for critical areas like procurement, Outsourcing diagnostic services in the shortrun, obtaining funding for research, proper planning for drugs and sundries to incorporate radiotherapy, replication of record systems for UCI into the periferal centers, development of guidelines for standard oncology practise.
We plan to replicate histology in periferal centers Table V3.6: Vote Actions to Improve Sector Performance 2014/15 Planned Actions: 2015/16 Planned Actions: 2014/15 Actual Actions: MT Strategy: Sector Outcome 3: Health facilities receive adequate stocks of essential medicines and health supplies (EMHS) Vote Function: 08 57 Cancer Services VF Performance Issue: Establishment of a multisectoral frame work for cancer control Enhance Public Private Continued dialogue with the Strategic Investment plan in Multisectoral dialogue, Vote Overview 93 Uganda Cancer Institute Ministerial Policy Statement Vote: 114 Uganda Cancer Institute 2014/15 Planned Actions: 2014/15 Actual Actions: 2015/16 Planned Actions: MT Strategy: development of the National Cancer policy.
Development of a Strategic Investment plan.

place (10 year plan) include cancer in the development agenda eg MDGs Partnerships by engaging development partners like ADB, Mbarara Hospital, Fred Hutchnson centre of cancer control and other agencies interested in cancer control V4: Proposed Budget Allocations for 2015/16 and the Medium Term This section sets out the proposed vote budget allocations for 2016/17 and the medium term, including major areas of expenditures and any notable changes in allocations.
Table V4.1: Past Outturns and Medium Term Projections by Vote Function* * Excluding Taxes and Arrears Vote: 114 Uganda Cancer Institute 0857 Cancer Services Total for Vote: 2014/15 MTEF Budget Projections 2013/14 Outturn Appr.
Budget Releases End Mar 2015/16 2016/17 2017/18 6.481 6.481 11.297 11.297 8.032 8.032 16.726 46.213 58.892 16.726 46.213 58.892 (i) The Total Budget over the Medium Term The budget allocation over the medium term is Ushs 15.637 bn, 45.069 bn and 57.692 bn for FYs 2015/16, 2016/17 and 2017/18 respectively (ii) The major expenditure allocations in the Vote for 2015/16 The biggest expenditure is on capital development which amount is aimed at attainment of full equipment and functionalization of the cancer ward.
The next expenditure is mainly staff remuneration in form of staff salaries as it is expected that staff numbers will increase in abid to fully functionalize the cancer ward and implementation of the strategic plan.
(iii) The major planned changes in resource allocations within the Vote for 2015/16 More capital allocations due to infrastructural development activities Table V4.2: Key Changes in Vote Resource Allocation Changes in Budget Allocations and Outputs in 2015/16 from 2014/15 Planned Levels: Justification for proposed Changes in Expenditure and Outputs 0857 0.464 02 Cancer Care Services Vote Function:0802 Cancer Services Output: UShs Bn: During the year it is expected that the increase in costs will mainly be operational and maintenance other than medical Output: UShs Bn: 04 Cancer Institute Support Services 2.233 0857 72 Government Buildings and Administrative Infrastructure 0857 0.900 Output: UShs Bn: Emphasis is mainly on equiping the new cancer ward to help fully functionalize it Output: UShs Bn: 1.269 0857 75 Purchase of Motor Vehicles and Other Transport Equipment We shall continue awareness and sensitization of the Public and enhance care services 77 Purchase of Specialised Machinery & Equipment 0857 Output: UShs Bn: Continued equiping since it is expected that funds will be released in a phased maner 0.700 To help enhance cancer care services by reducing on the congestion that is currently being experienced Table V4.3: 2014/15 and 2015/16 Budget Allocations by Item Million Uganda Shillings GoU Ext.
Fin AIA Total GoU Ext.

Fin AIA Total Output Class: Outputs Provided 211101 General Staff Salaries 3,297.4 2,199.5 0.0 0.0 900.0 0.0 4,197.4 2,199.5 3,997.4 2,199.5 1,877.9 0.0 1,089.0 0.0 6,964.3 2,199.5 2014/15 Approved Budget 2015/16 Draft Estimates Vote Overview 94 Uganda Cancer Institute Ministerial Policy Statement Vote: 114 Uganda Cancer Institute 2014/15 Approved Budget 2015/16 Draft Estimates GoU Ext.

Fin Million Uganda Shillings GoU Ext.

Fin 211102 Contract Staff Salaries (Incl.
Casuals, Temp 211103 Allowances 0.0 109.5 213001 Medical expenses (To employees) 213002 Incapacity, death benefits and funeral expen 221001 Advertising and Public Relations 221002 Workshops and Seminars 221003 Staff Training 221006 Commissions and related charges 221007 Books, Periodicals & Newspapers 221008 Computer supplies and Information Technol 221009 Welfare and Entertainment 221010 Special Meals and Drinks 221011 Printing, Stationery, Photocopying and Bind 221012 Small Office Equipment 221014 Bank Charges and other Bank related costs 221016 IFMS Recurrent costs 221017 Subscriptions 221020 IPPS Recurrent Costs 222001 Telecommunications 223004 Guard and Security services 223005 Electricity 223006 Water 223007 Other Utilities- (fuel, gas, firewood, charcoa 224001 Medical and Agricultural supplies 224004 Cleaning and Sanitation 224005 Uniforms, Beddings and Protective Gear 225001 Consultancy Services- Short term 225002 Consultancy Services- Long-term 227001 Travel inland 227002 Travel abroad 227003 Carriage, Haulage, Freight and transport hir 227004 Fuel, Lubricants and Oils 228001 Maintenance - Civil 228002 Maintenance - Vehicles 228003 Maintenance – Machinery, Equipment & Fu 228004 Maintenance – Other Output Class: Capital Purchases 231001 Non Residential buildings (Depreciation) 231004 Transport equipment 231005 Machinery and equipment 281503 Engineering and Design Studies & Plans for 281504 Monitoring, Supervision & Appraisal of cap 3.8 3.6 25.6 30.3 44.6 10.0 5.9 38.2 22.0 80.0 70.9 25.0 0.0 15.0 4.2
Taxes on Machinery, Furniture & Vehicles AIA 0.0 240.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Total 0.0 349.5 3.8 3.6 25.6 30.3 44.6 10.0 5.9 38.2 22.0 80.0 40.0 110.9 33.0 2.0 15.0 4.2 0.0 84.0
AIA Total Grand Total: Total Excluding Taxes, Arrears and AIA ***where AIA is Appropriation in Aid 12,005.4 10,397.4 0.0 0.0 900.0 0.0 12,905.4 10,397.4 12,712.5 12,397.4 3,239.5 3,239.5 1,089.0 0.0 17,040.9 15,636.9 V5: Vote Cross-Cutting Policy and Other Budgetary Issues This section discusses how the vote's plans will address and respond to the cross-cutting policy, issues of gender and
 equity; HIV/AIDS; and the Environment, and other budgetary issues such as Arrears and NTR.. (i) Cross-cutting Policy Issues (a) Gender and Equity To address gender issues that affect cancer care services provision in the country Objective: Issue of Concern : Differences in sex affects access to cancer services Vote Overview 95 Uganda Cancer Institute Ministerial Policy Statement Vote: 114 Uganda Cancer Institute Proposed Intervensions Promote gender awareness amongst the health care providers .
Sensitize the men and women about their roles and responsibilities in cancer care provision.

Facilitate gender planning and budgeting generating gender disagregated data Budget Allocations UGX billion Performance Indicators Gender disagregated data between sex, age among others.
Increased appreciation of gender issues by health workers (b) HIV/AIDS Objective: Increased awareness of the existance of HIV/AIDS amongst staff Issue of Concern : HIV/AIDS affects everybody, health workers inclusive Proposed Intervensions increased sensitization on importance of knowing your HIV status Budget Allocations UGX billion Performance Indicators Number of staff freely disclosing their HIV status (c) Environment Objective: To maintain an environmentlly friendly work place Issue of Concern : Medical waste is hazardous to both Institute and community Proposed Intervensions Safe collection and disposal of medical and non-medical waste by certified providers.
Use of protective gears by health workers and bio-waste collectors to minimize risks.

Provide first aid mechanisms to address accidents in the use of chemotherapy Budget Allocations UGX billion 0.04 Performance Indicators Clean working environment.
Existance of protective and safe guard mechanisms (ii) Non Tax Revenue Collections Source of NTR UShs Bn Other Fees and Charges Other Fees and Charges 2013/14 Actual 0.000 2014/15 Budget 0.900 2014/15 Prel Actual Total: 0.000 0.900 2015/16 Projected 1.089 1.089 2.178 Due to limitations in staffing levels, Much of the funds will be used to pay allowances for the contract (relief) staff, consultants on the private wing, and medicines and sundries for private patients Vote Overview 96 Uganda Heart Institute Vote: 115 Uganda Heart Institute V1: Vote Overview (i) Vote Mission Statement Ministerial Policy Statement The Uganda Heart Institute exists to serve as a center of excellence for the provision of comprehensive medical services to patients with cardiovascular and thoracic diseases 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 (ii) Summary of Past Performance and Medium Term Budget Allocations Table V1.1: Overview of Vote Expenditures (UShs Billion) (i) Excluding Arrears, Taxes 2013/14 Outturn Approved Budget Rel.
by End Mar 2014/15 Recurrent Development Wage Non Wage GoU Donor GoU Total Total GoU+Donor (MTEF) (ii) Arrears and Taxes Arrears Taxes** Total Budget (iii) Non Tax Revenue Grand Total Excluding Taxes, Arrears MTEF Budget Projections 2015/16 2016/17 2017/18 2.139 4.446 4.500 0.000 11.085 11.085 0.135 0.063 11.282 2.246 4.802 4.928 0.000 11.975 11.975 N/A N/A N/A 2.358 40.808 52.434 0.000 95.600 95.600 N/A N/A N/A 3.000 2.900 0.000 14.282 N/A N/A 14.085 14.875 95.600 The chart below shows total funding allocations to the Vote by Vote Function over the medium term: Chart V1.1: Medium Term Budget Projections by Vote Function (Excluding Taxes, Arrears) n o i l l i B s h s U 14 12 10 8 6 4 2 0 s e c i v r e S t r a e H 2014/15 Approved Budget Estimates 2015/16 Budget Projections 2016/17 Budget Projections Vote Overview 97 Uganda Heart Institute Vote: 115 Uganda Heart Institute Ministerial Policy Statement V2: Vote Performance for FY 2014/15 and Planned Outputs for FY 2015/16 This section describes past vote performance and planned Outputs, in terms of key vote outputs (i) Past Vote Outputs Preliminary 2014/15 Performance The institute registered the following achievements during the FY 2014/15.
The Cardiac Catheterization facility and the dedicated operating theatre for heart surgery equiped with specialised machinery and equipment.

Cath-lab consumables procured.

CCTV cameras installed.

On going procurement process for specialised equipment and machinery.
V3: Detailed Planned Outputs for FY 2015/16 2015/16 Planned Outputs The plan for FY 2015/16 is to fully operationalise the cardiac catheterization facility and the heart surgery theatre.The Institute will carry out 100 Open Heart surgeries, 250 Closed Heart surgeries, 10,500 Echos, 10,500 ECG's, 250 Stress tests, 500 ICU/CCU contacts, 400 Cath-lab contacts, 100 Pacemakers, 200 Holter monitoring, 15,000 Lab tests, 1,200 X-rays.
The institute will also undertake outreach and support supervision visits to 14 Regional Referral Hospitals and one general hospital (Kiwoko) and 120 to specialised groups.

Transport will be procured to support this programme.

It will collect data on hear related cases, prepare 4 proposals and 2 publications.
Besides conducting research the UHI will continue training of super specialists at fellowship level with the goal of eventually averting the high expense of sending them abroad where hands on is not guaranteed as compared to when they are trained locally with full access to patients.
Table V3.1: Vote Function Profiles, Programme/Project Profiles and Workplan Outputs Vote Function: 08 58 Heart Services Vote Function Profile Responsible Officer: Director Services: Cardiovascular and Thoracic Health Care Vote Function Projects and Programmes: Project or Programme Name Recurrent Programmes 01 02 03 Development Projects Management Medical Services Internal Audit Responsible Officer DIRECTOR DIRECTOR Senior Internal Auditor 1121 Uganda Heart Institute Project Director, Uganda Heart Institute Programme 01 Management Programme Profile Responsible Officer: DIRECTOR Objectives: To facilitate and coordinate cardiovascular and thoracic health care activities Outputs: OUTPUTS: 1.
Trained staff 2.

Cardiac catheterization Lab.

And the dedicated theatre operational.

3.

Funding for proposed UHI home found 4.

Published research papers 5.Improved Heart disease awareness 6.Training staff inland and abroad, carry out planned actitvities in line with financial regulations.
Workplan Outputs for 2014/15 and 2015/16 Vote Overview 98 Uganda Heart Institute Vote: 115 Uganda Heart Institute Vote Function: 08 58 Heart Services Ministerial Policy Statement Programme 01 Management Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.

Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 58 04 Heart Institute Support Services 1.
Communication well facilitated throught period 1.

Communication well facilitated throught period 1.

Communication well facilitated throught period 2.

Security services provided 2.

Security services provided 2.

Security services provided 3.

Contracts, procurement, accounting and other support staff trainnned 3.

Contracts, procurement, accounting and other support staff trainnned 3.

Contracts, procurement, accounting and other support staff trainnned 4.

Exisiting vehicle maintained 4.


Exisiting vehicle maintained 4.

Exisiting vehicle maintained 5.

Fuel and lubricants availed for office functions 5.

Fuel and lubricants availed for office functions 5.

Fuel and lubricants availed for office functions 6.

Support staff recruitment done 6.

Support staff recruitment done 6.

Support staff recruitment done 7.

Wards and units cleaned 7.

Wards and units cleaned 7.

Wards and units cleaned 8.

Quarter two financial and progress reports compiled and submited.
08 58 99 Arrears Total Wage Recurrent Non Wage Recurrent NTR Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent NTR Vote Overview 99 Ministerial Policy Statement Uganda Heart Institute Vote: 115 Uganda Heart Institute Vote Function: 08 58 Heart Services Programme 02 Medical Services Programme Profile Responsible Officer: DIRECTOR Objectives: To provide accessible and affordable cardiovascular and thoracic health care Outputs: OUTPUTS:1.
Echo, ECG, Holter monitoring, Stress Test.

Reports.

2.

Community Diagnosis reports.

3.

Number of patients reviewed and treated 4.

Number of operations performed in the theatre and cath-lab.

ACTIVITIES: 1.

Cardiovascular and thoracic disease diagnosis, treatment and rehabilitation.

2.

Out reach services 3.


Conducting research Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.

Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 58 01 Heart Research 1.

Data and Research on Genetics of Rheumatic Heart disease collected and done 1.


Data and Research on Genetics of Rheumatic Heart disease collected and done 2.

HIV/ Rheumatic Heart disease data collected and research carried 2.

HIV/ Rheumatic Heart disease data collected and research carried 2.

HIV/ Rheumatic Heart disease data collected and research carried 3.

Data and research on TB Peripartum cardiomyopathy collected done 3.

Data and research on TB Peripartum cardiomyopathy collected done 3.
Data and research on TB Peripartum cardiomyopathy collected done 4.

Research on Rheumatic Heart disease registry carried out 5.

4 Propasals done 6.

2 Publications done 4.

Research on Rheumatic Heart disease registry carried out 5.

3 proposals done 6.

1 publications done 4.

Research on Rheumatic Heart disease registry carried out 5.

4 Propasals done 6.
4 Propasals done 6.

2 Publications done Total Wage Recurrent Non Wage Recurrent NTR 866,000 0 36,000 830,000 1,070,385 483,614 21,035 565,736 866,000 0 36,000 830,000 08 58 02 Heart Care Services 1.

100 Open heart surgeries performed 1.

83 Open heart surgeries performed 1.

100 Open heart surgeries performed 2.

250 Closed heart and thoracic surgeries performed 2.

195 Closed heart and thoracic surgeries performed 2.

250 Closed heart and thoracic surgeries performed 3.12,000 Echos done - 3.
6,600 Echos done - 3.12,000 Echos done - 4.

11,000 ECGs performed 4.

5,748 ECGs performed 4.

11,000 ECGs performed 5.

260 Stress tests Conducted 5.

201 Stress tests Conducted 5.

260 Stress tests Conducted 6.

500 CCU /ICU Admissions done 7.

400 Cath-lab contacts done 8- 100 pacemaker programming done 6.

441 CCU /ICU Admissions done 7.

208 Catherisation procedures -done 6.

500 CCU /ICU Admissions done 7.

400 Cath-lab contacts done 8- 100 pacemaker programming done 9.
200 Holter monitoring conducted 8- 52 pacemaker programming done 9.

200 Holter monitoring conducted 10.

6,000 Laboratory investigations done 11.1,200 X-rays done 12.

Facilitation of expatriates for short term transfer of skills to local cardiologists and surgeons for heart surgeries.

13.2 Cath-lab and surgical staff trained in cardiology and cardiothoracic surgery.

9.

89 Holter monitoring conducted 10.

14,745 Laboratory investigations done 11.

757 X-rays done 12.
757 X-rays done 12.

Cath-lab and surgical consumables and sundries procured 13.

Cath-lab and surgical staff trained.

Vote Overview 10.

6,000 Laboratory investigations done 11.1,200 X-rays done 12.

Facilitation of expatriates for short term transfer of skills to local cardiologists and surgeons for heart surgeries.

13.2 Cath-lab and surgical staff trained in cardiology and cardiothoracic surgery.
100 Uganda Heart Institute Vote: 115 Uganda Heart Institute Vote Function: 08 58 Heart Services Ministerial Policy Statement Programme 02 Medical Services Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.

Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 14.

Gas Infrustructure maintenance, Cath-lab, ICU and surgical machinery and equipment maintained.

14.
14.

Cath-lab and surgical machinery and equipment maintained.

14.

Gas Infrustructure maintenance, Cath-lab, ICU and surgical machinery and equipment maintained.

Total Wage Recurrent Non Wage Recurrent NTR 3,625,534 1,665,534 1,000,000 960,000 951,844 0 636,424 315,420 08 58 03 Heart Outreach Services a).

14 regional referral hospitals a).

11 regional referral hospitals b).

120 Visits to specialised groups ( e.g Schools) b).
100 Visits to specialised groups ( e.g Schools) Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent NTR 48,000 0 48,000 4,539,534 1,665,534 1,084,000 1,790,000 24,395 0 24,395 2,046,623 483,614 681,853 881,156 Programme 03 Internal Audit Programme Profile Responsible Officer: Senior Internal Auditor Objectives: Implement Internal control systems.

6,625,534 1,665,534 4,000,000 960,000 Support suppervission and heart care education provided to:- a).
14 regional referral hospitals b).

120 Visits to specialised groups ( e.g Schools) 48,000 0 48,000 7,539,534 1,665,534 4,084,000 1,790,000 Outputs: Internal control systems complied with (Financial, governance, procurement and administrative).

Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 58 04 Heart Institute Support Services 1.

Pre audits done 1.

Pre audits done 1.

Pre audits done 2.

Financial reports verified 2.

Financial reports verified 2.

Financial reports verified 3.

Procurements veried 3.

Procurements veried 3.

Procurements veried 3.

Audit repots compiled on quarterly basis.

3.Quarter one and two Audit repots compiled and submited.

3.
3.

Audit repots compiled on quarterly basis.
Total Wage Recurrent Non Wage Recurrent NTR GRAND TOTAL Wage Recurrent Non Wage Recurrent NTR 26,691 11,931 12,260 2,500 26,691 11,931 12,260 2,500 6,400 0 5,150 1,250 6,400 0 5,150 1,250 14,760 0 12,260 2,500 14,760 0 12,260 2,500 Vote Overview 101 Ministerial Policy Statement Uganda Heart Institute Vote: 115 Uganda Heart Institute Vote Function: 08 58 Heart Services Project 1121 Uganda Heart Institute Project Project Profile Responsible Officer: Director, Uganda Heart Institute Objectives: To provide Health Education in order to promote good health and prevent heart diseases and other related conditions.
To offer medical and surgical treatment and rehabilitation of persons affected by heart diseases and other related o conditions.

To carry out research and feasibility studies on all aspects of heart diseases and other related conditions Outputs: a)Relevant equipment procured (medical, ICT, Furniture, Transport and Machinery); b)Construction of storage facility and out patients waiting shed.

C)Reviewing and re-designing the site plan for the UHI new Home.

Of new home.
Of new home.

Start Date: 7/1/2010 Projected End Date: 6/30/2015 Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 58 72 Government Buildings and Administrative Infrastructure Total GoU Development External Financing 08 58 75 Purchase of Motor Vehicles and Other Transport Equipment Total GoU Development External Financing 0 0 0 0 0 0 0 0 0 0 0 0 08 58 76 Purchase of Office and ICT Equipment, including Software 5 Desktop Computers and 3 laptops Software for medical records management - Radio call accessories fully installed and paid.
- Procurement process for desktop computers and laptops ongoing.

Assorted equipment and machinery procured.

- Review and design services for the new Heart home procured (Redesigning the rise to make it more user friendly and in conformity with current reommendations) 100,000 100,000 0 One van procured for support supervision to regional referral hospitals and specialised groups.

Tax for motor vehicle importation 312,500 312,500 0 2 Computers and 2 laptops procured 10 UPS procured.
2 Scanners and 2 printers Other ICT Equipment.

Security gadgets and CCTV upgrade procured Total GoU Development External Financing 144,500 144,500 0 56,245 56,245 0 200,000 200,000 0 08 58 77 Purchase of Specialised Machinery & Equipment Assorted surgical instruments, procedural instruments, machinery and equipment procured (2.160b).

Other specialised equipment and machinery (3.065b) procured.
Details specified below: Intraiotic bloon pumb 3 Echo Machine 2 ECG machines 2 Ventilator machines 2 Anaesthesia Machine 1 Autoclave 75 cubic litres 14 Cardiac beds 1 Mobile X-ray 1 Heat Exchanger with dual warming/cooling chambers 1 Defibrilator - 20 Bedside lockers - 45 Syringe pumbs Assorted specialised surgical instruments, procedural instruments, machinery and equipment procured -Cath-lab specialised equipment and machinery procured.

-Ventilator Machine -Infusion pumps procured.


Vote Overview 102 Uganda Heart Institute Vote: 115 Uganda Heart Institute Vote Function: 08 58 Heart Services Project 1121 Uganda Heart Institute Project 2014/15 Project, Programme Ministerial Policy Statement 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.

Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) -Blood gas analyser procured.
-Vital sign machine procured.

-Stress test machine procured.

-Heart Lung machine procured - 45 Infusion pumps - 1 Mobile x-ray - 1 Debrifilator with external pads (Hand held ECG, Hand held ECHO, Nebolizer-USD 59174, Lab equpment USD 136,120, Patient monitor spare parts USD 14075.

- Other Assorted specialised machinery and equipment procured.

- Service procurement Ventilator Machine Echo machine procured Portable Echo -Machine .
-Anaesthesia Machine.procured -Heavy duty washing machine procured procured -Autoclave 75 cubic litres procured -Invasive cardiac monitors procured -Infusion pumbs procured - Cardiac beds procured - Motorised patient transport trolley procured - Defribilators with external pads Total GoU Development External Financing 5,175,000 5,175,000 0 2,043,502 2,043,502 0 3,500,000 3,500,000 0 08 58 78 Purchase of Office and Residential Furniture and Fittings 1.
Office furnitutre for Surgeons office and laboratory procured - Procurement process for Office furnitutre for records stared and on going.

1.

Office furnitutre for Surgeons office and laboratory procured 2.

Other structuctures procured 2.

Other structuctures procured 2.Procurement process for Other structuctures started and on going.

3.
3.

Procurement process serviced Total GoU Development External Financing GRAND TOTAL GoU Development External Financing 180,500 180,500 0 5,500,000 5,500,000 0 54,758 54,758 0 2,154,505 2,154,505 0 450,000 450,000 0 4,562,500 4,562,500 0 Table V3.2: Past and Medum Term Key Vote Output Indicators* Vote Function Key Output Indicators and Costs: Vote: 115 Uganda Heart Institute Vote Function:0858 Heart Services No.

of outreach visits Vote Function Cost (UShs bn) VF Cost Excluding Ext.
Fin Cost of Vote Services (UShs Bn) * Excluding Taxes and Arrears 2013/14 Outturn 2014/15 Approved Plan Releases Prel.

Actual MTEF Projections 2015/16 2016/17 2017/18 N/A 4.909 4.909 4.909 4.909 134 12.085 12.085 12.085 12.085 111 8.092 8.092 8.092 8.092 144 14.085 144 14.875 144 95.600 14.085 14.875 95.600 Medium Term Plans Recruitment of medical and non-medical staff, acquiring a new home to solve the acute space shortage.
Perform 1000 heart surgeries, Perform 20,000 Echos done, Perform 20,000 ECGs, Conduct 500 Strees tests, 360 ICU admissions, 500 CCU admissions, Perform 400 Holter analysis.

20,000 OPD attended, perform 2,000 X-rays, perform 10,000 laboratory investigations.

Train superspecialised personnel and facilitate regional support supervision.
(i) Measures to improve Efficiency Vote Overview 103 Uganda Heart Institute Vote: 115 Uganda Heart Institute Ministerial Policy Statement (i) Measures to improve Efficiency Timely procurements, executing the budget in line with the public finance and accountabiity act, strengthening the internal control mechanisms.
Table V3.3: Key Unit Costs of Services Provided and Services Funded (Shs '000) Unit Cost Description Proposed 2015/16 Planned 2014/15 Actual 2014/15 Actual 2013/14 Costing Assumptions and Reasons for any Changes and Variations from Plan Vote Function:0858 Heart Services Open Heart surgery cost 2,000,000 2,000,000 2,000,000 2,000,000 Closed Heart Surgery cost 2,291,667 2,322,000 2,060,000 2,060,000 Provisional estimate per inpatient operation Infationery tendencies were factored in the cost Vote Overview 104 Uganda Heart Institute Vote: 115 Uganda Heart Institute Ministerial Policy Statement (ii) Vote Investment Plans The funding allocated to capital purchases over the medium term is targeted for the re-equipping of the ICU/CCU units for post-operation care with specialised machinenery and equipment (3.500b) and purchase ICT equipment and office furn.
(200m), Motor vehicle equipment (250m).and 100M for Engineering and design.
Table V3.4: Allocations by Class of Output over the Medium Term Billion Uganda Shillings 2014/15 2015/16 2016/17 2017/18 2014/15 2015/16 2016/17 2017/18 Consumption Expendture(Outputs Provided) Investment (Capital Purchases) Grand Total 6.6 5.5 12.1 9.6 4.5 14.1 3.8 11.1 14.9 2.4 93.2 95.6 54.5% 68.1% 25.7% 2.6% 45.5% 31.9% 74.3% 97.4% 100.0% 100.0% 100.0% 100.0% (i) Allocation (Shs Bn) (ii) % Vote Budget Table V3.5: Major Capital Investments (Outputs of class Capital Purchases over 0.5Billion) 2014/15 2015/16 Project, Programme Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditures and Outputs by End March (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Vote Function: 08 58 Heart Services Project 1121 Uganda Heart Institute Project 08 58 77 Purchase of Specialised Machinery & Equipment Assorted specialised surgical instruments, procedural instruments, machinery and equipment procured -Cath-lab specialised equipment and machinery procured.
-Ventilator Machine -Infusion pumps procured.

-Blood gas analyser procured.

-Vital sign machine procured.

-Stress test machine procured.


-Heart Lung machine procured 3 Echo Machine 2 ECG machines 2 Ventilator machines 2 Anaesthesia Machine 1 Autoclave 75 cubic litres 14 Cardiac beds 1 Mobile X-ray 1 Heat Exchanger with dual warming/cooling chambers 1 Defibrilator - 20 Bedside lockers - 45 Syringe pumbs - 45 Infusion pumps - 1 Mobile x-ray - 1 Debrifilator with external pads (Hand held ECG, Hand held ECHO, Nebolizer-USD 59174, Lab equpment USD 136,120, Patient monitor spare parts USD 14075.
- Other Assorted specialised machinery and equipment procured.

- Service procurement Assorted surgical instruments, procedural instruments, machinery and equipment procured (2.160b).

Other specialised equipment and machinery (3.065b) procured.

Details specified below: Intraiotic bloon pumb Ventilator Machine Echo machine procured Portable Echo -Machine .
-Anaesthesia Machine.procured -Heavy duty washing machine procured procured -Autoclave 75 cubic litres procured -Invasive cardiac monitors procured -Infusion pumbs procured - Cardiac beds procured - Motorised patient transport trolley procured - Defribilators with external pads Total GoU Development External Financingt 5,175,000 5,175,000 0 2,043,502 2,043,502 0 3,500,000 3,500,000 0 (iii) Priority Vote Actions to Improve Sector Performance The strategy is to increase our capacity to operate on the patients requiring heart surgery/cath-lab interventions at the Institute and reduce/ remove the need to refer them abroad.
Submission of recruitment plans to Ministry of Public Service, Scalling up training programme for super specialised skills, preventive maintenance of the equipments, seeking accreditation of procurement of super specialist sundries, equipment, drugs and reagents from the PPDA.

The future UHI project has been presented to IDB.
Table V3.6: Vote Actions to Improve Sector Performance 2014/15 Planned Actions: 2015/16 Planned Actions: 2014/15 Actual Actions: MT Strategy: Sector Outcome 1: Increased deliveries in health facilities Vote Overview 105 Uganda Heart Institute Vote: 115 Uganda Heart Institute Ministerial Policy Statement 2014/15 Planned Actions: 2014/15 Actual Actions: 2015/16 Planned Actions: MT Strategy: Vote Function: 08 58 Heart Services VF Performance Issue: Timely delivery and regular provision of specialised drugs and medical sundries Procurement plan in place to ensure timely availability of quality specialised drugs, chemicals, devices, pacemaker implants and sundries in quantities that are in tandem with the demand.


Procurement plan in place to ensure timely availability of quality specialised drugs, chemicals, devices, pacemaker implants and sundries in quantities that are in tandem with the demand.

Procurement of specialised drugs, chemicals, sundries, devices and implants (Pacemakers).
Fully equiping, procurement of specialised sundries and maintenance of equipment, conducting of research and outreach programmes to the regional hospitals VF Performance Issue: Understaffing Recruitment plan for critical staff submitted to Ministry of Health and Ministry of Public Service for clearance to enable recruitment by the Health Service Commission.

Sector Outcome 2: 43 positions for critical staff has been cleared by by the Ministry of Public Service and recruitment process on going.
However this still leaves a gap in the human resource.

43 positions for critical staff cleared by Ministry of Public Service, and recruitment in progress by the Health Service Commission.

Adequate recruitment of a full structure that provides for the right skill mix of staff, motivating the available staff and ensure retainance.
Children under one year old protected against life threatening diseases Vote Function: 08 58 Heart Services More technical staff will be trained to ensure efficient and effective running of the cath- lab and the dedicated theatre.

This will include 2 cath-lab tecchnicians and 2 cardiologists.

VF Performance Issue: Training of staff More technical staff will be trained to ensure efficient and effective running of the cath- lab and the dedicated theatre.
This will include 2 cath-lab tecchnicians and 2 cardiologists.

V4: Proposed Budget Allocations for 2015/16 and the Medium Term This section sets out the proposed vote budget allocations for 2016/17 and the medium term, including major areas of expenditures and any notable changes in allocations.

Table V4.1: Past Outturns and Medium Term Projections by Vote Function* More technical staff will be trained to ensure efficient and effective running of the cath- lab and the dedicated theatre.
This will include 2 cath-lab tecchnicians and 2 cardiologists.

Presentation of project of the UHI to Ministry of Health, MoFPED, and Parliament.

* Excluding Taxes and Arrears Vote: 115 Uganda Heart Institute 0858 Heart Services Total for Vote: 2014/15 MTEF Budget Projections 2013/14 Outturn Appr.
Budget Releases End Mar 2015/16 2016/17 2017/18 4.909 4.909 12.085 12.085 8.092 8.092 14.085 14.875 95.600 14.085 14.875 95.600 (i) The Total Budget over the Medium Term 2012/13 - 2.434b, 2013/14 - 7.961b, 2014/15 - 8111b, 2015/16 - 8.111b, 2016/17 -9.076, the increase in resource allocation is to improve the infrastructure and services of the Institute to provide convenient and affordable heart treatment to the local population and the region, and undertake necessary capital expenditures in order to transform the Institute into a Centre of Excellence (ii) The major expenditure allocations in the Vote for 2015/16 Major expenditure allocation is on specialised equipment and consumables 3.5billion , other expenditures are on procurement of furniture and fittings.
4.0 billion.
Set side speifically to boost heart surgeries by providing specialised catheterisation consumable and sundries, maintaintenance of the specialised machinery and equipment, utilities and training of highy skilled labour, telemedicine and teleconfrencing costs (iii) The major planned changes in resource allocations within the Vote for 2015/16 The major change in resource allocations is to complete the re-equipping of the ICU/CCU and operationalising the open heart surgery and the cath-lab programme.
Table V4.2: Key Changes in Vote Resource Allocation Changes in Budget Allocations and Outputs in 2015/16 from 2014/15 Planned Levels: Justification for proposed Changes in Expenditure and Outputs Vote Overview 106 Uganda Heart Institute Vote: 115 Uganda Heart Institute Ministerial Policy Statement Changes in Budget Allocations and Outputs in 2015/16 from 2014/15 Planned Levels: Justification for proposed Changes in Expenditure and Outputs Vote Function:0802 Heart Services Output: 0858 UShs Bn: 3.000 Funding to boost more open heart surgery 02 Heart Care Services Funding to boost more open heart surgery.
Treatment of heart patients is a costly procedure.

Enhancing this service will reduce costly referrals abroad.

There is therefore a lot of cost saving of capital flight by funding procedures at UHI.

72 Government Buildings and Administrative Infrastructure 0858 Output: UShs Bn: Funda allocated for review and redesigning the plans for the new UHI Home 0.100 The funds are required to cater for review and update of the design for the new UHI home.
This will involve redesigning the rise to make it more user friendly and in conformity with current /mordern recomendations.
75 Purchase of Motor Vehicles and Other Transport Equipment Need for a vehicle to facilitate support supervision Reallocated money to other priority outputs (ICT equipment, engineering and design costs for the new home) 77 Purchase of Specialised Machinery & Equipment 0858 0858 0.313 -1.675 Output: UShs Bn: 1van procured for support supervision Output: UShs Bn: Assorted specialized surgical instruments, procedural instruments, machinery and equipment procured -Cath-lab specialized equipment and machinery procured.
-Ventilator Machine Echo machine procured Output: UShs Bn: 1.

Office furniture for Surgeons office and laboratory procured 2.

Other structures procured 0.270 0858 78 Purchase of Office and Residential Furniture and Fittings More office space has been created that requires to be equiped.

Table V4.3: 2014/15 and 2015/16 Budget Allocations by Item Million Uganda Shillings GoU Ext.

Fin AIA Total GoU Ext.


Fin AIA Total 2014/15 Approved Budget 2015/16 Draft Estimates Output Class: Outputs Provided 211101 General Staff Salaries 211102 Contract Staff Salaries (Incl.
Casuals, Temp 3,584.8 2,138.6 0.0 211103 Allowances 212101 Social Security Contributions 212201 Social Security Contributions 213001 Medical expenses (To employees) 213002 Incapacity, death benefits and funeral expen 221001 Advertising and Public Relations 221002 Workshops and Seminars 221003 Staff Training 221004 Recruitment Expenses 221007 Books, Periodicals & Newspapers 221008 Computer supplies and Information Technol 221009 Welfare and Entertainment 221010 Special Meals and Drinks 221011 Printing, Stationery, Photocopying and Bind 221012 Small Office Equipment 221014 Bank Charges and other Bank related costs 221016 IFMS Recurrent costs 222001 Telecommunications 222002 Postage and Courier 223004 Guard and Security services 223005 Electricity 223006 Water 223007 Other Utilities- (fuel, gas, firewood, charcoa 224001 Medical and Agricultural supplies 224004 Cleaning and Sanitation 225001 Consultancy Services- Short term 226001 Insurances 41.0
Vote Overview 105.0
25.0 50.0 330.0 20.0 18.0 22.5 110.4 90.0 105.0 11.5 5.0 47.0 187.0 10.0 10.0 173.4 115.0 20.0 300.0 116.4 3,215.0 30.0 107 Uganda Heart Institute Vote: 115 Million Uganda Shillings 227001 Travel inland 227002 Travel abroad 227003 Carriage, Haulage, Freight and transport hir 227004 Fuel, Lubricants and Oils 228001 Maintenance - Civil 228002 Maintenance - Vehicles 228003 Maintenance – Machinery, Equipment & Fu 228004 Maintenance – Other Output Class: Capital Purchases 231004 Transport equipment 231005 Machinery and equipment 231006 Furniture and fittings (Depreciation) 231007 Other Fixed Assets (Depreciation) 281503 Engineering and Design Studies & Plans for 312204 Taxes on Machinery, Furniture & Vehicles Output Class: Arrears 321613 Telephone arrears (Budgeting) 321614 Electricity arrears (Budgeting) Grand Total: Total Excluding Taxes, Arrears and AIA ***where AIA is Appropriation in Aid Ministerial Policy Statement Uganda Heart Institute 2014/15 Approved Budget 2015/16 Draft Estimates Total GoU Ext.
Fin GoU Ext.
Fin AIA AIA 19.0 15.0 5.0 90.0 15.0 15.0 90.0 10.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Total V5: Vote Cross-Cutting Policy and Other Budgetary Issues This section discusses how the vote's plans will address and respond to the cross-cutting policy, issues of gender and equity; HIV/AIDS; and the Environment, and other budgetary issues such as Arrears and NTR.. (i) Cross-cutting Policy Issues (a) Gender and Equity Objective: Issue of Concern : Heart services are offered to all people regardless of age or gender to all patients in need.
1.

Maternity leave which affects mostly the nursing division.

When many young nurses deliver at the same time and get maternity and annual leave combined.

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

Budget Allocations UGX billion 0.02 Performance Indicators 1.

Number of male nurses recruited.

2.


Room available (b) HIV/AIDS Objective: Advocating for Male Circumcision, ensuring constant supply of laboratory and medicines and medical supplies for HIV/AIDS Issue of Concern : Accidental injuries (needle or instrument pricks) Proposed Intervensions 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 Allocations UGX billion 0.3 Performance Indicators Performance Indicator: Availability of protective gear, testing kits and arrangements with Mulago Hospital and related partners for HIV/AIDS care Vote Overview 108 Uganda Heart Institute Vote: 115 Uganda Heart Institute Ministerial Policy Statement Objective: HIV/AIDS prevention will be enhanced through the elimination of Mother to Child Transmission Issue of Concern : Accidental injuries (needle or instrument pricks) Proposed Intervensions 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 Allocations UGX billion 0.3 Performance Indicators Performance Indicator: Availability of protective gear, testing kits and arrangements with Mulago Hospital and related partners for HIV/AIDS care (c) Environment Objective: Uganda Heart Institute ensures that medical waste is disposed off in an environmentaly friendly manner and in line with the guidelines.

Issue of Concern : Disposal of medical waste to be done in an environmentally friendly manner Proposed Intervensions 1.
Segregation of medical waste generated in the Uganda Heart Institute (sharps, dangerous, recyclable and non-recyclable waste.

2.

Procurement of appropriate disposal collection bags for each of the categories and ensure they are used appropriately.

3.

Introduction of I.T recording to replace paper work Budget Allocations UGX billion 0.048 Performance Indicators 1.

Availability of the various different colour of the collection bins 2.Availability of computers with appropriate software.
(ii) Non Tax Revenue Collections Source of NTR UShs Bn Sale of drugs Total: 2013/14 Actual 1.774 1.774 2014/15 Budget 3.000 3.000 2014/15 Prel Actual 2.460 2.460 2015/16 Projected 3.000 3.000 The NTR funds collected will supplement and top up the funds received from Government of Uganda.

Shs 3 m will be used to top up NWR for welfareof staff, paying contract staff, servicing and maintainance of the superspecialised equipment and procuring drugs and sundries.
The bulk of the revenue collected will be used to supplement medical consumables for the cath-lab, laboratory, operating theatre and the general wards.

Vote Overview 109 National Medical Stores Vote: 116 National Medical Stores V1: Vote Overview (i) Vote Mission Statement Ministerial Policy Statement To effectively and efficiently supply Essential medicines and medical supplies to health facilities in Uganda.
(ii) Summary of Past Performance and Medium Term Budget Allocations Table V1.1: Overview of Vote Expenditures (UShs Billion) (i) Excluding Arrears, Taxes 2013/14 Outturn Approved Budget Rel.

by End Mar 2014/15 MTEF Budget Projections 2015/16 2016/17 2017/18 Wage 0.000 0.000 0.000 0.000 0.000 0.000 Recurrent Non Wage 219.374 218.614 195.965 218.614 236.104 38.293 Development GoU Ext.
Fin 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 GoU Total 219.374 218.614 195.965 218.614 236.104 Total GoU + Ext Fin (MTEF) 219.374 218.614 195.965 218.614 236.104 (ii) Arrears and Taxes Arrears Taxes 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Total Budget 219.374 218.614 195.965 218.614 N/A N/A N/A 0.000 0.000 38.293 38.293 N/A N/A N/A The chart below shows total funding allocations to the Vote by Vote Function over the medium term: Chart V1.1: Medium Term Budget Projections by Vote Function (Excluding Taxes, Arrears) n o i l l i B s h s U 240 235 230 225 220 215 210 205 2014/15 Approved Budget Estimates 2015/16 Budget Projections 2016/17 Budget Projections Vote Overview 110 National Medical Stores Vote: 116 National Medical Stores Ministerial Policy Statement V2: Vote Performance for FY 2014/15 and Planned Outputs for FY 2015/16 This section describes past vote performance and planned Outputs, in terms of key vote outputs (i) Past Vote Outputs Preliminary 2014/15 Performance The Corporation received shs 196 billion to procure, store and distribute medicines and health supplies to LG units,General Hospitals,Regional Referral Hospitals,National Referral Hospital and Specialised units.EMHS Basic Kits worth shs 7.4 billion and shs 12 billion were dispatched to Health centre ii and Health centre iii respectively.EMHS orders worth shs 8 billion were procured,stored and distributed to Health centre IV.EMHS orders worth shs 13.1
 billion shs 13 billion and shs 12.3 billion were procured stored and distributed to General Hospitals,Regional Referral Hospitals and National Referral Hospitals respectively.ARVS , ACTS Anti TB Drugs worth shs 87 billion were procured, stored and distributed to accredited centres.Specialised supplies amounting to shs 16 billion were dispatched to specialised units(UBTS,UHI,UCI).
Clearance of donated items and supply of emergency supplies costed shs 1.49 billion.Reproductive supplies amounting to shs 7.9 billion were procured, stored and distributed to health facilities.Vaccines and immunisation supplies were procured, stored and distributed at shs 9 billion.Laboratory commodities worth shs 4.9 billion were procured, stored and distributed to health facilities.
V3: Detailed Planned Outputs for FY 2015/16 2015/16 Planned Outputs NMS in liason with the Ministry of Health to implement the Basic EHMS Kits strategy as revised according to Regions to supply medical Basic kits every 2 months to each HCII and HCIII totalling to shs 11.163 billion and shs 18.36 billion respectively.

HC IV will be served with EMHS orders valued at shs 7,992 billion.

General hospitals will be served with orders amounting to shs 13.1 billion.
Regional Referral hospitals will be served with EMHS orders on a monthly basis the EMHS orders valued at shs13.024 billion.

NMS will continue to procure and distribute Essential medicines and Health supplies for National Referral Hospitals valued at shs 12,365 billion.Specialised items will be procured and distributed to UHI,UCI,UBTS valued at shs 18.103 billion.
All medicines and medical supplies will be in accordance with the procurement plans as availed by the health facilities and the allocated resources .

ACTS,ARVS and Anti TB drugs have been valued at shs 100 bn.Handling of emergency and donated medicines is valued at shs 2.5 billion whereas Procurement of reproductive supplies, immunisation supplies and laboratory items is valued at shs 8billion, shs 9 billion and shs 5billion respectively.
The last mile service delivery will continue to be implemented to strengthen service delivery.Concerted efforts towards 100% embossment of medicines and health supplies will take centre stage in drug delivery operations.The Corporation will continue to distribute all vaccines to all districts in the country.
Table V3.1: Vote Function Profiles, Programme/Project Profiles and Workplan Outputs Vote Function: 08 59 Pharmaceutical and Medical Supplies Vote Function Profile Responsible Officer: Accounting Officer, National Medical Stores Services: Medicines and medical supplies, Health products, Instruments and equipment, specialised items,Immunisation supplies, laboratory items; procurement and supply management services.
Vote Function Projects and Programmes: Project or Programme Name Recurrent Programmes Responsible Officer 01 Pharmaceuticals and Other Health Supplies GENERAL MANAGER, National Medical Stores Programme 01 Pharmaceuticals and Other Health Supplies Vote Overview 111 National Medical Stores Vote: 116 National Medical Stores Vote Function: 08 59 Pharmaceutical and Medical Supplies Programme 01 Pharmaceuticals and Other Health Supplies Programme Profile Responsible Officer: GENERAL MANAGER, National Medical Stores Ministerial Policy Statement Objectives: To procure, store and distribute pharmaceuticals and other health supplies to LG units, General Hospitals, Regional Referral Hospitals and National Referral Hospitals and specialised units.
Outputs: Assorted medicines and health supplies procured and delivered to LG units, General Hospitals, Regional Referral Hospitals ,National Referral Hospitals and specialised institutes(UBTS, UCI and UHI) Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 59 06 Supply of EMHS to HC 11 ( Basic Kit) Procure, store and distribute essential medicines and health supplies to Health centres 11(HC11) Essential Medicines and Health supplies amounting to shs 7.44 billion procured, stored and distributed to Health centres 11.

(HC II) to Health centres 11.


Procure, store and distribute essential medicines and health supplies to Health centres 11(HC11) Total Wage Recurrent Non Wage Recurrent 11,163,237 0 11,163,237 7,442,158 0 7,442,158 11,163,237 0 11,163,237 08 59 07 Supply of EMHS to HC 111 ( Basic Kit) Procure, store and distribute essential medicines and health supplies to Health centres 111(HC111) Essential Medicines and Health supplies amounting to shs 12 billion procured, stored and distributed to Health centres 111.
Procure, store and distribute essential medicines and health supplies to Health centres 111(HC111) Total Wage Recurrent Non Wage Recurrent 18,360,000 0 18,360,000 12,000,000 0 12,000,000 18,360,000 0 18,360,000 08 59 08 Supply of EMHS to HC 1V Procure, store and distribute essential medicines and health supplies to Health centres 1V(HC1V) Essential Medicines and Health supplies amounting to shs 7.9 billion procured, stored and distributed to Health centres IV.
Procure, store and distribute essential medicines and health supplies to Health centres 1V(HC1V) Total Wage Recurrent Non Wage Recurrent 7,992,000 0 7,992,000 7,990,786 0 7,990,786 7,992,000 0 7,992,000 08 59 09 Supply of EMHS to General Hospitals Procure, store and distribute essential medicines and health supplies to General Hospitals.

Essential Medicines and Health supplies amounting to shs 13.105 billion procured, stored and distributed to General Hospitals.
Procure, store and distribute essential medicines and health supplies to General Hospitals.

Total Wage Recurrent Non Wage Recurrent 13,106,000 0 13,106,000 13,105,329 0 13,105,329 13,106,000 0 13,106,000 08 59 10 Supply of EMHS to Regional Referral Hospitals Procure, store and distribute essential medicines and health supplies to Regional Referral Hospitals.

Essential Medicines and Health supplies amounting to shs 13.021 billion procured, stored and distributed to Regional Referral Hospitals.
Procure, store and distribute essential medicines and health supplies to Regional Referral Hospitals.

Total Wage Recurrent Non Wage Recurrent 13,024,000 0 13,024,000 13,021,166 0 13,021,166 13,024,000 0 13,024,000 08 59 11 Supply of EMHS to National Referral Hospitals Procure, store and distribute essential medicines and health supplies to National Referral Hospitals.

Essential Medicines and Health supplies amounting to shs.
12.3 billion Procured, stored and distributed to National Referral Procure, store and distribute essential medicines and health supplies to National Referral Hospitals.
Vote Overview 112 National Medical Stores Vote: 116 National Medical Stores Ministerial Policy Statement Vote Function: 08 59 Pharmaceutical and Medical Supplies Programme 01 Pharmaceuticals and Other Health Supplies Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Total Wage Recurrent Non Wage Recurrent 12,365,600 0 12,365,600 12,271,833 0 12,271,833 12,365,600 0 12,365,600 Hospitals.

08 59 12 Supply of ACTs and ARVs to accredited facilities Procure, store and distribute ACTS , ARVS and Anti-TB drugs to all health facilities and accredited centres respectively.
ACTS , ARVS and Anti -TB drugs amounting to shs 88.527 billion procured, stored and distributed to all health facilities and accredited centres.

Procure, store and distribute ACTS , ARVS and Anti-TB drugs to all health facilities and accredited centres respectively.
Total Wage Recurrent Non Wage Recurrent 100,000,000 0 100,000,000 88,527,427 0 88,527,427 100,000,000 0 100,000,000 08 59 13 Supply of EMHS to Specialised Units Procure, store and distribute essential medicines and health supplies to specialised units i.e UHI,UCI , UBTS and treatment of Jiggers.
Specialised supplies, amounting to shs 16 billion procured, stored and distributed to specialised units (UHI,UCI, UBTS) Procure, store and distribute essential medicines and health supplies to specialised units i.e UHI,UCI , UBTS and treatment of Jiggers.

Total Wage Recurrent Non Wage Recurrent 18,103,630 0 18,103,630 16,000,000 0 16,000,000 18,103,630 0 18,103,630 08 59 14 Supply of Emergency and Donated Medicines Donated and emergency supplies cleared,stored and distributed to health supplies.
Donated and emergency supplies cleared,stored and distributed to Health facilities at a cost of shs 1.4 billion.

Donated and emergency supplies cleared,stored and distributed to health supplies.

Total Wage Recurrent Non Wage Recurrent 2,500,000 0 2,500,000 1,498,833 0 1,498,833 2,500,000 0 2,500,000 08 59 15 Supply of Reproductive Health Items Procure, store and distribute reproductive health supplies to health facilities.
Reproductive Health supplies amounting to shs 7.998 billion procured, stored and distributed to health facilities.

Supply of Reproductive Health Items Total Wage Recurrent Non Wage Recurrent 8,000,000 0 8,000,000 7,987,899 0 7,987,899 8,000,000 0 8,000,000 08 59 16 Immunisation Supplies Procure, store and distribute immunisation supplies to health facilities.

Immunisation supplies amounting to shs9 billion procured, stored and distributed to health facilities.
Procure, store and distribute immunisation supplies to health facilities.

Total Wage Recurrent Non Wage Recurrent 9,000,000 0 9,000,000 9,000,000 0 9,000,000 9,000,000 0 9,000,000 08 59 17 Supply of Lab Commodities to accredited Facilities Procure, store and distribute Laboratory Commodities to health facilities.

Laboratory commodities amounting to shs 4.961 billion procured, stored and distributed to health facilities.

Procure, store and distribute Laboratory Commodities to health facilities.
Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 5,000,000 0 5,000,000 218,614,467 0 218,614,467 4,961,243 0 4,961,243 193,806,675 0 193,806,675 5,000,000 0 5,000,000 218,614,467 0 218,614,467 Vote Overview 113 Ministerial Policy Statement National Medical Stores Vote: 116 National Medical Stores Vote Function: 08 59 Pharmaceutical and Medical Supplies Programme 02 Pharmaceuticals and Health Supplies - Global Fund Programme Profile Responsible Officer: General Manager, National Medical Stores Objectives: To procure, store and distribute ACTS,ARVS, Antimalaria and Diagnostic Kits to LG units, General Hospitals, Regional Referral Hospitals and National Referral Hospitals using Global Fund supported resources.
Outputs: ACTS, ARVS, Antimalaria and Diagnostic Kits procured and distributed to LG units, General Hospitals, Regional Referral Hospitals and National Referral Hospitals.

Table V3.2: Past and Medum Term Key Vote Output Indicators* Vote Function Key Output Indicators and Costs: 2013/14 Outturn 2014/15 Approved Plan Releases Prel.
Actual MTEF Projections 2015/16 2016/17 2017/18 Vote: 116 National Medical Stores Vote Function:0859 Pharmaceutical and Medical Supplies Vote Function Cost (UShs bn) VF Cost Excluding Ext.
Fin Cost of Vote Services (UShs Bn) 219.374 219.374 219.374 219.374 218.614 218.614 218.614 218.614 195.965 195.965 195.965 195.965 218.614 236.104 38.293 218.614 236.104 38.293 * Excluding Taxes and Arrears Medium Term Plans Final Implementation of a 5 year NMS Corporate Plan(2011-15) for NMS will operationalise the priority areas that are necessary for the achievement of Corporation goals and Health sectors wide area goals as drawn from the National Development plan.
Activities for the Corporation plan include construction of a state of the art warehouse with full installation of an intergrated business solution system.

100% coverage of embossment of all medicines will continue as well as the implementation of the last-mile distribution of medicines.

Commodity Management Platform(CMP) to syncronise facility procurement plans and orders is being developed.
(i) Measures to improve Efficiency The Corporation has continued to attain economies of scale by buying in bulk all medicines and medical supplies as aligned with the aggregated procurement plans of health facilities.The review of business processes to remove non value adding activities has enhanced performance of the corporation and improved service delivery of medicines and medical supplies.
Continous engagement with key stakeholders especially District health officials of Local Government units and Medical superitendents of Hospitals has helped to identify gaps in the supply chain and proposing of appropriate solutions for challenges identified.
A new Commodity Management Platform (CMP) has been developed with support of Clinton Health Access Initiative to better quantification and ordering of medicines and medical supplies.This will go a long way in reducing stock outs at the health facilities and mitigate the risk of drug wastage.
Table V3.3: Key Unit Costs of Services Provided and Services Funded (Shs '000) Unit Cost Description Proposed 2015/16 Planned 2014/15 Actual 2014/15 Actual 2013/14 Costing Assumptions and Reasons for any Changes and Variations from Plan Vote Function:0859 Pharmaceutical and Medical Supplies Mama Kits unit 13,000 13,000 13,000 18,900 Maama Kit contents include a range of medical items to manage maternal conditions; and sundry items such as soap, polythene sheet, pads, gloves, baby sheets,cotton wool,cord Vote Overview 114 National Medical Stores Vote: 116 Unit Cost Description Ministerial Policy Statement National Medical Stores Actual 2013/14 Planned 2014/15 Actual 2014/15 Proposed 2015/16 Costing Assumptions and Reasons for any Changes and Variations from Plan Basic EHMS Kit* for HCIII 3,200,000 3,800,000 3,200,000 3,800,000 Basic EHMS Kit* for HC II 1,200,000 1,300,000 1,200,000 1,300,000 Artemisin-based Combination Therapies (ACTs) per dose of 6 blister pack .
Anti Retriviral therapies(ARVS) for patients on a 2 Regime monthly dose.
5,200 5,250 5,200 5,250 40,200 52,000 40,200 52,000 ligature,gauze,blade,child growth card Costs is estimated at USD 7.0(2700/=) Planned package of essential items [antibiotics, painkilers, nonACT antimalarials, IV fluids & canulars, gause, wool, plasters, gloves, iodine etc] to be delivered every 2 months to HCIIIs estimated on FY 2014/15 budget Planned package of essential items [antibiotics, painkilers, nonACT antimalarials, IV fluids & canulars, gause, wool, plasters, gloves, iodine etc ] to be delivered every 2 months to HCIIs estimated on FY 14/15budget Local Manufacturer Price Quote for Artemether-Lumenfantrine (tab-cap) catering for one dose (strip) of 6 blister pack.
The cost estimate is USD 1.9 per dose; supply is by 30 doses in a pack at USD 52 Specific cost of Duovir N (ZDV/3TC/NPV) for a pack size of 60 doses, at the local manufacturer's price of USD 19.00 [est 1USD=2750 Ushs] per pack (ii) Vote Investment Plans N/A Table V3.4: Allocations by Class of Output over the Medium Term Billion Uganda Shillings 2014/15 2015/16 2016/17 2017/18 2014/15 2015/16 2016/17 2017/18 (i) Allocation (Shs Bn) (ii) % Vote Budget Consumption Expendture(Outputs Provided) Grants and Subsidies (Outputs Funded) Investment (Capital Purchases) Grand Total 218.6 0.0 0.0 218.6 218.6 236.1 38.3 100.0% 100.0% 100.0% 100.0% 0.0% 0.0% 218.6 236.1 38.3 100.0% 100.0% 100.0% 100.0% Table V3.5: Major Capital Investments (Outputs of class Capital Purchases over 0.5Billion) (iii) Priority Vote Actions to Improve Sector Performance 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 to do prepare and review procurement plans with the health facilities is a key factor in getting procurement plans right as 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 have been opened in West Nile(Arua) and Karamoja(Moroto) to improve service delivery in these regions.

Better communication and liason with stakeholders will inform better service delivery.

Published delivery schedules done at the beginning of the year is the promise of delivery to health facilities and adherence to the schedule is of paramount importance in service realisation.
Table V3.6: Vote Actions to Improve Sector Performance 2014/15 Planned Actions: 2015/16 Planned Actions: 2014/15 Actual Actions: MT Strategy: Sector Outcome 3: Health facilities receive adequate stocks of essential medicines and health supplies (EMHS) Vote Function: 08 59 Pharmaceutical and Medical Supplies VF Performance Issue: Absence of regional infrastructre (stores and administrative space) to establish regional distributional hubs Embark on the construction The benchmarking of Embark on the construction of Buttress performance of the Vote Overview 115 National Medical Stores Vote: 116 National Medical Stores Ministerial Policy Statement 2014/15 Planned Actions: 2014/15 Actual Actions: 2015/16 Planned Actions: MT Strategy: of the state of the art warehouse on the Land bought at Kajjansi which will improve on the proximity of the warehouse to distribution points.
warehouses within the region has been concluded by the NMS ware house construction team save for the benchmarking where solar power is used.Evaluation for the contractor to build the perimeter wall is under evaluation stage in the procurement cycle.

the state of the art warehouse on the Land bought at Kajjansi which will improve on the proximity of the warehouse to distribution points.
Eight Regional offices of the Corporation spread out in the country to attain fast and more efficient service delivery (manpower and other resources allocated) VF Performance Issue: Existance of multiple parallel procurement funding and implementation mechanisms Lobby for harmonisation of fragmented medicines and medical supplies funds to facilitate proper planning.

Lobby for harmonisation of fragmented medicines and medical supplies funds to facilitate proper planning.
Continue to lobby for harmonisation of fragmented medicines and medical supplies funds to facilitate proper planning.

Integration of Donor resources into budget support; Implementation of a Comprehhensive National Procurement Plan; Capacity improvement of the National Medical Stores Inadequate budget of essential medicines and health supplies for health facilities.
VF Performance Issue: Review further the EMHS kits to make them District specific.To enhance engagement with incharges of health facilities, medical superitendants and directors of health facilities.Innovate around having appropriate basic kits for the higher levels of care Implementation of the Basic EHMS Kit strategy for HSDs Engagements and involvement of the in charges, medical superitendens and Directors of health facilities in the formulation of procurement plans has improved service delivery and ensured that appropriate medicines and medical supplies drug quantification is attained.This is a key driver in service realisation in the Health Sector Continue the review of EMHS kits to make them District specific.To enhance engagement with incharges of health facilities,medical superitendants and directors of health facilities.Innovate around having appropriate basic kits for the higher levels of care V4: Proposed Budget Allocations for 2015/16 and the Medium Term This section sets out the proposed vote budget allocations for 2015/16 and the medium term, including major areas of expenditures and any notable changes in allocations.
Table V4.1: Past Outturns and Medium Term Projections by Vote Function* * Excluding Taxes and Arrears Vote: 116 National Medical Stores 0859 Pharmaceutical and Medical Supplies Total for Vote: 2014/15 MTEF Budget Projections 2013/14 Outturn Appr.
Budget Releases End Mar 2015/16 2016/17 2017/18 219.374 218.614 195.965 218.614 236.104 38.293 219.374 218.614 195.965 218.614 236.104 38.293 (i) The Total Budget over the Medium Term The allocation of funds to Health facilities is in accordance with the levels of care from Health II ,Health centre II1,Health centre IV,General hospitals ,Regional Referral hospitals ,National Referral Hospitals and specialised units.
Other funds are for ARVS,ACTs,Anti TB drugs,reproductive health supplies and Immunisation supplies,Laboratory commodities that are made available in accordance with each facility's need and to the extent of funds availability.

(ii) The major expenditure allocations in the Vote for 2015/16 The Major expenditure allocations are in accordance with levels of care at the various health facilities.
This stretches from Health centre II and Health centres III where EMHS basic Kits are served every two months in accordance with the published delivery schedules.
From Health centre IV through to General Hospital, Regional Referral Hospitals to National Referral Hospitals(Mulago and Butabika), EMHS orders are served in accordance with the need and budget allocation.Other vote outputs are given prominance because of their significance these include ACTs, ARVs,Anti-TB drugs, and specialised items for specialised units that include UHI,UCI,UBT.
Another major function output is the provision of reproductive supplies, Vote Overview 116 National Medical Stores Vote: 116 National Medical Stores Ministerial Policy Statement immunisation supplies and laboratory items these have been given prominence for better tracibility and monitoring.
(iii) The major planned changes in resource allocations within the Vote for 2015/16 The creation of a vote function for procurement of Laboratory items and reagents is to address the gap which was created when donors cut their funding of these very critical supplies in the diagnosis of diseases.

The allocation is budget neutral as funds are re allocated from the allocation for Non communication disease and General hospitals where there was less consumption.
There is need to significantly increase the budget for laboratory supplies and to strengthen the functionality of the referral system in the health sector to improve the general service delivery.

Table V4.2: Key Changes in Vote Resource Allocation Table V4.3: 2015/16 and 2016/17 Budget Allocations by Item 2014/15 Approved Budget 2015/16 Draft Estimates Million Uganda Shillings GoU Ext.

Fin Total GoU Ext.
Fin Output Class: Outputs Provided 224001 Medical and Agricultural supplies Grand Total: Total Excluding Taxes and Arrears 218,614.5 218,614.5 218,614.5 218,614.5 0.0 0.0 0.0 0.0 218,614.5 218,614.5 218,614.5 218,614.5 218,614.5 218,614.5 218,614.5 218,614.5 0.0 0.0 0.0 0.0 Total 218,614.5 218,614.5 218,614.5 218,614.5 V5: Vote Cross-Cutting Policy and Other Budgetary Issues This section discusses how the vote's plans will address and respond to the cross-cutting policy, issues of gender and equity; HIV/AIDS; and the Environment, and other budgetary issues such as Arrears and NTR.. (i) Cross-cutting Policy Issues (a) Gender and Equity Objective: The corporation plans to procure and distribute maama kits to every delivering mother in public health facilities to reduce on maternal motarlity rate.The corporation distributes medicines and medical supplies to all health facilities in uganda equitably.
Issue of Concern : There should be rapid proper transition before change of medicine regimes can be executed.

Proposed Intervensions Sensitisation of health workers on proper drug management to avoid wastages and safe disposal of non viable medicines and medical supplies.

Budget Allocations UGX billion 3 Performance Indicators There should be properly disposal on non viable medicines and medical supplies.
(b) HIV/AIDS Objective: Funds have been allocated for the Procurement of ARVS amounting to shs 84 billion and these are available to accredited centres to avert the HIV/Aids scourge.The lowering of ART accredited centres from HC IV to HCIII will enable increased accesibility Issue of Concern : Medicines and medical supplies budget is sufficient to cover the intended lowering of ART centers to accommodate more patients.
Proposed Intervensions Increase number of patients on ARTS by getting them early on treatment this has been enhanced by availing health centres with more 300 CD4 count machines.

Budget Allocations UGX billion 84 Vote Overview 117 National Medical Stores Vote: 116 National Medical Stores Ministerial Policy Statement Performance Indicators ARVs worth 84 billion procured stored and delivered to accredited centers.
(c) Environment Objective: The Corporation takes centre role in incineration of non viable stock accumulated by health facilities.This has fostered the environment preservation and enhanced proper stock management in health facilities.

Issue of Concern : There should be rapid proper transition before change of medicine regimes can be executed.

Proposed Intervensions Sensitisation of health workers on proper drug management to avoid wastages and safe disposal of non viable medicines and medical supplies.
Budget Allocations UGX billion 3 Performance Indicators There should be properly disposal on non viable medicines and medical supplies.

(ii) Non Tax Revenue Collections N/A Vote Overview 118 Health Service Commission Ministerial Policy Statement Vote: 134 Health Service Commission V1: Vote Overview (i) Vote Mission Statement To build a fundamentally strong and competent human resource base for efficient and effective health services delivery.
(ii) Summary of Past Performance and Medium Term Budget Allocations Table V1.1: Overview of Vote Expenditures (UShs Billion) (i) Excluding Arrears, Taxes 2013/14 Outturn Recurrent Development Wage Non Wage GoU Ext.

Fin GoU Total Total GoU + Ext Fin (MTEF) (ii) Arrears and Taxes Arrears Taxes Total Budget 0.728 2.365 0.347 0.000 3.440 3.440 0.000 0.100 3.540 2014/15 Approved Budget Rel.
by End Mar 0.951 2.772 0.347 0.000 4.070 4.070 0.001 0.100 4.170 0.812 2.023 0.291 0.000 3.126 3.126 0.001 0.100 3.227 MTEF Budget Projections 2015/16 2016/17 2017/18 0.951 2.772 0.347 0.000 4.070 4.070 0.000 0.100 4.170 0.998 2.994 0.483 0.000 4.475 4.475 N/A N/A N/A 1.048 3.263 0.676 0.000 4.987 4.987 N/A N/A N/A The chart below shows total funding allocations to the Vote by Vote Function over the medium term: Chart V1.1: Medium Term Budget Projections by Vote Function (Excluding Taxes, Arrears) n o i l l i B s h s U 4.6 4.5 4.4 4.3 4.2 4.1 4 3.9 3. 2014/15 Approved Budget Estimates 2015/16 Budget Projections 2016/17 Budget Projections Vote Overview 119 Health Service Commission Ministerial Policy Statement Vote: 134 Health Service Commission V2: Vote Performance for FY 2014/15 and Planned Outputs for FY 2015/16 This section describes past vote performance and planned Outputs, in terms of key vote outputs (i) Past Vote Outputs Preliminary 2014/15 Performance With the allocated financial resources, the Commission achieved the following key outputs by end of Q2 FY 2014/15 Recommended to H.E the President six (6) Health Managers (5 Directors for Regional Referral Hospitals and 1 Director Public Health & Environment for KCCA) and three (3) Consultants for Mulago; for appointment Appointed sixty (60) Health Workers into the Health Service Three hundred fifty seven (357) Human Resource for Health Decisions of confirmation in appointment, corrigenda,
 redesignation, study leave, interdictions, abscondment and retirement; processed.
Published three (3) adverts for five hundred ninety seven (597) vacancies for NRHs, RRHs and Institutions under the HSC jurisdiction Support Supervision carried out in 26 Districts, 7 Regional Referral Hospitals, 5 General hospitals and 2 Health Centres including mentoring/coaching of DSCs and HR Officers, sharing best HRH Management practices and building capacity of DSCs to mentor managers within their jurisdiction A three (3) day support supervision and hands-on support on Human Resource for Health issues to Mulago NRH carried out.
One (1) day working visit to NMS to interact and share emerging issues conducted Performance and Career enhancement training carried out for Staff of the Commission in accordance with the Training Plan.
Held a half day Human Resource for Health Planning workshop at Colline Hotel, Mukono and developed a recruitment plan for national referral hospitals, regional referral hospitals and other central health institutions for 2014/2015 -2015/2016 Held a consultative meeting with a delegation of Technical Staff from Swaziland Public Service Commission with a view of establishing a similar Health Service Commission in their country.
HSC eRecruitment Information System & Selection Exams project document and Charter/ Inception report approved Consultants for development and implemetation of HSC eRecruitment Information System & Selection Exams procured Development of competency profiles for senior health managerial and Clinical posts in MoH Hqtrs, National and Regional Referral Hospitals continued Reviews and Development of the Health Service Commission Third 5-Year Strategic Plan FY 2015/16 to FY 2019/20 initiated Taskforce for the review of Health Workers Terms and Conditions of Service established and work is in progress Taskforce for the review of Health Workers Training and Qualifications established and work is in progress.
Vote Overview 120 Health Service Commission Ministerial Policy Statement Vote: 134 Health Service Commission Review of Job Descriptions and Guidelines for the Recruitment of Health Workers continued.
Taskforce for the development of the Health Service Commission Standard Operating Procedures established and work is in progress Secretariat Staff and Members' salaries and statutory allowances paid Paid for Utilities and other goods and services consumed by the Commission Procurement of two (2) Station Wagons, five (5) Filing Cabinets, One (1) Registry Counter / Barrier, Fifteen (15) Office Chairs for Resource Centre completed.
Procurement processes of one (1) Heavy Duty Shredder, One (1) Briefcase for carrying mails, , Six (6) Computer tables, 4 Desktop Computers, 4 Printers and 4 UPSs and Corporate Wear on going V3: Detailed Planned Outputs for FY 2015/16 2015/16 Planned Outputs 900 Health Workers of all categories for MoH Hqters, National Referral Hospitals, CUFH-Naguru, RRHs, UBTS, Prisons Health Services and NCTL recruited.
1200 HRH Cases of confirmation, corrigenda, redesignation, study leave, interdictions, abscondments, retirement on medical grounds processed.

Support supervision to 56 Districts/Districts Service Commissions, 14 RRHs, 5 National Health Institutions and KCCA Health Units carried out.

Technical Support Supervision to DSCs, Central Government Health Institutions and Departments under the jurisdiction of HSC on HRH issues provided.
Performance and career enhancement training for Members and Staff of the Health Service Commission in accordance with the Training Plan carried out.

Monitoring and tracking implementation of the HSC decisions, deployment, reporting and retention of Health Workers; carried out.

Roll out the implementation of the HSC e-Recruitment Information System carried out.

Operationalization of the HSC Selections Examinations Division finalized.
Development of competency profiles for health workers’ approved posts in MoH Hqters and Regional Referral Hospitals continued.

Review of the HSC Recruitment Guidelines for Health Workers in Districts and Urban Authorities finalized.

Review of the Terms and Conditions of Service of Health Workers including training and qualifications continued.

Finalize and Disseminate the HSC 5 Year Strategic Plan for FY 2015/16 to 2019/20.
Joint Recruitment Planning Workshop for the Recruitment of Health Workers under the jurisdiction of the Commission carried out Technical meetings with two (2) PNFP Hospitals carried out.

Technical Meetings with three (3) Health Training Institutions carried out Vote Overview 121 Health Service Commission Ministerial Policy Statement Vote: 134 Health Service Commission Finalize the development and dissemination of the HSC Standard Operating Procedures carried out.
Monitoring and Evaluation on the implementation of HSC Strategic Plan, Annual Work-plan and activities conducted.

Finalize the production, printing and dissemination of:- • Seven hundred (700) copies of the Recruitment Guidelines • One hundred (100) copies of the Strategic Plan.

• Seven hundred (700) copies of Standard Operating Procedures.

Equip the Commission with critical tools and equipment to enhance its operations with; Two (2) double cabin Pickups, one (1) Staff Van amongst others.
Table V3.1: Vote Function Profiles, Programme/Project Profiles and Workplan Outputs Vote Function: 08 52 Human Resource Management for Health Vote Function Profile Responsible Officer: Secretary to the Commission/Permanent Secretary Services: - Competetively recruit, select and appoint human resources for identified gaps in the health sector institutions under the Commission's jurisdiction.
- Process confirmation, promotion, demotion, discipline, redesignation, study leave and retirement of health workers in the institutions under its jurisdiction - Review terms and conditions of service of health workers and the qualifications required for the jobs in the health services - Foster professional work ethics and conduct of health workers - Handle the peculiar and unique factors that affect Health Workers' delivery of services to clients - Submit annual appraisals of the status of Human Resources in the Health Sector to Parliament.
- Monitor and supervise Referral Hospitals, specialised institutions and give technical support to District Service Commissions - Lobby and advocate for improvement of the terms and conditions of service of Health Workers - Manage the HSC Secretariat activities and account for the resources appropriated and released to the Commission - Develop guidelines for recruiting Health Workers in the Country - Advocate for expanded structure of HSC - Advocate for increased resource allocation to meet the innovative implementation of the HSC mandate of handling HRH at health facility and district levels.
- Lobby and advocate for DSCs support supervision of Health Units - Lobby for implementation of performance contract for Health Workers -Lobby and advocate for a National human Resource Recruitment, retention and management 3-5 year plan to avoid severe delays of seeking clearance to fill posts every time there is a vacancy - Review current alignment of recruitment of Health Workers in Local Government Vote Function Projects and Programmes: Project or Programme Name Recurrent Programmes 01 02 03 Development Projects Finance and Administration Human Resource Management Internal Audit 0365 Health Service Commision Responsible Officer Under Secretary Finance & Administration Commissioner Human Resource Management Under Secretary Finance & Administration Under Secretary Finance & Administration Vote Overview 122 Health Service Commission Ministerial Policy Statement Vote: 134 Health Service Commission Vote Function: 08 52 Human Resource Management for Health Programme 01 Finance and Administration Programme Profile Responsible Officer: Under Secretary Finance & Administration Objectives: Provides administrative, planning and secretariat support services; Manages the HSC activities and accounts for the resources appropriated and spent by the Commission.
Outputs: Administrative Support Services provided (Payment of rent, utilities, supplies, salaries and statutory allowances, repair and maintenance of vehicles and equipment etc); Statutory Reports produced and submitted as required by the Constitution.

Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 52 02 Secretariat Support Services 38 Secretariat Staff and 7 Members' salaries paid and statutory allowances for the 7 members of the Commission.

38 Secretariat Staff and 7 Members' salaries paid and statutory allowances for the 7 members of the Commission.

32 Secretariat Staff and 7 Members' salaries paid and statutory allowances for the 7 members of the Commission.
Paid for utilies and other goods and services consummed by the Commission Paid for utilies and other goods and services consummed by the Commission Paid for utilies and other goods and services consummed by the Commission Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 2,311,139 755,480 1,555,659 2,311,139 755,480 1,555,659 1,826,412 624,305 1,202,106 1,826,412 624,305 1,202,106 2,351,625 765,966 1,585,659 2,351,625 765,966 1,585,659 Vote Overview 123 Health Service Commission Ministerial Policy Statement Vote: 134 Health Service Commission Vote Function: 08 52 Human Resource Management for Health Programme 02 Human Resource Management Programme Profile Responsible Officer: Commissioner Human Resource Management Objectives: Review and update the recruitment instruments for Health Workers; Develop guidelines for recruiting Health Workers in the Country; Provide HRM services for health Workers of Central Government; Provide technical support and Support Supervision to District Service Commissons.
Outputs: Human Resources for Health recruited through competitive selection and appointment; Other Human Resource for Health Cases handled (confirmation, promotion, demotion, dicsipline, redesignation, study leave and retirement of Health Workers in the institutio Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 52 02 Secretariat Support Services Salaries for 12 Secretariat Staff paid.

Salaries for 15 Secretariat Staff paid.

i.

Salaries for 14 Secretariat Staff paid.

Performance and career enhancement training for Members and Staff of the Health Service Commission in accordance with the Training Plan carried out.
Two (2) Regional Workshops held for DSCs, DHOs, CAOs and Hospital Managers for implementation of HSC Regulations, Revised Code of Conduct & Ethics, Terms & Conditions of Service and sensitization on HSC Client Charter.
HSC eRecruitment Information System & Selection Exams Division operationalised Competency profiles for other senior health managerial and clinical posts in MoH Hqtrs, National and Regional Referral Hospitals developed The Health Service Commission Third 5-Year Strategic Plan FY 2015/16 to FY 2019/20 developed Printing and dissemination of the following documents carried out; i.

3,000 copies of the Revised Code of Conduct and Ethics and Key Terms and Conditions of Service for the Health Workers.

Ii.
Ii.

500 copies of the Health Service Commission Regulations iii.

500 copies of the Health Service Commission Client Charter iv.

2,000 copies of the Health Service commission flyers HSC HIV/AIDS Wprkplace policy implemented Performance and Career enhancement training carried out for Staff of the Commission in accordance with the Training Plan.
Held a half day Human Resource for Health Planning workshop at Colline Hotel, Mukono and developed a recruitment plan for national referral hospitals, regional referral hospitals and other central health institutions for 2014/2015 -2015/2016 Held a consultative meeting with a delegation of Technical Staff from Swaziland Public Service Commission with a view of establishing a similar Health Service Commission in their country.
HSC eRecruitment Information System & Selection Exams project document and Charter/ Inception report approved Consultants for development and implemetation of HSC eRecruitment Information System & Selection Exams procured Development of competency profiles for senior health managerial and Clinical posts in MoH Hqtrs, National and Regional Referral Hospitals continued Reviews and Development of the Health Service Commission Third 5-Year Strategic Plan FY 2015/16 to FY 2019/20 initiated Vote Overview Ii.
Performance and career enhancement training for Members and Staff of the Health Service Commission in accordance with the Training Plan carried out.

Iii.

Monitoring and tracking implementation of the HSC decisions, deployment, reporting and retention of Health Workers; carried out.

Iv.

Roll out the implementation of the HSC e-Recruitment Information System carried out.

V.Operationalization of the HSC Selections Examinations Division finalized.

Vi.
Vi.

Development of competency profiles for health workers’ approved posts in MoH Hqters and Regional Referral Hospitals continued.

Vii.

Review of the HSC Recruitment Guidelines for Health Workers in Districts and Urban Authorities finalized.

Viii.

Review of the Terms and Conditions of Service of Health Workers including training and qualifications continued.

Ix.

Finalize and Disseminate the HSC 5 Year Strategic Plan for FY 2015/16 to 2019/20.

x.
x.

Joint Recruitment Planning Workshop for the Recruitment of Health Workers under the jurisdiction of the Commission carried out Finalize the development and dissemination of the HSC Standard Operating Procedures carried out.

Xiv.
Xiv.

Monitoring and Evaluation 124 Health Service Commission Ministerial Policy Statement Vote: 134 Health Service Commission Vote Function: 08 52 Human Resource Management for Health Programme 02 Human Resource Management Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) on the implementation of HSC Strategic Plan, Annual Work- plan and activities conducted.

Xv.

Finalize the production, printing and dissemination of:- • Seven hundred (700) copies of the Recruitment Guidelines • One hundred (100) copies of the Strategic Plan.

• Seven hundred (700) copies of Standard Operating Procedures.

XVI.
HSC HIV/AIDS Workplace policy implemented Total Wage Recurrent Non Wage Recurrent 434,709 195,120 239,589 325,058 167,841 157,217 793,718 174,120 619,599 08 52 05 Technical Support and Support Supervision Support Supervision carried out in 45 Districts, 13 Regional Referral Hospitals and 5 National Health Institutions including mentoring/coaching of DSCs and HR Officers, sharing best HRH Management practices and increasing capacity of DSCs to mentor managers within their jurisdiction Specialized Support and Technical meeting with five (5) key PNFP Hospitals and five (5) Universities and Health Training Institutions carried out.
Technical Support to 8 DSCs rendered.

Support Supervision carried out in 26 Districts, 7 Regional Referral Hospitals, 5 General hospitals and 2 Health Centres including mentoring/coaching of DSCs and HR Officers, sharing best HRH Management practices and building capacity of DSCs to mentor managers within their jurisdiction A three (3) day support supervision and hands-on support on Human Resource for Health issues to Mulago NRH carried out.
One (1) day working visit to NMS to interact and share emerging issues conducted Support supervision to 56 Districts/Districts Service Commissions, 14 RRHs, 5 National Health Institutions and KCCA Health Units carried out.

Technical Support Supervision to DSCs, Central Government Health Institutions and Departments under the jurisdiction of HSC on HRH issues provided.
Technical meetings with two (2) PNFP Hospitals carried out Technical Meetings with three (3) Health Training Institutions carried out Total Wage Recurrent Non Wage Recurrent 124,909 0 124,909 81,641 0 81,641 124,900 0 124,900 08 52 06 Health Workers Recruitment and Human Resource for Health Management Services Health Workers Terms and Conditions of Service reviewed Health Workers Training and Qualifications reviewed.
Taskforce for the review of Health Workers Terms and Conditions of Service established and work is in progress Job Descriptions and Guidelines for the Recruitment of Health Workers reviewed.

Recruitment Plan for the Institutions under the jurisdiction of the Commission developed Standing Orders for Human Resource for Health developed Taskforce for the review of Health Workers Training and Qualifications established and work is in progress.
Review of Job Descriptions and Guidelines for the Recruitment of Health Workers continued.

Taskforce for the development of the Health Service Commission Standard Operating Procedures established and work is in progress 900 Health Workers of all categories for MoH Hqters, National Referral Hospitals, CUFH-Naguru, RRHs, UBTS, Prisons Health Services and NCTL recruited.
1200 HRH Cases of confirmation, corrigenda, redesignation, study leave, interdictions, abscondments, retirement on medical grounds processed.
Total Wage Recurrent Non Wage Recurrent 380,000 0 380,000 548,343 0 548,343 432,000 0 432,000 Vote Overview 125 Health Service Commission Ministerial Policy Statement Vote: 134 Health Service Commission Vote Function: 08 52 Human Resource Management for Health Programme 02 Human Resource Management GRAND TOTAL Wage Recurrent Non Wage Recurrent 939,618 195,120 744,499 955,042 167,841 787,201 1,350,618 174,120 1,176,499 Programme 03 Internal Audit Programme Profile Responsible Officer: Under Secretary Finance & Administration Objectives: Ensure financial integrity and minimise financial risk Outputs: Audit committees OperationalisedVerfy all financial transactionsExecute risk based internal auditAdvise management on financial transactions and audit querries Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 52 02 Secretariat Support Services Recruitment, selection and appointment processes of Health Workers by the Commission reviewed Recruitment, selection and appointment processes of Health Workers by the Commission reviewed Recruitment, selection and appointment processes of Health Workers by the Commission reviewed Support supervision activities under taken by the Commission in the RRHs & DSCs audited Support supervision activities under taken by the Commission in the RRHs & DSCs audited Support supervision activities under taken by the Commission in the RRHs & DSCs audited Asset management policies, staff status and welfare, store systems reviewed.


Asset management policies, staff status and welfare, store systems reviewed.

Commission governance, payroll, domestic arrears, final accounts, commitment control returns and NTR audited.

Commission governance, payroll, domestic arrears, final accounts, commitment control returns and NTR audited.

Commission governance, payroll, domestic arrears, final accounts, commitment control returns and NTR audited.
Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 40,000 0 40,000 40,000 0 40,000 27,497 0 27,497 27,497 0 27,497 20,515 10,515 10,000 20,515 10,515 10,000 Vote Overview 126 Health Service Commission Ministerial Policy Statement Vote: 134 Health Service Commission Vote Function: 08 52 Human Resource Management for Health Project 0365 Health Service Commision Project Profile Responsible Officer: Under Secretary Finance & Administration Objectives: To ensure that the Commission's operations are fully facilitated and equiped Outputs: The expected outputs are; transport equipment, office equipment, ICT equipment and software and office furniture.
Start Date: 7/15/2013 Projected End Date: 6/30/2015 Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.

Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 52 75 Purchase of Motor Vehicles and Other Transport Equipment 2 Motor Vehicles procured, Two (2) Station Wagons delivered.
2 Double Cabin Pick-Ups and 1 Staff Van procured, Total GoU Development External Financing 388,299 388,299 0 61,385 61,385 0 408,000 408,000 0 08 52 76 Purchase of Office and ICT Equipment, including Software Four (4) Desktop Computers, four (4) Printers and four (4) UPSs procured Procurement process for 4 Desktop Computers, 4 Printers and 4 UPSs on going Four (4) Desktop Computers, four (4) Printers and four (4) UPSs procured.
Total GoU Development External Financing 14,000 14,000 0 One (1) Heavy Duty Photocopier 3,186 3,186 0 32,992 32,992 0 08 52 78 Purchase of Office and Residential Furniture and Fittings One (1) Registry Counter / Barrier, Fifteen (15) Office Chairs for Resource Centre, Six (6) Computer tables, and One (1) Set Corporate Wear purchased One (1) Registry Counter / Barrier, Fifteen (15) Office Chairs for Resource Centre, Six (6) Computer tables procured Fifteen (15) Office Chairs purchased Total GoU Development External Financing GRAND TOTAL GoU Development External Financing 27,500 27,500 0 429,799 429,799 0 8,137 8,137 0 72,709 72,709 0 5,807 5,807 0 446,799 446,799 0 Table V3.2: Past and Medum Term Key Vote Output Indicators* Vote Function Key Output Indicators and Costs: 2013/14 Outturn 2014/15 Approved Plan Releases Prel.
Actual MTEF Projections 2015/16 2016/17 2017/18 Vote: 134 Health Service Commission Vote Function:0852 Human Resource Management for Health No.

Of Human Resource for Health Decisions processed Vote Function Cost (UShs bn) VF Cost Excluding Ext.
Fin Cost of Vote Services (UShs Bn) N/A 3.440 3.440 3.440 3.440 1,000 4.070 4.070 4.070 4.070 357 3.126 3.126 3.126 3.126 1200 4.070 1000 4.475 4.987 4.070 4.475 4.987 * Excluding Taxes and Arrears Medium Term Plans In the medium term, the Commission will advocate for better Terms and Conditions of Service for Health Vote Overview 127 Health Service Commission Ministerial Policy Statement Vote: 134 Health Service Commission Workers.
The HSC will advocate training in rare disciplines such as ENT, Pathology, Dental and Laboratory Technologists etc, and other Super specialties, some of which training is not conducted in Uganda.

In order to ensure and enforce Health Workers' adherence to the Code of Conduct and Ethics, the Health Service Commission will cary ouy hands-on support supervision in RRHs during which sensitization and dissemination of the Health Workers Code of Conduct and Ethics will be conducted.
(i) Measures to improve Efficiency The Commission has allocated funds for the functionality of its Internal Audit Unit which will provide advice to management in ensuring efficiency and value for money.

Funds have also been allocated to performance enhancement trainings for Members and staff to ensure increased performance efficiency.
Table V3.3: Key Unit Costs of Services Provided and Services Funded (Shs '000) Unit Cost Description Proposed 2015/16 Planned 2014/15 Actual 2014/15 Actual 2013/14 Costing Assumptions and Reasons for any Changes and Variations from Plan Vote Function:0852 Human Resource Management for Health Cost of recruiting one health worker 492 490 480 Being the total cost of recruiting one health worker (ii) Vote Investment Plans Over the last four financial years, the Commission's development budget has stagnated at Ushs.
0.347 Billion (Excl.

Tax).

However, its expected to increase to Ushs.

0.416 Billion in FY 2016/17 and FY 2017/18.
Table V3.4: Allocations by Class of Output over the Medium Term Billion Uganda Shillings 2014/15 2015/16 2016/17 2017/18 2014/15 2015/16 2016/17 2017/18 Consumption Expendture(Outputs Provided) Investment (Capital Purchases) Grand Total 3.7 0.3 4.1 3.7 0.3 4.1 3.9 0.5 4.5 4.4 0.6 5.0 91.5% 91.5% 87.7% 87.6% 8.5% 12.3% 12.4% 100.0% 100.0% 100.0% 100.0% 8.5% (i) Allocation (Shs Bn) (ii) % Vote Budget Table V3.5: Major Capital Investments (Outputs of class Capital Purchases over 0.5Billion) (iii) Priority Vote Actions to Improve Sector Performance The Commission plans to continue advocating for better Terms and Conditions of Service for Health Workers in addressing the high attrition rate of Health Workers in the Country.
The Commission will also advocate training in rare disciplines such as ENT, Pathology, Dental and Laboratory Technologists and other Super specialties, some of which training is not conducted in Uganda to ensure that such highly needed Health Workers are available in the Country's Job Market.
Table V3.6: Vote Actions to Improve Sector Performance 2014/15 Planned Actions: 2015/16 Planned Actions: 2014/15 Actual Actions: MT Strategy: Sector Outcome 1: Increased deliveries in health facilities Vote Function: 08 52 Human Resource Management for Health - Inability to fill approved posts for Health Workers in National and Regional Referral Hospitals VF Performance Issue: Subject to availability of funds and clearance by Public Service, fill all vacant posts.
Advocate for training in those affected professions/ disciplines such as ENT, Pathology, Dental and Laboratory Technologists.

Recommended to H.E the President two (2) Health Managers ( Director UHI and Deputy Executive Director Butabika NRH) and Eighteen (18) Health Specialists for Mulago, UHI, Butabika and RRH for appointment Subject to availability of funds and clearance by Public Service, fill all vacant posts.
Advocate for training in those affected professions/ disciplines such as ENT, Pathology, Dental and Laboratory Technologists.

Continue to fill and replace all vacant posts, advocate for better Terms and Conditions of Service for Health Workers.

Advocate for training in those endangered professions/ disciplines such as ENT, Pathology, Dental and Laboratory Technologists.
Appointed one hundred thirty five (135) Health Workers into the Health Service Sixty two (62) Human Resource for Health Decisions of confirmation in appointment, corrigenda, redesignation, study leave, Vote Overview 128 Health Service Commission Ministerial Policy Statement Vote: 134 Health Service Commission 2014/15 Planned Actions: 2014/15 Actual Actions: 2015/16 Planned Actions: MT Strategy: interdictions, abscondments and retirement; processed.
VF Performance Issue: Poor Working Terms and Conditions for Health Workers At various stakeholder meetings the commission plans to advocate for better working conditions of service for health workers.

Sector Outcome 2: At various stakeholder meetings the commission advocated for better working conditions of service for health workers At various stakeholder meetings the commission plans to advocate for better working conditions of service for health workers.
Children under one year old protected against life threatening diseases Vote Function: 08 52 Human Resource Management for Health VF Performance Issue: Rising rates of Health Worker absenteeism The Commission plans to conduct Support Supervision visits that among others HRH issues will emphasise adherence to the Health Workers' Code of Conduct and Ethics.
Commission too plans to print copies of the H/Ws Code of conduct & Ethics for dissemination The Commission conducted a support supervission visit to Mulago NRH and handled HRH issues including emphasising adherence to the Health Workers Code of Conduct and Ethics.

Copies of Health Workers Code of conduct & Ethicswere also dissemination The Commission plans to conduct Support Supervision visits that among others HRH issues will emphasise adherence to the Health Workers Code of Conduct and Ethics.
Commission too plans to disseminate copies of the H/Ws Code of conduct & Ethics.

Advocacy for better Terms and Conditions of Service for Health Workers.

Ensure and enforce adherence of Health Workers to the Code of Conduct and Ethics through workshops and Support Supervision.
V4: Proposed Budget Allocations for 2015/16 and the Medium Term This section sets out the proposed vote budget allocations for 2015/16 and the medium term, including major areas of expenditures and any notable changes in allocations.

Table V4.1: Past Outturns and Medium Term Projections by Vote Function* * Excluding Taxes and Arrears Vote: 134 Health Service Commission 0852 Human Resource Management for Health Total for Vote: 2014/15 MTEF Budget Projections 2013/14 Outturn Appr.
Budget Releases End Mar 2015/16 2016/17 2017/18 3.440 3.440 4.070 4.070 3.126 3.126 4.070 4.070 4.475 4.475 4.987 4.987 (i) The Total Budget over the Medium Term The Health Service Commission budget allocation for FY 2015/16 is UGX 4.17 Billion of which UGX 0.951 Billion is Wage, UGX 2.772 Billion is Non Wage Recurrent and UGX 0.447 Billion (Incl.

Tax) is for Capital Development.

However the Commission total budget is expected to increase to Ushs.

4.475 Billion and Ushs.


4.989 Billion in FY 2016/17 and FY 2017/18 respectively.
(ii) The major expenditure allocations in the Vote for 2015/16 The major expenditure allocation is to Secretariat Support Service for Human Resource for Health Management vote function (iii) The major planned changes in resource allocations within the Vote for 2015/16 None Table V4.2: Key Changes in Vote Resource Allocation Changes in Budget Allocations and Outputs in 2015/16 from 2014/15 Planned Levels: Justification for proposed Changes in Expenditure and Outputs Vote Function:0801 Human Resource Management for Health Output: UShs Bn: 01 Health Workers Recruitment services -0.432 0852 0852 02 Secretariat Support Services 0.380 Output: UShs Bn: Output: UShs Bn: This is the Vote Function Output ie 085201 being replaced/phased out.
Reallignment of activities that were formerly being carried out under Health Workers Recruitment Services 0852 06 Health Workers Recruitment and Human Resource for Health Management Services 0.052 Reallignment of activities that were formerly being carried out under Health Workers Recruitment Services.
Vote Overview 129 Health Service Commission Ministerial Policy Statement Vote: 134 Health Service Commission Changes in Budget Allocations and Outputs in 2015/16 from 2014/15 Planned Levels: Justification for proposed Changes in Expenditure and Outputs Output: UShs Bn: Output: UShs Bn: 0852 75 Purchase of Motor Vehicles and Other Transport Equipment 0.120 0852 78 Purchase of Office and Residential Furniture and Fittings -0.022 The Office furniture needs of the Commission reduced for for the FY 2015/16 Table V4.3: 2015/16 and 2016/17 Budget Allocations by Item Million Uganda Shillings GoU Ext.
Fin Total GoU Ext.

Fin 2014/15 Approved Budget 2015/16 Draft Estimates Output Class: Outputs Provided 211101 General Staff Salaries 211102 Contract Staff Salaries (Incl.
Casuals, Temp 211103 Allowances 213001 Medical expenses (To employees) 221001 Advertising and Public Relations 221002 Workshops and Seminars 221003 Staff Training 221004 Recruitment Expenses 221007 Books, Periodicals & Newspapers 221008 Computer supplies and Information Technol 221009 Welfare and Entertainment 3,722.8 950.6 0.0 448.8 29.0 2.5 161.0 105.0 599.1 38.2 25.0 46.8 221011 Printing, Stationery, Photocopying and Bind 105.7 221012 Small Office Equipment 221016 IFMS Recurrent costs 221017 Subscriptions 221020 IPPS Recurrent Costs 222001 Telecommunications 222003 Information and communications technolog 223005 Electricity 223901 Rent – (Produced Assets) to other govt.
unit 225001 Consultancy Services- Short term 227001 Travel inland 227002 Travel abroad 227004 Fuel, Lubricants and Oils 228001 Maintenance - Civil 228002 Maintenance - Vehicles 228003 Maintenance – Machinery, Equipment & Fu Output Class: Capital Purchases 231004 Transport equipment 231005 Machinery and equipment 231006 Furniture and fittings (Depreciation) 312204 Taxes on Machinery, Furniture & Vehicles Output Class: Arrears 321614 Electricity arrears (Budgeting) Grand Total: Total Excluding Taxes and Arrears Total 0.0
131.3 26.8 446.8 308.0 33.0 5.8 100.0 0.0 0.0 4,169.6 4,069.6 V5: Vote Cross-Cutting Policy and Other Budgetary Issues This section discusses how the vote's plans will address and respond to the cross-cutting policy, issues of gender and equity; HIV/AIDS; and the Environment, and other budgetary issues such as Arrears and NTR.. (i) Cross-cutting Policy Issues (a) Gender and Equity Objective: The Health Service Commission adheres to the Government Policy of Equal Employment Vote Overview 130 Health Service Commission Ministerial Policy Statement Vote: 134 Health Service Commission Opportunities for all Issue of Concern : Overcoming disadvantages of gender inequality and personal disabilities Proposed Intervensions The Commission follows order of merit when recruiting and selecting candidates.
It also gives cognizance of the various disabilities that may affect the skills and expertise of such challenged individuals eg stammering.

Budget Allocations UGX billion Performance Indicators N/A (b) HIV/AIDS Objective: Mitigatiing HIV/AIDS infections and ensuring safe living for the infected and affected Issue of Concern : Proposed Intervensions Sensitize health workers recruited on HIV/AIDS during induction Budget Allocations UGX billion Performance Indicators No.
of Human Resource for Health sensitised (c) Environment Objective: Efficient management of disposals and waste particularly paper and office equipment Issue of Concern : Proposed Intervensions Improve working environment Budget Allocations UGX billion Performance Indicators (ii) Non Tax Revenue Collections N/A Vote Overview 131 Uganda Blood Transfusion Service (UBTS) Ministerial Policy Statement Vote: 151 Uganda Blood Transfusion Service (UBTS) V1: Vote Overview (i) Vote Mission Statement Vision:The vote’s vision is “An effective; efficient and sustainable Blood transfusion Service in Uganda” and the service is mandated through its mission “to provide sufficient and efficacious blood and blood components through voluntary blood donations for appropriate use in health care service delivery”.
In this task, UBTS closely works with Uganda Red Cross Society (URCS) in the area of voluntary blood donor recruitment.

(ii) Summary of Past Performance and Medium Term Budget Allocations Table V1.1: Overview of Vote Expenditures (UShs Billion) (i) Excluding Arrears, Taxes 2013/14 Outturn Approved Budget Rel.
by End Mar 2014/15 MTEF Budget Projections 2015/16 2016/17 2017/18 Recurrent Development Wage Non Wage GoU Donor GoU Total Total GoU+Donor (MTEF) (ii) Arrears and Taxes Arrears Taxes** Total Budget (iii) Non Tax Revenue Grand Total Excluding Taxes, Arrears N/A N/A N/A 0.050 N/A 9.323 2.394 0.000 0.000 N/A N/A N/A 0.050 N/A The chart below shows total funding allocations to the Vote by Vote Function over the medium term: Chart V1.1: Medium Term Budget Projections by Vote Function (Excluding Taxes, Arrears) n o i l l i B s h s U 10 9 8 7 6 5 4 3 2 1 0 d o o l B e f a S n o i s i v o r P 2014/15 Approved Budget Estimates 2015/16 Budget Projections 2016/17 Budget Projections Vote Overview 132 Uganda Blood Transfusion Service (UBTS) Ministerial Policy Statement Vote: 151 Uganda Blood Transfusion Service (UBTS) V2: Vote Performance for FY 2014/15 and Planned Outputs for FY 2015/16 This section describes past vote performance and planned Outputs, in terms of key vote outputs (i) Past Vote Outputs Preliminary 2014/15 Performance 2 blood collection vehicles have been procured and old laboratory equipment replaced, vacant positions have been filled and staff salaries are paid on time.
By end December 109,645 units of blood have been collected (86.3% of target); 5,722 (91%) blood collection sessions held; proportion of repeat donors is at 60% of the total blood donors.

Partnership with UNFPA in the saving mothers and children project to create additional blood collection teams in the Northern; West Nile and Karamoja regions although the project is in its infancy.

This project if undertaken; will save an additional 30,000 lives through blood transfusions in the hospitals.
V3: Detailed Planned Outputs for FY 2015/16 2015/16 Planned Outputs In FY 2015/16, UBTS will undertake the following activities; UBTS will continue to pursue the overall objectives and goals of the program geared towards ensuring safe and adequate supplies of blood and blood products are available and appropriately used for the management of all patients in need throughout Uganda.
As the health care delivery continues to improve in Uganda; the demand for safe blood transfusion increases for the operationalised Heart Institute; the newly constructed Cancer ward; HIV related illnesses etc.

Thus the UBTS has an important task of meeting this increased demand for safe blood transfusion.

This requires more resources for infrastructure; human resource and equipment to meet the increased demand and efficiency in utilizing such resources.
Current budget activity objectives conform to the original objectives for the 151 Vote function and include: Strengthen the infrastructure of UBTS; increase Blood collection from voluntary non-remunerated blood donors; Improve the quality of blood available for transfusion; Improve transfusion practices in hospitals and put in place a plan for sustainability of UBTS.

Specific objectives for FY 2015/16 will be: 1.


Strengthen UBTS Infrastructure – •Equipping of RBBs •Transport – Blood collection operations are transport intensive as blood is largely collected through mobile teams.

An insufficient and over aged vehicle fleet is a set back to full realization of UBTS targets.

Using both government and donor funds 6 vehicles for blood collection will be procured (permission will be sought from OPM).
Experience from other neighboring countries show that blood collection from drives requires a mobile blood collection bus purposely equipped to appropriately store and transport blood.

We therefore intend to procure atleast 4 buses at approximately UgX 400 million per bus for the beginning.

This leaves a funding gap of UgX 1.2 billions.


•Laboratory equipment – to procure 4 fridges and other essential laboratory equipment •MIS system – based on the baseline assessment –procure a Blood Safety Information System (BSIS) Software and hardware – Barcode scanners and printers according to WHO guidelines 2.
Blood collection from VNRBD - Increase blood collection target from the current 254,000 units of blood to 266,805 units of blood •Community mobilization to donate blood –Through the Community Resource program (CRP) UBTS will increase advocacy and mobilization in the communities for blood donation •Improve blood donor education - Review and update existing IEC materials for improved communication.
Use of electronic and mass media will be undertaken for blood donor education •Collaboration with corporate organizations for blood donation - Corporate Social Responsibility (CRS) will be intensified to engage corporate to get more involved and sponsor blood donation drives •Improve care and retention of safe blood donors to achieve adequate blood collection and supply as per WHO ratio to population - Donor awards will be made available and donor counseling will be undertaken for blood donor retention.
More funding has been allocated to procure blood donor awards for acknowledgement; these include t-shirts, pens, budgets, calendars, and etiquettes.
It is important to note that blood donation depends on the good will of the communities to make a positive response to voluntary blood donation; Mobile blood collection (90%) and 10% at fixed sites) Vote Overview 133 Uganda Blood Transfusion Service (UBTS) Ministerial Policy Statement Vote: 151 Uganda Blood Transfusion Service (UBTS) •Support supervision will be intensified using the indicators that have been developed by the M&E team to improve performance 3.
To improve the quality of blood available for transfusion – UBTS will operationalise the revised laboratory testing algorithm and work towards ISO certification (Accreditation program) •Procure/ replace aging equipment - With the availability of funds UBTS will replace aged equipment; standardize testing in all RBBs and put in place an external quality Assessment program.

4.
Improve transfusion practices in hospitals -disseminate the revised clinical guidelines to all clinicians; Disseminate the revised blood utilization tools; create more Hospital transfusion committees in hospitals to monitor blood usage •Collaborate with NGO programs to reduce the need for blood – MCH; Malaria; Road Safety and related trauma Table V3.1: Vote Function Profiles, Programme/Project Profiles and Workplan Outputs Vote Function: 08 53 Safe Blood Provision Vote Function Profile Responsible Officer: Director Services: UBTS is mandated to collect, process, store and distribute safe blood and blood products to all transfusing health units in the country.
It operates through a network of 7 regional blood banks (Gulu, Mbale, Mbarara, Fort Portal, Kitovu, Arua, & Nakasero) and six collection centres (Jinja, Soroti, Lira, Hoima, Rukungiri & Kabale).

Resources allocated to UBTS Vote 151 are equitably shared out to avail safe blood to all hospitals.
In addition UBTS undertakes a national blood donor education and recruitment campaign aimed at increasing the annual blood collection to meet the increasing blood requirements of all patients in the hospitals throughout the whole country.

It also handles education and training in blood safety.
The UBTS plays a central role in prevention of TTIs transmission which include HIV/AIDS, Hepatitis B&C and syphilis through provision of safe blood, HIV testing and education of the communities during recruitment of blood donors.
The UBTS receives funding from the Government of Uganda through the MOH for the Blood safety program and off budget support from PEPFAR/CDC to support Infrastructure development (5 RBBs have been constructed); Blood donor mobilisation; Blood collection; Blood processing; Monitoring and evaluation ; Training and Technical Assisstance.

UBTS is extremely grateful to have received increased funding from the GOU for medical supplies from NMS since the FY2013/14.
With extra funding from the government; blood collection rates have more than doubled in Uganda with 90% of the transfusing health care facility demand met during the current FY 2014/15.

However; despite these impressive strides; Uganda still falls short of official hospital demand of 1% of the recommended World Health organization (WHO) target for blood collection.
According to WHO standards, a country is supposed to collect units of blood equivalent to 1% of the total population if all transfusion needs are to be met.

In Uganda, this equates to approximately 350,000 units of blood required per FY.
Vote Function Projects and Programmes: Project or Programme Name Recurrent Programmes 01 02 03 Development Projects Administration Regional Blood Banks Internal Audit Responsible Officer Director DIRECTOR Internal Auditor 0242 Uganda Blood Transfusion Service Director Vote Overview 134 Uganda Blood Transfusion Service (UBTS) Ministerial Policy Statement Vote: 151 Uganda Blood Transfusion Service (UBTS) Vote Function: 08 53 Safe Blood Provision Programme 01 Administration Programme Profile Responsible Officer: Director Objectives: To make available safe and adequate quantities of blood to all hospitals for the management of patients in need in all health care facilities.
Outputs: UBTS contributes to the NDP by; (1) Reduction of Maternal Mortality - 30% of all blood collections go to Maternal patients; (2) Reduction of Infant Mortality - 60% of all blood collections go to children; (3) Blood is an essential medicine whose availabibility is essential for treatment of aneamia due malaria, blood loss etc Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 53 01 Adminstrative Support Services UBTS Programme operations coordinated; 50 vehicles maintained, Laboratory equipment for the 7 RBBs maintained; old vehicles and equipment replaced, vacant positions filled and staff salaries paid on time.

coordinated; 44 vehicles maintained and equipment maintained for the 7 RBBs; and staff salaries paid on time.
Total Wage Recurrent Non Wage Recurrent NTR 2,301,415 1,882,440 378,975 40,000 914,300 753,926 160,374 0 08 53 03 Monitoring & Evaluation of Blood Operations Annual & quartery workplans in place, support supervision undertaken and production of quarterly performance reports.

This will improve transfusion practices in hospitals and regional blood safety programs 2 rounds of support supervision undertaken and produced a semi annual report.
Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent NTR 252,650 0 252,650 2,554,065 1,882,440 631,625 40,000 122,325 0 122,325 1,036,625 753,926 282,699 0 UBTS Programme operations coordinated; 60 vehicles maintained, Laboratory equipment for the 7 RBBs maintained; old vehicles and equipment replaced, vacant positions filled and staff salaries paid on time.
2,607,379 2,171,404 378,975 57,000 Annual & quartery workplans in place, support supervision undertaken and production of quarterly performance reports.
This will improve transfusion practices in hospitals and regional blood safety programs 252,650 0 252,650 2,860,029 2,171,404 631,625 57,000 Vote Overview 135 Uganda Blood Transfusion Service (UBTS) Ministerial Policy Statement Vote: 151 Uganda Blood Transfusion Service (UBTS) Vote Function: 08 53 Safe Blood Provision Programme 02 Regional Blood Banks Programme Profile Responsible Officer: DIRECTOR Objectives: To make available safe and adequate quantities of blood to all hospitals for the management of patients in need in all health care facilities.
The major objective of creating Regional Blood Banks as a vote out puts is to move towards decentralisation of UBTS activities in the medium term and improved performance Outputs: Regional Blood Banks contribute to the NDP by; (1) Reduction of Maternal Mortality - 30% of all blood collections go to Maternal patients; (2) Reduction of Infant Mortality - 60% of all blood collections go to children; (3) Blood is an essential medicine whose availabibility is essential for treatment of aneamia due malaria, blood loss etc Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 53 01 Adminstrative Support Services UBTS Programme operations coordinated; 50 vehicles maintained, Laboratory equipment for the 7 RBBs maintained; old vehicles and equipment replaced, vacant positions filled and staff salaries paid on time.
Programme operations coordinated; 44 vehicles maintained; laboratory equipment maintained in the 7 RBBs; staff salaries paid on time UBTS Programme operations coordinated; 60 vehicles maintained, Laboratory equipment for the 7 RBBs maintained; old vehicles and equipment replaced, vacant positions filled and staff salaries paid on time.
Total Wage Recurrent Non Wage Recurrent 108,279 0 108,279 51,443 0 51,443 208,279 0 208,279 08 53 02 Collection of Blood 254,100 units of blood Collected, Recruit 254,100 regular blood donors, 254,100 blood units tested for TTIs and issued to transfusing heath care facilities 109,645 units of blood were collected, Recruited 38,565 regular blood donors, All blood units tested for TTIs and issued to transfusing heath care facilities 266,805 units of blood Collected, Recruit 266,805 regular blood donors, 266,805 blood units tested for TTIs and issued to transfusing heath care facilities Total Wage Recurrent Non Wage Recurrent 2,541,393 0 2,541,393 1,205,149 0 1,205,149 4,481,393 0 4,481,393 08 53 03 Monitoring & Evaluation of Blood Operations Annual & quarterly work plans in place, support supervision undertaken and production of quarterly reports.
This will improve transfusion practices in hospitals and regional blood safety programs 3 rounds of support supervision undertaken and production of quarterly reports.

This will improve transfusion practices in hospitals and regional blood safety programs Quarterly work plans in place, support supervision undertaken and production of quarterly reports.
This will improve transfusion practices in hospitals and regional blood safety programs Total Wage Recurrent Non Wage Recurrent 358,279 0 358,279 159,955 0 159,955 418,279 0 418,279 08 53 04 Laboratory Services Non-medical laboratory supplies Procured and laboratory equipment maintained, 254,100 units of blood tested and issued to all transfusion health facilities Non-medical laboratory supplies Procured and laboratory equipment maintained, 161,065 units of blood tested and issued to all transfusion health facilities Non-medical laboratory supplies Procured and laboratory equipment maintained, 266,805 units of blood tested and issued to all transfusion health facilities Total Wage Recurrent Non Wage Recurrent 424,836 0 424,836 189,885 0 189,885 324,836 0 324,836 Vote Overview 136 Uganda Blood Transfusion Service (UBTS) Ministerial Policy Statement Vote: 151 Uganda Blood Transfusion Service (UBTS) Vote Function: 08 53 Safe Blood Provision Programme 02 Regional Blood Banks GRAND TOTAL Wage Recurrent Non Wage Recurrent 3,432,786 0 3,432,786 Programme 03 Internal Audit Programme Profile Responsible Officer: Internal Auditor 1,606,431 0 1,606,431 5,432,786 0 5,432,786 Objectives: To review the financial, operational and accounting systems of UBTS and ensure that they are adequate, effective and conform to the current recommendations of government procedures Outputs: Ensure that effective Internal Controls are in place; Increased compliance to governing statutes, laws and regulations in place; and Effective Risk
 Management Systems Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 53 03 Monitoring & Evaluation of Blood Operations Coduct regular audits to the seven Regional Blood Banks and collection centres and produce 4 quarterly audit reports and annual report.

Regular audits to the seven Regional Blood Banks and collection centres conducted.
3 quarterly audit reports done Coduct regular audits to the seven Regional Blood Banks and collection centres and produce 4 quarterly audit reports and annual report.
Payments and procurement verified Payments and procurement verified Payments and procurement verified Internal controls conducted at UBTS Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 26,093 0 26,093 26,093 0 26,093 12,013 0 12,013 12,013 0 12,013 40,232 0 40,232 40,232 0 40,232 Vote Overview 137 Uganda Blood Transfusion Service (UBTS) Ministerial Policy Statement Vote: 151 Uganda Blood Transfusion Service (UBTS) Vote Function: 08 53 Safe Blood Provision Project 0242 Uganda Blood Transfusion Service Project Profile Responsible Officer: Director Objectives: 1.
To revitalise the services of the Uganda Blood Transfusion Services throughout the country; 2.

To expand blood transfusion infrastructure to operate adequately within a decentralised health care delivery system Outputs: 1.

Seven regional Blood banks constructed and fully operational by 2016 2.

Ten collection and distribution banks established 3.
Adequately equipped laboratories at every regional blood bank, Start Date: 1/7/2010 Projected End Date: 6/30/2016 Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 53 75 Purchase of Motor Vehicles and Other Transport Equipment 1 vehicle procured for UBTS under GoU budget and taxes for for 7 vehicles from WHO and CDC paid Total GoU Development External Financing 562,863 562,863 0 1 motor vehicle procured Procure 1 vehicle 0 0 0 120,000 120,000 0 08 53 76 Purchase of Office and ICT Equipment, including Software Blood Bank Management Soft ware procured and installed.
BBMIS software procured and staff trained to use the soft ware Procure 2 generators for Arua and Mbale Staff trained on the use of the software.
Total GoU Development External Financing 08 53 78 Purchase of Office and Residential Furniture and Fittings Total GoU Development External Financing GRAND TOTAL GoU Development External Financing 200,000 200,000 0 0 0 0 762,863 762,863 0 65,913 65,913 0 0 0 0 65,913 65,913 0 100,000 100,000 0 Procure laboratory supplies and equipment 150,000 150,000 0 370,000 370,000 0 Table V3.2: Past and Medum Term Key Vote Output Indicators* Vote Function Key Output Indicators and Costs: 2013/14 Outturn 2014/15 Approved Plan Releases Prel.
Actual MTEF Projections 2015/16 2016/17 2017/18 Vote: 151 Uganda Blood Transfusion Service (UBTS) Vote Function:0853 Safe Blood Provision Vote Function Cost (UShs bn) VF Cost Excluding Ext.
Fin Cost of Vote Services (UShs Bn) 3.234 3.234 3.234 3.234 * Excluding Taxes and Arrears 6.414 6.414 6.414 6.414 3.179 3.179 3.179 3.179 8.703 9.323 8.703 9.323 Medium Term Plans In the medium term we intend to implement UBTS objectives: Vote Overview 138 Uganda Blood Transfusion Service (UBTS) Ministerial Policy Statement Vote: 151 Uganda Blood Transfusion Service (UBTS) 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 centres into blood distribution centres 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) •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.
•Strengthen the organizational capacity of UBTS to enable efficient and effective service delivery and build on the partnerships to improve service delivery.

(i) Measures to improve Efficiency UBTS shall continue to use the most cost effective means of blood collection by mobilising communites through the CRP program by engaging the local communities within the catchment areas.
Table V3.3: Key Unit Costs of Services Provided and Services Funded (Shs '000) Unit Cost Description Proposed 2015/16 Planned 2014/15 Actual 2014/15 Actual 2013/14 Costing Assumptions and Reasons for any Changes and Variations from Plan Vote Function:0853 Safe Blood Provision 20 Blood Unit 16 16 16 Costs of inputs will not change significantly Vote Overview 139 Uganda Blood Transfusion Service (UBTS) Ministerial Policy Statement Vote: 151 Uganda Blood Transfusion Service (UBTS) (ii) Vote Investment Plans In the FY 2015/16, the capital allocation to the UBTS is at the same level of 2014/15 of UGX 370million.
This is inadequate to make an impact on infrastructe development of UBTS Table V3.4: Allocations by Class of Output over the Medium Term Billion Uganda Shillings 2014/15 2015/16 2016/17 2017/18 2014/15 2015/16 2016/17 2017/18 Consumption Expendture(Outputs Provided) Investment (Capital Purchases) Grand Total 6.0 0.4 6.4 8.3 0.4 8.7 8.1 0.9 9.0 1.6 0.5 2.1 94.2% 95.7% 89.5% 77.0% 4.3% 10.5% 23.0% 100.0% 100.0% 100.0% 100.0% 5.8% (i) Allocation (Shs Bn) (ii) % Vote Budget Table V3.5: Major Capital Investments (Outputs of class Capital Purchases over 0.5Billion) (iii) Priority Vote Actions to Improve Sector Performance We have strengthened the Community Resource Persons approach as we scale down on the reliance of schools as our major donors of blood.
Table V3.6: Vote Actions to Improve Sector Performance 2014/15 Planned Actions: 2015/16 Planned Actions: 2014/15 Actual Actions: MT Strategy: Sector Outcome 2: Children under one year old protected against life threatening diseases Vote Function: 08 53 Safe Blood Provision VF Performance Issue: 2.

Increase blood collection teams from 20 to 22 during the FY 2014/15.

This will make an additional 23,760 units of blood to meet the increased demand for blood.
To create 2 teams requires an additional 1.5 bn.

Mobilize communities for increased blood donation by strengthening the Community Resource Persons Program (CRP) Put in place a financial sustainability program to increase UBTS funding Sector Outcome 3: Health facilities receive adequate stocks of essential medicines and health supplies (EMHS) Vote Function: 08 53 Safe Blood Provision VF Performance Issue: 1.
Construction of Moroto and Arua There is urgent need to start construction of these 2 RBBs given the terrain and distances from the nearest RBBs UBTS has mobilised some donors to provide resources to construct Moroto RBB Expand blood transfusion infrastructure to operate adequately within a decentralized health care delivery system; Construct purpose built Regional Blood Banks in Moroto; Masaka and Arua Provide additional funding to construct a regional blood bank for each of the regional referral hospital in the medium term 1.
Strengthen UBTS Infrastructure 2.

Blood collection from VNRBD 3.

To Improve the quality of blood available for transfusion 4.

Improve transfusion practices in hospitals 5.

Training of staff & M&E activities strengthened VF Performance Issue: 3.

Construction of a centralized store – This planned activity did not receive the funding (2.13bn) required to implement the activity.

It is still at the drawing stage.


No extra funds were realized UBTS requires an additional Meet the national requirement allocation of funds for for safe blood as recommned by WHO at 1% of the total construction of a centralized population store at Nakasero V4: Proposed Budget Allocations for 2015/16 and the Medium Term This section sets out the proposed vote budget allocations for 2016/17 and the medium term, including major areas of expenditures and any notable changes in allocations.
Table V4.1: Past Outturns and Medium Term Projections by Vote Function* Through NMS we will procure adequate medical and non- medical supplies * Excluding Taxes and Arrears Vote: 151 Uganda Blood Transfusion Service (UBTS) 0853 Safe Blood Provision Total for Vote: 2014/15 MTEF Budget Projections 2013/14 Outturn Appr.
Budget Releases End Mar 2015/16 2016/17 2017/18 3.234 3.234 6.414 6.414 3.179 3.179 8.703 8.703 9.323 9.323 2.444 2.444 Vote Overview 140 Uganda Blood Transfusion Service (UBTS) Ministerial Policy Statement Vote: 151 Uganda Blood Transfusion Service (UBTS) (i) The Total Budget over the Medium Term The major resource allocations in the medium term includes activities that will increase blood collection, testing and distribution.
This includes infrastructure development, blood collection and testing equipment and blood collection vehicles.

We are also installing the newly acquired BBMIS soft ware including training of staff in the use of the system.
(ii) The major expenditure allocations in the Vote for 2015/16 The major expenditure allocation is blood provision operations which include blood collection through mobilizing communities for increased blood donation by implementing the Community Resource Persons program (CRP), procurement of blood collection and testing items, cold chain maintenance, laboratory supplies, blood donor recognition awards, field staff allowances and fuel for blood collection.
M&E activities include heamovigilance, support supervision and routine monitoring of UBTS regional activities.

Equiping of regional blood banks, procurement of transport equipment and maintenance of infrastructure and equipment.

Other priorities include rental expenditure and utilities.
(iii) The major planned changes in resource allocations within the Vote for 2015/16 It is important to note that the core activities of UBTS is Blood collection; testing and distribution and these activities are highly dependent on availability of robust blood collection equipment that include: vehicles; Fuel; field allowances for staff; blood collection and laboratory supplies.

UBTS plans to construct a centralized store at the headquarters in order to solve the challenge of inadequate storage space.
Increase the number of blood collection teams dependant on the availability of funds.

The current staff force appears to have reached their maximum capacity of efficiency to collect blood.

Thus for UBTS to increase blood collection; there is need to hire additional staff and this will require additional funding.

UBTS plans to operationalise the procured BSIS in order to work towards the accreditation program.
Use of the Community resource person will be enhanced to improve interface within communities for improved blood collection.
Table V4.2: Key Changes in Vote Resource Allocation Changes in Budget Allocations and Outputs in 2015/16 from 2014/15 Planned Levels: Justification for proposed Changes in Expenditure and Outputs 0853 0.392 01 Adminstrative Support Services Vote Function:0801 Safe Blood Provision Output: UShs Bn: We are strengthening community mobilization through the CRPs training and empowerment to collect more blood from the local communities Output: UShs Bn: We are strengthening community mobilization through the CRPs training and empowerment to collect more blood from the local communities Output: UShs Bn: 04 Laboratory Services 02 Collection of Blood -0.117 1.940 0853 0853 We are strengthening community mobilization through the CRPs training and empowerment to collect more blood from the local communities We are strengthening community mobilization through the CRPs training and empowerment to collect more blood from the local communities Output: UShs Bn: Output: UShs Bn: 0853 76 Purchase of Office and ICT Equipment, including Software -0.100 0853 78 Purchase of Office and Residential Furniture and Fittings 0.150 Table V4.3: 2014/15 and 2015/16 Budget Allocations by Item 2014/15 Approved Budget 2015/16 Draft Estimates Million Uganda Shillings GoU Ext.
Fin Output Class: Outputs Provided 211101 General Staff Salaries 211103 Allowances 213001 Medical expenses (To employees) 213002 Incapacity, death benefits and funeral expen 5,987.1 1,882.4 270.8 10.0 10.0 0.0 0.0 0.0 0.0 0.0 AIA 57.0 0.0 0.0 0.0 0.0 Total GoU Ext.
Fin 6,044.1 1,882.4 270.8 10.0 10.0 8,276.0 2,171.4 376.6 10.0 10.0 0.0 0.0 0.0 0.0 0.0 AIA 57.0 0.0 0.0 0.0 0.0 Total 8,333.0 2,171.4 376.6 10.0 10.0 Vote Overview 141 Uganda Blood Transfusion Service (UBTS) Ministerial Policy Statement Vote: 151 Uganda Blood Transfusion Service (UBTS) Million Uganda Shillings GoU Ext.

Fin AIA Total GoU Ext.
Fin AIA Total 2014/15 Approved Budget 2015/16 Draft Estimates 221001 Advertising and Public Relations 221002 Workshops and Seminars 221003 Staff Training 221005 Hire of Venue (chairs, projector, etc) 221008 Computer supplies and Information Technol 221010 Special Meals and Drinks 221011 Printing, Stationery, Photocopying and Bind 221012 Small Office Equipment 222001 Telecommunications 222003 Information and communications technolog 223003 Rent – (Produced Assets) to private entities 223005 Electricity 223006 Water 224004 Cleaning and Sanitation 224005 Uniforms, Beddings and Protective Gear 227001 Travel inland 227002 Travel abroad 227004 Fuel, Lubricants and Oils 228001 Maintenance - Civil 228002 Maintenance - Vehicles 228003 Maintenance – Machinery, Equipment & Fu 282101 Donations Output Class: Capital Purchases 231004 Transport equipment 231005 Machinery and equipment 231006 Furniture and fittings (Depreciation) 312204 Taxes on Machinery, Furniture & Vehicles Grand Total: Total Excluding Taxes, Arrears and AIA ***where AIA is Appropriation in Aid 866.8
V5: Vote Cross-Cutting Policy and Other Budgetary Issues This section discusses how the vote's plans will address and respond to the cross-cutting policy, issues of gender and equity; HIV/AIDS; and the Environment, and other budgetary issues such as Arrears and NTR.. (i) Cross-cutting Policy Issues (a) Gender and Equity Objective: Issue of Concern : To collect blood from healthy males and females between 17-60 years Healthy males should donate blood every after 3 months while healthy females should donate every 4 months Proposed Intervensions 1.
UBTS will devise strategies to increase advocacy a nd mobilsation for blood donation and improve blood donor education 2.

Strengthen the strategic framework for collaboration with corporate social responsibility for blood donation 3.

Improve care and retention of safe blood donors to achieve adequate blood collection and supply as per WHO ration to population.
Budget Allocations UGX billion Performance Indicators Ratio of male to female blood donors (b) HIV/AIDS Objective: To contribute to the spread of HIV/AIDS by devising HIV/AIDS messages to potential blood Vote Overview 142 Uganda Blood Transfusion Service (UBTS) Ministerial Policy Statement Vote: 151 Uganda Blood Transfusion Service (UBTS) donors; testing all blood for HIV and other TTIs and post donor notification of all Issue of Concern : Transmission of HIV through unsafe blood transfusion Proposed Intervensions 1.
Educate all potential blood donors 2.

Predonation counseling and deferral of those at risk 3.

The laboratory testing of all blood for HIV and other TTIs in a quality controlled manner 4.

Post donation counseling of all donors and referral to AIDS support centres for all those that are infected Budget Allocations UGX billion Performance Indicators 1.

Number of donors that are deffered at pre donation counseling 2.
Number of blood units that are positive for HIV and other TTIs 3.

Number of donors refered to AIDS support centres (c) Environment Objective: Evironment friendly waste disposal Issue of Concern : To construct purpose built regional blood bank incinerators Proposed Intervensions -Budget allocated for discarding waste -Blood for discard is made safe by autoclaving and finaly incinerated.
Budget Allocations UGX billion 0.4 Performance Indicators Amount of waste discarded in an environment friendly manner (ii) Non Tax Revenue Collections Source of NTR UShs Bn Miscellaneous receipts/income Total: 2013/14 Actual 0.000 0.000 2014/15 Budget 0.057 0.057 2014/15 Prel Actual 0.000 0.000 2015/16 Projected 0.057 0.057 Actual collection of NTR depends on expected response of bidders to tenders.
Vote Overview 143 Mulago Hospital Complex Ministerial Policy Statement Vote: 161 Mulago Hospital Complex V1: Vote Overview (i) Vote Mission Statement To provide super specialized healthcare, training and conducting operational research in line with the requirements of Ministry of Health (ii) Summary of Past Performance and Medium Term Budget Allocations Table V1.1: Overview of Vote Expenditures (UShs Billion) (i) Excluding Arrears, Taxes Recurrent Development Wage Non Wage GoU Donor GoU Total Total GoU+Donor (MTEF) (ii) Arrears and Taxes Arrears Taxes** 2013/14 Outturn 18.533 12.492 4.818 0.000 35.793 35.793 0.400 0.050 2014/15 Approved Budget Rel.
by End Mar MTEF Budget Projections 2015/16 2016/17 2017/ N/A N/A N/A N/A N/A N/A Total Budget 36.243 42.967 33.919 46.810 (iii) Non Tax Revenue 1.395 8.000 1.903 7.000 7.000 7.500 Grand Total 37.638 50.967 35.822 53.810 N/A N/A Excluding Taxes, Arrears 37.188 46.135 30.990 46.635 The chart below shows total funding allocations to the Vote by Vote Function over the medium term: Chart V1.1: Medium Term Budget Projections by Vote Function (Excluding Taxes, Arrears) n o i l l i B s h s U 40 39.5 39 38.5 38 37.5 37 2014/15 Approved Budget Estimates 2015/16 Budget Projections 2016/17 Budget Projections Vote Overview 144 Mulago Hospital Complex Ministerial Policy Statement Vote: 161 Mulago Hospital Complex V2: Vote Performance for FY 2014/15 and Planned Outputs for FY 2015/16 This section describes past vote performance and planned Outputs, in terms of key vote outputs (i) Past Vote Outputs Preliminary 2014/15 Performance The hospital attended to 373,340 inpatients, 415,267 outpatients and 31,784 emergencies.
V3: Detailed Planned Outputs for FY 2015/16 2015/16 Planned Outputs It is anticipated that the following outputs will be achieved in FY 2015/16; 120,000 admissions, 600,000 inpatient days, 560,230 General outpatients , 38,791 emergencies , 136,000 specialised cases, 20,000 Ante natal attendances, 108,000 immunisations, 1,400,000 lab tests, 22,000 X- rays, 22,000 ultra sound scans, 35,000 plaster of Paris(POP) cases, 35,000 deliveries, 20,000 surgical operations, 90% bed occupancy rate, Average length of stay (ALOS) 5days 870,230 General outpatients , 60,791 emergencies , 245,000 specialised cases, 20,000 renal dialysis sessions, 25,000 Ante natal attendances, 8,400 Radiotherapy cases, 1,000 family planning attendances, 80,000 physiotherapy attendances and 2000 counselling & testing for HIV cases Table V3.1: Vote Function Profiles, Programme/Project Profiles and Workplan Outputs Vote Function: 08 54 National Referral Hospital Services Vote Function Profile Responsible Officer: EXECUTIVE DIRECTOR Services: Medical services Infectious diseases ( HIV,TB & Malaria),Testing & councilling,paliative care, and tropical medicine, Nuclear medicine, Gastroenterology(Endoscopy,colonoscopy) ,pulmonology(broncoscopy,lung function test),,Emergency Medicine(Intensive care Unit and life support, high dependency Unit) hepatology, Endocrinology, Neurology(EEG,Nerve Conduction tests), Nephrology ( Renal Dialysis), and Cardiology(Echo,ECG) Haematology (bone marrow aspirates, blood transfusions, cancer screening), Dermatology,
 Rheumatology.
Paediatrics Infectious diseases,Gastroenterology(Endoscopy,colonoscopy,cytology), Nutrition,congenital abnormalities,Immunisation,neonotology,incubation of prematures,pulmonology(broncoscopy,lung function test),,Emergency Medicine(Intensive care Unit and life support, high dependency Unit) hepatology, Endocrinology, and tropical medicine, Gastroenterology and hepatology, Endocrinology, Neurology, Nephrology, Sickle cell, and Cardiology), Obstetrics and Gynaecology (Gynaecological Oncology, Foetal and Neonatal Medicine, UroGynaecology , General Gynaecology, and Community Reproductive Health, Infertility Treatment, and Family Planning).
Surgical services (Breast and Endocrine surgery, Dental (Oral maxifacial), Ear Nose & Throat and Oral Surgery, Ophthalmic surgery, Urology, Neurology, Burns & Reconstruction, Colorectal, Hepatobiliary surgery, Cardiothoracic , Orthopaedic, and Paediatric surgeries).
Diagnostics & Specialized Laboratory Services (eg PSA, TSH, T4, T3, FSH, LH, Prolactin, Testosterone), Specialized Radiological services (eg Intravenous Urography, Hysterosalpingography, Mammography, Prostate screening, and CT Scan, Imaging, X-ray, Nuclear Medicine, CT Scan, MRI, Contrast Studies), Private Vote Overview 145 Mulago Hospital Complex Ministerial Policy Statement Vote: 161 Mulago Hospital Complex Vote Function: 08 54 National Referral Hospital Services Patients Services (PPS) (Clinical services encompass general and specialized medical, surgical, paediatric and obstetric/ gynecological services).
Vote Function Projects and Programmes: Project or Programme Name Recurrent Programmes 01 02 04 Development Projects Management Medical Services Internal Audit Department 0392 Mulago Hospital Complex Programme 01 Management Programme Profile Responsible Officer Assistant Commissioner Support Services Deputy Executive Director Principal Internal Auditor Executive Director Responsible Officer: Assistant Commissioner Support Services Objectives: - To strengthen management systems through administrative services.
Outputs: Infrastructure maintained, Meetings & Workshops held, Human resource welfare and duty facilitation provided, Improved patients welfare,Public relations and Customer care enhanced.

Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 54 05 Hospital Management and Support Services - National Referral Hospital Salaries & allowances paid.

Salaries & allowances paid.

Salaries & allowances paid.

Public relations & customer care enhanced.

Public relations & customer care enhanced.

Public relations & customer care enhanced.

Workshops & seminars organised.

Workshops & seminars organised.

Workshops & seminars organised.


Board meetings held.

Board meetings held.

Board meetings held.

Welfare & Entertainment activities held.

Welfare & Entertainment activities held.

Welfare & Entertainment activities held.

Patients food procured.

Patients food procured.

Patients food procured.

Stationery & Small Office equipment procured.

Stationery & Small Office equipment procured.

Stationery & Small Office equipment procured.


ISO certification for medical standards ISO certification for medical standards Total Wage Recurrent Non Wage Recurrent NTR 11,160,283 2,483,565 6,233,661 2,443,056 5,113,332 0 4,571,316 542,017 11,160,283 2,483,565 6,233,661 2,443,056 08 54 51 Research Grants - National Referral Hospital Transfers to Orthopaedic workshop to cater orthopaedic appliances.

Transfer to Orthopaedic workshop to cater orthopaedic appliances.
Transfers to Orthopaedic workshop to cater orthopaedic appliances.
Professional Associations and Third parties Professional Associations and Third parties Professional Associations and Third parties 08 54 99 Arrears Total Wage Recurrent Non Wage Recurrent Total Wage Recurrent Non Wage Recurrent 98,000 0 98,000 4,832,105 0 4,832,105 65,337 0 65,337 4,832,105 0 4,832,105 98,000 0 98,000 7,174,766 0 7,174,766 Vote Overview 146 Mulago Hospital Complex Ministerial Policy Statement Vote: 161 Mulago Hospital Complex Vote Function: 08 54 National Referral Hospital Services Programme 01 Management Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) GRAND TOTAL Wage Recurrent Non Wage Recurrent NTR 16,090,388 2,483,565 11,163,766 2,443,056 10,010,774 0 9,468,757 542,017 18,433,049 2,483,565 13,506,427 2,443,056 Vote Overview 147 Mulago Hospital Complex Ministerial Policy Statement Vote: 161 Mulago Hospital Complex Vote Function: 08 54 National Referral Hospital Services Programme 02 Medical Services Programme Profile Responsible Officer: Deputy Executive Director Objectives: To offer super- specialised health care services Outputs: In-patients , Out- patients & Specialised cases attended to.
laboratory investigations done, imaging services done, emergencies seen.

Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.

Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 54 01 Inpatient Services - National Referral Hospital 140,000 admissions.

91,971 admissions 120,000 admissions.

710,000 inpatient days.


373,340 inpatient days.

600,000 inpatient days.

32,000 deliveries 27,252 deliveries 28,000 deliveries 18,000 surgical operations.

11,388 surgical operations.

10,000 surgical operations.

85% bed occupancy rate Average length of stay (ALOS) 4day Train 4 nurses on kidney replacement & 2 nurses on hip replacement.
Maintenance of 15 Anaethetic machines,10 lifts,25 autoclaves,30 sterlization equipments,13 laundry equipments,8 operating microscopes' 8 ultrasounds,68 Air conditioners & 4 generators Maintenance of 15 Anaethetic machines,10 lifts,25 autoclaves,30 sterlization equipments,13 laundry equipments,8 operating microscopes' 8 ultrasounds,68 Air conditioners & 4 generators 85% bed occupancy rate Average length of stay (ALOS) 4day Maintenance of 15 Anaethetic machines,10 lifts,25 autoclaves,30 sterlization equipments,13 laundry equipments,8 operating microscopes' 8 ultrasounds,68 Air conditioners & 4 generators Total Wage Recurrent Non Wage Recurrent NTR 24,819,299 17,359,891 6,211,034 1,248,374 19,548,614 14,931,897 4,070,805 545,912 24,619,299 17,359,891 6,211,034 1,048,374 08 54 02 Outpatient Services - National Referral Hospital 860,230 General outpatients .
415267 General outpatients .

560,230 General outpatients .

46,471 emergencies 38,791 emergencies 58,791 emergencies 135,410 specialised cases.

236,000 specialised cases.

23,509 Ante natal attendance 18,000 renal dialysis sessions.

20,000 Ante natal attendances.

22,000 renal dialysis sessions.

26,000 Ante natal attendances.

150,000 immunisations 6,400 Radiotherapy cases.

1,200 family planning attendances.


Total Wage Recurrent Non Wage Recurrent NTR 2,380,407 0 416,000 1,964,407 314,170 0 310,360 3,810 2,380,407 0 416,000 1,964,407 08 54 03 Medical and Health Supplies Procured and Dispensed - National Referral Hospital Procure and dispense medicines and health supplies of worth 1.647bn for the private wing Medicines worth 0.671 bn procured for private wing.
Procure and dispense medicines and health supplies of worth 1.007bn for the private wing Vote Overview 148 Mulago Hospital Complex Ministerial Policy Statement Vote: 161 Mulago Hospital Complex Vote Function: 08 54 National Referral Hospital Services Programme 02 Medical Services Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Total 1,807,045 Wage Recurrent Non Wage Recurrent 0 0 NTR 1,807,045 671,478 0 0 671,478 1,007,045 0 0 1,007,045 08 54 04 Diagnostic Services - National Referral Hospital 1,600,000 lab samples tested.

1,510,208 lab samples tested.

1,400,000 lab samples tested.

26,000 x-rays done 28,427 x-rays done 22,000 x-rays done 4,200 C.T.

Scans done 2,702 C.T.

Scans done 3,200 C.T.


Scans done 32,000 Ultrasound scans 20,118 Ultrasound scans 22,000 Ultrasound scans 620 Nuclear medicine investigations.

1,920 ECGs 1,960 Echos 620 Nuclear medicine investigations.
Total Wage Recurrent Non Wage Recurrent NTR 179,491 0 142,373 37,118 171,611 0 134,493 37,118 08 54 07 Immunisation Services 150,000 immunisations 101,472 immunisations 108,000 immunisations 179,491 0 142,373 37,118 30,000 0 30,000 Transfer to Burns and plastic unit 1,500,000 0 1,500,000 29,716,242 17,359,891 8,299,407 4,056,944 Total Wage Recurrent Non Wage Recurrent 08 54 51 Research Grants - National Referral Hospital Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent NTR 30,000 0 30,000 0 0 0 29,216,242 17,359,891 6,799,407 5,056,944 2,400 0 2,400 0 0 0 20,708,274 14,931,897 4,518,058 1,258,319 Programme 03 Common Services Programme Profile Responsible Officer: Assistant Commissioner Support Services Objectives: To improve the functionality of support services Outputs: Common services provided Vote Overview 149 Mulago Hospital Complex Ministerial Policy Statement Vote: 161 Mulago Hospital Complex Vote Function: 08 54 National Referral Hospital Services Programme 04 Internal Audit Department Programme Profile Responsible Officer: Principal Internal Auditor Objectives: To ensure Internal Controls are in place and ensure value for money.
Outputs: Effectiveness and Efficiency of operations, Reliability of financial reporting, Compliance to Laws and Regulations.

Corporate governance guidelines are adhered to.

Risk management procedures enhanced, Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 54 05 Hospital Management and Support Services - National Referral Hospital Quarterly reports on Effectiveness and Efficiency of operations.

Quarterly report on Effectiveness and Efficiency of operations.

Quarterly reports on Effectiveness and Efficiency of operations.

Quarterly reports on reliability of financial reporting.

Quarterly report on reliability of financial reporting.
Quarterly reports on reliability of financial reporting.
Quarterly risk management reports Quarterly risk management report Quarterly risk management reports Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 140,412 40,912 99,500 140,412 40,912 99,500 70,770 0 70,770 70,770 0 70,770 140,412 40,912 99,500 140,412 40,912 99,500 Vote Overview 150 Mulago Hospital Complex Ministerial Policy Statement Vote: 161 Mulago Hospital Complex Vote Function: 08 54 National Referral Hospital Services Project 0392 Mulago Hospital Complex Project Profile Responsible Officer: Executive Director Objectives: To provide staff accommodation and improve patient's welfare.
Outputs: 100 housing Units constructed (first phase) Start Date: 7/1/2013 Projected End Date: 6/30/2015 Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 54 72 Government Buildings and Administrative Infrastructure Development of business centre Upgrading of the guest house continued Development of business centre through expansion of the guest house as well as garden beautification Total GoU Development External Financing NTR 500,000 0 0 500,000 102,680 0 0 102,680 500,000 0 0 500,000 08 54 82 Staff houses construction and rehabilitation Construction of 100 staff houses started in FY 2012/13 to be continued.
Construction of 100 staff houses continued(fourth slub phase) Construction of 100 staff houses started in FY 2012/13 to be completed by 2016.
Total GoU Development External Financing GRAND TOTAL GoU Development External Financing NTR 5,020,000 5,020,000 0 5,520,000 5,020,000 0 500,000 4,551,600 4,551,600 0 4,654,280 4,551,600 0 102,680 5,020,000 5,020,000 0 5,520,000 5,020,000 0 500,000 Project 1187 Support to Mulago Hospital Rehabilitation Project Profile Responsible Officer: Executive Director Objectives: Improvement of health services at Mulago Hospital & KCC,Improvement of refferal & counter referral system.
Outputs: HSSP III goal of reducing morbidity and mortality from major causes of burden would be achieved.

Start Date: 1/10/2012 Projected End Date: 6/30/2015 Table V3.2: Past and Medum Term Key Vote Output Indicators* Vote Function Key Output Indicators and Costs: 2013/14 Outturn 2014/15 Approved Plan Releases Prel.

Actual MTEF Projections 2015/16 2016/17 2017/18 Vote: 161 Mulago Hospital Complex Vote Function:0854 National Referral Hospital Services No.

of laboratory tests carried out No.


of in-patients (Admissions) N/A N/A N/A N/A No info No info 1,400,000 120,000 1,400,000 120,000 1,600,000 140,000 Vote Overview 151 Mulago Hospital Complex Ministerial Policy Statement Vote: 161 Mulago Hospital Complex Vote Function Key Output Indicators and Costs: No of specialised outpatient cases attended to.

Vote Function Cost (UShs bn) VF Cost Excluding Ext.
Fin Cost of Vote Services (UShs Bn) * Excluding Taxes and Arrears 2013/14 Outturn 2014/15 Approved Plan Releases Prel.

Actual MTEF Projections 2015/16 2016/17 2017/18 N/A 236,000 135410 136,000 136,000 180,000 35.793 35.793 35.793 35.793 46.135 46.135 46.135 46.135 30.990 30.990 30.990 30.990 46.635 46.635 Medium Term Plans The hospital has continued to invest in staff houses .

Service contracts are to be secured and non serviceable equipments to be decommisioned and boarded off.
(i) Measures to improve Efficiency Frame work contracts will be signed to eliminate procurement delays and ensure timely maintenance of the medical equipments.
Table V3.3: Key Unit Costs of Services Provided and Services Funded (Shs '000) Unit Cost Description Proposed 2015/16 Planned 2014/15 Actual 2014/15 Actual 2013/14 Costing Assumptions and Reasons for any Changes and Variations from Plan Vote Function:0854 National Referral Hospital Services 10,587 11,162 Maintenance of Medical equipments 10,783 10,587 There will be no inflation and the unit cost will remain stable to cater for the new sophisticated medical equipments e.g patient monitors, CT Scan , theatre operating machines and Oxygen Plant.
Food for Patients 2 3 3 3 There will be no inflation and the unit cost will remain stable at 3,000/= a day to cater for all the three meals.

Vote Overview 152 Mulago Hospital Complex Ministerial Policy Statement Vote: 161 Mulago Hospital Complex (ii) Vote Investment Plans There is a shortage of staff accommodation for critical staff working in casualty, intensive care unit, labour suite, operating theatres.

Therefore the construction of 200 units will improve staff performance and efficiency.
Table V3.4: Allocations by Class of Output over the Medium Term Billion Uganda Shillings 2014/15 2015/16 2016/17 2017/18 2014/15 2015/16 2016/17 2017/18 (i) Allocation (Shs Bn) (ii) % Vote Budget Consumption Expendture(Outputs Provided) Grants and Subsidies (Outputs Funded) Investment (Capital Purchases) Grand Total Table V3.5: Major Capital Investments (Outputs of class Capital Purchases over 0.5Billion) 2014/15 2015/16 Project, Programme Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditures and Outputs by End March (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Vote Function: 08 54 National Referral Hospital Services Project 0392 Mulago Hospital Complex 08 54 82 Staff houses construction and rehabilitation Construction of 100 staff houses started in FY 2012/13 to be continued.
Construction of 100 staff houses continued(fourth slub phase) Construction of 100 staff houses started in FY 2012/13 to be completed by 2016.
Total GoU Development External Financingt 5,020,000 5,020,000 0 4,551,600 4,551,600 0 5,020,000 5,020,000 0 (iii) Priority Vote Actions to Improve Sector Performance Framework contracts have been signed to ensure timely maintenance of equipment & delivery of supplies Table V3.6: Vote Actions to Improve Sector Performance 2014/15 Planned Actions: 2015/16 Planned Actions: 2014/15 Actual Actions: MT Strategy: Sector Outcome 1: Increased deliveries in health facilities Vote Function: 08 54 National Referral Hospital Services VF Performance Issue: lobby for additional funding Inadequate budget for staff welfare Lobbying is continuous lobby for additional funding Enhance NTR collections Yashoda Hospital in india was visited to benchmark best practices.
The hospital shall continue to lobby Government and other partners for procurement of medical equipment.

The sector will also explore modalities for partnering with the private sector in the area of equipment under the PPP modality..

Inadequate budget for Specialized Medical supplies (renal dialysis, radionucleides,spect gama camera ) The hospital shall continue to lobby Government and other partners for procurement of medical equipment.
The sector will also explore modalities for partnering with the private sector in the area of equipment under the PPP modality.. VF Performance Issue: The hospital shall continue to lobby Government and other partners for procurement of medical equipment.

The sector will also explore modalities for partnering with the private sector in the area of equipment under the PPP modality.
VF Performance Issue: Submit the vacancies to Health Service for recruitment V4: Proposed Budget Allocations for 2015/16 and the Medium Term This section sets out the proposed vote budget allocations for 2016/17 and the medium term, including major areas of expenditures and any notable changes in allocations.
Table V4.1: Past Outturns and Medium Term Projections by Vote Function* Deploying more SHOs to the grealty affected departments Submit recruitment plans to Health service commission Inadequate number of staff for superspecialized services Recruitment plan submitted * Excluding Taxes and Arrears Vote: 161 Mulago Hospital Complex 0854 National Referral Hospital Services Total for Vote: 2014/15 MTEF Budget Projections 2013/14 Outturn Appr.
Budget Releases End Mar 2015/16 2016/17 2017/18 35.793 46.135 30.990 46.635 49.209 196.846 35.793 46.135 30.990 46.635 7.000 196.846 Vote Overview 153 Mulago Hospital Complex Ministerial Policy Statement Vote: 161 Mulago Hospital Complex (i) The Total Budget over the Medium Term The Proposed total budget for the FY 2015-16 is 46.8 billion shillings.
(ii) The major expenditure allocations in the Vote for 2015/16 The major vote expediture is on salaries UGX 19.4 Bn,Utilities shs 2.986 Bn,Maintenance of Medical equipment shs 2,23 Bn, Staff Allowances shs 1,37 Bn,Staff houses 5.02 Bn.
(iii) The major planned changes in resource allocations within the Vote for 2015/16 The major planned changes in resource allocation were on drugs and supplies for Private services Table V4.2: Key Changes in Vote Resource Allocation Table V4.3: 2014/15 and 2015/16 Budget Allocations by Item Million Uganda Shillings GoU Ext.

Fin AIA Total GoU Ext.

Fin AIA Total 2014/15 Approved Budget 2015/16 Draft Estimates Output Class: Outputs Provided 211101 General Staff Salaries 211102 Contract Staff Salaries (Incl.
Casuals, Temp 211103 Allowances 213001 Medical expenses (To employees) 213002 Incapacity, death benefits and funeral expen 221001 Advertising and Public Relations 221002 Workshops and Seminars 221003 Staff Training 221006 Commissions and related charges 221007 Books, Periodicals & Newspapers 221008 Computer supplies and Information Technol 221009 Welfare and Entertainment 33,016.9 19,884.4 0.0 1,697.9 197.7 140.0 112.5 83.2 267.1 23.2 12.7 50.0 123.2 221010 Special Meals and Drinks 1,985.4 221011 Printing, Stationery, Photocopying and Bind 158.0 221012 Small Office Equipment 221016 IFMS Recurrent costs 221020 IPPS Recurrent Costs 222001 Telecommunications 222002 Postage and Courier 222003 Information and communications technolog 223003 Rent – (Produced Assets) to private entities 223004 Guard and Security services 223005 Electricity 223006 Water 223007 Other Utilities- (fuel, gas, firewood, charcoa 224001 Medical and Agricultural supplies 224004 Cleaning and Sanitation 224005 Uniforms, Beddings and Protective Gear 225001 Consultancy Services- Short term 227001 Travel inland 227002 Travel abroad 227004 Fuel, Lubricants and Oils 228001 Maintenance - Civil 228002 Maintenance - Vehicles 32.4 30.0 25.0 120.0 10.0 56.4 100.0 178.7 1,909.1 1,077.0 26.3 0.0 446.0 112.9 150.0 277.6 250.1 353.9 675.2 169.2 228003 Maintenance – Machinery, Equipment & Fu 2,117.5 228004 Maintenance – Other 273102 Incapacity, death benefits and funeral expen Output Class: Outputs Funded 263106 Other Current grants (Current) Output Class:
 Capital Purchases 231001 Non Residential buildings (Depreciation) 231002 Residential buildings (Depreciation) Output Class: Arrears 321612 Water arrears(Budgeting) 0.0
Vote Overview 154 Mulago Hospital Complex Ministerial Policy Statement Vote: 161 Mulago Hospital Complex 2014/15 Approved Budget
 2015/16 Draft Estimates Million Uganda Shillings GoU Ext.
Fin 321614 Electricity arrears (Budgeting) Grand Total: Total Excluding Taxes, Arrears and AIA ***where AIA is Appropriation in Aid 103.0 42,967.0 38,134.9 0.0 0.0 0.0 AIA 0.0 Total GoU Ext.
Fin AIA Total 103.0 2,444.8 8,000.0 0.0 50,967.0 38,134.9 46,809.7 39,634.9 0.0 0.0 0.0 0.0 2,444.8 7,000.0 0.0 53,809.7 39,634.9 V5: Vote Cross-Cutting Policy and Other Budgetary Issues This section discusses how the vote's plans will address and respond to the cross-cutting policy, issues of gender and equity; HIV/AIDS; and the Environment, and other budgetary issues such as Arrears and NTR.. (i) Cross-cutting Policy Issues (a) Gender and Equity Objective: Issue of Concern : Equal access to health services Long waiting time to receive a service Proposed Intervensions Recruitment of more midwives and maintenance of medical equipments Budget Allocations UGX billion 2.23 Performance Indicators Maternal mortality rate (b) HIV/AIDS Objective: Prevention through increased awareness Issue of Concern : limited awareness among the youth Proposed Intervensions Sensitize both the parents and youth a bout the ABC formula Budget Allocations UGX billion 0.1 Performance Indicators HIV prevalence rate Objective: Improvement in testing and counselling services Issue of Concern : Increased HIV prevalence Proposed Intervensions Encourage every patient to test and counsel those who are positive to seek for early treatment.
Budget Allocations UGX billion 0.1 Performance Indicators HIV Prevalence rate (c) Environment Objective: Promotion of hygiene through cleaning contract Issue of Concern : Cleaniless of the Hospital as well as proper waste disposal Proposed Intervensions Awarding of a cleaning contract and proper treating of the waste to avoid damage to the enviroment.

Budget Allocations UGX billion 0.466 Performance Indicators cleaniliness of the wards,theatres and conveniences.
Vote Overview 155 Mulago Hospital Complex Ministerial Policy Statement Vote: 161 Mulago Hospital Complex (ii) Non Tax Revenue Collections Source of NTR UShs Bn Sale of drugs Sale of drugs Other Fees and Charges Other Fees and Charges 2013/14 Actual 0.000 0.000 Total: 0.000 2014/15 Budget 0.700 7.300 8.000 2014/15 Prel Actual 0.000 0.000 0.000 2015/16 Projected 0.500 0.200 6.500 6.000 13.200 The forecast levels have been reduced because the ongoing renovations have disrupted most of the businesses.However 90% of NTR is injected back as operation funds to cater for drugs,sundries,contract salaries & consultants' fees.The remaining 10% of NTR is what supplements the budget to cater for underfunded items like stationery,maintenance civil,Training and allowances.
Vote Overview 156 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) Summary of Past Performance and Medium Term Budget Allocations Table V1.1: Overview of Vote Expenditures (UShs Billion) (i) Excluding Arrears, Taxes 2013/14 Outturn Approved Budget Rel.
by End Mar 2014/15 Recurrent Development Wage Non Wage GoU Donor GoU Total Total GoU+Donor (MTEF) (ii) Arrears and Taxes Arrears Taxes** Total Budget (iii) Non Tax Revenue Grand Total Excluding Taxes, Arrears MTEF Budget Projections 2015/16 2016/17 2017/18 3.699 3.601 1.808 0.000 9.108 9.108 0.000 0.056 9.164 0.500 9.664 9.608 3.884 3.889 2.013 0.000 9.786 9.786 N/A N/A N/A 0.600 N/A 10.386 4.078 0.000 2.818 0.000 6.896 6.896 N/A N/A N/A 0.700 N/A 7.596 The chart below shows total funding allocations to the Vote by Vote Function over the medium term: Chart V1.1: Medium Term Budget Projections by Vote Function (Excluding Taxes, Arrears) n o i l l i B s h s U 10 9.8 9.6 9.4 9.2 9 8.8 8. 2014/15 Approved Budget Estimates 2015/16 Budget Projections 2016/17 Budget Projections Vote Overview 157 Butabika Hospital Ministerial Policy Statement Vote: 162 Butabika Hospital V2: Vote Performance for FY 2014/15 and Planned Outputs for FY 2015/16 This section describes past vote performance and planned Outputs, in terms of key vote outputs (i) Past Vote Outputs Preliminary 2014/15 Performance Salaries and allowances paid.
Utilities paid.

Hospital infrastructure and grounds maintained.

Vehicles, machinery and equipment maintained.

Staff trained.

7,000 patients admitted.28, 000 investigations conducted in the lab, 2,500 in x-ray and 2,000 in ultrasound.
All inpatients provided with 3 meals a day, uniforms and beddings, purchase station wagon, purchace of assorted furniture, purhase of assorted medical equipments, purhase of a photocopier and expansion on the private wing V3: Detailed Planned Outputs for FY 2015/16 2015/16 Planned Outputs Clinical;28,000 mental (Mental Health clinic, Child Mental Health Clinic, Alcohol and Drug Clinic, Trauma unit) and 40,000 Medical (general, Dental, Orthopedic, Immunization, Family planning, HIV/AIDS, TB,STD, Eye clinic, Theatre/minor) outpatients attended to 60 outreach clinics conducted, 3200 patients seen, 20 visits to regional mental units, and 900 patients resettled 2,000 Children immunized Mental Health Research conducted.
Capital development Expansion on the private wing, Purchase of a photocopier, purchase, Assorted medical equipments and furniture and purchase computers Table V3.1: Vote Function Profiles, Programme/Project Profiles and Workplan Outputs Vote Function: 08 55 Provision of Specialised Mental Health Services Vote Function Profile Responsible Officer: Accounting Officer Services: Provision of specialised curative and rehabilitative mental health services together with the associated research and training Vote Function Projects and Programmes: Project or Programme Name Recurrent Programmes 01 02 Development Projects Management Internal Audit Section Responsible Officer Accounting Officer Accounting Officer 0911 Butabika and health cente remodelling/construction Accounting Officer Programme 01 Management Programme Profile Responsible Officer: Accounting Officer Objectives: • Provide Specialized Curative, preventive and Rehabilitative mental health services in the Country.
• Undertake and Support mental Health Related Research.

• Carry out and Support Training in Mental Health.

• Provide Outreach and Mental Health Support Supervision to Kampala District and Mental units at the Regional Referral Hospitals.
• Provide PHC Services to the surrounding communities • Provide advice to GoU on Mental health Related Policies • Provide Advocacy for Mental Health Vote Overview 158 Butabika Hospital Ministerial Policy Statement Vote: 162 Butabika Hospital Vote Function: 08 55 Provision of Specialised Mental Health Services Programme 01 Management Outputs: Principal Activities Provision of specialized curative and rehabilitative mental health services together with the associated research, training and advocacy.
Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.

Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 55 01 salaries and allowances paid.Utilities paid.Hospital infrastructure and grounds maintained.Vehicles, machinery and equipment maintained.Staff trained.
Total Wage Recurrent Non Wage Recurrent NTR 5,532,534 3,688,263 1,656,442 187,830 Payment of salaries and allowances (consolidated allowances of 2 nights per staff), newspapers, stationery (printed and general office stationery), telecommunication services, firewood, fuel, cleaning and fumigation services, food for patients (routine supplies, special diet), non-medical sundries, firewood/briquettes services.

Carried out routine repairs and maintenance of buildings, motor vehicles, machinery and equipments.
3,374,990 2,123,041 1,125,969 125,980 Salaries and allowances paid.

Utilities paid.

Hospital infrastructure and grounds maintained.

Vehicles, machinery and equipment maintained.

Staff trained.

5,659,704 3,688,263 1,611,442 360,000 08 55 02 Mental Health inpatient Services Provided 6,800 patients admitted.27, 000 investigations conducted in the lab, 1,000 in x-ray and 1,200 in ultrasound.
All inpatients provided with 3 meals a day, uniforms and beddings 5,358 patients admitted.14,407 investigations conducted in the lab, 780 in x-ray and 825 in ultrasound.

All inpatients provided with 3 meals a day, uniforms and beddings 7,000 patients admitted.28, 000 investigations conducted in the lab, 2,500 in x-ray and 2,000 in ultrasound.
All inpatients provided with 3 meals a day, uniforms and beddings Total Wage Recurrent Non Wage Recurrent NTR 1,907,495 0 1,595,325 312,170 1,404,512 0 1,179,672 224,840 1,785,325 0 1,645,325 140,000 08 55 03 Long Term Planning for Mental Health Mental Health Research conducted.
(2 Short term research undertakings) Dissemination of research findings for the first research was carried out and one research on health seeking for epilepsy among patients at Butabika Hospital was conducted Mental Health Research conducted.
(2 Short term research undertakings) Total Wage Recurrent Non Wage Recurrent 40,000 0 40,000 29,078 0 29,078 40,000 0 40,000 08 55 04 Specialised Outpatient and PHC Services Provided 27,000 mental (Mental Health clinic, Child Mental Health Clinic, Alcohol and Drug Clinic, Trauma unit) and 40,000 Medical (general, Dental, Orthopedic, Family planning, HIV/AIDS, TB,STD, Eye clinic, Theatre/minor) outpatients attended to 19,663 Mental outpatients were treated in the mental health clinic, child health mental clinic, alcohol drug unit and trauma, 20,686 out patients treated in the general OPD clinics i.e.
General, Dental, Orthopedics, Family planning, Minor surgery, HIV/AIDS, Eye, TB and STD 28,000 mental (Mental Health clinic, Child Mental Health Clinic, Alcohol and Drug Clinic, Trauma unit) and 40,000 Medical (general, Dental, Orthopedic, Immunization, Family planning, HIV/AIDS, TB,STD, Eye clinic, Theatre/minor) outpatients attended to Total Wage Recurrent Non Wage Recurrent 108,568 0 108,568 77,787 0 77,787 108,568 0 108,568 08 55 05 Community Mental Health Services and Technical Supervision 60 outreach clinics conducted, 3200 patients seen, 20 visits to regional mental units, and 900 patients resettled 45 outreach clinics were conducted, 2007 patients seen in outreach clinics .
16 visits to regional mental units 60 outreach clinics conducted, 3200 patients seen, 20 visits to regional mental units, and 900 patients resettled Vote Overview 159 Butabika Hospital Ministerial Policy Statement Vote: 162 Butabika Hospital Vote Function: 08 55 Provision of Specialised Mental Health Services Programme 01 Management Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 449 resettled up-country 209 resettled in kampala/wakiso Total Wage Recurrent Non Wage Recurrent 190,699 0 190,699 142,275 0 142,275 180,699 0 180,699 08 55 06 Immunisation Services Immunisations conducted 1,085 immunised 2,000 Children immunised Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent NTR 5,000 0 5,000 7,784,297 3,688,263 3,596,034 500,000 2,922 0 2,922 5,031,565 2,123,041 2,557,704 350,820 10,000 0 10,000 7,784,297 3,688,263 3,596,034 500,000 Programme 02 Internal Audit Section Programme Profile Responsible Officer: Accounting Officer Objectives: To appraise the soundness and application of accounting, financial and operational controls.
Reviewing and reporting on the proper controls over receipt custody and utilisation of both financial and other resources of the Organisation.

Outputs: Provision of periodic reports on control systems,annual reporting on conformity of financial and operational procedures Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 55 01 Performance of controls in place Monitored, conformity of procurement and financial regulations Monitored Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 15,473 10,476 4,998 15,473 10,476 4,998 Performance of controls in place Monitored, conformity of procurement and financial regulations Monitored Quarterly report prepared, Verifcation of domestic arrears, Review of finanacial statements, Audit of human resource management,payroll audit,review of A.I.A(NTR) returns, Review of Procurements, Stores Audit, Review of systems payments.
41,145 4,984 36,161 41,145 4,984 36,161 15,473 10,476 4,998 15,473 10,476 4,998 Vote Overview 160 Butabika Hospital Ministerial Policy Statement Vote: 162 Butabika Hospital Vote Function: 08 55 Provision of Specialised Mental Health Services Project 0911 Butabika and health cente remodelling/construction Project Profile Responsible Officer: Accounting Officer Objectives: To provide for additional stock of hospital infrastructure To cater for depreciation of hospital infrastructure Replacement of furnishings and fittings and general maintenance of hospital equipment To continuously sustain mental health service delivery Outputs: Staff houses construction and rehabilitation Hospital Construction and Rehabilitation Purchase of office and Residential Furniture and Fittings.
Purchase of Specialized Machinery and Equipment Purchase of Office and ICT Equipment Purchase of Moto Vehicles and other Transport Equipment Start Date: 7/1/2014 Projected End Date: 6/30/2015 Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 55 75 Purchase of Motor Vehicles and Other Transport Equipment A 30 seater bus purchased Awaiting delivery A station wagon purchased Total GoU Development External Financing 408,375 408,375 0 0 0 0 08 55 76 Purchase of Office and ICT Equipment, including Software PABX- intercom and computers purchased 5 computers procured PABX being installed Computers purchased Total GoU Development External Financing 82,500 82,500 0 17,086 17,086 0 265,840 265,840 0 20,000 20,000 0 08 55 77 Purchase of Specialised Machinery & Equipment Laundry Machine, Heavy duty utensils, Photocopier and assorted medical equipment purchased.


Heavy duty utensils purhased Wheel chairs, Ward screens,Trolleys delivered and payment made.

Electyte analyser awaiting delivery.

Laundry machine delivered awaing payment.
Photocopier procurement initiated Total GoU Development External Financing 255,550 255,550 0 50,799 50,799 0 70,000 70,000 0 08 55 78 Purchase of Office and Residential Furniture and Fittings Office furniture and fittings purchased Procurement on going awaiting Contracts Committee approval Office furniture and fittings purchased Total GoU Development External Financing 30,000 30,000 0 623 623 0 8,141 8,141 0 08 55 80 Hospital Construction/rehabilitation Kitchen stoves constructed.Construction of OPD shade and concrete seats Construction of kitchen stoves completed.
Construction of OPD shade complete awaiting release of funds in quarter 4 Expansion on the private ward Total GoU Development 100,393 100,393 16,000 16,000 1,500,000 1,500,000 Vote Overview 161 Butabika Hospital Ministerial Policy Statement Vote: 162 Butabika Hospital Vote Function: 08 55 Provision of Specialised Mental Health Services Project 0911 Butabika and health cente remodelling/construction Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) External Financing GRAND TOTAL GoU Development External Financing 0 876,818 876,818 0 0 84,508 84,508 0 0 1,863,981 1,863,981 0 Table V3.2: Past and Medum Term Key Vote Output Indicators* Vote Function Key Output Indicators and Costs: 2013/14 Outturn 2014/15 Approved Plan Releases Prel.
Actual MTEF Projections 2015/16 2016/17 2017/18 Vote: 162 Butabika Hospital Vote Function:0855 Provision of Specialised Mental Health Services No.

of out-patients in specialized clinics Vote Function Cost (UShs bn) VF Cost Excluding Ext.
Fin Cost of Vote Services (UShs Bn) N/A N/A 8.306 8.306 8.306 8.306 9.608 9.608 9.608 9.608 No info 40,000 5,000 6.732 6.732 6.732 6.732 9.608 10.386 7.596 9.608 10.386 7.596 * Excluding Taxes and Arrears 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, Provision of Technical support supervision, Research and Advocacy in the Mental Health and construction of more staff houses.
(i) Measures to improve Efficiency Proper adherence to Government rules and regulations.Activities undertaken as per work plans and expenditures incured for the intended purposes to achieve hospital objectives.
Table V3.3: Key Unit Costs of Services Provided and Services Funded (Shs '000) Unit Cost Description Proposed 2015/16 Planned 2014/15 Actual 2014/15 Actual 2013/14 Costing Assumptions and Reasons for any Changes and Variations from Plan Vote Function:0855 Provision of Specialised Mental Health Services Uniforms/ cost per roll one unit of staff house Meal per patient per day Expansion on the private wing Briquettes per Kg 361 83,954 3 1 Remittance of funds to the institution.
inflation rates manageable Remittance of funds to the institution.

inflation rates manageable.

3 assumed 3 meals per day annually, Increase in the Number Of Patients managable, inflation managed within a given range so as not to over reduce the purchasing power.

1,500,000 Remittance of funds to the institution.

inflation rates manageable.


0 Remittance of funds to the institution and manageable inflation rates The variance in allocation is due to a reduction in cost per KG 3 0 Vote Overview 162 Butabika Hospital Ministerial Policy Statement Vote: 162 Butabika Hospital (ii) Vote Investment Plans The demand for private services has increased and this will increase on the Non Tax Revenue collection to supplement the hospital`s underfunded/unfunded priorities.
Table V3.4: Allocations by Class of Output over the Medium Term Billion Uganda Shillings 2014/15 2015/16 2016/17 2017/18 2014/15 2015/16 2016/17 2017/18 Consumption Expendture(Outputs Provided) Investment (Capital Purchases) Grand Total 7.8 1.8 9.6 7.8 1.8 9.6 5.5 4.9 10.4 3.8 3.8 7.6 81.2% 81.2% 53.2% 49.9% 18.8% 18.8% 46.8% 50.1% 100.0% 100.0% 100.0% 100.0% (i) Allocation (Shs Bn) (ii) % Vote Budget Table V3.5: Major Capital Investments (Outputs of class Capital Purchases over 0.5Billion) 2014/15 2015/16 Project, Programme Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditures and Outputs by End March (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Vote Function: 08 55 Provision of Specialised Mental Health Services Project 0911 Butabika and health cente remodelling/construction 08 55 80 Hospital Construction/rehabili tation Kitchen stoves constructed.Construction of OPD shade and concrete seats Construction of kitchen stoves completed.
Construction of OPD shade complete awaiting release of funds in quarter 4 Expansion on the private ward Total GoU Development External Financingt 100,393 100,393 0 16,000 16,000 0 1,500,000 1,500,000 0 (iii) Priority Vote Actions to Improve Sector Performance Patient`s welfare( Food, Uniforms, Beddings); Maintenance of Medical Equipment and Hospital Infrastructure; Outreach and Community Services; expansion of the private wing Table V3.6: Vote Actions to Improve Sector Performance 2014/15 Planned Actions: 2015/16 Planned Actions: 2014/15 Actual Actions: MT Strategy: Sector Outcome 1: Increased deliveries in health facilities Vote Function: 08 55 Provision of Specialised Mental Health Services VF Performance Issue: Increase technical support supervision to mental units in referral hospital to at least 2 visits per RRH per a year.
Inadequate technical support supervision to the Mental Units at the Regional Referral Hospitals 11 regional referral hospitals were supported Specialist teams will undertake support supervision in all the 14 Regional referral hospitals at least 2 time a year.

Contribute to national building through the provision of mental health services to the communities to ensure peoples physical and mental wellbeing.
V4: Proposed Budget Allocations for 2015/16 and the Medium Term This section sets out the proposed vote budget allocations for 2016/17 and the medium term, including major areas of expenditures and any notable changes in allocations.

Table V4.1: Past Outturns and Medium Term Projections by Vote Function* * Excluding Taxes and Arrears Vote: 162 Butabika Hospital 0855 Provision of Specialised Mental Health Services Total for Vote: 2014/15 MTEF Budget Projections 2013/14 Outturn Appr.
Budget Releases End Mar 2015/16 2016/17 2017/18 8.306 8.306 9.608 9.608 6.732 6.732 9.608 9.608 10.386 10.386 7.596 7.596 (i) The Total Budget over the Medium Term There were no major changes in resource allocation from last financial year.

(ii) The major expenditure allocations in the Vote for 2015/16 Patient`s welfare( Food, Uniforms, Beddings); Maintenance of Medical Equipment and Hospital Infrastructure; Outreach and Community Services; construction of staff houses.
(iii) The major planned changes in resource allocations within the Vote for 2015/16 Vote Overview 163 Butabika Hospital Ministerial Policy Statement Vote: 162 Butabika Hospital There no major changes other than expanding on the private wing which will improve on service delivery and increase on the hospital`s resources Table V4.2: Key Changes in Vote Resource Allocation Changes in Budget Allocations and Outputs in 2015/16 from 2014/15 Planned Levels: Justification for proposed Changes in Expenditure and Outputs Vote Function:0876 Provision of Specialised Mental Health Services Output: UShs Bn: 76 Purchase of Office and ICT Equipment, including Software -0.063 0855 Output: UShs Bn: station wagon Output: UShs Bn: 0855 77 Purchase of Specialised Machinery & Equipment -0.141 The priority this FY is purchase of a station wagon for the Executive Director compared to last years priority of a staff bus thus reducing the esimated cost.
0855 78 Purchase of Office and Residential Furniture and Fittings -0.022 0855 1.400 80 Hospital Construction/rehabilitation Output: UShs Bn: More patients will be accomodated in the private section as a result of the expansion reducing the ever increasing demand for private accomodation/serives Output: 0855 UShs Bn: 82 Staff houses construction and rehabilitation -1.104 The funds were allocated towards the expansion of the private wing to accommodate the high demand for mental services.
Staff houses have been completed this FY 2014/15.

The funds were therefore reallocated towards the expansion of the private wing to accommodate the high demand for mental services.

Table V4.3: 2014/15 and 2015/16 Budget Allocations by Item Million Uganda Shillings GoU Ext.

Fin AIA Total GoU Ext.
Fin AIA Total 2014/15 Approved Budget 2015/16 Draft Estimates Output Class: Outputs Provided 211101 General Staff Salaries 211103 Allowances 213001 Medical expenses (To employees) 213002 Incapacity, death benefits and funeral expen 221001 Advertising and Public Relations 221002 Workshops and Seminars 221003 Staff Training 221006 Commissions and related charges 221007 Books, Periodicals & Newspapers 221008 Computer supplies and Information Technol 221009 Welfare and Entertainment 221010 Special Meals and Drinks 221011 Printing, Stationery, Photocopying and Bind 221012 Small Office Equipment 221014 Bank Charges and other Bank related costs 221016 IFMS Recurrent costs 221017 Subscriptions 222001 Telecommunications 222003 Information and communications technolog 223004 Guard and Security services 223005 Electricity 223006 Water 223007 Other Utilities- (fuel, gas, firewood, charcoa 224001 Medical and Agricultural supplies 224004 Cleaning and Sanitation 224005 Uniforms, Beddings and Protective Gear 227001 Travel inland 227002 Travel abroad 227004 Fuel, Lubricants and Oils 228001 Maintenance - Civil 20.8
Vote Overview 164 Butabika Hospital Ministerial Policy Statement Vote: 162 Butabika Hospital 2014/15 Approved Budget 2015/16 Draft Estimates GoU Ext.
Fin AIA Million Uganda Shillings GoU Ext.
Fin 228002 Maintenance - Vehicles 228003 Maintenance – Machinery, Equipment & Fu 228004 Maintenance – Other Output Class: Capital Purchases 231001 Non Residential buildings (Depreciation) 231002 Residential buildings (Depreciation) 231004 Transport equipment 231005 Machinery and equipment 231006 Furniture and fittings (Depreciation) 281504 Monitoring, Supervision & Appraisal of cap 312204 Taxes on Machinery, Furniture & Vehicles Output Class: Arrears 321614 Electricity arrears (Budgeting) Grand Total: Total Excluding Taxes, Arrears and AIA ***where AIA is Appropriation in Aid AIA 0.0 20.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Total 100.0 197.9 232.1 1,981.3 100.4 1,079.4 280.0 293.3 30.0 25.0 173.1 4.1 4.1 100.0 177.9 196.8 1,864.0 1,500.0 0.0 210.0 90.0 8.1 0.0 55.8 0.0 0.0 Total V5: Vote Cross-Cutting Policy and Other Budgetary Issues This section discusses how the vote's plans will address and respond to the cross-cutting policy, issues of gender and equity; HIV/AIDS; and the Environment, and other budgetary issues such as Arrears and NTR.. (i) Cross-cutting Policy Issues (a) Gender and Equity Objective:
 Issue of Concern : improve on female wing siderooms to enhance privacy Proposed Intervensions Budget Allocations UGX billion Performance Indicators (b) HIV/AIDS Objective: routine laboratory tesing faciliies and support to associated counselling serivices Issue of Concern : Proposed Intervensions Budget Allocations UGX billion Performance Indicators (c) Environment Objective: ongoing tree planting, effuluent management and eviction of wetland encroachment.
Issue of Concern : Proposed Intervensions Budget Allocations UGX billion Vote Overview 165 Butabika Hospital Ministerial Policy Statement Vote: 162 Butabika Hospital Performance Indicators (ii) Non Tax Revenue Collections Source of NTR UShs Bn Other Fees and Charges Miscellaneous receipts/income Total: 2013/14 Actual 2014/15 Budget 0.000 0.000 0.000 0.450 0.050 0.500 2014/15 Prel Actual 2015/16 Projected 0.500 0.500 Improved service delivery, increased public awareness of the private wing facility and Increased sources of NTR.
The funds will be spent on improving the private wing facility and supplementing the hospital budget in key areas Vote Overview 166 Arua Referral Hospital Vote: 163 Arua Referral Hospital V1: Vote Overview (i) Vote Mission Statement Ministerial Policy Statement To provide to the people of North Western region of Uganda quality general and specialised health services in a client centered manner while underscoring the virtuous principles and values of equity, non-discrimination and transparency that will transform the people into a productive population.
(ii) Summary of Past Performance and Medium Term Budget Allocations Table V1.1: Overview of Vote Expenditures (UShs Billion) (i) Excluding Arrears, Taxes 2013/14 Outturn Approved Budget Rel.
by End Mar 2014/15 MTEF Budget Projections 2015/16 2016/17 2017/18 Recurrent Development Wage Non Wage GoU Donor GoU Total Total GoU+Donor (MTEF) (ii) Arrears and Taxes Arrears Taxes** Total Budget (iii) Non Tax Revenue Grand Total Excluding Taxes, Arrears N/A N/A N/A N/A N/A N/A 0.080 0.080 N/A N/A The chart below shows total funding allocations to the Vote by Vote Function over the medium term: Chart V1.1: Medium Term Budget Projections by Vote Function (Excluding Taxes, Arrears) n o i l l i B s h s U 5.4 5.35 5.3 5.25 5.2 5.15 5.1 5.05 5 4.95 2014/15 Approved Budget Estimates 2015/16 Budget Projections 2016/17 Budget Projections Vote Overview 167 Arua Referral Hospital Vote: 163 Arua Referral Hospital Ministerial Policy Statement V2: Vote Performance for FY 2014/15 and Planned Outputs for FY 2015/16 This section describes past vote performance and planned Outputs, in terms of key vote outputs (i) Past Vote Outputs Preliminary 2014/15 Performance Inpatient VF: 15257 Admissions, 80 % BOR, 5 days average length of stay.
Outpatient VF: 56232 General outpatient attendance, 134042 Specialised clinic attendance.

Medicines and supplies VF: 75% deliveries of medicines and supplies by NMS , Non-expiry of items in store Diagnostics VF: 57811 Lab tests done, 5930 Imagings done, 78 post mortems done.
Hospital management VF: No board meetings held, 4 senior staff meetings, 2 general staff meeting, 12 Departmental meetings, Arua hospital equipment maintained regularly, Regional equipment maintained, Cleaning of hospital done properly by the cleaners, All staff on payroll, All (5) hospital vehicles maintained and running, All utility costs met.
Prevention and rehabilitation VF: 29069 children immunized, 3166 women immunized, 23078 mothers for ANC, 3687 family planning contacts Internal audit Programme 2: No report produced, No advise given to management on financial matters, No supervision done.
Medical Equipment Workshop Programme 3: Procurement process began to supply assorted medical equipment, Bid advertised and evaluation of best bidder contacted, Funds for regional medical equipment meeting processed, Funds for outreaches processed Capital development: Purchase of specialized machinery and equipment;- Procurement bids evaluated and best bidder identified.
Hospital construction and rehabilitation;- Court still to prevail over the process of lagoon construction, Contract award and handover of site for fence done, Sewer procurement process at evaluation stage.

Staff house construction;- Contractor to possess the site.

Maternity ward rehabilitation;- Evaluation for the works done, Consultant/ Supervisor identified, The best evaluated bidder notice for works displayed.

V3: Detailed Planned Outputs for FY 2015/16 2015/16 Planned Outputs 1).
18000 Admissions, 2,600 Major Surgeries, 4,800 deliveries, 85% Bed Occupancy rate,4 days Average length of stay, 55,000 general outpatient attendances, 140,000 specialised outpatient attendance, medicines and supplies worth 1.1 bn to be procured, 100,000 laboraotory tests done, 9,000 imagings done and 80 postmotems done, hospital management and preventive services.

2.
2.

Completion of phase I of staff housed contruction, Rehabilitation of Surgical Ward(0.150bn), Rehabilitation of Paediatric ward (0.180bn), Rehabilitation of Main Operating Theatre (0.020bn), Rehabilitation of Administration Block (0.080bn), Procurement of Medical Equipment (0.108bn) respectively.
Table V3.1: Vote Function Profiles, Programme/Project Profiles and Workplan Outputs Vote Function: 08 56 Regional Referral Hospital Services Vote Function Profile Responsible Officer: Hospital Director at Referral Hospitals Services: - To offer comprehensive specialised curative, promotive, preventive rehabilitative health care services in the area.

- To offer tertiary training and continuing professional Development (CPD).
Vote Overview 168 Arua Referral Hospital Vote: 163 Arua Referral Hospital Vote Function: 08 56 Regional Referral Hospital Services Ministerial Policy Statement - To undertake and conduct operational, professional and technical research.
- To provide quality assurance and support services - To provide outreach and support supervision - Monitoring and evaluation of the implementation of the health services -Disease surveillance Vote Function Projects and Programmes: Project or Programme Name Recurrent Programmes 01 02 03 Development Projects Arua Referral Hospital Services Arua Referral Hospital Internal Audit Arua Regional Maintenance Responsible Officer Hospital Director/ Accounting Officer Hospital Directot/ Accounting officer Hospital Director/Accounting Officer 1004 Arua Rehabilitation Referral Hospital Hospital Director/Accounting Officer Programme 01 Arua Referral Hospital Services Programme Profile Responsible Officer: Hospital Director/ Accounting Officer Objectives: To improve on the quality of patient care as per Ministry of Health standards/guidelines.2.
To contribute in ensuring the highest possible service standards at the regional referral level.3.

To increase the accessibility of the population to an agree Outputs: Inpatient services, Outpatient services, .
Diagnostic services, Hospital management and support services, Medicines and supplies procurement and dispensing , Preventive and rehabilitative services Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.

Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 01 Inpatient services 21,500 Admissions.
14,117 Admissions 18,000 Admissions.

2,600 Major Surgeries 75% Bed Ocuupancy rate 2,600 Major Surgeries 5,200 deliveries 85% Bed Occupancy rate 4 days Average length of stay.

4.5 days Average length of stay 3,252 Surgical operations 2,695 Deliveries 4,800 deliveries 85% Bed Occupancy rate 4 days Average length of stay.
Total Wage Recurrent Non Wage Recurrent NTR 351,800 0 329,800 22,000 219,290 0 214,154 5,136 393,696 0 375,696 18,000 08 56 02 Outpatient services 92,000 General OPD attendance 36,354 General OPD attendance 55,000 General OPD attendance 86,000 Special clinic attendance 111,175 Special clinic attendance 140,000 Special clinic attendance Total Wage Recurrent Non Wage Recurrent 175,194 0 175,194 106,158 0 106,158 177,500 0 177,500 08 56 03 Medicines and health supplies procured and dispensed 1.adequate stocks of medicines and supplies 2.non-expiry of items in stores.
1.

Medicines and supplies worth UGX 812,545,098 supplied by NMS; that is 68.1%.

1.adequate stocks of medicines and supplies 2.non-expiry of items in stores.

Total Wage Recurrent .


70,464 0 Vote Overview 39,135 0 64,573 0 169 Arua Referral Hospital Vote: 163 Arua Referral Hospital Ministerial Policy Statement Vote Function: 08 56 Regional Referral Hospital Services Programme 01 Arua Referral Hospital Services Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Non Wage Recurrent NTR 40,464 30,000 39,135 0 40,573 24,000 08 56 04 Diagnostic services 100,000 lab tests done, 64,002 lab tests done, 100,000 lab tests done, 12,500 imagings done, 6,218 Imagings done, 9,000 imagings done, 80 postmortems done 92 Postmortems done 80 postmortems done 80 Total Wage Recurrent Non Wage Recurrent 75,902 0 75,902 44,808 0 44,808 49,366 0 49,366 08 56 05 Hospital Management and support services • 5 board meetings 3 board meetings • 5 board meetings •4 senior staff meetings •3 senior staff meetings •4 senior staff meetings • 2 general staff meeting • 2 general staff meeting • 2 general staff meeting •4 Departmental meetings •12 Departmental meetings •40 Departmental meetings • Arua hospital equipment maintained regularly.
Regional equipment maintained 3 times by end of FY.

2.Regional workshop meetings • Cleaning of • Arua hospital equipment maintained regularly.

.

• Cleaning of hospital done • Arua hospital equipment maintained regularly.

Regional equipment maintained 3 times by end of FY.

2.
1 Regional workshop meeting • Cleaning of units and compound Total Wage Recurrent Non Wage Recurrent NTR 3,372,636 2,974,686 391,950 6,000 2,464,222 2,188,818 275,404 0 3,385,188 2,974,686 400,502 10,000 08 56 06 Prevention and rehabilitation services 20,500 mothers for ANC, 5,600 Family planning contacts, 11, 621 mothers for ANC, 2,457 Family planning contacts, 20,000 mothers for ANC, 3,000 Family planning contacts, Total Wage Recurrent Non Wage Recurrent 78,714 0 78,714 39,685 0 39,685 56,933 0 56,933 08 56 07 Immunisation services 40,500 children immunized, 4,500 women immunized, 10,874 children immunized, 861 women immunized 29,816 children immunized, 2,444 women immunized, Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent NTR 42,000 0 42,000 4,166,711 2,974,686 1,134,025 58,000 23,573 0 23,573 2,936,872 2,188,818 742,918 5,136 33,456 0 33,456 4,160,711 2,974,686 1,134,025 52,000 Vote Overview 170 Ministerial Policy Statement Arua Referral Hospital Vote: 163 Arua Referral Hospital Vote Function: 08 56 Regional Referral Hospital Services Programme 02 Arua Referral Hospital Internal Audit Programme Profile Responsible Officer: Hospital Directot/ Accounting officer Objectives: To ensure adherence to public accounting regulations, policies and procedures and strengthening internal control systems to achieve them Outputs: 1 routine auditing of the systems in the entity.
2.

Periodic formulation and submmission of reports.

3. constructive guidance to mnagament to ensure internal systems strengthening and controls Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.

Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 05 Hospital Management and support services 1.
Production and submitting monthly reports 2.

Advising management on financial matters.

3.

Supervision and strengthening of internal control systems.

1.

Monthly reports produced and submitted.

2.

Management advised on financial matters.

3.

Supervision and strengthening of internal control systems done.

1.

Production and submitting monthly reports 2.

Advising management on financial matters.

3.

Supervision and strengthening of internal control systems.
Total Wage Recurrent Non Wage Recurrent NTR GRAND TOTAL Wage Recurrent Non Wage Recurrent NTR 18,000 0 16,000 2,000 18,000 0 16,000 2,000 14,179 0 14,179 0 14,179 0 14,179 0 16,000 0 16,000 0 16,000 0 16,000 0 Vote Overview 171 Ministerial Policy Statement Arua Referral Hospital Vote: 163 Arua Referral Hospital Vote Function: 08 56 Regional Referral Hospital Services Programme 03 Arua Regional Maintenance Programme Profile Responsible Officer: Hospital Director/Accounting Officer Objectives: to ensure efficient and effective performance of medical eqioment within the catchment area Outputs: 1.
Routine maintenance of medical equipment.

2 Evaluation and reporting of the performance of medical equipment.

3.

Planning for procurement and disposal of obsolete equipment.

4.

Regional supervision of facilities to ensure proper routine maintenance of Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 05 Hospital Management and support services 1.

Assorted medical equipment maintained within the catchment area of Arua region.

1.

Assorted medical equipment maintained within the catchment area of Arua region.

1.

Assorted medical equipment maintained within the catchment area of Arua region.

2.

Planning for the regional equipment out reach services 3.
Planning and organizing regional equipment meeting 2.

Three rounds of Regional equipment maintenance out reach service conducted.

All but three facilities visited.

3.

Regional maintenance meeting held in December 2014.

4.

User Training conducted in February 2015 2.

Planning for the regional equipment out reach services 3.
Planning and organizing regional equipment meeting Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 232,290 0 232,290 232,290 0 232,290 160,095 0 160,095 160,095 0 160,095 232,290 0 232,290 232,290 0 232,290 Vote Overview 172 Ministerial Policy Statement Arua Referral Hospital Vote: 163 Arua Referral Hospital Vote Function: 08 56 Regional Referral Hospital Services Project 1004 Arua Rehabilitation Referral Hospital Project Profile Responsible Officer: Hospital Director/Accounting Officer Objectives: 1.
To rehabilitate old and broken infrastructure.

2.

To undertake construction of vital infrastructure including accommodation of staff.

3.

To adequately equip the hospital in terms of medical and office equipment and furniture.

Outputs: 1) Phase-I of the hospital fence completed.

2) 18 units of staff houses constructed.

3) Assorted medical equipment procured.


Start Date: 7/1/2013 Projected End Date: 6/30/2015 Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 77 Purchase of Specialised Machinery & Equipment Total GoU Development External Financing 0 0 0 0 0 0 08 56 80 Hospital Construction/rehabilitation A hospital lagoon constructed.

1.

Site handed to the contractor and construction of the lagoon started in Q1 and by end of Q2 work was nearly complete .

2.

Supervision of works were done 3.

1 site meeting planned and held in November.

4.


Construction works completed and Site handed to the hospital in January 2015.

5.

Payments made, only retention is left to be paid.

Procurement of Specialised Medical Machinery & Equipment: Equipment to be Procured include;- Incubators, Autoclaves, Examination coaches, Diagnostic equipment Etc.
108,000 100,000 0 Renovation of Administration Block and Dental unit Total GoU Development External Financing NTR 590,000 580,000 0 10,000 442,346 442,346 0 0 80,000 80,000 0 0 08 56 81 Staff houses construction and rehabilitation Construction of 6 nurses' houses completed 1.

Payment of interim certificate 2.

Construction of the 6 unit staff house near completion.

3.

Finishes on the 6 unit staff house on going.

Completion of Phase I of 6 Staff Housing Unit Construction.
Total GoU Development External Financing 08 56 83 OPD and other ward construction and rehabilitation Total GoU Development External Financing 08 56 84 Theatre construction and rehabilitation Total 419,850 419,850 279,528 279,528 0 0 0 0 0 Vote Overview 0 0 0 0 0 220,000 220,000 0 Renovation of Peadiatric Ward Renovation of Surgical Ward 330,000 330,000 0 Renovation of Main Opertaing Theatre 20,000 173 Arua Referral Hospital Vote: 163 Arua Referral Hospital Ministerial Policy Statement Vote Function: 08 56 Regional Referral Hospital Services Project 1004 Arua Rehabilitation Referral Hospital Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Total Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) GoU Development External Financing GRAND TOTAL GoU Development External Financing 0 0 1,009,850 999,850 0 10,000 0 0 721,874 721,874 0 0 20,000 0 758,000 750,000 0 8,000 Table V3.2: Past and Medum Term Key Vote Output Indicators* Vote Function Key Output Indicators and Costs: 2013/14 Outturn 2014/15 Approved Plan Releases Prel.
Actual MTEF Projections 2015/16 2016/17 2017/18 N/A N/A Vote: 163 Arua Referral Hospital Vote Function:0856 Regional Referral Hospital Services No.

of in patients (Admissions) No.

of specialised outpatients attended to No.

of antenatal cases (All attendances) No.

reconstructed/rehabilitated general wards No.

of staff houses constructed/rehabilitated Vote Function Cost (UShs bn) VF Cost Excluding Ext.
Fin Cost of Vote Services (UShs Bn) N/A N/A N/A 4.594 4.594 4.594 4.594 N/A 86,000 No info 111175 18000 140000 18000 140000 180000 140000 N/A No info 20000 22000 22000 0 6 5.427 5.427 5.427 5.427 0 0 4.301 4.301 4.301 4.301 2 6 5.167 5.167 0 0 0 0 * Excluding Taxes and Arrears Medium Term Plans 1.

Continuation of provision of general hospital services including cancer treatment.

2. continuation of medical equipment maintenance in the region.

3.construction of staff houses.


3. rehabilitation of delapidated wards.

4. construction of a casuality department, 5.purchase of medical and office equipment, 6. construct an Administration block.

7.

Installation of intercom and 8. construction of intensive care unit 9.expansion of laundry 10.expansion of the main store.
(i) Measures to improve Efficiency The provision of staff accomodation, procurement of assorted medical equipment will enhance service delivery that will lead to collective contribution towards national economic growth and development.
Table V3.3: Key Unit Costs of Services Provided and Services Funded (Shs '000) Unit Cost Description Proposed 2015/16 Planned 2014/15 Actual 2014/15 Actual 2013/14 Costing Assumptions and Reasons for any Changes and Variations from Plan Vote Function:0856 Regional Referral Hospital Services 5 5 Average Patient's Meal cost per day per inpatient (2 meals) Average cost per outpatient Average cost of investigation 3 3 3 3 3 3 3 3 the cost of food increases 3 3 The OPD attendance remains same as the lower units become more functional, the cost of goods and commodities keeps at a higher figure 1.
Continuous availability of reagents.

Vote Overview 174 Arua Referral Hospital Vote: 163 Arua Referral Hospital Ministerial Policy Statement (ii) Vote Investment Plans The allocation is inadequate to cover the planned investments over the medium term.

There is need for reconsideration of the allocations in view of the ongoing projects.
Table V3.4: Allocations by Class of Output over the Medium Term Billion Uganda Shillings 2014/15 2015/16 2016/17 2017/18 2014/15 2015/16 2016/17 2017/18 Consumption Expendture(Outputs Provided) Investment (Capital Purchases) Grand Total 4.4 1.0 5.4 4.4 0.8 5.2 4.1 1.9 6.0 4.1 1.3 5.4 81.4% 85.3% 68.7% 76.7% 18.6% 14.7% 31.3% 23.3% 100.0% 100.0% 100.0% 100.0% (i) Allocation (Shs Bn) (ii) % Vote Budget Table V3.5: Major Capital Investments (Outputs of class Capital Purchases over 0.5Billion) (iii) Priority Vote Actions to Improve Sector Performance The planned projects and programs are in line with the hospital Vision, Mission and strategic objectives originated from the National Health Policy and from the MDGs regarding a healthy human resources focus.
Table V3.6: Vote Actions to Improve Sector Performance V4: Proposed Budget Allocations for 2015/16 and the Medium Term This section sets out the proposed vote budget allocations for 2016/17 and the medium term, including major areas of expenditures and any notable changes in allocations.
Table V4.1: Past Outturns and Medium Term Projections by Vote Function* * Excluding Taxes and Arrears Vote: 163 Arua Referral Hospital 0856 Regional Referral Hospital Services Total for Vote: 2014/15 MTEF Budget Projections 2013/14 Outturn Appr.
Budget Releases End Mar 2015/16 2016/17 2017/18 4.594 4.594 5.427 5.427 4.301 4.301 5.167 5.167 6.000 0.080 5.375 5.375 (i) The Total Budget over the Medium Term The budget allocation over the medium term is Ushs 39.635bn, 42.209bn and 189.346bn for FYs 2015/16, 2016/17 and 2017/18 respectively.

(ii) The major expenditure allocations in the Vote for 2015/16 Prog 01.

Hospital services: 1.382 bn, Prog 02.

Internal audit: 18m; Prog 3.

Medical equipment maintenance- 0.232bnWage recurrent: 2.975 bn.
Development: 0.750bn.

This gives a total of 5.107 bn for the FY 2015/16.
(iii) The major planned changes in resource allocations within the Vote for 2015/16 The projections for 2015/16 are based on the 2014/15 FY provisions captioned in table V3.1 Table V4.2: Key Changes in Vote Resource Allocation Changes in Budget Allocations and Outputs in 2015/16 from 2014/15 Planned Levels: Justification for proposed Changes in Expenditure and Outputs 05 Hospital Management and support services 0856 0856 -0.334 Vote Function:0801 Regional Referral Hospital Services Output: 01 Inpatient services UShs Bn: The increase in the above figure takes into account NTR allocation.
Output: UShs Bn: There is no significant change.

Output: UShs Bn: Rehabilitation of the Administration Block and Dental Unit.

Output: UShs Bn: Completion of staff house construction project phase I.

80 Hospital Construction/rehabilitation -0.510 -0.200 -0.406 0856 0856 81 Staff houses construction and rehabilitation There shall be no changes in allocations since the budget is maintained at the level of FY 2015/16.

There is no significant change.


There will be improved service delivery due to the creation of an enabling work environment.

This will create an enabling work environment that contributes towards staff attraction, motivation and retention hence, improved service delivery due to the provision of staff accomodation.
Output: 0856 83 OPD and other ward construction and rehabilitation Vote Overview 175 Arua Referral Hospital Vote: 163 Arua Referral Hospital Ministerial Policy Statement Changes in Budget Allocations and Outputs in 2015/16 from 2014/15 Planned Levels: Justification for proposed Changes in Expenditure and Outputs 0.330 UShs Bn: 1.

Budget provided for renovation of children's ward, Surgical ward and for remodeling of private wing.
Renovation of the childrens ward, Surgical ward and remodeling of private wing will improve service delivery and work environment .

Table V4.3: 2014/15 and 2015/16 Budget Allocations by Item 2014/15 Approved Budget 2015/16 Draft Estimates Million Uganda Shillings GoU Ext.
Fin Output Class: Outputs Provided 211101 General Staff Salaries 211103 Allowances 213001 Medical expenses (To employees) 213002 Incapacity, death benefits and funeral expen 221001 Advertising and Public Relations 221002 Workshops and Seminars 221003 Staff Training 221004 Recruitment Expenses 221006 Commissions and related charges 221007 Books, Periodicals & Newspapers 221008 Computer supplies and Information Technol 221009 Welfare and Entertainment 221010 Special Meals and Drinks 221011 Printing, Stationery, Photocopying and Bind 221012 Small Office Equipment 221014 Bank Charges and other Bank related costs 222001 Telecommunications 222002 Postage and Courier 222003 Information and communications technolog 223001 Property Expenses 223002 Rates 223003 Rent – (Produced Assets) to private entities 223004 Guard and Security services 223005 Electricity 223006 Water 223007 Other Utilities- (fuel, gas, firewood, charcoa 224001 Medical and Agricultural supplies 224004 Cleaning and Sanitation 224005 Uniforms, Beddings and Protective Gear 225001 Consultancy Services- Short term 227001 Travel inland 227002 Travel abroad 227004 Fuel, Lubricants and Oils 228001 Maintenance - Civil 228002 Maintenance - Vehicles 228003 Maintenance – Machinery, Equipment & Fu 228004 Maintenance – Other Output Class: Capital Purchases 231001 Non Residential buildings (Depreciation) 231002 Residential buildings (Depreciation) 231005 Machinery and equipment 231007 Other Fixed Assets (Depreciation) Grand Total: Total Excluding Taxes, Arrears and
 AIA ***where AIA is Appropriation in Aid AIA Total GoU Ext.
Fin AIA 52.0 0.0 23.0 Total Vote Overview 176 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) Summary of Past Performance and Medium Term Budget Allocations Table V1.1: Overview of Vote Expenditures (UShs Billion) (i) Excluding Arrears, Taxes 2013/14 Outturn Approved Budget Rel.
by End Mar 2014/15 MTEF Budget Projections 2015/16 2016/17 2017/18 Recurrent Development Wage Non Wage GoU Donor GoU Total Total GoU+Donor (MTEF) (ii) Arrears and Taxes Arrears Taxes** Total Budget (iii) Non Tax Revenue Grand Total Excluding Taxes, Arrears N/A N/A N/A 0.480 N/A 1.806 0.860 1.050 0.000 3.716 3.716 N/A N/A N/A 0.500 N/A 4.216 The chart below shows total funding allocations to the Vote by Vote Function over the medium term: Chart V1.1: Medium Term Budget Projections by Vote Function (Excluding Taxes, Arrears) n o i l l i B s h s U 5.46 5.44 5.42 5.4 5.38 5.36 5.34 5.32 5.3 5.28 2014/15 Approved Budget Estimates 2015/16 Budget Projections 2016/17 Budget Projections Vote Overview 177 Fort Portal Referral Hospital Ministerial Policy Statement Vote: 164 Fort Portal Referral Hospital V2: Vote Performance for FY 2014/15 and Planned Outputs for FY 2015/16 This section describes past vote performance and planned Outputs, in terms of key vote outputs (i) Past Vote Outputs Preliminary 2014/15 Performance The hospital registered the following outputs; 18,596 admissions, 4,683 maternal deliveries, 1,132 Major surgeries and 3,135 Blood
 transfusions V3: Detailed Planned Outputs for FY 2015/16 2015/16 Planned Outputs 1- Procure Equipment, Delivery beds and other assorted equipment and furniture to improve the hospital work environment 2- Construct double roomed staff accommodation 3- Monitoring, Evaluation and Appraisal of Capital Development Table V3.1: Vote Function Profiles, Programme/Project Profiles and Workplan Outputs Vote Function: 08 56 Regional Referral Hospital Services Vote Function Profile Responsible Officer: HOSPITAL DIRECTOR Services: To provide access to quality hospital services to the catchment population Health Promotion and prevention of diseases and diagnostic services Health system strenthening; HMIS, Financial accountability, Planning, Management and Leadership Logistic management of essential medicines and medical supplies Vote Function Projects and Programmes: Project or Programme Name Recurrent Programmes 01 02 03 Development Projects Fort Portal Referral Hospital Services Fort Portal Referral Hospital Internal Audit Fort Portal Regional Maintenance Responsible Officer Hospital Director Internal Auditor Incharge Regional Maintenance workshop 1004 Fort Portal Rehabilitation Referral Hospital Hospital Director Programme 01 Fort Portal Referral Hospital Services Programme Profile Responsible Officer: Hospital Director Objectives: To provide general and specialized services to the catchment population Outputs: Provision of Hospital Inpatient , outpatients, Medicines &
 Essential Health supplies, services.
Management, Diagnostic and preventive services Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.

Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 01 Inpatient services Total No.
of Patients admitted: 25,200, Total maternal deliveries - 5,000 Major surgeries 2,000 Blood transfusions 3,000 BOR 85%, ALOS 5 Total No.

of Patients admitted: 20,786, Total maternal deliveries – 5,029 Major surgeries 3,126 Blood transfusions 2,520 BOR 107%, ALOS 5 Total No.
of Patients admitted: 27, 000 Total maternal deliveries - 6,000 Major surgeries 2,000 Blood transfusions 4,000 BOR 85%, ALOS 5 Vote Overview 178 Fort Portal Referral Hospital Ministerial Policy Statement Vote: 164 Fort Portal Referral Hospital Vote Function: 08 56 Regional Referral Hospital Services Programme 01 Fort Portal Referral Hospital Services Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Total Wage Recurrent Non Wage Recurrent NTR 1,399,099 806,816 493,832 98,451 1,004,706 531,394 387,516 85,796 794,282 0 485,832 308,450 08 56 02 Outpatient services No.

of General outpatients- 150,000 No.

of Specialized outpatients- 50,000 No.

of General outpatients- 164,000 No.

of Specialized outpatients- 47,756 No.

of General outpatients- 200,000 No.
of Specialized outpatients- 100,000 Total Wage Recurrent Non Wage Recurrent 08 56 03 Medicines and health supplies procured and dispensed NTR Total Wage Recurrent Non Wage Recurrent 841,494 533,540 243,503 64,451 523,422 351,406 139,791 32,225 307,954 0 243,503 64,451 Value of Medicines and Medical supplies recieved woth 1.112bn Value of Medicines and Medical supplies received worth 0.716B Value of Medicines and Medical supplies recieved woth 1.112bn 189,522 130,131 59,391 118,052 85,708 32,344 63,391 0 59,391 08 56 04 Diagnostic services No.
of Lab100,000.

Tests ; No of X- rays 5000 No of Ultra sounds 6000 ; Total Wage Recurrent Non Wage Recurrent NTR 278,808 188,691 86,117 4,000 No.

of Lab 97,320 Tests No of X- rays 4467 No of Ultra sound 4701 No.

of Lab 200,000.
Tests ; No of X- rays 10,000 No of Ultra sounds 10,000 ; 179,165 124,278 54,887 0 113,157 0 86,117 27,040 08 56 05 Hospital Management and support services Annual Financial Report 1 Quarterly Performance Reports 4 Number of Board meetings 5 Patients referrals 200 Contracts Committee Meetings 24 nnul accounts 1 Quartely reports 3 Number of Board meetings 3 Patients’ referrals 187 Contracts Committee Meetings 28 Compound Cleaning 9 Ward Cleaning 9 Laundry Services 9 Cesspool emptying 9 Annual Financial Report 1 Quarterly Performance Reports 4 Number of Board meetings 5 Patients referrals 200 Contracts Committee Meetings 24 Compound Cleaning 12 Ward Cleaning 12 Laundary Services 12 Cesspool emptying 12 Compound Cleaning 12 Ward Cleaning 12 Laundary Services 12 Cesspool emptying 12 Total Wage Recurrent Non Wage Recurrent NTR 1,706,966 1,546,705 130,162 30,098 1,131,175 1,018,707 88,791 23,678 3,535,316 3,375,055 130,162 30,098 08 56 06 Prevention and rehabilitation services Ante-Natal cases - 12,500 Family palanning contacts- 3000 PMTCT cases - 6500 , VCT/RCT 30,000 person Ante-Natal cases – 8,588 Family planning contacts- 3,045 PMTCT cases – 4,384 VCT/RCT 36,254 person Ante-Natal cases - 12,500 Family palanning contacts- 3000 PMTCT cases - 6500 , HCT 80,000 person Total Wage Recurrent Non Wage Recurrent NTR 212,380 169,172 40,208 3,000 140,966 111,422 29,544 0 43,208 0 40,208 3,000 Vote Overview 179 Fort Portal Referral Hospital Ministerial Policy Statement Vote: 164 Fort Portal Referral Hospital Vote Function: 08
 56 Regional Referral Hospital Services Programme 01 Fort Portal Referral Hospital Services Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 07 Immunisation Services No.

of persons immunised(Women, Children and men) - 30,000 No.

of immunised - 23,967 No.
of persons immunised(Women, Children and men) - 30,000 Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent NTR 37,000 0 37,000 4,665,269 3,375,055 1,090,214 200,000 23,295 0 23,295 3,120,780 2,222,914 756,168 141,699 49,962 0 37,000 4,907,269 3,375,055 1,082,214 450,000 Programme 02 Fort Portal Referral Hospital Internal Audit Programme Profile Responsible Officer: Internal Auditor Objectives: Prepare quarterly and annual Audit reports Outputs: quarterly and annual Audit reports Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 05 Hospital Management and support services Quarterly audit report, and deliveries verified pre auditing done Financial records reviewed Up dated Asset register Quarterly audit report Deliveries verified Financial records reviewed Up dated Asset register Work plan and risk assessment done Implemented assessment of verification of Internal & External audit recommendations Quarterly audit report, and deliveries verified pre auditing done Financial records reviewed Up dated Asset register Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 11,160 7,160 4,000 11,160 7,160 4,000 7,646 4,716 2,931 7,646 4,716 2,931 19,160 7,160 12,000 19,160 7,160 12,000 Vote Overview 180 Fort Portal Referral Hospital Ministerial Policy Statement Vote: 164 Fort Portal Referral Hospital Vote Function: 08 56 Regional Referral Hospital Services Programme 03 Fort Portal Regional Maintenance Programme Profile Responsible Officer: Incharge Regional Maintenance workshop Objectives: Repair all Government Medical Equipments in the Rwenzori Region Outputs: Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 05 Hospital Management and support services Spare parts procured: Allowances while on monthly/quarterly routine maintenance and support supervision: Utilities paid: Vehicle maintenance: Oil and lubricants Staff Welfare: Staff Training Spare parts procured: Allowances while on monthly/quarterly routine maintenance and support supervision: Utilities paid: Vehicle maintenance: Oil and lubricants Staff Welfare: Staff Training Spare parts procured: 62,308,745 Allowances 21,859,000 Fuel 3,350,000 Utilities: 3,000,000 Fuel 5,210,000 Maintenance civil 2,000,000 Generator Repair 10,757,000 Ws Meeting 970,000 Internet & Airtime 624,000 Stationary 3,429,000 Vehicle maintenance: 23,871,400 Safety Ware 3,240,000 Travel 3,170,000 Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 261,349 50,000 211,349 261,349 50,000 211,349 190,696 32,932 157,764 190,696 32,932 157,764 261,349 50,000 211,349 261,349 50,000 211,349 Vote Overview 181 Fort Portal Referral Hospital Ministerial Policy Statement Vote: 164 Fort Portal Referral Hospital Vote Function: 08 56 Regional Referral Hospital Services Project 1004 Fort Portal Rehabilitation Referral Hospital Project Profile Responsible Officer: Hospital Director Objectives: Improvement of health services Outputs: Construction of12 units of staff accomodation Start Date: 7/2/2013 Projected End Date: 6/30/2015 Workplan Outputs for 2014/15 and 2015/16
 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 72 Government Buildings and Administrative Infrastructure Renovation and maintenance of Government Buildings and Administrative Infrastructure Government Buildings and administrative infrastructure maintained.

Hospital fencing completed and surgical ward patient’s toilets done and ready for use.
Renovation and maintenance of Government Buildings and Administrative Infrastructure Total GoU Development External Financing 38,000 38,000 0 12,414 12,414 0 38,000 38,000 0 08 56 77 Purchase of Specialised Machinery & Equipment Assorted specialized equipments procured ,Televisions, Theatre, ward and OPD equipments) Assorted equipment procured: Heamatology analyser and computers including accessories and additional equipment including patient monitors to be procured in 4th quarter Assorted specialized Diagnostic equipments procured , BP/ Patient Monitors,Televisions( TB Ward- 2), additional Theatre, ward and OPD equipments) Total GoU Development External Financing 100,000 100,000 0 25,000 25,000 0 100,000 100,000 0 08 56 81 Staff houses construction and rehabilitation Construction of storyed 12 one bed roomed staff houses Construction of storied 12 one bed roomed staff houses on going now at roofing stage and Wall plaster and fixing windows ongoing.
Completion of Construction of storyed 12 one bed roomed staff houses Total GoU Development External Financing GRAND TOTAL GoU Development External Financing 561,895 561,895 0 699,895 699,895 0 459,231 459,231 0 496,645 496,645 0 462,000 462,000 0 600,000 600,000 0 Table V3.2: Past and Medum Term Key Vote Output Indicators* Vote Function Key Output Indicators and Costs: 2013/14 Outturn 2014/15 Approved Plan Releases Prel.
Actual MTEF Projections 2015/16 2016/17 2017/18 Vote: 164 Fort Portal Referral Hospital Vote Function:0856 Regional Referral Hospital Services No.

of in-patients (Admissions) No.

of specialised outpatients attended to No.

of antenatal cases (All attendances) No.

reconstructed/rehabilitated general wards No.


of staff houses N/A N/A N/A N/A N/A N/A 50,000 No info 47756 27,000 70,000 27,000 70,000 27,000 50,000 N/A No info 15,500 15,000 10,000 0 4 0 12 4 4 4 Vote Overview 182 Fort Portal Referral Hospital Ministerial Policy Statement Vote: 164 Fort Portal Referral Hospital Vote Function Key Output Indicators and Costs: constructed/rehabilitated Vote Function Cost (UShs bn) VF Cost Excluding Ext.
Fin Cost of Vote Services (UShs Bn) * Excluding Taxes and Arrears 2013/14 Outturn 2014/15 Approved Plan Releases Prel.
Actual MTEF Projections 2015/16 2016/17 2017/18 4.545 4.545 4.545 4.545 5.638 5.638 5.638 5.638 4.202 4.202 4.202 4.202 5.788 5.788 4.216 4.216 Medium Term Plans Procurement of Medical Equipments, Construction of staff quarters- Storyed double room staff houses (i) Measures to improve Efficiency To attract and retain critical staff; we need to construct reasonable and appropriate staff houses.
This will provide more working hours, hence improve quality of service delivery and emphasize training and motivation.
Table V3.3: Key Unit Costs of Services Provided and Services Funded (Shs '000) Unit Cost Description Proposed 2015/16 Planned 2014/15 Actual 2014/15 Actual 2013/14 Costing Assumptions and Reasons for any Changes and Variations from Plan Vote Function:0856 Regional Referral Hospital Services Oupatient services(Cost Per Outpatient) Medicine cost Per standard output(SUO) Inpatient services( Cost per Inpatient Day) Cost Per Preventive Intervention 276 276 720 720 389 389 64 64 Cost per investigation 91 91 Total Outpatients = General and specialized patients.
Total Cost includes NWR and WR.

( Includes allocated cost of management services) All outputs changed to an OPD Equivalance(Standard unit of Output) 1 Inpatient =15 Outpatients.

Total Cost includes NWR and WR.

Includes cost of ARVS and Antimalarials.

( Includes allocated cost of management services) Total Inpatient Days =ALOS X No.

of patients admitted.

Total Cost includes NWR and WR( Includes allocated cost of management services) Total Preventive intervention = Total No.
Immunization + FP+ANC Attendence.

Total Cost includes NWR and WR ( Includes allocated cost of management services) Total number of investigatins includes Lab, Xray and Ultrasound.
Total Cost includes NWR and WR( Includes allocated cost of management services) Vote Overview 183 Fort Portal Referral Hospital Ministerial Policy Statement Vote: 164 Fort Portal Referral Hospital (ii) Vote Investment Plans Purchase of machinery, equipment and furniture Shs.100,000,000/=, Construction of 12 double room staff houses mult- financial year project using Shs.

462,000.000/= in this financial year.
Table V3.4: Allocations by Class of Output over the Medium Term Billion Uganda Shillings 2014/15 2015/16 2016/17 2017/18 2014/15 2015/16 2016/17 2017/18 Consumption Expendture(Outputs Provided) Investment (Capital Purchases) Grand Total 4.9 0.7 5.6 5.3 0.6 5.9 3.3 2.5 5.8 1.9 2.3 4.2 87.6% 89.8% 57.4% 44.9% 12.4% 10.2% 42.6% 55.1% 100.0% 100.0% 100.0% 100.0% (i) Allocation (Shs Bn) (ii) % Vote Budget Table V3.5: Major Capital Investments (Outputs of class Capital Purchases over 0.5Billion) (iii) Priority Vote Actions to Improve Sector Performance 1-Increased deliveries in health facilities 2-Children under one year old protected against life threatening diseases 3- Health facilities receive adequate stocks of Essential Medicines and Health Supplies (EMHS) Table V3.6: Vote Actions to Improve Sector Performance 2014/15 Planned Actions: 2015/16 Planned Actions: 2014/15 Actual Actions: MT Strategy: Sector Outcome 3: Health facilities receive adequate stocks of essential medicines and health supplies (EMHS) Vote Function: 08 56 Regional Referral Hospital Services Reports on staffing and recruitment requests submitted to MoH/HSC VF Performance Issue: Under staffed structures Reports on staffing and recruitment requests submitted to MoH/HSC V4: Proposed Budget Allocations for 2015/16 and the Medium Term This section sets out the proposed vote budget allocations for 2016/17 and the medium term, including major areas of expenditures and any notable changes in allocations.
Table V4.1: Past Outturns and Medium Term Projections by Vote Function* Reports on staffing and recruitment requests submitted to MoH/HSC Improve staff accomodation to attract and retain staff * Excluding Taxes and Arrears Vote: 164 Fort Portal Referral Hospital 0856 Regional Referral Hospital Services Total for Vote: 2014/15 MTEF Budget Projections 2013/14 Outturn Appr.
Budget Releases End Mar 2015/16 2016/17 2017/18 4.545 4.545 5.638 5.638 4.202 4.202 5.788 5.788 5.822 0.480 4.216 4.216 (i) The Total Budget over the Medium Term The budget allocation over the medium term is Ushs 5.458bn, 5.342bn and 3.716bn for FYs 2015/16, 2016/17 and 2017/18 respectively.
(ii) The major expenditure allocations in the Vote for 2015/16 The major expenditure allocations are wage-Ushs 3.552 bn and construction of staff house at Ushs 0.462 bn (iii) The major planned changes in resource allocations within the Vote for 2015/16 The changes in resource allocation are explained in the table below; Table V4.2: Key Changes in Vote Resource Allocation Table V4.3: 2014/15 and 2015/16 Budget Allocations by Item 2014/15 Approved Budget 2015/16 Draft Estimates Million Uganda Shillings GoU Ext.
Fin AIA Total GoU Ext.

Fin AIA Total Output Class: Outputs Provided 211101 General Staff Salaries 211102 Contract Staff Salaries (Incl.
Casuals, Temp 211103 Allowances 213001 Medical expenses (To employees) 213002 Incapacity, death benefits and funeral expen Vote Overview 184 Fort Portal Referral Hospital Ministerial Policy Statement Vote: 164 Fort Portal Referral Hospital Million Uganda Shillings GoU Ext.
Fin AIA Total GoU Ext.
Fin AIA Total 2014/15 Approved Budget 2015/16 Draft Estimates 221001 Advertising and Public Relations 221002 Workshops and Seminars 221003 Staff Training 221006 Commissions and related charges 221007 Books, Periodicals & Newspapers 221008 Computer supplies and Information Technol 221009 Welfare and Entertainment 221010 Special Meals and Drinks 221011 Printing, Stationery, Photocopying and Bind 221012 Small Office Equipment 221014 Bank Charges and other Bank related costs 222001 Telecommunications 222002 Postage and Courier 223001 Property Expenses 223003 Rent – (Produced Assets) to private entities 223004 Guard and Security services 223005 Electricity 223006 Water 223007 Other Utilities- (fuel, gas, firewood, charcoa 224001 Medical and Agricultural supplies 224004 Cleaning and Sanitation 224005 Uniforms, Beddings and Protective Gear 227001 Travel inland 227002 Travel abroad 227004 Fuel, Lubricants and Oils 228001 Maintenance - Civil 228002 Maintenance - Vehicles 228003 Maintenance – Machinery, Equipment & Fu 228004 Maintenance – Other Output Class: Capital Purchases 231001 Non Residential buildings (Depreciation) 231002 Residential buildings (Depreciation) 231005 Machinery and equipment 231007 Other Fixed Assets (Depreciation) 281504 Monitoring, Supervision & Appraisal of cap Grand Total: Total Excluding Taxes, Arrears and AIA ***where AIA is
 Appropriation in Aid 36.0
V5: Vote Cross-Cutting Policy and Other Budgetary Issues This section discusses how the vote's plans will address and respond to the cross-cutting policy, issues of gender and equity; HIV/AIDS; and the Environment, and other budgetary issues such as Arrears and NTR.. (i) Cross-cutting Policy Issues (a) Gender and Equity Objective: Issue of Concern : Reduction of maternal and neonatal mortality High maternal and neonatal mortality rates.
Proposed Intervensions Under reproductive health, emphasis will be on rolling out of the road map for reduction of maternal and neonatal mortality.

This will be done through; procuring and distributing EMoC medicines, supplies, and equipment, supporting the mobilization of blood for emergency obstetric and new born care and conducting maternal and perinatal death audits to address gaps and improve quality of care.
Budget Allocations UGX billion 0.345 Vote Overview 185 Fort Portal Referral Hospital Ministerial Policy Statement Vote: 164 Fort Portal Referral Hospital Performance Indicators Reduced maternal and neonatal mortality rates.

Objective: Issue of Concern : To address the environmental issues Solid Waste Management Proposed Intervensions The hospital is not connected to the sewerage line of NWSC which results in added costs of cesspool emptying.

The hospital needs an average of UGX.


2,400,000 per month which translates to UGX.

28,800,000 per annum.

The amount is bound to increase when the new constructed units become operational.

Budget Allocations UGX billion 0.028 Performance Indicators A clean environment and quality service deliverly, efficiency and effectiveness of activities.

Objective: Issue of Concern : HIV/AIDS prevention will be enhanced HIV/AIDS preverance has increased.
Proposed Intervensions -HIV/AIDS prevention will be enhanced through rolling out Village health teams to more districts, carrying out radio spot messages and distribution of IEC materials.

The funding is expected to come from Government of Uganda and the Global fund for AIDS, TB and Malaria.

- Village health teams, the ministry will roll out Village Health Teams and construct incinerators in health facilities.
Budget Allocations UGX billion 0.068 Performance Indicators Number of Safe male circumcision conducted, number of HPV Vaccination and provision of Tetanus Toxoid vaccine to women in reproductive age, number of HIV tests and persons in on care and introduced to ARV .

(b) HIV/AIDS Objective: TB prevention Issue of Concern : The desease is air born and contegious Proposed Intervensions MDR activities Budget Allocations UGX billion 0.345 Performance Indicators Number of patients on medication and care.
(c) Environment Objective: Solid Waste Management Issue of Concern : A lot of sold waste is generates which need to be Managed Proposed Intervensions The hospital is not connected to the sewerage line of NWSC which results in added costs of cesspool emptying.

The hospital needs an average of UGX.

2,400,000 per month which translates to UGX.

28,800,000 per annum.

The amount is bound to increase when the new constructed units become operational.
Budget Allocations UGX billion 0.028 Performance Indicators Clean environment and efficiency Vote Overview 186 Fort Portal Referral Hospital Ministerial Policy Statement Vote: 164 Fort Portal Referral Hospital (ii) Non Tax Revenue Collections Source of NTR UShs Bn Other Fees and Charges Total: 2013/14 Actual 0.000 0.000 2014/15 Budget 0.200 0.200 2014/15 Prel Actual 2015/16 Projected 0.450 0.450 Vote Overview 187 Gulu Referral Hospital Vote: 165 Gulu Referral Hospital V1: Vote Overview (i) Vote Mission Statement Ministerial Policy Statement To provide specialist, curative, preventive and promotive services to the Acholi Sub-Region , perform operational research and provide conducive environment for medical training.
(ii) Summary of Past Performance and Medium Term Budget Allocations Table V1.1: Overview of Vote Expenditures (UShs Billion) (i) Excluding Arrears, Taxes 2013/14 Outturn Approved Budget Rel.
by End Mar 2014/15 Recurrent Development Wage Non Wage GoU Donor GoU Total Total GoU+Donor (MTEF) (ii) Arrears and Taxes Arrears Taxes** Total Budget (iii) Non Tax Revenue Grand Total Excluding Taxes, Arrears MTEF Budget Projections 2015/16 2016/17 2017/18 2.844 1.082 1.500 0.000 5.427 5.427 0.549 0.000 5.976 0.150 6.126 5.577 2.844 0.783 2.000 0.000 5.627 5.627 N/A N/A N/A 0.150 N/A 5.777 2.047 0.783 2.000 0.000 4.830 4.830 N/A N/A N/A 0.150 N/A 4.980 The chart below shows total funding allocations to the Vote by Vote Function over the medium term: Chart V1.1: Medium Term Budget Projections by Vote Function (Excluding Taxes, Arrears) n o i l l i B s h s U 5.8 5.6 5.4 5.2 5 4.8 4.6 4. 2014/15 Approved Budget Estimates 2015/16 Budget Projections 2016/17 Budget Projections Vote Overview 188 Gulu Referral Hospital Vote: 165 Gulu Referral Hospital Ministerial Policy Statement V2: Vote Performance for FY 2014/15 and Planned Outputs for FY 2015/16 This section describes past vote performance and planned Outputs, in terms of key vote outputs (i) Past Vote Outputs Preliminary 2014/15 Performance The hospital admitted 8,585 patients, conducted 544 major operations and 5800 Minor operation.
The number of outpatients was 40165 while that of the specialized clinic were 14,810 specialized V3: Detailed Planned Outputs for FY 2015/16 2015/16 Planned Outputs 1.Recruit 28 critical cadres currently in shortsupply, i.e gynaecologist, physician, medical officers, nurses and midwives 2.Continuethe construction of a 54 unit housing complex for medium level staff 3.Renovate the hospital main store 4.
Purchase furniture Table V3.1: Vote Function Profiles, Programme/Project Profiles and Workplan Outputs Vote Function: 08 56 Regional Referral Hospital Services Vote Function Profile Responsible Officer: Dr. Onyachi Nathan Director Services: Specialised Curative services , preventive services, operational research and training Vote Function Projects and Programmes: Project or Programme Name Recurrent Programmes 01 02 03 Development Projects Gulu Referral Hospital Services Gulu Referral Hospital Internal Audit Gulu Regional Maintenance Responsible Officer Hospital Director Dr. Onyachi Nathan Dr. Onyachi Nathan 1004 Gulu Rehabilitation Referral Hospital Hospital Director Programme 01 Gulu Referral Hospital Services Programme Profile Responsible Officer: Hospital Director Objectives: Specialist curative services, preventive services, operational research and training.
Outputs: Hospital services, preventive, curative and operational research.

Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 01 Inpatient services 18000 in patients admissions expected BOR 70% ALOS 5 days operations major 1000 Minor 10000 The cumulative inpatients by the end of Q3 was 14954, Minor operation stood at 7859, Major at 1079 Cumulatively BOR stood at 70% and ALOS at 4days as it was by the end of Q2.
18000 in patients admissions expected BOR 70% ALOS 5 days operations major 1000 Minor 10000 Total Wage Recurrent 3,261,910 2,837,075 1,943,347 1,710,055 3,241,910 2,837,075 Vote Overview 189 Gulu Referral Hospital Vote: 165 Gulu Referral Hospital Ministerial Policy Statement Vote Function: 08 56 Regional Referral Hospital Services Programme 01 Gulu Referral Hospital Services Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Non Wage Recurrent NTR 274,835 150,000 202,358 30,935 274,835 130,000 08 56 02 Outpatient services 170,000 outpatients attended new cases 90,000 Re-attendance 80000 Physiotherapy 1,315 Occupational therapy 400 cummulative OPD new cases was 113970 compared to 90000 as planned.
Re-attendance was 52047 Physiotherapy was 2180 and 1224 was reported for occupational therapy 170,000 outpatients attended new cases 90,000 Re-attendance 80000 Physiotherapy 1,315 Occupational therapy 400 Total Wage Recurrent Non Wage Recurrent NTR 315,878 0 262,878 53,000 199,693 0 199,693 0 262,856 0 262,856 0 08 56 03 Medicines and health supplies procured and dispensed Timely orders submitted drugs & supplies accounted for recording monitoring drug use 60% of drugs & supplies was received and accounted for.
Timely orders submitted drugs & supplies accounted for recording monitoring drug use Total Wage Recurrent Non Wage Recurrent 08 56 04 Diagnostic services Target lab.

Tests 40,000 Xrays3000 Utrasound scans 3900 Total Wage Recurrent Non Wage Recurrent 08 56 05 Hospital Management and support services 7,800 0 7,800 42,400 0 42,400 5,695 0 5,695 Cummulative lab tests by end of Q3 was 96599 over the annual plan of 40,000, Ultrasound scan is reported at 5108 and x-ray of 299.

Target lab.
Target lab.

Tests 40,000 Xrays4500 Utrasound scans 3900 35,595 0 35,595 8,000 0 8,000 42,000 0 42,000 Board Meetings to be held Daily Laundry done.

Cleaning and Security Services provided Dailly availability of tansport timely pay of staff allowances Pay monthly utility bills Laundry done on adaily basis.

Cleaning and sanitation Services provided Dailly availability of transport timely pay of staff allowances Quarterly utility bills paid 4 Board Meetings to be held Daily Laundry done.
Cleaning and Security Services provided Dailly availability of tansport timely pay of staff allowances Pay monthly utility bills Total Wage Recurrent Non Wage Recurrent 271,078 0 271,078 132,294 0 132,294 271,000 0 271,000 08 56 06 Prevention and rehabilitation services No.

of ANC 16,000 No.

of persons receiving Family Planning 2,000 No.


of PMTCT 400 attended 100 HCT 400 Postnatal visits 480 SGBV attendances 480 Cummulative for ANC by end of Q3 ANC 8995 , Family planning is 3591, PMTCT 147 and HCT15958 No.

of ANC 16,000 No.

of persons receiving Family Planning 2,000 No.
of PMTCT 400 attended 100 HCT 400 Postnatal visits 480 SGBV attendances 480 Total Wage Recurrent Non Wage Recurrent 34,700 0 34,700 14,083 0 14,083 35,000 0 35,000 08 56 07 Immunisation Services 40,000 people immunised (children and mothers) The cummulative by the end of Q3 was 16902 matched with the plan of 40,000 40,000 people immunised (children and mothers) 08 56 99 Arrears Total Wage Recurrent Non Wage Recurrent Total Wage Recurrent Non Wage Recurrent 10,000 0 10,000 72,686 0 72,686 Vote Overview 4,044 0 4,044 18,172 0 18,172 10,000 0 10,000 549,100 0 549,100 190 Gulu Referral Hospital Vote: 165 Gulu Referral Hospital Ministerial Policy Statement Vote Function: 08 56 Regional Referral Hospital Services Programme 01 Gulu Referral Hospital Services Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) GRAND TOTAL Wage Recurrent Non Wage Recurrent NTR 4,016,452 2,837,075 976,377 203,000 2,352,924 1,710,055 611,934 30,935 4,419,866 2,837,075 1,452,791 130,000 Programme 02 Gulu Referral Hospital Internal Audit Programme Profile Responsible Officer: Dr. Onyachi Nathan Objectives: Quality assurance, internal control efficiency, efficiency in financial management Outputs: Review and appraise activities, verification of Debts and assets, pay roll cleaning and management Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 05 Hospital Management and support services 3 audit reports issued Risk Assessment, Internal Controls, To review the assets, Analysis, appraise activities reviewed, Domestic arrears verification, Payroll, Conduct systems audit.

4 audit reports and an annual audit report.


Risk Assessment, Internal Controls, To review the assets, Analysis, appraise activities reviewed, Domestic arrears verification, Payroll, Conduct systems audit.

4 audit reports and an annual audit report.
Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 18,000 7,000 11,000 18,000 7,000 11,000 6,834 4,600 2,234 6,834 4,600 2,234 18,000 7,000 11,000 18,000 7,000 11,000 Vote Overview 191 Ministerial Policy Statement Gulu Referral Hospital Vote: 165 Gulu Referral Hospital Vote Function: 08 56 Regional Referral Hospital Services Programme 03 Gulu Regional Maintenance Programme Profile Responsible Officer: Dr. Onyachi Nathan Objectives: Maintain inventory , repair and service machinery, training of staff in usage and maintenance of equipment.
Outputs: Conduct monthly visits to District hospitals, provide spares and repair the machinery , provide training to the staff and conduct regional workshops .

Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 05 Hospital Management and support services Number of spares purchased Number of trainnings held Number of equipment serviced and repaired a vehicle maintained and repaired Number of regional Management meetings held X-Ray of the main hospital repaired 1 Vechicle maintained, minor repairs of hospital equipments and inventory taken, beds repaired and assessment of the x-ray machine of Anak 80% of all regional medical equipments maintained Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 167,779 0 167,779 167,779 0 167,779 101,761 0 101,761 101,761 0 101,761 167,779 0 167,779 167,779 0 167,779 Vote Overview 192 Ministerial Policy Statement Gulu Referral Hospital Vote: 165 Gulu Referral Hospital Vote Function: 08 56 Regional Referral Hospital Services Project 1004 Gulu Rehabilitation Referral Hospital Project Profile Responsible Officer: Hospital Director Objectives: To provide infrastructure staff accommodation Outputs: Completed 3 storied staff block of 52 units of single bedroom and sitting room, tolilet, bathroom and kitchen Start Date: 7/1/2013 Projected End Date: 6/30/2015 Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 77 Purchase of Specialised Machinery & Equipment Total GoU Development External Financing 08 56 78 Purchase of Office and Residential Furniture and Fittings Total GoU Development External Financing 08 56 79 Acquisition of Other Capital Assets Total GoU Development External Financing 0 0 0 0 0 0 0 0 0 Specialised machinery purchased Furniture procured for administration 20,000 0 0 50,000 50,000 0 100,000 100,000 0 0 0 0 0 0 0 0 0 0 08 56 80 Hospital Construction/rehabilitation Retention for staff house and administration block paid.
Hospital store renovated phase one Total GoU Development External Financing 40,000 40,000 0 13,000 13,000 0 150,000 150,000 0 08 56 81 Staff houses construction and rehabilitation Construction of foundation and ground floor of 54unit 3 storey staff housing complex and payment of retention on completed staff house Electing pillars for the slab Continued construction of 54unit 3 storey staff housing complex Total GoU Development External Financing GRAND TOTAL GoU Development External Financing 959,850 959,850 0 999,850 999,850 0 884,730 884,730 0 897,730 897,730 0 1,200,000 1,200,000 0 1,520,000 1,500,000 0 Table V3.2: Past and Medum Term Key Vote Output Indicators* Vote Function Key Output Indicators and Costs: 2013/14 Outturn 2014/15 Approved Plan Releases Prel.
Actual MTEF Projections 2015/16 2016/17 2017/18 Vote: 165 Gulu Referral Hospital Vote Function:0856 Regional Referral Hospital Services No.

of in-patients (Admissions) N/A N/A No info 18,000 18,000 18000 Vote Overview 193 Gulu Referral Hospital Vote: 165 Gulu Referral Hospital Ministerial Policy Statement Vote Function Key Output Indicators and Costs: No.

of specialised outpatients attended to No.

of antenatal cases (All attendances) No.

reconstructed/rehabilitated general wards No.


of staff houses constructed/rehabilitated Vote Function Cost (UShs bn) VF Cost Excluding Ext.

Fin Cost of Vote Services (UShs Bn) * Excluding Taxes and Arrears 2013/14 Outturn 2014/15 Approved Plan Releases Prel.
Actual MTEF Projections 2015/16 2016/17 2017/18 N/A N/A N/A N/A 4.628 4.628 4.628 4.628 80,000 52342 80,000 80,000 80,000 N/A No info 16,000 16000 16,000 0 54 5.129 5.129 5.129 5.129 0 0 3.507 3.507 3.507 3.507 0 1 0 1 0 1 5.577 5.777 4.980 5.577 5.777 4.980 Medium Term Plans 1.

Acquire the police land for the construction of OPD and cancer institute 2.

Purchase land for expansion of the hospital.

3.

Compound design and levelling and walkways, construction of entrace road =450m .
4. process land title for the available hospital land=45m.

5.

Purchase of laundry equipment =140M.

6.

Purchase of ENT equipment 7.Construction of more water tanks to increase water storage and installation of a second submersive water pump (i) Measures to improve Efficiency 1.

Ensuring prompt accountability in physical and financial terms, filling vacant posts and recognition of outstanding performers.
Solving the basic needs of staff at work and ensuring that they do the work they are supposed to do.

2.

Promoting staff and community participation and strengthening feedback mechanisms 3.
Justification is that we are expected to provide key and unique specialised services in addition to being a teaching centre for the university Table V3.3: Key Unit Costs of Services Provided and Services Funded (Shs '000) Unit Cost Description Proposed 2015/16 Planned 2014/15 Actual 2014/15 Actual 2013/14 Costing Assumptions and Reasons for any Changes and Variations from Plan Vote Function:0856 Regional Referral Hospital Services 90,720 Staff houses ADMINISTRATION BLOCK COMPLETION 109,090,909 The transportation costs for materials upcountry is high and also attracting competent contractors up country is hard need to create office space Vote Overview 194 Gulu Referral Hospital Vote: 165 Gulu Referral Hospital Ministerial Policy Statement (ii) Vote Investment Plans 1.
This hospital, constructed in 1934 has been really delapidated.

It suffered 20 years of neglect during insurgency, yet it is destined to become one of the 3 national referral hospitals.There is therefore a lot to be done in terms of infrastructure development.

To attract and retain staff we need the incentive of accommodation 2.

There is now need to embark on implementing the master plan to begin solving the problem of shortage of space for both staff and patients.
We shall be constructing more buildings.

3.
There is need to begin equipping the hospital with modern equipment to match our mandate of being a superspecialised referral centre Table V3.4: Allocations by Class of Output over the Medium Term Billion Uganda Shillings 2014/15 2015/16 2016/17 2017/18 2014/15 2015/16 2016/17 2017/18 Consumption Expendture(Outputs Provided) Investment (Capital Purchases) Grand Total 4.1 1.0 5.1 4.1 1.5 5.6 3.0 2.8 5.8 3.0 2.0 5.0 80.5% 72.7% 52.3% 60.2% 19.5% 27.3% 47.7% 39.8% 100.0% 100.0% 100.0% 100.0% (i) Allocation (Shs Bn) (ii) % Vote Budget Table V3.5: Major Capital Investments (Outputs of class Capital Purchases over 0.5Billion) 2014/15 2015/16 Project, Programme Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditures and Outputs by End March (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Vote Function: 08 56 Regional Referral Hospital Services Project 1004 Gulu Rehabilitation Referral Hospital 08 56 81 Staff houses construction and rehabilitation Total GoU Development External Financingt Construction of foundation and ground floor of 54unit 3 storey staff housing complex and payment of retention on completed staff house 959,850 959,850 0 Electing pillars for the slab Continued construction of 54unit 3 storey staff housing complex 884,730 884,730 0 1,200,000 1,200,000 0 (iii) Priority Vote Actions to Improve Sector Performance We shall ensure transparency and universal participation in decision making, promote self and external evaluation
 from time to time, promote research and internal supervision, promote continuing medical education for staff, promote teamwork and reachout more to communities we serve for technical support supervision and outreaches Table V3.6: Vote Actions to Improve Sector Performance 2014/15 Planned Actions: 2015/16 Planned Actions: 2014/15 Actual Actions: MT Strategy: Sector Outcome 1: Increased deliveries in health facilities Vote Function: 08 56 Regional Referral Hospital Services VF Performance Issue: Attract and retain staff To start on a 54 unit 3 storey staff block to accommodate junior staff and interns Foundation level done and electing pillars for slab To purchase land and build more houses for staff We are completing the construction of an 54 unit flat, with each unit having 2 bedrooms.
These are for attracting specialists who are very needed for a referral hospital Sector Outcome 3: Health facilities receive adequate stocks of essential medicines and health supplies (EMHS) Vote Function: 08 56 Regional Referral Hospital Services VF Performance Issue: Provide adequate medicines and medical supplies Ensure rational use of available medicines by having proper prescriptions, avoiding wastage and expiries.

Make medicines and therapeutic committee more active.
Ensure correct and timely proper prescription done and the medicines and therapeutic committee is now operational Ensure rational use of available medicines by having proper prescriptions, avoiding wastage and expiries.

Make medicines and therapeutic committee more active.
Ensure correct and timely orders for Review the medicines list of the hospital to reduce unnecessary orders and to avoid multiple medicines performing similar functions Vote Overview 195 Gulu Referral Hospital Vote: 165 Gulu Referral Hospital Ministerial Policy Statement 2014/15 Planned Actions: 2014/15 Actual Actions: 2015/16 Planned Actions: MT Strategy: medicines The hospital is trying to outsource this service orders for medicines VF Performance Issue: Repair and service medical equipment To have regular servicing and repair of equipment to avoid beakdowns and to enhance user training.
More funding is required to achieve this V4: Proposed Budget Allocations for 2015/16 and the Medium Term This section sets out the proposed vote budget allocations for 2016/17 and the medium term, including major areas of expenditures and any notable changes in allocations.

Table V4.1: Past Outturns and Medium Term Projections by Vote Function* Equipment inventory to be completed by the help of the biomedical engineer.
Shift to purchase of more up to date equipment * Excluding Taxes and Arrears Vote: 165 Gulu Referral Hospital 0856 Regional Referral Hospital Services Total for Vote: 2014/15 MTEF Budget Projections 2013/14 Outturn Appr.
Budget Releases End Mar 2015/16 2016/17 2017/18 4.628 4.628 5.129 5.129 3.507 3.507 5.577 5.577 5.777 5.777 4.980 4.980 (i) The Total Budget over the Medium Term Total budget for 2015/16 is 6.3bn but in the medium term we would need 8.8bn (ii) The major expenditure allocations in the Vote for 2015/16 Salaries and wages 2.964 bn for 2015/16 but 3.8bn shall be required per year, development expenditure - 1.4bn for 2015/16 but about 2bn annually for subsequent years; nonwage recurrent expenditure-1.009bn but would require 1.5bn over the medium term.
D rugs require 949 million in 2015/16 but shall require 1.5bn in the medium term (iii) The major planned changes in resource allocations within the Vote for 2015/16 1.

There has been a slight increase in capital development funding by 400million in resource allocation for 2015/16.

This may have to be increased to finish the staff house under construction in reasonable time.

New construction projects envisaged shall also require more funding.

2.
2.

We shall need an extra 1 billion per annum to meet the required wage for the current approved staff structure.

When the structure is eventually revised upwards to meet the work load requirements, more money shall be needed for the wages of extra staff.

3.

Over the medium term we shall need more money for equipment maintenance, maintenance of buildings and vehicles.
4. with more specialists expected to join the hospital and therefore more specialised services, more patients shall turn up and the cost of inputs for the specialised services shall increase.

This shall have an overall increase in the medicines budget.
The recurrent demands shall also increase Table V4.2: Key Changes in Vote Resource Allocation Changes in Budget Allocations and Outputs in 2015/16 from 2014/15 Planned Levels: Justification for proposed Changes in Expenditure and Outputs Vote Function:0801 Regional Referral Hospital Services Output: 01 Inpatient services UShs Bn: -0.295 0856 0856 02 Outpatient services -0.053 Output: UShs Bn: Output: UShs Bn: 0856 78 Purchase of Office and Residential Furniture and Fittings 0.050 Output: 0856 80 Hospital Construction/rehabilitation Vote Overview The inpatients seen are expected to increase with a better quality of care This is to cater for the increasing numbers of patients and to provide better job satisfaction for staff.
196 Gulu Referral Hospital Vote: 165 Gulu Referral Hospital Ministerial Policy Statement Changes in Budget Allocations and Outputs in 2015/16 from 2014/15 Planned Levels: Justification for proposed Changes in Expenditure and Outputs UShs Bn: 0.110 there is need for renovation of the existing medicine store.
Output: UShs Bn: Output: UShs Bn: 0856 81 Staff houses construction and rehabilitation 0.240 0856 99 Arrears -0.073 More staff shall obtain residential accommodation and shall have better productivity The plan is to avoid accumulation of arrears by having sufficient in year funding and improving efficiency.

Table V4.3: 2014/15 and 2015/16 Budget Allocations by Item Million Uganda Shillings GoU Ext.

Fin AIA Total GoU Ext.
Fin AIA Total 2014/15 Approved Budget 2015/16 Draft Estimates Output Class: Outputs Provided 211101 General Staff Salaries 211103 Allowances 3,926.5 2,844.1 48.9 213001 Medical expenses (To employees) 213002 Incapacity, death benefits and funeral expen 221001 Advertising and Public Relations 221002 Workshops and Seminars 221003 Staff Training 221007 Books, Periodicals & Newspapers 221008 Computer supplies and Information Technol 221009 Welfare and Entertainment 221010 Special Meals and Drinks 221011 Printing, Stationery, Photocopying and Bind 221012 Small Office Equipment 221014 Bank Charges and other Bank related costs 221017 Subscriptions 222001 Telecommunications 222002 Postage and Courier 223001 Property Expenses 223003 Rent – (Produced Assets) to private entities 223005 Electricity 223006 Water 223007 Other Utilities- (fuel, gas, firewood, charcoa 223901 Rent – (Produced Assets) to other govt.
unit 224001 Medical and Agricultural supplies 224004 Cleaning and Sanitation 225001 Consultancy Services- Short term 227001 Travel inland 227002 Travel abroad 227004 Fuel, Lubricants and Oils 228001 Maintenance - Civil 228002 Maintenance - Vehicles 228003 Maintenance – Machinery, Equipment & Fu 228004 Maintenance – Other Output Class: Capital Purchases 231001 Non Residential buildings (Depreciation) 231002 Residential buildings (Depreciation) 231005 Machinery and equipment 231006 Furniture and fittings (Depreciation) 281503 Engineering and Design Studies & Plans for 281504 Monitoring, Supervision & Appraisal of cap Output Class: Arrears 321607 Utility arrears (Budgeting) 321614 Electricity arrears (Budgeting) 8.0
Vote Overview 197 Gulu Referral Hospital Vote: 165 Gulu Referral Hospital Ministerial Policy Statement Million Uganda Shillings GoU Ext.
Fin AIA Total GoU Ext.
Fin AIA Total 2014/15 Approved Budget 2015/16 Draft Estimates Grand Total: Total Excluding Taxes, Arrears and AIA ***where AIA is Appropriation in Aid 4,999.1 4,926.4 0.0 0.0 203.0 0.0 5,202.1 4,926.4 5,975.6 5,426.5 0.0 0.0 150.0 0.0 6,125.6 5,426.5 V5: Vote Cross-Cutting Policy and Other Budgetary Issues This section discusses how the vote's plans will address and respond to the cross-cutting policy, issues of gender and equity; HIV/AIDS; and the Environment, and other budgetary issues such as Arrears and NTR.. (i) Cross-cutting Policy Issues (a) Gender and Equity Objective: Issue of Concern : Improve maternal and neonatal health Women patient attendants do not have a cooking shed and some service areas like wards do not have sufficient privacy, and there is no washing bay for maternity Proposed Intervensions Construct a washing bay for maternity and cooking shed for mothers.
Purchase/repair patient bed screens Budget Allocations UGX billion 0.01 Performance Indicators • Washing bay for maternity in place • Cooking shed for mothers in place • Bed screens procured (b) HIV/AIDS Objective: 2.
Increase HIV status awareness Issue of Concern : Proposed Intervensions Budget Allocations UGX billion Performance Indicators Objective: 1.To reduce on new infections Issue of Concern : National percentage of people who know their status is about 50% Proposed Intervensions • Increase number of testing sites in the hospital • ncreased public awareness on testing through radio talk shows • Set up and strengthen a clinic for MARPs Budget Allocations UGX billion 0.0024 Performance Indicators • Number of people tested for HIV • Number of radio talk shows held per year • Number of MARPs seen at clinic Vote Overview 198 Gulu Referral Hospital Vote: 165 Gulu Referral Hospital Ministerial Policy Statement (c) Environment Objective: To improve on the management of medical and non-medical wastes Issue of Concern : Environmental pollution arising from accumulation of both domestic and medical waste at the hospital Proposed Intervensions 1.
Training and remuneration of personnel to run the electric/diesel incinerator that ensures more complete combustion and allocation of fuel to incinerator 2.

 Train staff and cleaning contractor on segregation of waste Budget Allocations UGX billion 0.134 Performance Indicators 1.

 number of incinerator staff trained 2.
Number of staff trained on waste segregation (ii) Non Tax Revenue Collections Source of NTR UShs Bn Sale of drugs Miscellaneous receipts/income Total: 2013/14 Actual 2014/15 Budget 0.000 0.000 0.000 0.024 0.096 0.120 2014/15 Prel Actual 2015/16 Projected 0.030 0.120 0.150 The Hospital has opened a private wing to operate both inpatients and outpatients which is going to generate NTR.Disposal proceeds of plants obsollete equipment and scrap.The funds will be used for drugs,motivation of staff,facilitate ambulancing services for referral Vote Overview 199 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 specialised health services to all people of Bunyoro region.
(ii) Summary of Past Performance and Medium Term Budget Allocations Table V1.1: Overview of Vote Expenditures (UShs Billion) (i) Excluding Arrears, Taxes 2013/14 Outturn Approved Budget Rel.
by End Mar 2014/15 MTEF Budget Projections 2015/16 2016/17 2017/18 Recurrent Development Wage Non Wage GoU Donor GoU Total Total GoU+Donor (MTEF) (ii) Arrears and Taxes Arrears Taxes** Total Budget (iii) Non Tax Revenue Grand Total Excluding Taxes, Arrears N/A N/A N/A 0.000 N/A 4.658 1.459 0.700 1.500 3.659 N/A N/A N/A 0.000 N/A The chart below shows total funding allocations to the Vote by Vote Function over the medium term: Chart V1.1: Medium Term Budget Projections by Vote Function (Excluding Taxes, Arrears) n o i l l i B s h s U 4.85 4.8 4.75 4.7 4.65 4.6 4.55 4. 2014/15 Approved Budget Estimates 2015/16 Budget Projections 2016/17 Budget Projections Vote Overview 200 Hoima Referral Hospital Ministerial Policy Statement Vote: 166 Hoima Referral Hospital V2: Vote Performance for FY 2014/15 and Planned Outputs for FY 2015/16 This section describes past vote performance and planned Outputs, in terms of key vote outputs (i) Past Vote Outputs Preliminary 2014/15 Performance The outputs for FY 2013/14 upto end of March are: Outpatients 186,201, Inpatients 15,872, ANC 9916 , Lab investigations 36111 , X-rays 3234 , US 2489, Blood
 Transfusions 2768.
Immunisations 22,601.

Construction of the administration block is on schedule 95% complete.

V3: Detailed Planned Outputs for FY 2015/16 2015/16 Planned Outputs The plan for FY 2015/16 is to see: 1)200,000 outpatients 2)20,000 inpatients and carry out 60000 lab tests, , ANC cases 12,000, Immunizations 25,000, Family Planning 5000 clients and 5000 x-ray imagings.

The administration block will be completed.

Construct a sewerage system and lagoon.


Renovate male and female medical wards and access road for the new OPD and theatre.

Table V3.1: Vote Function Profiles, Programme/Project Profiles and Workplan Outputs Vote Function: 08 56 Regional Referral Hospital Services Vote Function Profile Responsible Officer: DR MULWANYI.

FRANCIS.

W HOSPITAL DIRECTOR.

Services: To offer comprehensive specialised curative,promotive, preventive ,rehabilitative health care services in the area.
To offer tertiary trainning and continuing professional development (CPD).

To undertake and conduct operational, professional and technical research.

To provide quality assuarance and support services.

To provide outreach and support supervision.

Monitoring and Evaluation of the implementation of the health services.

Disease surveillance.
Vote Function Projects and Programmes: Project or Programme Name Recurrent Programmes 01 02 03 Development Projects Hoima Referral Hospital Services Hoima Referral Hospital Internal Audit Hoima Regional Maintenance Responsible Officer Director Internal Auditor ASSISTANT ENGINEER 1004 Hoima Rehabilitation Referral Hospital HOSPITAL DIRECTOR - DR. MULWANYI FRANCIS Programme 01 Hoima Referral Hospital Services Programme Profile Responsible Officer: Director Objectives: To provide health care services to Bunyoro Region Outputs: Patients treated, infrastructure and equipment well maintained.
Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.

Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 01 Inpatient services 18,000 patients admitted and managed 15,872 patients admitted and managed 20,000 Inpatients admitted and managed.
Vote Overview 201 Hoima Referral Hospital Ministerial Policy Statement Vote: 166 Hoima Referral Hospital Vote Function: 08 56 Regional Referral Hospital Services Programme 01 Hoima Referral Hospital Services Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Total Wage Recurrent Non Wage Recurrent NTR 2,670,992 2,450,873 210,119 10,000 1,322,270 1,227,187 95,083 0 2,675,992 2,450,873 210,119 15,000 08 56 02 Outpatient services 180,000 general patients treated, and 60,000 specialised patients treated 186,201 outpatients treated out of which 125,605 were general cases and 60,596 were specialised cases.
180,000 general patients treated, and 60,000 specialised patients treated Total Wage Recurrent Non Wage Recurrent 08 56 03 Medicines and health supplies procured and dispensed NTR Total Wage Recurrent Non Wage Recurrent NTR 08 56 04 Diagnostic services 178,656 0 173,656 5,000 77,496 0 77,496 0 193,656 0 173,656 20,000 1 bn worth of medicines and sundry supplies procured by NMS Ugx.

794,047,722 worth of medicines and supplies received from NMS.
1 bn worth of medicines and sundry supplies procured by NMS 26,600 0 21,600 5,000 9,740 0 9,740 0 26,600 0 21,600 5,000 8,500 lab tests, and 4,500 xrays and Blood Tranfusions conducted.

36,111 lab tests done, 3,234 x- rays done, 2,489ultrasound scans done and 2,768 blood transfusions done.

90,000 lab tests, 5,000 xrays, 3,600 Blood Tranfusions and 3,600 ultrasound scans done.
Total Wage Recurrent Non Wage Recurrent 18,700 0 18,700 7,854 0 7,854 18,700 0 18,700 08 56 05 Hospital Management and support services Human Resources managed, Finances managed, Assets and Equipment managed, infrastructure development works monitored, utilites paid, hospital cleaned, equipment and vehicles maintained, patients (TB, HIV, Mental, nutrition children and refugees), medical interns welfare catered for, medical referral to Mulago made and hospital generator fueled.
Total Wage Recurrent Non Wage Recurrent NTR 246,671 0 236,671 10,000 108,814 0 108,814 0 252,671 0 232,671 20,000 08 56 06 Prevention and rehabilitation services 110,000 ANC patients, 25,000 immunizations, and 5,000 family planning cases attended to.

9,916 ANC cases, 22,601 immunizations, and 2,158 family planning cases handled.

110,000 ANC patients, 25,000 immunizations, and 5,000 family planning cases attended to.
Total Wage Recurrent Non Wage Recurrent 139,800 0 139,800 56,204 0 56,204 139,800 0 139,800 08 56 07 Immunisation Services 25,000 immunizations done.

22,601 immunizations cases done.

25,000 children and mothers immunized.
Total Wage Recurrent Non Wage Recurrent 46,000 0 46,000 20,069 0 20,069 46,000 0 46,000 Vote Overview 202 Hoima Referral Hospital Ministerial Policy Statement Vote: 166 Hoima Referral Hospital Vote Function: 08 56 Regional Referral Hospital Services Programme 01 Hoima Referral Hospital Services GRAND TOTAL Wage Recurrent Non Wage Recurrent NTR 3,327,419 2,450,873 846,546 30,000 1,602,448 1,227,187 375,261 0 3,353,419 2,450,873 842,546 60,000 Programme 02 Hoima Referral Hospital Internal Audit Programme Profile Responsible Officer: Internal Auditor Objectives: To audit operations and processes of Hoima Regional Referral Hospital.
Outputs: Quarterly audit reports on the operations of Hoima Regional Referral Hospital.

Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.

Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 05 Hospital Management and support services 4 quarterly audit reports and 1 annual report to be produced.
All Payments in the FY verified Monthly finacial reports verified Good delivered at hospital verified during the FY The audit reports for the 3 quarters were produced.

Financial reports and deliveries of suppliies and medicines were verified.

4 quarterly audit reports and 1 annual report to be produced.
All Payments in the FY verified Monthly finacial reports verified Good delivered at hospital verified during the FY Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 11,000 7,000 4,000 11,000 7,000 4,000 5,500 3,500 2,000 5,500 3,500 2,000 15,000 7,000 8,000 15,000 7,000 8,000 Vote Overview 203 Hoima Referral Hospital Ministerial Policy Statement Vote: 166 Hoima Referral Hospital Vote Function: 08 56 Regional Referral Hospital Services Programme 03 Hoima Regional Maintenance Programme Profile Responsible Officer: ASSISTANT ENGINEER Objectives: To provide maintenance of medical equipment to health facilities in the greater Bunyoro Region.
Outputs: Well maintained and fuctional medical equipment; Up todate medical equipment inventory for the region; regular reports on the status of medical equipment.

Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 05 Hospital Management and support services Spare parts procured for health facilities within the region: Allowances while on monthly/quarterly routine maintenance of equipment and support supervision for the health facilities within the region: Utilities paid: Vehicle maintenance: Staff trained within the region Spare parts procured for health facilities within the region: Allowances while on monthly/quarterly routine maintenance of equipment and support supervision for the health facilities within the region: Utilities paid: Vehicle maintenance: Staff trained within the region Spare parts procured for health facilities within the region: Allowances while on monthly/quarterly routine maintenance of equipment and support supervision for the health facilities within the region: Utilities paid: Vehicle maintenance: Staff trained within the region Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 112,729 0 112,729 112,729 0 112,729 52,474 0 52,474 52,474 0 52,474 112,729 0 112,729 112,729 0 112,729 Vote Overview 204 Hoima Referral Hospital Ministerial Policy Statement Vote: 166 Hoima Referral Hospital Vote Function: 08 56 Regional Referral Hospital Services Project 1004 Hoima Rehabilitation Referral Hospital Project Profile Responsible Officer: HOSPITAL DIRECTOR - DR. MULWANYI FRANCIS Objectives: 1.
To provide suitable office space for administrative staff, consultants and other senior staff.

2.

To provide facilities for a library, computer laboratory and board room.

3.

To improve on the image and outlook of the hospital to suit the status of a regional referral hospital.4.

To expand facilities to cater for the increased number of patients.

5.

To improve on the sewerage system and on the general sanitary situation at the hospital.

6.
6.

To provide staff accomodation so as to improve on staff motivation and retention.

Outputs: 1.

Office space to the tune of 1,600 square metres will be provided.

2.

The library and computer lab.

Will enhance continued professional development (CPD) for staff and students.

3.

Organised and adequate parking space will be provided by the project.

4.

Staff accomodation facilities will expand to cater for additional 30 members.

5.

A new sewerage system will be completed and put to use.
Start Date: 7/1/2008 Projected End Date: 6/30/2015 Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.

Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 72 Government Buildings and Administrative Infrastructure CAll buildings in the JICA project site demolished, site cleared and handed over to the JICA contractors.
n/a Cosntruction of new sewerage system and a lagoon Total GoU Development External Financing 199,820 199,820 0 153,148 153,148 0 400,000 400,000 0 08 56 80 Hospital Construction/rehabilitation Continue with construction of administration block and completion upto 80% of the works.

Construction of Administration Block completed up to 95%.

Total of Ugx.

600m released and paid to Contractor during the first 3 quarters of 2014/15.
Completion of administration block Total GoU Development External Financing 600,000 600,000 0 450,000 450,000 0 600,000 600,000 0 08 56 81 Staff houses construction and rehabilitation Total GoU Development External Financing 08 56 83 OPD and other ward construction and rehabilitation Total GoU Development External Financing GRAND TOTAL GoU Development External Financing Payment of outstanding certificate for the 3-storeyed 30- units staff accommodation blocks which were completed in FY 2013/14.
Construction completed in August, 2013.

Payments still outstanding in respect of variations, price adjustments and interest.

400,000 400,000 153,213 153,213 0 0 0 0 1,199,820 1,199,820 0 0 0 0 0 756,361 756,361 0 Payment for the completed 3- storeyed 30 unit staff block.
200,000 200,000 0 Rehabilitation of the male and female medical wards 200,000 200,000 0 1,400,000 1,400,000 0 Table V3.2: Past and Medum Term Key Vote Output Indicators* 2014/15 Vote Overview MTEF Projections 205 Hoima Referral Hospital Ministerial Policy Statement Vote: 166 Hoima Referral Hospital Vote Function Key Output Indicators and Costs: 2013/14 Outturn 2014/15 Approved Plan Releases Prel.
Actual MTEF Projections 2015/16 2016/17 2017/18 N/A N/A Vote: 166 Hoima Referral Hospital Vote Function:0856 Regional Referral Hospital Services No.

of in-patients (Admissions) No.

of specialised outpatients attended to No.

of antenatal cases (All attendances) No.

reconstructed/rehabilitated general wards No.

of staff houses constructed/rehabilitated Vote Function Cost (UShs bn) VF Cost Excluding Ext.
Fin Cost of Vote Services (UShs Bn) N/A N/A N/A 4.235 4.235 4.235 4.235 N/A 60,000 No info 60596 20,000 60,000 20,000 65000 20,000 65000 N/A N/A 30 4.651 4.651 4.651 4.651 No info 110,000 110,000 110,000 0 30 2.691 2.691 2.691 2.691 1 1 4.881 4.658 4.881 4.658 * Excluding Taxes and Arrears Medium Term Plans Medium term, the plan is to construct a water reservoir, the interns mess, private wing , mortuary, more staff houses and a fully equiped diagnostic centre.
(i) Measures to improve Efficiency Completion of payments to the administration block contractor will save the hospital from interest accruing on unpaid completion certificates and from possible ligation proceedings.

Construction of a lagoon will save the hospital from costs incurred on frequent emptying of numerous septic tanks existing in the hospital.
Table V3.3: Key Unit Costs of Services Provided and Services Funded (Shs '000) Unit Cost Description Proposed 2015/16 Planned 2014/15 Actual 2014/15 Actual 2013/14 Costing Assumptions and Reasons for any Changes and Variations from Plan Vote Function:0856 Regional Referral Hospital Services 2,800 Water 2,800 Special meals-food allowance for interns General supplies of Goods and services 10,003 10,003 2,800 10,003 2,800 Water rates will remain stable.

10,003 Interns food allowance included.


Fuel, lubricants and oils 4,000 4,000 4,000 4,000 Fuel prices will remain stable throught the year.

Electricity Allowances 600 600 600 600 Tariffs will remain stable over the period 100,000 100,000 100,000 100,000 Government rates will remain constant over the year.
Vote Overview 206 Hoima Referral Hospital Ministerial Policy Statement Vote: 166 Hoima Referral Hospital (ii) Vote Investment Plans 1)Interns mess 1.0billion shillings; 2) private wing 1.2 billion shillings, 3) mortuary 1.5 billion shillings, 4) renovation of existing structures 2.5 billion shillings, Fully equiped diagnostic centre.
Table V3.4: Allocations by Class of Output over the Medium Term Billion Uganda Shillings 2014/15 2015/16 2016/17 2017/18 2014/15 2015/16 2016/17 2017/18 Consumption Expendture(Outputs Provided) Investment (Capital Purchases) Grand Total 3.5 1.2 4.7 3.9 1.4 5.3 2.7 1.9 4.7 2.7 0.9 3.7 74.2% 73.5% 59.0% 74.7% 25.8% 26.5% 41.0% 25.3% 100.0% 100.0% 100.0% 100.0% (i) Allocation (Shs Bn) (ii) % Vote Budget Table V3.5: Major Capital Investments (Outputs of class Capital Purchases over 0.5Billion) 2014/15 2015/16 Project, Programme Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditures and Outputs by End March (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Vote Function: 08 56 Regional Referral Hospital Services Project 1004 Hoima Rehabilitation Referral Hospital 08 56 80 Hospital Construction/rehabili tation Continue with construction of administration block and completion upto 80% of the works.
Construction of Administration Block completed up to 95%.

Total of Ugx.

600m released and paid to Contractor during the first 3 quarters of 2014/15.
Completion of administration block Total GoU Development External Financingt 600,000 600,000 0 450,000 450,000 0 600,000 600,000 0 (iii) Priority Vote Actions to Improve Sector Performance The hospital management plans to do the following: Improve on supervision of works and servicces through continuos monitoring, constantly lobby MOH and HSC to fill the existing vacancies of key cadres.
Table V3.6: Vote Actions to Improve Sector Performance 2014/15 Planned Actions: 2015/16 Planned Actions: 2014/15 Actual Actions: MT Strategy: Sector Outcome 2: Children under one year old protected against life threatening diseases Vote Function: 08 56 Regional Referral Hospital Services VF Performance Issue: Enhance staff performance through improved welfare, working environment and support supervision.
Use NTR to provide break Use NTR to provide break teas, provide accommodation teas, provide accommodation to some key staff.

Conduct to some key staff.

Conduct support supervision.

support supervision.

Provided break tea and office refreshments; conducted support supervision, conducted regular CPDs.

Timely payment of duty allowances, provision of break tea,enhanced support supervision through through close monitoring and followup, staff development through CPDs and training.
V4: Proposed Budget Allocations for 2015/16 and the Medium Term This section sets out the proposed vote budget allocations for 2016/17 and the medium term, including major areas of expenditures and any notable changes in allocations.

Table V4.1: Past Outturns and Medium Term Projections by Vote Function* * Excluding Taxes and Arrears Vote: 166 Hoima Referral Hospital 0856 Regional Referral Hospital Services Total for Vote: 2014/15 MTEF Budget Projections 2013/14 Outturn Appr.
Budget Releases End Mar 2015/16 2016/17 2017/18 4.235 4.235 4.651 4.651 2.691 2.691 4.881 4.881 4.658 4.658 3.659 3.659 (i) The Total Budget over the Medium Term Wage Recurrent - Ugx 2.857 bn, NWR - ugx 963m, Devt - Ugx 1.4bn to finance ongoing construction of the administration block, and the construction of a sewerage system and a lagoon.
(ii) The major expenditure allocations in the Vote for 2015/16 Vote Overview 207 Hoima Referral Hospital Ministerial Policy Statement Vote: 166 Hoima Referral Hospital The major expenditure allocations are on inpatient services, outpatient services, completion of the admiistration block, construction of new sewerage system and lagoon.

(iii) The major planned changes in resource allocations within the Vote for 2015/16 No major planned changes in resource allocation.
Table V4.2: Key Changes in Vote Resource Allocation Table V4.3: 2014/15 and 2015/16 Budget Allocations by Item 2014/15 Approved Budget 2015/16 Draft Estimates Total GoU Ext.

Fin Million Uganda Shillings GoU Ext.
Fin Output Class: Outputs Provided 211101 General Staff Salaries 211103 Allowances 213001 Medical expenses (To employees) 213002 Incapacity, death benefits and funeral expen 221001 Advertising and Public Relations 221002 Workshops and Seminars 221003 Staff Training 221006 Commissions and related charges 221007 Books, Periodicals & Newspapers 221009 Welfare and Entertainment 221010 Special Meals and Drinks 221011 Printing, Stationery, Photocopying and Bind 221012 Small Office Equipment 221014 Bank Charges and other Bank related costs 221017 Subscriptions 222001 Telecommunications 222002 Postage and Courier 223005 Electricity 223006 Water 223007 Other Utilities- (fuel, gas, firewood, charcoa 224001 Medical and Agricultural supplies 224004 Cleaning and Sanitation 224005 Uniforms, Beddings and Protective Gear 225001 Consultancy Services- Short term 227001 Travel inland 227002 Travel abroad 227004 Fuel, Lubricants and Oils 228001 Maintenance - Civil 228002 Maintenance - Vehicles 228003 Maintenance – Machinery, Equipment & Fu Output Class: Capital Purchases 231001 Non Residential buildings (Depreciation) 231002 Residential buildings (Depreciation) 231007 Other Fixed Assets (Depreciation) Output Class: Arrears 321614 Electricity arrears (Budgeting) Grand Total: Total Excluding Taxes, Arrears and AIA ***where AIA is Appropriation in Aid 3.0
AIA 4.2
AIA 60.0 0.0 55.0 Total V5: Vote Cross-Cutting Policy and Other Budgetary Issues This section discusses how the vote's plans will address and respond to the cross-cutting policy, issues of gender and equity; HIV/AIDS; and the Environment, and other budgetary issues such as Arrears and NTR.. (i) Cross-cutting Policy Issues (a) Gender and Equity Vote Overview 208 Hoima Referral Hospital Ministerial Policy Statement Vote: 166 Hoima Referral Hospital Objective: Issue of Concern : Promote gender equity in hospital service delivery Proposed Intervensions #Deleted Budget Allocations UGX billion Performance Indicators (b) HIV/AIDS Objective: In collaboration with IDI, we have put in place measures to address vulnerable groups such as adolescents,
 discodant couples and commercial sex workers to ease their accessibility to comprehensive HIV services.
Issue of Concern : Proposed Intervensions In collaboration with IDI, we have put in place measures to address vulnerable groups such as adolescents, discodant couples and commercial sex workers to ease their accessibility to comprehensive HIV services.
Budget Allocations UGX billion Performance Indicators (c) Environment Objective: We have installed an incenerator which is now functional, we have a vibrantt infection control committee which is training and supervising staff in proper management of the internal and external environment.
Issue of Concern : Proposed Intervensions installed an incenerator which is now functional, we have a vibrantt infection control committee which is training and supervising staff in proper management of the internal and external environment.
Budget Allocations UGX billion Performance Indicators (ii) Non Tax Revenue Collections Source of NTR UShs Bn Other Fees and Charges Total: 2013/14 Actual 0.000 0.000 2014/15 Budget 0.030 0.030 2014/15 Prel Actual 2015/16 Projected 0.600 0.600 Vote Overview 209 Jinja Referral Hospital Vote: 167 Jinja Referral Hospital V1: Vote Overview (i) Vote Mission Statement Ministerial Policy Statement Hospital Mission: To increase Access to all people in Busoga Region to Quality General and Specialized Health Services.
(ii) Summary of Past Performance and Medium Term Budget Allocations Table V1.1: Overview of Vote Expenditures (UShs Billion) (i) Excluding Arrears, Taxes 2013/14 Outturn Approved Budget Rel.
by End Mar 2014/15 MTEF Budget Projections 2015/16 2016/17 2017/18 Recurrent Development Wage Non Wage GoU Donor GoU Total Total GoU+Donor (MTEF) (ii) Arrears and Taxes Arrears Taxes** Total Budget (iii) Non Tax Revenue Grand Total Excluding Taxes, Arrears N/A N/A N/A N/A N/A N/A 0.291 0.291 N/A N/A The chart below shows total funding allocations to the Vote by Vote Function over the medium term: Chart V1.1: Medium Term Budget Projections by Vote Function (Excluding Taxes, Arrears) n o i l l i B s h s U 5.7 5.6 5.5 5.4 5.3 5.2 5.1 5 4. 2014/15 Approved Budget Estimates 2015/16 Budget Projections 2016/17 Budget Projections Vote Overview 210 Jinja Referral Hospital Vote: 167 Jinja Referral Hospital Ministerial Policy Statement V2: Vote Performance for FY 2014/15 and Planned Outputs for FY 2015/16 This section describes past vote performance and planned Outputs, in terms of key vote outputs (i) Past Vote Outputs Preliminary 2014/15 Performance The planned outputs for the FY is being implemented.
V3: Detailed Planned Outputs for FY 2015/16 2015/16 Planned Outputs 25,000 admitted 90 % bed occupancy rate 5 days average length of stay 6,000 Deliveries made, 2,500 major surgeries 100,000 general out patients 2,000 casualty cases 60,000 special clinics outpatients 4000 x-ray examinations 5,000 ultra sound examinations 200,000 laboratory & pathological examinations 7,000 blood transfusions 3000 family planning contacts 14,000 antenatal attendances 6,000 prevention of mother to child transmission of HIV 8,000 physiotherapy cases handled 14,400 immunizations static 300 Immunizations outreaches Table V3.1: Vote Function Profiles, Programme/Project Profiles and Workplan Outputs Vote Function: 08 56 Regional Referral Hospital Services Vote Function Profile Responsible Officer: HOSPITAL DIRECTOR Services: The hospital provides Specialized and Super Specialized Health Services, General Health Services, conducts Tertiary Medical Health Training, Research and contributing to National Health Policy.
Vote Function Projects and Programmes: Project or Programme Name Recurrent Programmes 01 02 Development Projects Jinja Referral Hospital Services Jinja Referral Hospital Internal Audit Responsible Officer HOSPITAL DIRECTOR INTERNAL AUDITOR 1004 Jinja Rehabilitation Referral Hospital Hospital Director Programme 01 Jinja Referral Hospital Services Programme Profile Responsible Officer: HOSPITAL DIRECTOR Vote Overview 211 Jinja Referral Hospital Vote: 167 Jinja Referral Hospital Ministerial Policy Statement Vote Function: 08 56 Regional Referral Hospital Services Programme 01 Jinja Referral Hospital Services Objectives: 1.
To improve the quality and safety of hospital care.

2.

 To contribute to scaling up critical HSSIP interventions.

3.

 To strengthen research activities.

4.

 To strengthen training of health workers.

5.

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

6.

 To improve effectiveness and efficiency of hospital services.

7.

 To strengthen hospital partnerships.
Outputs: 25,000 admitted 90 % bed occupancy rate 5 days average length of stay 6,000 Deliveries made, 2,500 major surgeries 100,000 general out patients 2,000 casualty cases 60,000 special clinics outpatients 4000 x-ray examinations 5,000 ultra sound examinations 200,000 laboratory & pathological examinations 7,000 blood transfusions 3000 family planning contacts 14,000 antenatal attendances 6,000 prevention of mother to child transmission of HIV 8,000 physiotherapy cases handled 8,000 physiotherapy cases handled 14,400 immunizations static 300 Immunizations outreaches Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 01 Inpatient services 35,000 admitted 100 % bed occupancy rate 5 days average length of stay 8,000 Deliveries made, 3,000 major surgeries 17053 admitted 74 % bed occupancy rate 4 days average length of stay 4653 Deliveries made, 1973 major surgeries 25,000 admitted 100 % bed occupancy rate 5 days average length of stay 6,000 Deliveries made, 2,500 major surgeries Total Wage Recurrent Non Wage Recurrent NTR 4,306,707 3,609,783 406,424 290,500 3,174,943 2,707,337 304,818 162,788 4,349,369 3,609,783 449,086 290,500 08 56 02 Outpatient services 122,400 general out patients 4,000 casualty cases 90,000 special clinics outpatients 70276 general out patients 1322 casualty cases 52185 special clinics outpatients 100,000 general out patients 2,000 casualty cases 60,000 special clinics outpatients Total Wage Recurrent Non Wage Recurrent 147,376 0 147,376 110,532 0 110,532 59,972 0 59,972 08 56 04 Diagnostic services 5,400 x-ray examinations 6,000 ultra sound examinations 120,000 laboratory & pathological examinations 8,000 blood transfusions 2143 x-ray examinations 3511 ultra sound examinations 141,786 laboratory & pathological examinations 5585 blood transfusions 4000 x-ray examinations 5,000 ultra sound examinations 200,000 laboratory & pathological examinations 7,000 blood transfusions Vote Overview 212 Jinja Referral Hospital Vote: 167 Jinja Referral Hospital Ministerial Policy Statement Vote Function: 08
 56 Regional Referral Hospital Services Programme 01 Jinja Referral Hospital Services Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Total Wage Recurrent Non Wage Recurrent 94,887 0 94,887 71,166 0 71,166 76,532 0 76,532 08 56 05 Hospital Management and support services Monthly salaries for all staff paid and HR reports done Quarterly Hospital board meetings Monthly Contract committee meetings Monthly Departmental meetings held Monthly Top management meetings held Quarterly Hospital support supervision undertaken Quarterly work plans prepared Quarterly progressive reports submitted Quarterly accounts and procurement and disposal reports prepared Vehicles serviced and repaired Patient referrals out effected assisted Patients fed Equipment maintained Quarterly report on water consumed in cubic meters Quarterly report on Electricity consumed in KWH Daily linen cleaned Daily compounds & buildings cleaned Daily security services ensured Monthly salaries for all staff paid and HR reports done Quarterly Hospital board meetings Monthly Contract committee meetings Monthly Departmental meetings held Monthly Top management meetings held Quarterly Hospital support supervision undertaken Quarterly work plans prepared Quarterly progressive reports submitted Quarterly accounts and procurement and disposal reports prepared Vehicles serviced and repaired Patient referrals out effected assisted Nutrition Patients fed Equipment maintained Quarterly report on water consumed in cubic meters Quarterly report on Electricity consumed in KWH Daily linen cleaned Daily compounds & buildings cleaned Daily security services ensured Monthly salaries for all staff paid and HR reports done Quarterly Hospital board meetings Monthly Contract committee meetings Monthly Departmental meetings held Monthly Top management meetings held Quarterly Hospital support supervision undertaken Quarterly work plans prepared Quarterly progressive reports submitted Quarterly accounts and procurement and disposal reports prepared Vehicles serviced and repaired Patient referrals out effected
 assisted Patients fed Equipment maintained Quarterly report on water consumed in cubic meters Quarterly report on Electricity consumed in KWH Daily linen cleaned Daily compounds & buildings cleaned Daily security services ensured Total Wage Recurrent Non Wage Recurrent 244,672 0 244,672 185,254 1,750 183,504 329,781 0 329,781 08 56 06 Prevention and rehabilitation services 8000 family planning contacts 15,200 antenatal attendances 6,000 prevention of mother to child transmission of HIV 8,000 physiotherapy cases handled 2775 family planning contacts 10024 antenatal attendances 4486 prevention of mother to child transmission of HIV 7120 physiotherapy cases handled 3000 family planning contacts 14,000 antenatal attendances 6,000 prevention of mother to child transmission of HIV 8,000 physiotherapy cases handled Total Wage Recurrent Non Wage Recurrent 26,500 0 26,500 19,875 0 19,875 29,972 0 29,972 08 56 07 Immunisation Services 14,400 immunizations static 600 Immunisations outreaches 12884 immunizations static 0 Immunisations outreaches 14,400 immunizations static 300 Immunisations outreaches 08 56 99 Arrears Total Wage Recurrent Non Wage Recurrent Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent NTR Vote Overview 213
3,609,783 1,437,407 290,500 Vote Overview 213 Ministerial Policy Statement Jinja Referral Hospital Vote: 167 Jinja Referral Hospital Vote Function: 08 56 Regional Referral Hospital Services Programme 02 Jinja Referral Hospital Internal Audit Programme Profile Responsible Officer: INTERNAL AUDITOR Objectives: Outputs: 1.
To monitor and enhance efficiency and effectiveness in hospital systems.

2.

 To monitor performance of the organization.

3.

 To carry out value for money audits.

4.

To check and improve internal control systems.

5.

 To ensure compliance with policies and regulations 1.

Verification of goods supplied 2.

 Value for money in procurement 3.

 Audit reports 4.

 Monitoring compliance to financial regulations 5.
Proper accountability 6 .

 Effective internal control Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.

Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 05 Hospital Management and support services 1.

Verification of goods supplied 2.

Value for money in procurement 3.


Audit reports 4. monitoring compliance to financial regulations 5.

Proper accountability 6.

Effective internal control 1.

Verification of goods supplied 2.

Value for money in procurement 3.

Audit reports 4. monitoring compliance to financial regulations 5.

Proper accountability 6.

Effective internal control 1.

Verification of goods supplied 2.

Value for money in procurement 3.

Audit reports 4. monitoring compliance to financial regulations 5.
Proper accountability 6.
Effective internal control Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 18,000 7,000 11,000 18,000 7,000 11,000 11,750 3,500 8,250 11,750 3,500 8,250 18,000 7,000 11,000 18,000 7,000 11,000 Programme 03 Jinja Regional Maintenance Programme Profile Responsible Officer: FOR VOA Objectives: Outputs: Vote Overview 214 Ministerial Policy Statement Jinja Referral Hospital Vote: 167 Jinja Referral Hospital Vote Function: 08 56 Regional Referral Hospital Services Project 1004 Jinja Rehabilitation Referral Hospital Project Profile Responsible Officer: Hospital Director Objectives: Outputs: 1.
To improve the quality and safety of hospital care.

2.

To contribute to scaling up critical HSSIP interventions.

3.

To motivate staff by providing them with better, enabling work environment and security.

4.

To improve effectiveness and efficiency of hospital services.

5.

To provide better conditions of living and reduce staff turnover by improving on accommodation to attract and retain staff because a big cross section of staff commute from very far.
• Installation of internet services at department of Pediatrics • Senior consultant’s duty call residence improved renovated.

• Medical maintenance workshop constructed • OPD casualty and emergency operational • Medical drugs and supplies in Pharmacy and stores well stored • Medical equipments procured.
• Data storage to improve patient record keeping (space optimizers) • Completed ward space renovation and expansion for child and maternal health services • land titles for the hospital secured • Completion of private wing.

Start Date: 7/1/2010 Projected End Date: 6/30/2015 Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 76 Purchase of Office and ICT Equipment, including Software Total GoU Development External Financing 0 0 0 08 56 77 Purchase of Specialised Machinery & Equipment Purchase of medical equipments for the Private wing and general Hospital Procurement of Medical equipment was completed and assesing the equipments performance in the warranty period -Installation of internet to Paediatric department.
0 0 0 10,000 10,000 0 Purchase of assorted medical equipment and medical furniture, Total GoU Development External Financing 08 56 78 Purchase of Office and Residential Furniture and Fittings Total GoU Development External Financing 43,285 43,285 0 0 0 0 31,471 31,471 0 0 0 0 36,000 36,000 0 Data storage for patient record keeping (space optimizers) A small one for children’s ward and the big one for main Hospital.
90,000 90,000 0 08 56 80 Hospital Construction/rehabilitation -Renovation of a building to house medical records Procurement procedures for renovation of the building to house medical records was completed.
However work has not yet began -Repairs storage for medicines in Pharmacy and stores -Construction of the medical maintenance workshop Total 40,455 12,137 394,000 Vote Overview 215 Jinja Referral Hospital Vote: 167 Jinja Referral Hospital Ministerial Policy Statement Vote Function: 08 56 Regional Referral Hospital Services Project 1004 Jinja Rehabilitation Referral Hospital Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Total Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) GoU Development External Financing 40,455 0 12,137 0 394,000 0 08 56 81 Staff houses construction and rehabilitation -Interns residence renovation completed -Interns residence renovation was completed and monitoring the defects liability.
Renovation of building to house specialists and consultants and medical officers on duty calls Total GoU Development External Financing 172,542 172,542 0 172,542 172,542 0 40,000 40,000 0 08 56 83 OPD and other ward construction and rehabilitation -Children's ward Renovation completed -Children's ward Renovation is at 97% completion without variations Repairs at OPD for casualty and emergency unit Total GoU Development External Financing GRAND TOTAL GoU Development External Financing 429,812 429,812 0 686,095 686,095 0 194,255 194,255 0 410,404 410,404 0 30,000 30,000 0 600,000 600,000 0 Table V3.2: Past and Medum Term Key Vote Output Indicators* Vote Function Key Output Indicators and Costs: 2013/14 Outturn 2014/15 Approved Plan Releases Prel.
Actual MTEF Projections 2015/16 2016/17 2017/18 N/A N/A Vote: 167 Jinja Referral Hospital Vote Function:0856 Regional Referral Hospital Services No.

of in-patients (Admissions) No.

of specialised outpatients attended to No.

of antenatal cases (All attendances) No.

reconstructed/rehabilitated general wards No.

of staff houses constructed/rehabilitated Vote Function Cost (UShs bn) VF Cost Excluding Ext.
Fin Cost of Vote Services (UShs Bn) N/A N/A N/A 5.532 5.532 5.532 5.532 N/A 90,000 No info 53507 25000 62000 25000 62000 25000 62000 N/A No info 20000 20000 20000 0 1 5.864 5.864 5.864 5.864 0 1 4.543 4.543 4.543 4.543 1 1 5.465 5.465 0 1 0 1 * Excluding Taxes and Arrears Medium Term Plans 1.

 To improve efficiency in service delivery such data management and diagnostic services.

2.

Fill existing gaps in human resources for health.

3.
3.

Improve working environment to boost morale of health workers.

4 .

Improve customer care & public relations.

5.

Improve the hospital security of assets and other resources 6.

Improve maintenance of medical infrastructure 7 .
Improving waste management (i) Measures to improve Efficiency Construction of a medical maintenance workshop will enable maintenance of equipment and other assets which have piled up in the hospital Improving data storage will improve planning for the hospital and patients information management.

The Vote Overview 216 Jinja Referral Hospital Vote: 167 Jinja Referral Hospital Ministerial Policy Statement data collected will be used in operational research that can improve quality of care.
Improvement of Data storage will ease referral of patient records within the hospital (5s) hence improving quality of care and reduce on costs of some consumables like stationary.

Emergencies have been handled in the respective wards allocating space at OPD for casualty and emergency unit.
Proper storage space in Pharmacy and stores will shield the drugs from hazardous environment Table V3.3: Key Unit Costs of Services Provided and Services Funded (Shs '000) Vote Overview 217 Jinja Referral Hospital Vote: 167 Jinja Referral Hospital Ministerial Policy Statement (ii) Vote Investment Plans The hospital is facing unfunded priorities and funds allocated can only cater for a few capital purchases.
The hospital services have increased and however funding have been reduced too far below the amount received previous year.

Allocations to the key outputs are inadequate to enable effective service delivery.
Table V3.4: Allocations by Class of Output over the Medium Term Billion Uganda Shillings 2014/15 2015/16 2016/17 2017/18 2014/15 2015/16 2016/17 2017/18 Consumption Expendture(Outputs Provided) Investment (Capital Purchases) Grand Total 4.9 1.0 5.9 4.9 0.6 5.5 4.9 1.0 5.9 4.9 0.4 5.2 83.0% 89.0% 83.1% 92.8% 7.2% 17.0% 11.0% 16.9% 100.0% 100.0% 100.0% 100.0% (i) Allocation (Shs Bn) (ii) % Vote Budget Table V3.5: Major Capital Investments (Outputs of class Capital Purchases over 0.5Billion) (iii) Priority Vote Actions to Improve Sector Performance Construction of a medical maintenance workshop will enable maintenance of equipment and other assets which have piled up in the hospital.
Improving data storage will improve planning for the hospital and patients information management.

The data collected will be used in operational research that can improve quality of care.

Improvement of Data storage will ease referral of patient records within the hospital (5s) hence improving quality of care and reduce on costs of some consumables like stationary.

Emergencies have been handled in the respective wards allocating space at OPD for casualty and emergency unit.
Proper storage space in Pharmacy and stores will shield the drugs from hazardous environment Table V3.6: Vote Actions to Improve Sector Performance 2014/15 Planned Actions: 2015/16 Planned Actions: 2014/15 Actual Actions: MT Strategy: Sector Outcome 1: Increased deliveries in health facilities Vote Function: 08 56 Regional Referral Hospital Services VF Performance Issue: renovate residence for the senior consultants on call.
Inadequate accomodation for health workers Repairs to the building did not have funding Plan to renovate existing senior specialists duty call residence Sector Outcome 2: Children under one year old protected against life threatening diseases Vote Function: 08 56 Regional Referral Hospital Services VF Performance Issue: Large inventories of undermaintained equipment Request central workshop to come to Jinja Hospital to maintain equipment.
The hospital contracted a private companies to repair some of the equipments Establish and implement inventory management plans and construction of a mantainance workshop A plan in medium term to renovate existing and repairable staff quarters Establish and implement inventory management plans and construction of a mantainance workshop VF Performance Issue: Under staffed structures Continue to declare vacant positions to MOH and MOPS for filling Continued to declare vacant posts to the relevant authorities.
Received one staff in the FY.

HSC interviews are going on for some posts for Jinja RR Hospital Continue to declare all vacant positions to MOH for filling.

Improve staff accomodation to attract and retain staff V4: Proposed Budget Allocations for 2015/16 and the Medium Term This section sets out the proposed vote budget allocations for 2016/17 and the medium term, including major areas of expenditures and any notable changes in allocations.
Table V4.1: Past Outturns and Medium Term Projections by Vote Function* * Excluding Taxes and Arrears Vote: 167 Jinja Referral Hospital 2014/15 MTEF Budget Projections 2013/14 Outturn Appr.

Budget Releases End Mar 2015/16 2016/17 2017/18 Vote Overview 218 Jinja Referral Hospital Vote: 167 Jinja Referral Hospital Ministerial Policy Statement 0856 Regional Referral Hospital Services Total for Vote: 2014/15 MTEF Budget Projections 2013/14 Outturn Appr.
Budget Releases End Mar 2015/16 2016/17 2017/18 5.532 5.532 5.864 5.864 4.543 4.543 5.465 5.465 5.857 0.291 5.243 5.243 (i) The Total Budget over the Medium Term Wage allocation increased by 120m/= from previous year of 3,6bn/=.

however the funding may not be adequate we may require 3.8bn/= Non wage allocation has remained the same at 957m/= however it is important to note that the hospital is located on two campuses a kilometer apart therefore it’s like fuel, maintenance, and supplies costs is high.
Capital development has reduced from 1bn/= to 600m/= yet we have to complete the current running renovations and, to construct a maintenance workshop and equip it, install a data storage equipment, renovations and purchase equipment.

(ii) The major expenditure allocations in the Vote for 2015/16 Expenditure allocations by the vote function give priority to the patients since they are the hospital major out puts.
Therefore in the hospital healthcare delivery, the expenditures on Utilities, machinery maintenance, cleaning services, printed stationery and related materials, Fuel for incinerator and patient referral is bound to increase corresponding to patient increase.
(iii) The major planned changes in resource allocations within the Vote for 2015/16 The major planned changes are wages for staff, staff motivation by providing staff tea especially for those on special duties, improving data storage, security of hospital assets.
Table V4.2: Key Changes in Vote Resource Allocation Changes in Budget Allocations and Outputs in 2015/16 from 2014/15 Planned Levels: Justification for proposed Changes in Expenditure and Outputs Vote Function:0878 Regional Referral Hospital Services Output: UShs Bn: Better data storage and management 0.090 0856 78 Purchase of Office and Residential Furniture and Fittings -Improving data storage will improve planning for the hospital and patients information management -The data collected will be used in operational research that can improve quality of care.
-Improvement of Data storage will ease referral of patient records within the hospital (5s) hence improving quality of care and reduce on costs of some consumables like stationary.

Construction of a medical maintenance workshop will enable maintenance of equipment and other assets which have piled up in the hospital, and repairs in stores and pharmacy will solve the storage challenges of inadequate shelves and no ceiling roof which has been hazardous to the medicines especially when the sun is hot.
-Most of the doctors live outside Jinja especially in Kampala.

It is therefore a challenge for them in handling casualties and emergencies, including the ICU.

They requested for a duty call residence to enable them offer their services in the hospital effectively.

A building that has space for 3 specialists on call can be renovated and expanded for 7 more specialists and 2 medical officers on call.
More funds are needed to complete the rehabilitation of the ward to enable better maternal service delivery.

Emergencies have been handled in the respective wards; space has been allocated at OPD for casualty and emergency unit.

0856 80 Hospital Construction/rehabilitation Output: UShs Bn: -Construction of a medical maintenance workshop will enable maintenance of equipment.
Proper storage space for medicines 0.354 0856 Output: UShs Bn: Senior consultant duty call residence improved -0.133 81 Staff houses construction and rehabilitation 82 Maternity ward construction and rehabilitation 0856 -0.314 Output: UShs Bn: insufficient funds to cater for the necessary needs identified at renovation Output: UShs Bn: The repairs for casualty and emergency unit.
Output: 99 Arrears -0.400 0856 0856 83 OPD and other ward construction and rehabilitation Vote Overview 219 Jinja Referral Hospital Vote: 167 Jinja Referral Hospital Ministerial Policy Statement Changes in Budget Allocations and Outputs in 2015/16 from 2014/15 Planned Levels: Justification for proposed Changes in Expenditure and Outputs UShs Bn: Water and Electricity arears paid -0.443 The hospital will ensure performance with in the bugdet allocation.
Table V4.3: 2014/15 and 2015/16 Budget Allocations by Item 2014/15 Approved Budget 2015/16 Draft Estimates Million Uganda Shillings GoU Ext.

Fin AIA Total GoU Ext.
Fin AIA Total Output Class: Outputs Provided 211101 General Staff Salaries 211103 Allowances 213001 Medical expenses (To employees) 213002 Incapacity, death benefits and funeral expen 221001 Advertising and Public Relations 221002 Workshops and Seminars 221003 Staff Training 221005 Hire of Venue (chairs, projector, etc) 221007 Books, Periodicals & Newspapers 221008 Computer supplies and Information Technol 221009 Welfare and Entertainment 221010 Special Meals and Drinks 221011 Printing, Stationery, Photocopying and Bind 221012 Small Office Equipment 221014 Bank Charges and other Bank related costs 222001 Telecommunications 222002 Postage and Courier 222003 Information and communications technolog 223004 Guard and Security services 223005 Electricity 223006 Water 223007 Other Utilities- (fuel, gas, firewood, charcoa 224001 Medical and Agricultural supplies 224004 Cleaning and Sanitation 224005 Uniforms, Beddings and Protective Gear 227001 Travel inland 227002 Travel abroad 227003 Carriage, Haulage, Freight and transport hir 227004 Fuel, Lubricants and Oils 228001 Maintenance - Civil 228002 Maintenance - Vehicles 228003 Maintenance – Machinery, Equipment & Fu 228004 Maintenance – Other Output Class: Capital Purchases 231001 Non Residential buildings (Depreciation) 231002 Residential buildings (Depreciation) 231005 Machinery and equipment 231006 Furniture and fittings (Depreciation) Output Class: Arrears 321612 Water arrears(Budgeting) 321614 Electricity arrears (Budgeting) Grand Total: Total Excluding Taxes,
 Arrears and AIA ***where AIA is Appropriation in Aid 6.0
V5: Vote Cross-Cutting Policy and Other Budgetary Issues This section discusses how the vote's plans will address and respond to the cross-cutting policy, issues of gender and equity; HIV/AIDS; and the Environment, and other budgetary issues such as Arrears and NTR.. (i) Cross-cutting Policy Issues Vote Overview 220 Jinja Referral
 Hospital Vote: 167 (a) Gender and Equity Jinja Referral Hospital Ministerial Policy Statement Objective: provide free services to all, provide special meals to needy patients and those on special wards,offer family planning services to all that need,outreach immunisation to cater for those that are not able to come to hospital.
Issue of Concern : Most of the people are poor therefore the hospital provides free medical services to the ppoor as provided for in the NDP.

Proposed Intervensions ensure availabllity of drugs and diagnostic services.

Budget Allocations UGX billion Performance Indicators Proportion of patients receiving health services.

(b) HIV/AIDS Objective: elimination of mother to child transmission, providing acccess to HIV/AIDS services to all HIV positive patients, improve uptake of circumcision.
Issue of Concern : Despite implementation of option B plus, Sero Conversion rates of infants born to HIV + mothers is high.

Proposed Intervensions strengthen the RCT and liaise with NMS to supply the HIV test kits according to demand Budget Allocations UGX billion Performance Indicators Proportion of pregnant women testing for HIV during Antenatal.

Proportion of HIV + pregnant women receiving ARVs for EMTCT.

Proportion of HIV exposed infants receiving Neverapine Prophylaxis.
Proportion of HIV exposed infants getting tested for HIV- DNAPCR (c) Environment Objective: improve waste management by purchasing, Procurement of equipment for medical Wastes management,segregation of wastes mechanism, improving on sanitation Issue of Concern : Lack of incenerator, Proposed Intervensions procure a waste management equipment however no funding for this financial year, reactivate the infection control committee Budget Allocations UGX billion Performance Indicators Infection control committee revived and active (ii) Non Tax Revenue Collections Source of NTR UShs Bn Sale of drugs Other Fees and Charges Other Fees and Charges 2013/14 Actual 2014/15 Budget 0.111 Total: 0.111 0.291 0.291 2014/15 Prel Actual 0.100 0.055 0.030 0.185 2015/16 Projected 0.100 0.291 0.190 0.581 1.NTR collections are expected to increase in the FY because of the emphasis on management of the private pharmacy 2.The funds are used to purchase emergency supplies, motivation to staff, emergency maintenances and infection control needs.
Vote Overview 221 Kabale Referral Hospital Ministerial Policy Statement Vote: 168 Kabale Referral Hospital V1: Vote Overview (i) Vote Mission Statement To provide quality and sustainable, general and specialised, health services to all people in Kigezi region (ii) Summary of Past Performance and Medium Term Budget Allocations Table V1.1: Overview of Vote Expenditures (UShs Billion) (i) Excluding Arrears, Taxes 2013/14 Outturn Approved Budget Rel.
by End Mar 2014/15 Recurrent Development Wage Non Wage GoU Donor GoU Total Total GoU+Donor (MTEF) (ii) Arrears and Taxes Arrears Taxes** Total Budget (iii) Non Tax Revenue Grand Total Excluding Taxes, Arrears MTEF Budget Projections 2015/16 2016/17 2017/18 2.385 1.293 0.600 0.000 4.278 4.278 0.000 0.000 4.278 0.200 4.478 4.478 2.385 0.719 1.500 0.000 4.604 4.604 N/A N/A N/A 0.000 N/A 4.604 1.430 0.719 1.500 0.000 3.649 3.649 N/A N/A N/A 0.000 N/A 3.649 The chart below shows total funding allocations to the Vote by Vote Function over the medium term: Chart V1.1: Medium Term Budget Projections by Vote Function (Excluding Taxes, Arrears) n o i l l i B s h s U 4.7 4.6 4.5 4.4 4.3 4.2 4. 2014/15 Approved Budget Estimates 2015/16 Budget Projections 2016/17 Budget Projections Vote Overview 222 Kabale Referral Hospital Ministerial Policy Statement Vote: 168 Kabale Referral Hospital V2: Vote Performance for FY 2014/15 and Planned Outputs for FY 2015/16 This section describes past vote performance and planned Outputs, in terms of key vote outputs (i) Past Vote Outputs Preliminary 2014/15 Performance 24,000 In-patients admissions, 86% bed occupancy rate and 5 days average stay, 149,540 Out-patients, attendance, Shs.
1.127 billion worth of medicines delivered by NMS and dispensed, 56,502 antenatal cases,89,099 immunizations and 71,813 family planning, 115 bed private wing at finishing level., A 30 unit nurses' hostel completed, 520 million used on the construction of the private wing V3: Detailed Planned Outputs for FY 2015/16 2015/16 Planned Outputs It is anticipated that the hospital will produce the following outputs; 30,000 In-patients admissions, 85% bed occupancy rate and 5 days average length of stay, 92,000 Out-patients attendance, 73,000 Specialized clinic attendance, 40,000 antenatal cases, 60,000 immunizations and 55,000 family planning cases.. Table V3.1: Vote Function Profiles, Programme/Project Profiles and Workplan Outputs Vote Function: 08 56 Regional Referral Hospital Services Vote Function Profile Responsible Officer: Hospital Director Services: In-patient, Out-patient, Management, Dignostic, Preventive, Promotive and Rehabilitative health care services Vote Function Projects and Programmes: Project or Programme Name Recurrent Programmes 01 02 03 Development Projects Kabale Referral Hospital Services Kabale Referral Hospital Internal Audit Kabale Regional Maintenance Workshop Responsible Officer Hospital Director Hospital Director Hospital Director 1004 Kabale Regional Hospital Rehabilitaion Hospital Director Programme 01 Kabale Referral Hospital Services Programme Profile Responsible Officer: Hospital Director Objectives: To provide quality and sustainable, general and specialized health services to all people of Kigezi Sub- Region Outputs: - Supervision of lower health units, provision of quality health care, health promotion and disease prevention, spearhead operational research.
Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.

Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 01 Inpatient services 30,000 Inpatients to be admitted and treated in wards.

85% bed occupancy and average length of stay of 5days maintained.

65,000 Inpatients to be admitted and treated in wards.
85% bed occupancy and average length of stay of 5 days maintained.
Total Wage Recurrent Non Wage Recurrent 2,904,304 2,385,389 318,915 3,364,075 2,981,736 373,635 2,904,304 2,385,389 318,915 Vote Overview 223 Kabale Referral Hospital Ministerial Policy Statement Vote: 168 Kabale Referral Hospital Vote Function: 08 56 Regional Referral Hospital Services Programme 01 Kabale Referral Hospital Services Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) NTR 200,000 8,705 200,000 08 56 02 Outpatient services 92,000 Genreal Outpatients to be seen in OPD ,grade and 73000 specialised clinics 100,000 Outpatients to be seen in grade A and 80,000 to be seen in specialised clinics.
Total Wage Recurrent Non Wage Recurrent 128,056 0 128,056 08 56 03 Medicines and health supplies procured and dispensed 1.2 billions worth of medicines to be anticipated to be received from NMS and dispensed.
Total Wage Recurrent Non Wage Recurrent 13,599 0 13,599 08 56 04 Diagnostic services 105, 000 cases to be investigated in the laboratory and 24000 x-ray units, Total Wage Recurrent Non Wage Recurrent 44,036 0 44,036 08 56 05 Hospital Management and support services 45 management reports in Finance , Administratton, records and stores Total Wage Recurrent Non Wage Recurrent 206,364 0 206,364 08 56 06 Prevention and rehabilitation services 140,000 cases to be seen in the Orthopaedic, Physiotherapy and Psychiatry departments.
40,000 antenatal attendances and 55,000 family planning to be carried out.
Total Wage Recurrent Non Wage Recurrent 112,698 0 112,698 08 56 07 Immunisation Services 60,000 immunizations to be carried out Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent NTR billions worth of medicines to be anticipated to be received from NMS and dispensed.
13,599 0 13,599 141,728 cases to be investigated in the laboratory and 25,000 in the X-ray units.
44,036 0 44,036 45 management reports in finance,administration, records and stores produced 206,364 0 206,364 145,000 cases to be seen in the Orthopaedics, physiotherapy and psychiatry departments 112,698 0 112,698 65,000 immunizations to be carried out, 45,000 antenatal attendances, and 60,000 family planning to be carried out 37,566 0 37,566 3,446,622 2,385,389 861,234 200,000 Vote Overview 224 Kabale Referral Hospital Ministerial Policy Statement Vote: 168 Kabale Referral Hospital Vote Function: 08 56 Regional Referral Hospital Services Programme 02 Kabale Referral Hospital Internal Audit Programme Profile Responsible Officer: Hospital Director Objectives: To provide quality and sustainable, general and specialized health services to all people of Kigezi Sub- Region Outputs: Supervision of lower health units, provision of quality health care, health promotion and disease prevention, spearhead operational research.
Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 05 Hospital Management and support services 12 stock takins,4 internai audit reports to be produced , 24 inspections and 24 verifications 12 stocktakings, 4 internal audit reports to be produced, 24 inspections and 24 verifications Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 5,000 0 5,000 5,000 0 5,000 5,896 0 5,896 5,896 0 5,896 5,000 0 5,000 5,000 0 5,000 Programme 03 Kabale Regional Maintenance Workshop Programme Profile Responsible Officer: Hospital Director Objectives: To provide quality and sustainable, general and specialized health services to all people of Kigezi Sub- Region Outputs: Supervision of lower health units, provision of quality health care, health promotion and disease prevention, spearhead operational research.
Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 05 Hospital Management and support services 1,000 Medical equipment to be maintained in health units 4 periodic meetinngs to be held at KRR 4 User trainings to be done in health units Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 426,373 0 426,373 426,373 0 426,373 Medical equipment to be maintained in the health units,periodic meetings to be held at KRRH and 4 user trainings to be done in the health units 426,373 0 426,373 426,373 0 426,373 327,985 0 327,985 327,985 0 327,985 Vote Overview 225 Kabale Referral Hospital Ministerial Policy Statement Vote: 168 Kabale Referral Hospital Vote Function: 08 56 Regional Referral Hospital Services Project 1004 Kabale Regional Hospital Rehabilitaion Project Profile Responsible Officer: Hospital Director Objectives: The objective of this project is to provide the enabling infrastructural development through the construction of maternity, staff hostel,stabling an orthopaedic workshop, imporove diagnostic capablities and establish a centre of excellence for cardiac problems.
Outputs: 1.

Improved quality and safety of hospital services 2.

Research activities strengthened 3.

Training of health workers strengthened 4.

Interns mess constructed 5.Intercom installed in all hospital wards 6.Solar installed in all wards and offices including the Private wing 7.Medical equipments especially CT scan and MRI services established and strengthened 8.

Central power voltage regulator/ stabiliser procured and installed 9.

One ambulance procured 10.

Staff houses constructed.


Start Date: 7/1/2008 Projected End Date: 6/30/2015 Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 72 Government Buildings and Administrative Infrastructure Total GoU Development External Financing 08 56 76 Purchase of Office and ICT Equipment, including Software Purchase of Inter-comm connection.
Total GoU Development External Financing 0 0 0 64,895 64,895 0 08 56 77 Purchase of Specialised Machinery & Equipment purchase of specialised machinery and equipment for the general hospital and the private wing Total GoU Development External Financing 08 56 81 Staff houses construction and rehabilitation Total GoU Development External Financing GRAND TOTAL GoU Development External Financing 300,000 300,000 0 0 0 0 364,895 364,895 0 Construction of a four storeyed interns Hostel intercom connenction 380,105 380,105 0 65,000 65,000 0 Purchase of specialised machinery and Medical equipments for the general hospital 80,000 80,000 0 Two staff houses renovated 74,895 74,895 0 600,000 600,000 0 0 0 0 33,391 33,391 0 210,407 210,407 0 0 0 0 243,798 243,798 0 Table V3.2: Past and Medum Term Key Vote Output Indicators* Vote Function Key Output Indicators and Costs: 2013/14 Outturn 2014/15 Approved Plan Releases Prel.
Actual MTEF Projections 2015/16 2016/17 2017/18 Vote: 168 Kabale Referral Hospital Vote Function:0856 Regional Referral Hospital Services No.

of in-patients (Admissions) N/A N/A No info 65,000 Vote Overview 226 Kabale Referral Hospital Ministerial Policy Statement Vote: 168 Kabale Referral Hospital Vote Function Key Output Indicators and Costs: No.

of specialised outpatients attended to No.

of antenatal cases (All attendances) No.

reconstructed/rehabilitated general wards No.


of staff houses constructed/rehabilitated Vote Function Cost (UShs bn) VF Cost Excluding Ext.

Fin Cost of Vote Services (UShs Bn) * Excluding Taxes and Arrears 2013/14 Outturn 2014/15 Approved Plan Releases Prel.
Actual MTEF Projections 2015/16 2016/17 2017/18 N/A N/A N/A N/A 4.044 3.946 4.044 3.946 73,000 No info 80,000 N/A No info 45,000 1 No info N/A No info 2 4.578 4.578 4.578 4.578 5.813 5.813 5.813 5.813 4.478 4.604 3.649 4.478 4.604 3.649 Medium Term Plans In the medium term, the hospital plans to complete equiping and furnishing the 115 bed private wing, embark on construction of a 10 apartment interns' hostel and an orthopaedic workshop.
The hospital also plans to improve on service delivery by attending to more patients, improving community outreaches, finalise the hospital master plan and implement the Patients' Charter.

(i) Measures to improve Efficiency The plans to increase efficiency include; 1) Constant monitoring of the activities by management .

2) Appointment of the project manager who in turn has to report to management.3) Internal audit control system must be strenghened.
However the management is always monitoring the activities through spot checks,supervision and mentoring to ensure value for money.

Table V3.3: Key Unit Costs of Services Provided and Services Funded (Shs '000) Vote Overview 227 Kabale Referral Hospital Ministerial Policy Statement Vote: 168 Kabale Referral Hospital (ii) Vote Investment Plans For the FY 2011/12, the allocation for capital development was UGX 800million.
This was increased to UGX 1.4billion for the FY 2012/13 though it has reduced to 1.05 billion in F/Y 2013/14, it is expected to increase steadily in the medium term.Projections for FY2014/15 however remain at 1.05 billion.
Table V3.4: Allocations by Class of Output over the Medium Term Billion Uganda Shillings 2014/15 2015/16 2016/17 2017/18 2014/15 2015/16 2016/17 2017/18 Consumption Expendture(Outputs Provided) Investment (Capital Purchases) Grand Total 3.9 0.7 4.6 4.0 0.6 4.6 4.6 4.6 3.6 3.6 84.7% 87.0% 100.0% 100.0% 15.3% 13.0% 100.0% 100.0% 100.0% 100.0% (i) Allocation (Shs Bn) (ii) % Vote Budget Table V3.5: Major Capital Investments (Outputs of class Capital Purchases over 0.5Billion) (iii) Priority Vote Actions to Improve Sector Performance Increase the level of staffing inorder to avoid overworking and loss of morale.
Timely procurement of medicines and supplies to address the issue of lack of materials to use.
Table V3.6: Vote Actions to Improve Sector Performance 2014/15 Planned Actions: 2015/16 Planned Actions: 2014/15 Actual Actions: MT Strategy: Sector Outcome 0: Vote Function: 08 56 Regional Referral Hospital Services Inventory and improved equipment management VF Performance Issue: mprove the inventory and equipment management through User trainings and workshops Sector Outcome 1: There will be improvement in inventory management through user trainings and workshops mprove the inventory and equipment management through User trainings and workshops Increased deliveries in health facilities Vote Function: 08 56 Regional Referral Hospital Services VF Performance Issue: Adequate staffing and availablity of essential supplies Increase the level of staffing and maintain the supply of essential drugs Sector Outcome 2: There will be need to increase the staffing levels to atleast 65% Children under one year old protected against life threatening diseases Vote Function: 08 56 Regional Referral Hospital Services Increase the level of staffing and maintain the supply of essential drugs Infection control and waste management VF Performance Issue: Reduction of waste management and infection control There will be health education activities on waste management segregation through 5 s and the use of the incenerator.
Reduction of waste management and infection control V4: Proposed Budget Allocations for 2015/16 and the Medium Term This section sets out the proposed vote budget allocations for 2016/17 and the medium term, including major areas of expenditures and any notable changes in allocations.
Table V4.1: Past Outturns and Medium Term Projections by Vote Function* * Excluding Taxes and Arrears Vote: 168 Kabale Referral Hospital 0856 Regional Referral Hospital Services Total for Vote: 2014/15 MTEF Budget Projections 2013/14 Outturn Appr.
Budget Releases End Mar 2015/16 2016/17 2017/18 4.044 4.044 4.578 4.578 5.813 5.813 4.478 4.478 4.604 4.604 3.649 3.649 (i) The Total Budget over the Medium Term The total allocation is three billion five hundred ninety seven million (3.597) and this will be spent on wages, non wage, maitenance of medical eqipment, audi and capital develoment projects as per the budget allocations.
(ii) The major expenditure allocations in the Vote for 2015/16 Vote Overview 228 Kabale Referral Hospital Ministerial Policy Statement Vote: 168 Kabale Referral Hospital Expenditure allocations to vote functions will rise in F/Y 2013/14 but fall in the subsequent two F/Ys.

This will necessitate sourcing for additional funds to ensure smooth and efficient service delivery.
(iii) The major planned changes in resource allocations within the Vote for 2015/16 There was a reduction in resource allocation especially on the development section and this has caused a lot of changes in resource utilisation and most of the activities have not been carried out.
Table V4.2: Key Changes in Vote Resource Allocation Changes in Budget Allocations and Outputs in 2015/16 from 2014/15 Planned Levels: Justification for proposed Changes in Expenditure and Outputs 77 Purchase of Specialised Machinery & Equipment N/A 0856 -0.220 Vote Function:0877 Regional Referral Hospital Services Output: UShs Bn: N/A Output: UShs Bn: N/A Output: UShs Bn: 80 Hospital Construction/rehabilitation -0.080 -0.255 0856 0856 N/A 78 Purchase of Office and Residential Furniture and Fittings Output: UShs Bn: 0856 81 Staff houses construction and rehabilitation 0.075 Table V4.3: 2014/15 and 2015/16 Budget Allocations by Item Million Uganda Shillings GoU Ext.
Fin AIA Total GoU Ext.
Fin AIA Total 2014/15 Approved Budget 2015/16 Draft Estimates Output Class: Outputs Provided 211101 General Staff Salaries 211103 Allowances 213001 Medical expenses (To employees) 213002 Incapacity, death benefits and funeral expen 221001 Advertising and Public Relations 221002 Workshops and Seminars 221003 Staff Training 221007 Books, Periodicals & Newspapers 221008 Computer supplies and Information Technol 221009 Welfare and Entertainment 221010 Special Meals and Drinks 221011 Printing, Stationery, Photocopying and Bind 221012 Small Office Equipment 221014 Bank Charges and other Bank related costs 222001 Telecommunications 222002 Postage and Courier 222003 Information and communications technolog 223001 Property Expenses 223003 Rent – (Produced Assets) to private entities 223004 Guard and Security services 223005 Electricity 223006 Water 223007 Other Utilities- (fuel, gas, firewood, charcoa 223901 Rent – (Produced Assets) to other govt.
unit 224001 Medical and Agricultural supplies 224004 Cleaning and Sanitation 224005 Uniforms, Beddings and Protective Gear 225001 Consultancy Services- Short term 227001 Travel inland 227004 Fuel, Lubricants and Oils 228001 Maintenance - Civil 228002 Maintenance - Vehicles 228003 Maintenance – Machinery, Equipment & Fu 82.5
3.0 1.0 0.0 61.6 15.0 67.7 87.9 161.5 22.0 82.5 229.1 Vote Overview 229 Kabale Referral Hospital Ministerial Policy Statement Vote: 168 Kabale Referral Hospital Million Uganda Shillings 228004 Maintenance – Other 229201 Sale of goods purchased for resale 273101 Medical expenses (To general Public) 273102 Incapacity, death benefits and funeral expen Output Class: Capital Purchases 231002 Residential buildings (Depreciation) 231005 Machinery and equipment 231006 Furniture and fittings (Depreciation) 231007 Other Fixed Assets (Depreciation) 281503 Engineering and Design Studies & Plans for Output Class: Arrears 321614 Electricity arrears (Budgeting) Grand Total: Total Excluding Taxes, Arrears and AIA ***where AIA is Appropriation in Aid 2014/15 Approved Budget 2015/16 Draft Estimates GoU Ext.
Fin AIA Total GoU Ext.
Fin AIA 0.0 200.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Total 11.0 200.0 1.5 4.2 600.0 74.9 145.0 0.0 0.0 380.1 0.0 0.0 200.0 0.0 4,478.0 4,278.0 V5: Vote Cross-Cutting Policy and Other Budgetary Issues This section discusses how the vote's plans will address and respond to the cross-cutting policy, issues of gender and equity; HIV/AIDS; and the Environment, and other budgetary issues such as Arrears and NTR.. (i) Cross-cutting Policy Issues (a) Gender and Equity Objective: Issue of Concern : To sensitize women on their rights Most women do not know theirhealth rights Proposed Intervensions Educate women about their health rights Budget Allocations UGX billion 0.0001 Performance Indicators Number of women that receive health education on their rights.
Objective: Issue of Concern : To increase the literacy levels of women Women are not educated to a desireable level Proposed Intervensions Give priority to girl child education, lower marks on the intake of girls in tertially institutions and discourage early marriage of the girl child.
Budget Allocations UGX billion 0.1 Performance Indicators Number of girls in school going age, number of school drop outs and reduction in teenage pregnancies Objective: Issue of Concern : Increase the participation of women in decision making in the hospital Women are not involved in decision making, womens health is not always given priority.
Proposed Intervensions Make sure that women are consulted and involved in decision making in the hospital, improve maternal and neonatal health Budget Allocations UGX billion 0.001 Performance Indicators Number of women partcipating in decion making, number of assisted deliveries with good and neonal natal outcomes, number Vote Overview 230 Kabale Referral Hospital Ministerial Policy Statement Vote: 168 Kabale Referral Hospital of new family planning users, and number of men escorting women to ANC.
(b) HIV/AIDS Objective: To encourage all patients to test Issue of Concern : Proposed Intervensions Budget Allocations UGX billion Performance Indicators Objective: To increase the awareness of HIV/AIDS in the area Issue of Concern : Clients are not aware of HIV/AIDS Proposed Intervensions Sensitize both parents and the youth about the ABC formula Budget Allocations UGX billion 0.0045 Performance Indicators Number of parents sensitized and number of youth sensitized.
Objective: To reduce the number of infections in the area Issue of Concern : High numbers of infections in the area Proposed Intervensions Strengthening safe nale circumcision, increase uptake of 0f PMTCT option b+, strenghen Routine testing and counselling.

Budget Allocations UGX billion 0.1 Performance Indicators Number of men undertaking SMC,number of eople counselled and tested and number of women tested during pregnancy.
(c) Environment Objective: To improve on the management of expired drugs/equipments and unused equipment Issue of Concern : Expired and un used equipments are poorly disposed off Proposed Intervensions Strengthen 5s activities and better use of stores management Budget Allocations UGX billion 0.000025 Performance Indicators Number of staff trained in 5s Objective: To improve on the working environment Issue of Concern : Poor working environment within service areas Proposed Intervensions Strengthen 5s activities in the hospital,Conduct regular inventory in service delivery areas.
Budget Allocations UGX billion 0.00002 Performance Indicators Number of units reaching step 10 0f 5s implementation,number of units with quartery inventory Vote Overview 231 Kabale Referral Hospital Ministerial Policy Statement Vote: 168 Kabale Referral Hospital Objective: To improve on medical waste and segregation Issue of Concern : Poor management of medical waste Proposed Intervensions Safe disposal of medical/clinical and non medical waste,Practising infection control measures,Health education and promotion through the use of 5s and constructing the incenerator Budget Allocations UGX billion 0.02 Performance Indicators Number of trained health workers on infection control measures,Availability and use of the incenerator, Disposal of non medical waste safely.
(ii) Non Tax Revenue Collections Source of NTR UShs Bn Sale of drugs – from other govt.
units Sale of drugs Total: 2013/14 Actual 2014/15 Budget 0.000 0.000 0.000 0.200 0.000 0.200 2014/15 Prel Actual 2015/16 Projected 0.200 0.200 100 million is to be collected and used to procure medical supplies, cleaning services, interns' welfare and staff motivation Vote Overview 232 Masaka Referral Hospital Ministerial Policy Statement Vote: 169 Masaka Referral Hospital V1: Vote Overview (i) Vote Mission Statement Vision: A healthy and productive population that contributes to socioeconomic growth and development in Masaka Region.
Mission: To provide the highest possible level of health services to all people in Masaka region through quality general and specialized health service delivery.
Mandate: To provide specialized and general health care services, through capacity building, training, research and support supervision to other health facilities in Masaka region (ii) Summary of Past Performance and Medium Term Budget Allocations Table V1.1: Overview of Vote Expenditures (UShs Billion) (i) Excluding Arrears, Taxes 2013/14 Outturn Approved Budget Rel.
by End Mar 2014/15 MTEF Budget Projections 2015/16 2016/17 2017/18 Recurrent Development Wage Non Wage GoU Donor GoU Total Total GoU+Donor (MTEF) (ii) Arrears and Taxes Arrears Taxes** Total Budget (iii) Non Tax Revenue Grand Total Excluding Taxes, Arrears N/A N/A N/A N/A N/A N/A 0.388 0.000 N/A N/A The chart below shows total funding allocations to the Vote by Vote Function over the medium term: Chart V1.1: Medium Term Budget Projections by Vote Function (Excluding Taxes, Arrears) n o i l l i B s h s U 4.84 4.82 4.8 4.78 4.76 4.74 4.72 4.7 4.68 2014/15 Approved Budget Estimates 2015/16 Budget Projections Vote Overview 2016/17 Budget Projections 233 Masaka Referral Hospital Ministerial Policy Statement Vote: 169 Masaka Referral Hospital V2: Vote Performance for FY 2014/15 and Planned Outputs for FY 2015/16 This section describes past vote performance and planned Outputs, in terms of key vote outputs (i) Past Vote Outputs Preliminary 2014/15 Performance One heavy duty photocopier procured and in use A new ultra sound scan machine procured and in use New Probes procured for the old Ultra sound machine procured and in
 use.
Alternate source of power at Bidding stage Rain water harvesting at selected buildings at Bidding stage Construction of maternity and children’s complex at 25 % completion (4 year project).

Consultancy services for Design, supervision and monitoring of a 30 Unit Staff Hostel at Evaluation stage ( 3 year project).
24,965 patient admissions 86 % Bed occupancy rate 3 days ALOS 77,927 general outpatient contacts 98,421 specialised outpatient contacts 5,918 imaging examinations 357,601 laboratory tests 12,872 Immunizations’ given 1,758 Family planning contacts 7,805 PMTCT contacts 10,893 ANC Contacts 7 specialist’s outreaches carried out V3: Detailed Planned Outputs for FY 2015/16 2015/16 Planned Outputs 42,000 Admissions 85 % Bed Occupancy Rate 5 days ALOS 130,000 General OPD contacts 100,000 Specialised OPD contacts Vote Overview 234 Masaka Referral Hospital Ministerial Policy Statement Vote: 169 Masaka Referral Hospital 200,000 Lab tests 19,000 Imaging 15,000 ANC 3,000 Family planning contacts 15,000Immunisations Construction of maternity and Children’s Complex 30 % completion (Roll over project) Construction of a 30 unit staff hostel 10% (Roll Over project) Procure card printing machine Procure and install Electronic security system in high risk areas Complete installation of alternate source of power.
Table V3.1: Vote Function Profiles, Programme/Project Profiles and Workplan Outputs Vote Function: 08 56 Regional Referral Hospital Services Vote Function Profile Responsible Officer: Hospital Director Services: To provide a range of specialized, diagnostic and investigative services To provide technical support supervision to lower health facilities.

To provide secondary referral services in the region.
Development of Human Resources for Health through training, mentoring and coaching of various cadres of health workers.

To carry out research and contribute to policy development.

To implement HSSIP interventions for health.

To promote partnerships with other development partners and resource Mobilisation.
Vote Function Projects and Programmes: Project or Programme Name Recurrent Programmes 01 02 Development Projects Masaka Referral Hospital Services Masaka Referral Hospital Internal Audit Responsible Officer Hospital Director Hospital Director 1004 Masaka Rehabilitation Referral Hospital Hospital Director Programme 01 Masaka Referral Hospital Services Programme Profile Responsible Officer: Hospital Director Objectives: To provide a range of specialized health care, diagnostic and investigative services To provide technical support supervision to lower health facilities facilities.
To provide referral services through medical, surgical, nursing, paramedical and diagnostic services.

Vote Overview 235 Masaka Referral Hospital Ministerial Policy Statement Vote: 169 Masaka Referral Hospital Vote Function: 08 56 Regional Referral Hospital Services Programme 01 Masaka Referral Hospital Services To contribute to human resource development through training, coaching and mentoring of various cadres of health workers.

To contribute to national policy development through operational research.
To contribute to implementation of HSSIP interventions.

To contribute to the development of national health policies.

To contribute to sectoral resource mobilization through partnerships Outputs: 41,000 admissions; 120,000 inpatient days; 85 % Bed occupancy rate; 3 days ALOS.

15,000 ANC contacts; 9,000 deliveries; 10,000 PMTCT contacts; 3,000 family planning contacts; 15,000 Vaccinations given.
150,000 General outpatient contacts; 10,000 Private patient contacts; 100,000 Specialized Outpatient contacts; 25,500 Specialized Medical Outpatient contacts (Diabetes and hypertension) and 55,000 HIV/AIDS patient contacts; 19,100 imaging examinations; 170,000 laboratory tests; 5,000 Blood transfusions; 12 specialists’ outreaches to hospitals and HC Ivs in Masaka Region done Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 01 Inpatient services 41,000 admissions 24965 admissions 42000 admissions 120,000 patient days 82356 patient days 120,000 patient days 9,000 deliveries 7024 deliveries 10,000 deliveries 3,000 major surgical operations 2463 major surgical operations 3,500 major surgical operations 85 % Bed occupancy rate 86 % Bed occupancy rate 85 % Bed occupancy rate 5 days ALOS 3 days ALOS 5 days ALOS 132 Health education sessions 24 continuous professional development sessions 6 Monthly performance reports complied and submitted to MoH and Masaka DHO 2 quarterly performance report complied and submitted to MOH,MOFPED 2 performance review meetings held Total Wage Recurrent Non Wage Recurrent NTR 3,090,641 2,567,056 392,165 131,420 1,370,790 1,189,153 150,068 31,568 3,076,126 2,567,033 392,165 116,928 08 56 02 Outpatient services 150,000 General outpatient contacts 77,927 General outpatient contacts 130,000 General outpatient contacts • 15,000 mental health patient 8496 Mental health patient • 10,000 mental health patient Vote Overview 236 Masaka Referral Hospital Ministerial Policy Statement Vote: 169 Masaka Referral Hospital Vote Function: 08 56 Regional Referral Hospital Services Programme 01 Masaka Referral Hospital Services Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) contacts contacts contacts 10,000 Private patient contacts 5122 Private patient contacts 6,000 Private patient contacts 100,000 Specialized Outpatient contacts 10,996 Surgical patient contacts 130,000 Specialized Outpatient contacts • 3,000 Surgical patient contacts • 5,000 Pediatric patient contacts • 10,000 Ear, Nose and Throat patient contacts • 25,500 Specialized Medical Outpatient contacts • 55,000 HIV/AIDS patient contacts • 4,500 Obs/ Gynea patient contacts 2,816 Pediatric patient contacts • 35,000 Surgical patient contacts 6,972 Eye Contacts • 5,000 Pediatric patient contacts 819 Skin Clinic Contacts • 10,000 Ear, Nose and Throat patient contacts 5017 Ear, Nose and Throat patient contacts • 28,000 Specialized Medical Outpatient contacts 35416 Specialized Medical Outpatient contacts • 70,000 HIV/AIDS patient contacts 35,058 HIV/AIDS patient contacts • 4,500 Obs/ Gynea patient contacts 1,411 Obstetrics / Gynea patient contacts 6 Monthly performance reports compiled and submitted 2 quarterly performance report compiled and submitted 2 Held performance review meetings Total Wage Recurrent Non Wage Recurrent NTR 200,644 0 187,680 12,964 71,946 0 69,793 2,153 200,644 0 187,680 12,964 08 56 03 Medicines and health supplies procured and dispensed • • Annual EMHS procurement plan prepared and submitted timely to NMS and PPS suppliers Annual EMHS procurement plan prepared and submitted timely to NMS and PPS
 suppliers • Bimonthly EMHS orders prepared and submitted timely to NMS/PPS suppliers • Bimonthly EMHS orders prepared and submitted timely to NMS/PPS suppliers • EMHS received, stored and dispensed to patients • EMHS received, stored and dispensed to patients • EMHS consumption reports compiled both general and PPS • EMHS consumption reports compiled both general and PPS • Quarterly medicines stores stock taken • Quarterly medicines stores stock taken • EMHS financial reports compiled and reconciled with NMS/suppliers for PPS • EMHS financial reports compiled and reconciled with NMS/suppliers for PPS • • Annual EMHS procurement plan worth UGX 1.5BN prepared and submitted timely to NMS and PPS worth UGX 200M suppliers • Bimonthly EMHS orders prepared and submitted timely to NMS/PPS suppliers • EMHS received, stored and dispensed to patients • EMHS consumption reports compiled both general and PPS • Quarterly medicines stores stock taken • EMHS financial reports compiled and reconciled with NMS/suppliers for PPS Total Wage Recurrent Non Wage Recurrent NTR 188,492 0 45,580 142,912 43,394 0 19,204 24,190 202,980 0 45,580 157,400 08 56 04 Diagnostic services 10,000 ultra sound examinations 170,000 laboratory tests 357601 Laboratory tests performed 9,000 ultra sound examinations 200,000 laboratory tests Vote Overview 237 Masaka Referral Hospital Ministerial Policy Statement Vote: 169 Masaka Referral Hospital Vote Function: 08 56 Regional Referral Hospital Services
 Programme 01 Masaka Referral Hospital Services Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 9,000 x-ray examinations 100 specialized imaging investigations 100 Post mortem 60293 VCT/RCT tests performed 7029 x-ray examinations 54 specialized imaging investigations 10,000 x-ray examinations 100 specialized imaging investigations 100 Post mortem 2200 Histological examinations 164 Post mortem 2200 Histological examinations 5,000 Blood transfusions 48 Histological examinations 15,000 Blood transfusions 1000 Forensic clinic examinations 1000 Forensic clinic examinations 3472 Blood transfusions 549 Forensic clinic examinations 9 Monthly Reports compiled 2 Quarterly performance review meeting held Total Wage Recurrent Non Wage Recurrent NTR 106,615 0 100,615 6,000 40,060 0 37,434 2,626 106,615 0 100,615 6,000 08 56 05 Hospital Management and support services Carry out Continuous supervision and appraising staffs Carry out Continuous supervision and appraising staffs Carry out Continuous supervision and appraising staffs 12 payments of Monthly Staff salaries effected 9 payments of Monthly Staff salaries effected 12 payments of Monthly Staff salaries effected All payments of employee expenses and benefits effected All payments of employee expenses and benefits effected All payments of employee expenses and benefits effected All payments for Goods, works and services effected All payments for Goods, works and services effected All payments for Goods, works and services effected 12 monthly payments for interns and
 other Staffs undertaking professional development effected 9 monthly payments for interns and other Staffs undertaking professional development effected 12 monthly payments for interns and other Staffs undertaking professional development effected 4 Hospital Board meeting held 3 Hospital Board meeting held 4 Hospital Board meeting held Hospital plants, vehicles, buildings, fittings and furniture maintained Hospital plants, vehicles, buildings, fittings and furniture maintained Hospital plants, vehicles, buildings, fittings and furniture maintained 4 hospital Quarterly performance review held 3 hospital Quarterly performance review held 4 hospital Quarterly performance review held 12 Financial reconciliation statements compiled 9 Financial reconciliation statements compiled 12 Financial reconciliation statements compiled 4Quarterly performance report compiled and submitted 3 Quarterly performance report compiled and submitted 4Quarterly performance report compiled and submitted Official meetings attended Official meetings attended Official meetings attended 4 Administrative support supervision to hospitals and health centre IVs in Masaka Region carried out 3 Administrative support supervision to hospitals and health centre IVs in Masaka Region carried out 4 Administrative support supervision to hospitals and health centre IVs in Masaka Region carried out Public relations activities performed Public relations activities performed Public relations activities performed
 Hold Annual Planning meeting Hold Annual Planning meeting Hold Annual Planning meeting Annual performance reports compiled and submitted Annual performance reports compiled and submitted Annual performance reports compiled and submitted Total 320,969 125,375 320,969 Vote Overview 238 Masaka Referral Hospital Ministerial Policy Statement Vote: 169 Masaka Referral Hospital Vote Function: 08 56 Regional Referral Hospital Services Programme 01 Masaka Referral Hospital Services Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Total Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Wage Recurrent Non Wage Recurrent NTR 0 248,920 72,048 0 107,534 17,841 0 248,920 72,048 08 56 06 Prevention and rehabilitation services 3,000 Physiotherapy client sessions held 1,194 Physiotherapy client sessions held 3,000 Physiotherapy client sessions held 500 occupational therapy sessions held 287 occupational therapy sessions held 500 occupational therapy sessions held 1000 orthopedic appliances formulated 329 orthopedic appliances formulated 1000 orthopedic appliances formulated 3,000 family planning contacts 2344 family planning contacts 3,000 family planning contacts 10,000 PMTCT contacts 5205 PMTCT contacts 10,000 PMTCT contacts 15,000 ANC contacts 10893 ANC contacts 15,000 ANC contacts 12 specialists’ outreaches to hospitals and HC IVs in Masaka Region done 4 specialists’ outreaches to hospitals and HC Ivs in Masaka Region done 12 specialists’ outreaches to hospitals and HC IVs in Masaka Region done 9 Monthly reports complied and submitted 1 performance review meeting held Total Wage Recurrent Non Wage Recurrent 80,889 0 80,889 26,482 0 26,482 80,889 0 80,889 08 56 07 Immunisation Services 15,000 Vaccinations given 11932 Vaccinations given 15,000 Vaccinations given 100 health education sessions on immunizations held 201 health education sessions on immunizations held 100 health education sessions on immunizations held 12 radio talks on immunization held 4 radio talks on immunization held 12 radio talks
 on immunization held 12 EPI surveillance activities done 23 EPI surveillance activities done 12 EPI surveillance activities done 12 Vaccination coverage reports compiled 6 Vaccination coverage reports compiled 12 Vaccination coverage reports compiled 4 vaccine preventable surveillance activities done 1 vaccine preventable surveillance activities done 4 vaccine preventable surveillance activities done All cases of epidemic potential investigated All cases of epidemic potential investigated All cases of epidemic potential investigated Contact tracing for all cases of epidemic potential followed Contact tracing for all cases of epidemic potential followed Contact tracing for all cases of epidemic potential followed Quarterly reports compiled and submitted.
Quarterly review meetings held 08 56 99 Arrears Total Wage Recurrent Non Wage Recurrent Total Wage Recurrent Non Wage Recurrent 2,483 0 2,483 7,968 0 7,968 205 0 205 7,968 0 7,968 2,483 0 2,483 132,033 0 132,033 Vote Overview 239 Masaka Referral Hospital Ministerial Policy Statement Vote: 169 Masaka Referral Hospital Vote Function: 08 56 Regional Referral Hospital Services Programme 01 Masaka Referral Hospital Services GRAND TOTAL Wage Recurrent Non Wage Recurrent NTR 3,998,701 2,567,056 1,066,301 365,344 1,686,220 1,189,153 418,689 78,378 4,122,739 2,567,033 1,190,367 365,340 Vote Overview 240 Masaka Referral Hospital Ministerial Policy Statement Vote: 169 Masaka Referral Hospital Vote Function: 08 56 Regional Referral Hospital Services Programme 02 Masaka Referral Hospital Internal Audit Programme Profile Responsible Officer: Hospital Director Objectives: Ensure that internal control systems are in place and functional To assess adherence to rules and regulations Outputs: To ensure value for money To offer technical guidance to management on resource utilization 1.
Pre-payment audit 2 .

 Verification of deliveries of goods and supplies for hospital use 3.

 Ensure value for money 4.

 Appraise the staff list and payroll 5.

 Compile and submit quarterly internal audit reports 6.

 Advise management on risks 7.

 Asset register reviewed annually.

8.

 Quarterly Financial records reviewed.

9.

 Quarterly utility bills verified.

10.

Quarterly appraisal of procurement processes.
Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.

Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 05 Hospital Management and support services • 4 Quarterly internal Audit reports compiled and submitted One Quarterly internal Audit report being compiled.
• 4 Quarterly internal Audit reports compiled and submitted • 4 Quarterly stores stock taking done • 1 All Hospital deliveries verified • 4 Quarterly stores stock taking done • All Hospital deliveries verified • 1Hospital Asset register updated • All Hospital Procurements and deliveries verified • 4 Quarterly Hospital Asset register appraisal reports compiled and submitted • Audit Workplan made and submitted • 12 monthly Risk assessment reports compiled and submitted • 1Quarterly Financial records reviews done • 4 Quarterly Financial records reviews done • All Procurement process appraised • Annual Fleet management assessment done • Monthly Payroll verification done • All Procurement process appraised • Monthly utility bills verification done • Monthly Payroll verification done • Quarterly Hospital internal control systems appraised • Monthly utility bills verification done • Quarterly Hospital internal control systems appraised • 1 entry external audit meeting attended • 1 exit external audit meeting attended Vote Overview • 4 Hospital Fixed Assets appraised and assets register appraisal reports compiled and submitted • 12 monthly Risk assessment reports compiled and submitted • 4 Quarterly Financial records reviews done • Annual Fleet management assessment done • All Procurement process appraised • Monthly Payroll verification done • Monthly utility bills verification done • Quarterly Hospital internal control systems appraised • 1 entry external audit meeting attended • 1 exit external audit meeting attended 241 Masaka Referral Hospital Ministerial Policy Statement Vote: 169 Masaka Referral Hospital Vote Function: 08 56 Regional Referral Hospital Services Programme 02 Masaka Referral Hospital Internal Audit Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 14,667 6,977 7,690 14,667 6,977 7,690 1,577 0 1,577 1,577 0 1,577 14,667 6,977 7,690 14,667 6,977 7,690 Programme 03 Masaka Regional Maintenance Programme Profile Responsible Officer: NA Objectives: NA Outputs: NA Vote Overview 242 Masaka Referral Hospital Ministerial Policy Statement Vote: 169 Masaka Referral Hospital Vote Function: 08 56 Regional Referral Hospital Services Project 1004 Masaka Rehabilitation Referral Hospital Project Profile Responsible Officer: Hospital Director Objectives: To implement the hospital strategic investment plan 1.
To continue with the construction of maternity complex 2.

To adequately equip the hospital in terms of medical and office equipment and furniture.

3.

To undertake construction of staff Houses 4.

To provide alternative/ backup source of water and power.
Outputs: New Maternity ward Constructed, New staff Hostel Constructed, Backup power source installed at PPS Rain Water harvesting systems put up at selected high utilization areas Start Date: 7/1/2008 Projected End Date: 6/30/2015 Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 80 Hospital Construction/rehabilitation Needs assessment and distribution network report compiled and submitted Needs assessment and distribution network report compiled and submitted Contractor procured Monthly progress reports compiled and submitted Solar Back up at private ward Upgraded and functional Monthly Site meetings held Payments for works done effected Procurement for Solar installation on Private patient Services started.
BOQs have been compiled for Construction of Water Harvesting Procure an ID card Printing machine Procure and Install a CCTV system in Stores, Theatre and Phamacy Procure a Clock-in and Clock out machine Total GoU Development External Financing NTR 238,180 216,000 0 22,180 52,496 52,496 0 0 32,180 10,000 0 22,180 08 56 81 Staff houses construction and rehabilitation Supervising consultant procured bidding process Contractor for works procured Feasibility studies report submitted Construction of a 30 unit staff hostel at 10% Monthly progress reports Compiled and submitted Continuous Supervision and monitoring carried out Monthly Site meetings held Payments for works done effected A 30 unit Senior staff hostel constructed Monthly progress reports Compiled and submitted Continuous Supervision and monitoring carried out Monthly Site meetings held Payments for works done effected Total GoU Development External Financing 300,256 300,256 0 0 0 0 300,256 300,256 0 Vote Overview 243 Masaka Referral Hospital Ministerial Policy Statement Vote: 169 Masaka Referral Hospital Vote Function: 08 56 Regional Referral Hospital Services Project 1004 Masaka Rehabilitation Referral Hospital Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 82 Maternity ward construction and rehabilitation - Foundation and Super- structure 100% complete Foundation and pillars for the four levels at 100% complete - Monthly progress reports compiled and submitted construction of maternity and children's complex is at 25% Monthly progress reports compiled and submitted Total GoU Development External Financing GRAND TOTAL GoU Development External Financing NTR 583,579 583,579 0 1,122,015 1,099,835 0 22,180 185,949 185,949 0 238,445 238,445 0 0 Super-structure of the Maternity and Children's Complex 100% completed Monthly progress reports compiled and submitted Continuous Supervision and monitoring carried out Monthly Site meetings held Payments for works done effected 876,744 876,744 0 1,209,180 1,187,000 0 22,180 Table V3.2: Past and Medum Term Key Vote Output Indicators* Vote Function Key Output Indicators and Costs: 2013/14 Outturn 2014/15 Approved Plan Releases Prel.
Actual MTEF Projections 2015/16 2016/17 2017/18 N/A N/A Vote: 169 Masaka Referral Hospital Vote Function:0856 Regional Referral Hospital Services No.

of in-patients (Admissions) No.

of specialised outpatients attended to No.

of antenatal cases (All attendances) No.

reconstructed/rehabilitated general wards No.

of staff houses constructed/rehabilitated Vote Function Cost (UShs bn) VF Cost Excluding Ext.
Fin Cost of Vote Services (UShs Bn) N/A N/A N/A 4.263 4.263 4.263 4.263 N/A 100,000 No info 98421 42,000 100,000 43,000 120000 43000 130000 N/A No info 15,000 17000 17000 0 30 5.127 5.127 5.127 5.127 0 1 2.469 2.469 2.469 2.469 0 1 5.215 5.215 0 1 0 1 * Excluding Taxes and Arrears Medium Term Plans 1.

In the medium term, the hospital plans to complete and Equip the Maternity and children’s Complex.

2.
2.

 The hospital intends to reduce hospital maternal mortality rate through functionalising the new maternity building.

3.

 Due to the high rates (10%) of malnutrition among children below 5 years of age in Masaka region, the hospital intends to establish a nutrition unit to be housed on the Maternity and children's complex 4.

 The hospital intends to establish Adolescent friendly services to be housed on the maternity children's complex.
Vote Overview 244 Masaka Referral Hospital Ministerial Policy Statement Vote: 169 Masaka Referral Hospital 5.

 Establish an Ear, Nose and Throat unit from the current one room housed in eye.

6.

 Establish an oxygen plant to support the hospital services 7.

 To Continue with water harvesting on all new buildings and alternate source of power on service delivery areas.

8.

 To complete the 30 unit staff hostel in order to attract and retain staff.
(i) Measures to improve Efficiency Maternity and Children’s Complex A five level building that will contribute to reduction on infrastructure pressure and overcrowding in Maternity and children's ward.

This will improve quality of care through provision of a conducive work environment.

This is intended to contribute to achievement of the Millennium Development Goal 4, 5 and 6.

Staff Hostel A 30 unit staff hostel that will contribute to attraction and retention of health workers.
This will improve quality of health service delivery through improved patient staff ratio.

This is intended to contribute to achievement of the Millennium Development Goal 4, 5 and 6.

Procure a Card Printing machine.

The hospital would like to procure a card printing machine for onsite production of assorted cards (staff Identity Cards, patient cards among others).

This will enable the hospital to save on recurrent expenses for cards production.

Procurement and installation of Security system.


This is to enhance security measures in high risk areas.

Procurement of clocking to track staff attendance on duty and reduce on absenteeism hence improved health service delivery.

Procurement of medical equipment to functionalise the new building and replace old equipment.
Table V3.3: Key Unit Costs of Services Provided and Services Funded (Shs '000) Unit Cost Description Proposed 2015/16 Planned 2014/15 Actual 2014/15 Actual 2013/14 Costing Assumptions and Reasons for any Changes and Variations from Plan Vote Function:0856 Regional Referral Hospital Services 1,000 Patients food 1,000 1,000 Maternity construction ############## 538,000,000 538,000,000 877,000,000 Laundry services 2,416,667 2,666,667 2,666,667 2,700,000 Hospital Cleaning 6,650,000 6,650,000 6,650,000 8,000,000 It is assumed that on average 350 patients will be fed per day.
Market food prices will not change significantly.

Being cost of a a Four Level Building of 3920 Meters squared it is assumed that the hospital key outputs are not going to change significantly.

it is assumed that the hospital surface area will increase with the completion of the new buildings.

Vote Overview 245 Masaka Referral Hospital Ministerial Policy Statement Vote: 169 Masaka Referral Hospital (ii) Vote Investment Plans To Complete a multiyear 5 level maternity and children’s complex worth 10.6bn.
To equip, furnish and functionalise the maternity children's complex 200M.

To equip, furnish and functionalise the proposed Ear, Nose and Throat unit To complete a 30 unit multiyear staff hostel worth 3bn.
Table V3.4: Allocations by Class of Output over the Medium Term Billion Uganda Shillings 2014/15 2015/16 2016/17 2017/18 2014/15 2015/16 2016/17 2017/18 Consumption Expendture(Outputs Provided) Investment (Capital Purchases) Grand Total 4.0 1.1 5.1 4.0 1.2 5.2 3.7 1.2 4.8 3.1 0.9 3.9 78.1% 76.8% 76.1% 78.3% 21.9% 23.2% 23.9% 21.7% 100.0% 100.0% 100.0% 100.0% (i) Allocation (Shs Bn) (ii) % Vote Budget Table V3.5: Major Capital Investments (Outputs of class Capital Purchases over 0.5Billion) 2014/15 2015/16 Project, Programme Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditures and Outputs by End March (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Vote Function: 08 56 Regional Referral Hospital Services Project 1004 Masaka Rehabilitation Referral Hospital 08 56 82 Maternity ward construction and rehabilitation - Foundation and Super- structure 100% complete Foundation and pillars for the four levels at 100% complete - Monthly progress reports compiled and submitted construction of maternity and children's complex is at 25% Monthly progress reports compiled and submitted Super-structure of the Maternity and Children's Complex 100% completed Monthly progress reports compiled and submitted Continuous Supervision and monitoring carried out Monthly Site meetings held Payments for works done effected Total GoU Development External Financingt 583,579 583,579 0 185,949 185,949 0 876,744 876,744 0 (iii) Priority Vote Actions to
 Improve Sector Performance Clock in book that is analysed monthly and days of attendance to duty displayed on a hospital notice board.
Introduction of electronic clock in.

Trained heads of departments and ward/ unit in charges in leadership.
Hospital and unit Quality improvement teams formed and active Maternal and neonatal mortality audits done Regular Performance review meetings Table V3.6: Vote Actions to Improve Sector Performance V4: Proposed Budget Allocations for 2015/16 and the Medium Term This section sets out the proposed vote budget allocations for 2016/17 and the medium term, including major areas of expenditures and any notable changes in allocations.
Vote Overview 246 Masaka Referral Hospital Ministerial Policy Statement Vote: 169 Masaka Referral Hospital Table V4.1: Past Outturns and Medium Term Projections by Vote Function* * Excluding Taxes and Arrears Vote: 169 Masaka Referral Hospital 0856 Regional Referral Hospital Services Total for Vote: 2014/15 MTEF Budget Projections 2013/14 Outturn Appr.
Budget Releases End Mar 2015/16 2016/17 2017/18 4.263 4.263 5.127 5.127 2.469 2.469 5.215 5.215 4.815 0.388 3.920 3.920 (i) The Total Budget over the Medium Term The capital budget has been 1.1BN, this has been inadequate, there is need to provide 3BN for maternity and children's complex for 2015/16 FY.

Then the balance of 7BN will be phased in the next 2 years.
(ii) The major expenditure allocations in the Vote for 2015/16 The major expenditure areas are inpatient services, maternal and child health services and utilities (iii) The major planned changes in resource allocations within the Vote for 2015/16 The main expenditure areas are mainly to continue with the construction of Maternity and children's complex and staff Hostel, installation of CCTY systems and procurement of ID making machine and clocking in nad out machine.
Table V4.2: Key Changes in Vote Resource Allocation Changes in Budget Allocations and Outputs in 2015/16 from 2014/15 Planned Levels: Justification for proposed Changes in Expenditure and Outputs 0856 -0.193 Vote Function:0880 Regional Referral Hospital Services Output: 80 Hospital Construction/rehabilitation UShs Bn: No planned activity Output: 0856 UShs Bn: Continuation of construction of maternity and childrens complex 0.293 82 Maternity ward construction and rehabilitation Table V4.3: 2014/15 and 2015/16 Budget Allocations by Item Million Uganda Shillings GoU Ext.
Fin AIA Total GoU Ext.
Fin AIA Total 2014/15 Approved Budget 2015/16 Draft Estimates Output Class: Outputs Provided 211101 General Staff Salaries 211103 Allowances 213001 Medical expenses (To employees) 213002 Incapacity, death benefits and funeral expen 221001 Advertising and Public Relations 221002 Workshops and Seminars 221007 Books, Periodicals & Newspapers 221008 Computer supplies and Information Technol 221009 Welfare and Entertainment 221010 Special Meals and Drinks 221011 Printing, Stationery, Photocopying and Bind 221012 Small Office Equipment 221014 Bank Charges and other Bank related costs 222001 Telecommunications 222002 Postage and Courier 222003 Information and communications technolog 223001 Property Expenses 223004 Guard and Security services 223005 Electricity 223006 Water 223007 Other Utilities- (fuel, gas, firewood, charcoa 224001 Medical and Agricultural supplies 224004 Cleaning and Sanitation 224005 Uniforms, Beddings and Protective Gear 0.0
Vote Overview 247 Masaka Referral Hospital Ministerial Policy Statement Vote: 169 Masaka Referral Hospital 2014/15 Approved Budget 2015/16 Draft Estimates GoU Ext.
Fin Million Uganda Shillings 227001 Travel inland 227002 Travel abroad 227004 Fuel, Lubricants and Oils 228001 Maintenance - Civil 228002 Maintenance - Vehicles 228003 Maintenance – Machinery, Equipment & Fu Output Class: Capital Purchases 231001 Non Residential buildings (Depreciation) 231002 Residential buildings (Depreciation) 231007 Other Fixed Assets (Depreciation) 281501 Environment Impact Assessment for Capital 281502 Feasibility Studies for Capital Works 281503 Engineering and Design Studies & Plans for 281504 Monitoring, Supervision & Appraisal of cap Output Class: Arrears 321614 Electricity arrears (Budgeting) Grand Total: Total Excluding Taxes, Arrears and AIA ***where AIA is Appropriation in Aid GoU Ext.
Fin AIA 15.0 0.0 6.0 5.0 5.0 3.0 22.2 0.0 0.0 22.2 0.0 0.0 0.0 0.0 0.0 0.0 Total AIA 13.0 0.0 6.0 5.4 3.0 3.0 22.2 0.0 0.0 22.2 0.0 0.0 0.0 0.0 0.0 0.0 Total V5: Vote Cross-Cutting Policy and Other Budgetary Issues This section discusses how the vote's plans will address and respond to the cross-cutting policy, issues of gender and equity; HIV/AIDS; and the Environment, and other budgetary issues such as Arrears and NTR.. (i) Cross-cutting Policy Issues (a) Gender and Equity Objective: Issue of Concern : High hospital based Maternal and neonatal death High hospital based Maternal and neonatal death Proposed Intervensions To Improve maternal and neonatal Health Improve quality of emergency obstetric care Improve utilisation of ANC services Increase uptake of Family planning services Male involvement in Reproductive health Strengthen maternal and neonatal death audits Budget Allocations UGX billion 0.002 Performance Indicators Number of health workers
 mentored in emergency obstetric care Number of assisted deliveries with good maternal and neonatal outcomes Number of 4th ANC attendance Number of new family planning users Number of couples attending ANC clinic together Vote Overview 248 Masaka Referral Hospital Ministerial Policy Statement Vote: 169 Masaka Referral Hospital Number of maternal and neonatal death audited (b) HIV/AIDS Objective: Contribute to reduction of new HIV infections Issue of Concern : High rates of new HIV infections in the Region Proposed
 Intervensions Strengthening safe male circumcision Increasing HIV testing uptake Increase the number of HIV + enrolled in care Increase uptake of PMTCT option B + Implementation of prevention with the positives strategy Promote safe sex through condom distribution Budget Allocations UGX billion 0.001 Performance Indicators Number of Males undertaking Safe Male Circumcision Number of People counselled and Tested Number Of HIV + enrolled into HIV care Number of Eligible HIV + initiated on ART Number of mothers Tested for HIV during current pregnancy and lactation Number of HIV + mothers enrolled onto option B+ Number of Exposed infants receiving prophylaxis Number of exposed infants receiving Tested at 6weeks and 18 months (c) Environment Objective: To improve management of clinical medical waste Issue of Concern : Poor disposal method of clinical medical waste Proposed Intervensions To segregate waste at source To incinerate 80 % of clinical medical waste To have a safe work environment Budget Allocations UGX billion 0.006 Performance Indicators Number of units segregating appropriately waste at source Percentage of waste incinerated Number of units at S 5 Vote Overview 249 Masaka Referral Hospital Ministerial Policy Statement Vote: 169 Masaka Referral Hospital (ii) Non Tax Revenue Collections Source of NTR UShs Bn Sale of non-produced Government Properties/assets Other Fees and Charges Other Fees and Charges 2013/14 Actual 0.005 0.350 Total: 0.355 2014/15 Budget
 0.000 0.387 0.387 2014/15 Prel Actual 0.000 0.000 2015/16 Projected 0.000 0.387 0.387 Sale of non-produced items • Fees and other charges Vote Overview 250 Mbale Referral Hospital Ministerial Policy Statement Vote: 170 Mbale Referral Hospital V1: Vote Overview (i) Vote Mission Statement Vision-: To provide general and specialized Health services to our catchment area for improvement of quality of life, mission-To provide general,currative,preventive ,rehabilitative,promotive and specialized health services
 (ii) Summary of Past Performance and Medium Term Budget Allocations Table V1.1: Overview of Vote Expenditures (UShs Billion) (i) Excluding Arrears, Taxes 2013/14 Outturn Approved Budget Rel.
by End Mar 2014/15 MTEF Budget Projections 2015/16 2016/17 2017/18 Recurrent Development Wage Non Wage GoU Donor GoU Total Total GoU+Donor (MTEF) (ii) Arrears and Taxes Arrears Taxes** Total Budget (iii) Non Tax Revenue Grand Total Excluding Taxes, Arrears N/A N/A N/A N/A N/A N/A 0.270 0.270 N/A N/A The chart below shows total funding allocations to the Vote by Vote Function over the medium term: Chart V1.1: Medium Term Budget Projections by Vote Function (Excluding Taxes, Arrears) n o i l l i B s h s U 6.507442122 6.507442122 6.507442122 6.507442122 6.507442122 6.507442122 6.507442122 6.507442122 6.507442122 2014/15 Approved Budget Estimates 2015/16 Budget Projections 2016/17 Budget Projections Vote Overview 251 Mbale Referral Hospital Ministerial Policy Statement Vote: 170 Mbale Referral Hospital V2: Vote Performance for FY 2014/15 and Planned Outputs for FY 2015/16 This section describes past vote performance and planned Outputs, in terms of key vote outputs (i) Past Vote Outputs Preliminary 2014/15 Performance The staff house accommodation is now complete to accommodate a total of 24 units/staff.
The procuerement of both an Ambulance and Assorted equipments are in process V3: Detailed Planned Outputs for FY 2015/16 2015/16 Planned Outputs To admit 62,000 patients,To see 106,000 General outpatients,investigations 60,000cases,and prevention 40,000 cases Table V3.1: Vote Function Profiles, Programme/Project Profiles and Workplan Outputs Vote Function: 08 56 Regional Referral Hospital Services Vote Function Profile Responsible Officer: HOSPITAL DIRECTOR Services: To provide general,currative,preventive ,rehabilitative,promotive and specialized health services Vote Function Projects and Programmes: Project or Programme Name Recurrent Programmes 01 02 03 Development Projects Mbale Referral Hospital Services Mbale Referral Hospital Internal Audit Mbale Regional Maintenance Responsible Officer HOSPITAL DIRECTOR HOSPITAL DIRECTOR HOSPITAL DIRECTOR 1004 Mbale Rehabilitation Referral Hospital HOSPITAL DIRECTOR Programme 01 Mbale Referral Hospital Services Programme Profile Responsible Officer: HOSPITAL DIRECTOR Objectives: The major objective is to construct surgical and casulty complex in order to improve on surgical and emmergency services in the Mt Elgon Region Outputs: Drawings, Plans, and BOQs approved.
Signing of award of contract agreement Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.

Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 01 inpatients services 62,000 patients to be attended to.

Cummulative admission were 43,327 patients 62,500 patients to be attended to.

Average length of stay is 5 days.


Average length of stay is 4 days.

Bed occupancy rate 85%.

Total patient days 144,912 Days.

Bed occupancy rate 85%.

Total patient days 134,912 Days.


Total Wage Recurrent 741,016 0 293,873 0 612,895 0 Vote Overview 252 Mbale Referral Hospital Ministerial Policy Statement Vote: 170 Mbale Referral Hospital Vote Function: 08 56 Regional Referral Hospital Services Programme 01 Mbale Referral Hospital Services Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Non Wage Recurrent 08 56 02 Outpatient services NTR Total Wage Recurrent Non Wage Recurrent NTR 606,016 135,000 293,873 0 612,895 0 104,000 General out-patients seen.

78455 patients were seen in General out patient by end of February 2015 106,000 General out-patients seen.
417,494 0 404,494 13,000 192,427 0 192,427 0 369,969 0 369,969 0 72,000 tests done, 5,400 X- Rays and 4,200 utrasound scan to be done 77,547 0 77,547 0 08 56 04 Diagnostic services 72,000 tests done.

73,382 lab tests were performed Total Wage Recurrent Non Wage Recurrent NTR 109,547 0 77,547 32,000 35,202 0 35,202 0 08 56 05 Hospital Management and support services 4 quarterly vote performance and financial reports submitted.

We achieved 100% All Staff slaries paid.

All utilities paid.
All utilities paid.

Hospital cleaning done every month.

No.

of Patients on special diet fed, All Staff slaries paid.

All utilities paid.

Hospital cleaning done every month.

No.

of Patients fed.

Routine supervision done in lower Health facilties in the region.

4 Board meetings held.

Hospital vehicles, equipment and buildings maintained.
Total Wage Recurrent Non Wage Recurrent 4,153,782 3,818,851 334,931 1,876,318 1,672,534 156,094 47,691 4,451,428 3,818,851 362,577 08 56 06 Prevention and rehabilitation services 33,300 cases to be handled 2596 ANC service performed by end of Feb 34,300 cases to be handled Total Wage Recurrent Non Wage Recurrent 60,422 0 60,422 26,661 0 26,661 60,422 0 60,422 08 56 07 Immunisation Services To plan to immunize 4200 mothers in FY 2014/15 To plan to immunize 4200 mothers in FY 2014/15 All children to be immunized To plan to immunize 12,000 children in FY 201/15 To plan to immunize 12,000 children in FY 201/15 08 56 99 Arrears Total Wage Recurrent Non Wage Recurrent Total Wage Recurrent Non Wage Recurrent 22,000 0 22,000 25,402 0 25,402 5,454 0 5,454 12,006 0 12,006 22,000 0 22,000 145,784 0 145,784 Vote Overview 253 Mbale Referral Hospital Ministerial Policy Statement Vote: 170 Mbale Referral Hospital Vote Function: 08 56 Regional Referral Hospital Services Programme 01 Mbale Referral Hospital Services GRAND TOTAL Wage Recurrent Non Wage Recurrent NTR 5,529,663 3,818,851 1,530,812 180,000 2,441,941 1,672,534 721,717 47,691 5,740,046 3,818,851 1,651,195 270,000 Programme 02 Mbale Referral Hospital Internal Audit Programme Profile Responsible Officer: HOSPITAL DIRECTOR Objectives: To Audit slaries, medicines and drugs supplies Outputs: To ensure supplies of drugs and sundries are audited Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget,
 Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 05 Hospital Management and support services Auditing of Medicines and supplies,Verification of accountabilities, Verfication of deliveries, Verfication of assets and conduct payroll verification, domestic arrears verification Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 22,000 7,000 15,000 22,000 7,000 15,000 Programme 03 Mbale Regional Maintenance Programme Profile Responsible Officer: HOSPITAL DIRECTOR Auditing of Medicines and supplies,Verification of accountabilities, Verfication of deliveries, Verfication of assets and conduct payroll verification, domestic arrears verification 22,000 7,000 15,000 22,000 7,000 15,000 6,816 0 6,816 6,816 0 6,816 Objectives: To ensure that all repairable and broken medical equipments are serviced Outputs: To see to it that all equipments are properly repaired in 14 Districts of Mt Elgon Region Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 05 Hospital Management and support services Maintain all medical equipment in the Mbale Region Maintain all medical equipment in the Mbale Region Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 361,301 0 361,301 361,301 0 361,301 175,650 0 175,650 175,650 0 175,650 361,301 0 361,301 361,301 0 361,301 Vote Overview 254 Mbale Referral Hospital Ministerial Policy Statement Vote: 170 Mbale Referral Hospital Vote Function: 08 56 Regional Referral Hospital Services Project 1004 Mbale Rehabilitation Referral Hospital Project Profile Responsible Officer: HOSPITAL DIRECTOR Objectives: Outputs: To source for funds for the Construction of an Accident and Emergncy Unit estimated at 6b, a Surgical complex 7b-(the old ward having been condemned by engineers), a 40 unit staff accommodation block valued at 9b,Regional Equipment Maintenance workshopestimaated at 5.2, a modern outpatien department estimated at 0.35b and Procuring an Ambullance and specialized equipments at 0.450b.
Construction works completed, ambulance unit and medical equipment procured and delivered.Rehabilitated infrustracture at regional Referral Hospital,New wards ,theatres clinic, Lab, store rooms , staff houses and offices at hospital,Computer equipments and LAN /e- connectivity at hospital,Refurrbishment of the referral hospital, And transport equipment(Operational vehicles,staff transport and ambulances) Start Date: 7/1/2007 Projected End Date: 6/30/2016 Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 83 OPD and other ward construction and rehabilitation Construction of Surgical/casualty complex- Phase 1 completed Construction of Surgical/casualty complex- Phase 1 completed Total GoU Development External Financing GRAND TOTAL GoU Development External Financing 799,880 799,880 0 799,880 799,880 0 259,710 259,710 0 259,710 259,710 0 799,880 799,880 0 799,880 799,880 0 Table V3.2: Past and Medum Term Key Vote Output Indicators* Vote Function Key Output Indicators and Costs: 2013/14 Outturn 2014/15 Approved Plan Releases Prel.
Actual MTEF Projections 2015/16 2016/17 2017/18 N/A N/A Vote: 170 Mbale Referral Hospital Vote Function:0856 Regional Referral Hospital Services No.

of in-patients (Admissions) No.

of specialised outpatients attended to No.

of antenatal cases (All attendances) No.

reconstructed/rehabilitated general wards No.

of staff houses constructed/rehabilitated Vote Function Cost (UShs bn) VF Cost Excluding Ext.
Fin Cost of Vote Services (UShs Bn) N/A N/A N/A 5.560 5.560 5.560 5.560 N/A 5,800 No info 11000 62,500 6,000 6,000 6,000 N/A No info 7,000 1 0 6.687 6.687 6.687 6.687 1 No info 5.189 5.189 5.189 5.189 6.777 6.777 * Excluding Taxes and Arrears Medium Term Plans We plan to conitnue with construction of Surgical complex (i) Measures to improve Efficiency Vote Overview 255 Mbale Referral Hospital Ministerial Policy Statement Vote: 170 Mbale Referral Hospital (ii) Vote Investment Plans We are going to improve on our response to manage accident and emmergency care in the Region.
We also need to provide facilities for intensive care for cretical ill Table V3.4: Allocations by Class of Output over the Medium Term Billion Uganda Shillings 2014/15 2015/16 2016/17 2017/18 2014/15 2015/16 2016/17 2017/18 Consumption Expendture(Outputs Provided) Investment (Capital Purchases) Grand Total 5.9 0.8 6.7 6.0 0.8 6.8 5.9 0.8 6.7 4.7 0.8 5.5 88.0% 88.2% 88.0% 85.5% 12.0% 11.8% 12.0% 14.5% 100.0% 100.0% 100.0% 100.0% (i) Allocation (Shs Bn) (ii) % Vote Budget Table V3.5: Major Capital Investments (Outputs of class Capital Purchases over 0.5Billion) 2014/15 2015/16 Project, Programme Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditures and Outputs by End March (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Vote Function: 08 56 Regional Referral Hospital Services Project 1004 Mbale Rehabilitation Referral Hospital 08 56 83 OPD and other ward construction and rehabilitation Construction of Surgical/casualty complex- Phase 1 completed Total GoU Development External Financingt 799,880 799,880 0 Construction of Surgical/casualty complex- Phase 1 completed 259,710 259,710 0 799,880 799,880 0 (iii) Priority Vote Actions to Improve Sector Performance We intend to declare and fill up all the vacant postions with in the available resources to improve on efficiency.To address insufficient availability of qualified health staff at task, the sector shall, continue Implementing the motivation and retention strategy for health
 workers, roll out Human Resources for Health Management Information System (HRHMIS) In order to address inadequate health infrastructure and equipment, capital investment plans will continue to be geared towards consolidating existing infrastructure Increased infant immunisation is extensively described in the Child Survival Strategy.
Table V3.6: Vote Actions to Improve Sector Performance 2014/15 Planned Actions: 2015/16 Planned Actions: 2014/15 Actual Actions: MT Strategy: Sector Outcome 1: Increased deliveries in health facilities Vote Function: 08 56 Regional Referral Hospital Services VF Performance Issue: Under staffing and poor cadre mix Inventory updtaed regulaly To dclare vacant posts To submit vacant posts to HSC and public services To ensure that all vacants posts are filled V4: Proposed Budget Allocations for 2015/16 and the Medium Term This section sets out the proposed vote budget allocations for 2016/17 and the medium term, including major areas of expenditures and any notable changes in allocations.
Table V4.1: Past Outturns and Medium Term Projections by Vote Function* * Excluding Taxes and Arrears Vote: 170 Mbale Referral Hospital 0856 Regional Referral Hospital Services Total for Vote: 2014/15 MTEF Budget Projections 2013/14 Outturn Appr.
Budget Releases End Mar 2015/16 2016/17 2017/18 5.560 5.560 6.687 6.687 5.189 5.189 6.777 6.777 6.673 0.270 5.520 5.520 (i) The Total Budget over the Medium Term (ii) The major expenditure allocations in the Vote for 2015/16 Vote Overview 256 Mbale Referral Hospital Ministerial Policy Statement Vote: 170 Mbale Referral Hospital The major bulk of our budget allocation is towards inpatient and outpatient service delivery (iii) The major planned changes in resource allocations within the Vote for 2015/16 The allocation of GOU development fund is to contruct surgical complex Table V4.2: Key Changes in Vote Resource Allocation Changes in Budget Allocations and Outputs in 2015/16 from 2014/15 Planned Levels: Justification for proposed Changes in Expenditure and Outputs 0856 0856 -0.128 01 inpatients services Vote Function:0801 Regional Referral Hospital Services Output: UShs Bn: Some fund have been allocated to preventive and immunization services Output: UShs Bn: Some fund have been allocated to preventive and immunization services Output: UShs Bn: Some fund have been allocated to preventive and immunization services 02 Outpatient services 04 Diagnostic services -0.048 -0.032 0856 The construction of surgical complex shall reduce on the number of referrals from 14 districts of Mt Elgon Region to National Hospital.
This shall attract surgons to the region.

Table V4.3: 2014/15 and 2015/16 Budget Allocations by Item Million Uganda Shillings GoU Ext.

Fin AIA Total GoU Ext.
Fin AIA Total 2014/15 Approved Budget 2015/16 Draft Estimates Output Class: Outputs Provided 211101 General Staff Salaries 211103 Allowances 5,707.6 3,825.9 158.6 213001 Medical expenses (To employees) 213002 Incapacity, death benefits and funeral expen 221001 Advertising and Public Relations 221002 Workshops and Seminars 221003 Staff Training 221005 Hire of Venue (chairs, projector, etc) 221007 Books, Periodicals & Newspapers 221008 Computer supplies and Information Technol 221009 Welfare and Entertainment 221010 Special Meals and Drinks 221011 Printing, Stationery, Photocopying and Bind 221012 Small Office Equipment 221014 Bank Charges and other Bank related costs 221016 IFMS Recurrent costs 221017 Subscriptions 221020 IPPS Recurrent Costs 222001 Telecommunications 222002 Postage and Courier 222003 Information and communications technolog 223001 Property Expenses 223002 Rates 223003 Rent – (Produced Assets) to private entities 223004 Guard and Security services 223005 Electricity 223006 Water 223007 Other Utilities- (fuel, gas, firewood, charcoa 224001 Medical and Agricultural supplies 224004 Cleaning and Sanitation 224005 Uniforms, Beddings and Protective Gear 225001 Consultancy Services- Short term 226002 Licenses 227001 Travel inland 227002 Travel abroad 0.0
Vote Overview 257 Mbale Referral Hospital Ministerial Policy Statement Vote: 170 Mbale Referral Hospital Million Uganda Shillings GoU Ext.
Fin AIA Total GoU Ext.
Fin AIA Total 2014/15 Approved Budget 2015/16 Draft Estimates 227004 Fuel, Lubricants and Oils 228001 Maintenance - Civil 228002 Maintenance - Vehicles 228003 Maintenance – Machinery, Equipment & Fu 228004 Maintenance – Other Output Class: Capital Purchases 231001 Non Residential buildings (Depreciation) Output Class: Arrears 321612 Water arrears(Budgeting) 321614 Electricity arrears (Budgeting) Grand Total: Total Excluding Taxes, Arrears and AIA ***where AIA is Appropriation in Aid V5: Vote Cross-Cutting Policy and Other Budgetary Issues This section discusses how the vote's plans will address and respond to the cross-cutting policy, issues of gender and equity; HIV/AIDS; and the Environment, and other budgetary issues such as Arrears and NTR.. (i) Cross-cutting Policy Issues (a) Gender and Equity Objective: Issue of Concern : Male invlovement in ANC services Proposed Intervensions Budget Allocations UGX billion Performance Indicators (b) HIV/AIDS Objective: To encourage testing to all clients who come to the Hospital at all points of contact
 Issue of Concern : Proposed Intervensions Budget Allocations UGX billion Performance Indicators (c) Environment Objective: Waste managent and disposal Issue of Concern : Proposed Intervensions Budget Allocations UGX billion Performance Indicators (ii) Non Tax Revenue Collections 2013/14 Vote Overview Actual 2014/15 Budget 2014/15 Prel Actual 2015/16 Projected 258 Mbale Referral Hospital Ministerial Policy Statement Vote: 170 Mbale Referral Hospital Source of NTR UShs Bn Other Fees and Charges Other Fees and Charges 2013/14 Actual 0.000 2014/15 Budget 0.180 Total: 0.000 0.180 2014/15 Prel Actual 0.000 0.000 2015/16 Projected 0.270 0.270 0.540 Money generated from NTR is to cater for medicines in private wing(MASABA WING) and allowances to staff Vote Overview 259 Soroti Referral Hospital Vote: 171 Soroti Referral Hospital V1: Vote Overview (i) Vote Mission Statement Ministerial Policy Statement Soroti hospital exists to promote health and wellbeing of the people of Teso region through offering specialised, preventive, promotive, curative, rehabilitative, training and research services.
(ii) Summary of Past Performance and Medium Term Budget Allocations Table V1.1: Overview of Vote Expenditures (UShs Billion) (i) Excluding Arrears, Taxes 2013/14 Outturn Approved Budget Rel.
by End Mar 2014/15 MTEF Budget Projections 2015/16 2016/17 2017/18 Recurrent Development Wage Non Wage GoU Donor GoU Total Total GoU+Donor (MTEF) (ii) Arrears and Taxes Arrears Taxes** Total Budget (iii) Non Tax Revenue Grand Total Excluding Taxes, Arrears N/A N/A N/A 0.050 N/A 5.573 1.827 0.852 2.000 4.679 N/A N/A N/A 0.000 N/A The chart below shows total funding allocations to the Vote by Vote Function over the medium term: Chart V1.1: Medium Term Budget Projections by Vote Function (Excluding Taxes, Arrears 2014/15 Approved Budget Estimates 2015/16 Budget Projections 2016/17 Budget Projections Vote Overview 260 Soroti Referral Hospital Vote: 171 Soroti Referral Hospital Ministerial Policy Statement V2: Vote Performance for FY 2014/15 and Planned Outputs for FY 2015/16 This section describes past vote performance and planned Outputs, in terms of key vote outputs (i) Past Vote Outputs Preliminary 2014/15 Performance In the finacial year 2014/15, the following were achieved up to end of March, 2015: Attended to 21,063 in patients, conducted 4,381 deliveries, carried out 2,255 major surgeries
 and 1,836 minor surgeries.
Seen 72,377 general outpatients and 39,169 specialized outpatients.
Constructing a 24 unit bi bedroom staff house now at about 65% to completion, remodeling private wing now at 70% to completion and walkways within the hospital now at about 92% to completion V3: Detailed Planned Outputs for FY 2015/16 2015/16 Planned Outputs 85,000 OPD attendance, 21,500 admissions, 4,450 deliveries, 2,300 major surgeries, 7,400 minor surgeries, ALOS of 5days, a Bed occupancy rate of 108%, TFC building remodelled into a Private wing, construction of a 24 unit staff house, each unit having 2 bed rooms.
Table V3.1: Vote Function Profiles, Programme/Project Profiles and Workplan Outputs Vote Function: 08 56 Regional Referral Hospital Services Vote Function Profile Responsible Officer: Hospital Director Services: Preventive, Curative, Rehabilitative, Promotive, Training and Research services Vote Function Projects and Programmes: Project or Programme Name Recurrent Programmes 01 02 03 Development Projects Soroti Referral Hospital Services Soroti Referral Hospital Internal Audit Soroti Regional Maintenance Responsible Officer Hospital Director, Dr. Emmanuel Paul Batiibwe Hospital Director, Dr. Emmanuel Paul Batiibwe Hospital Director, Dr. Emmanuel Paul Batiibwe 1004 Soroti Rehabilitation Referral Hospital Hospital Director, Dr. Emmanuel Paul Batiibwe Programme 01 Soroti Referral Hospital Services Programme Profile Responsible Officer: Hospital Director, Dr. Emmanuel Paul Batiibwe Objectives: 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.
Outputs: Medical, Surgical, Paediatric, Maternal health Services, Outpatient services, community health services, research and training.

Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 01 Inpatient services -21,500 in patient admissions - 4,450 deliveries -2,300 major surgeries - 7,400 minor surgeries - ALOS 5 days - BOR 108% - 18,323 admissions - 3,976 deliveries - 2,350 major surgeries - 1,345 minor surgeries - ALOS 4.5 days - BOR 116% - 22,500 inpatient admisssions - 4,500 deliveries - 2,300 major surgeries - 1,850 minor surgeries - ALOS 5 days - BOR 106% Total Wage Recurrent 351,845 0 271,227 0 327,888 0 Vote Overview 261 Soroti Referral Hospital Vote: 171 Soroti Referral Hospital Ministerial Policy Statement Vote Function: 08 56 Regional Referral Hospital Services Programme 01 Soroti Referral Hospital Services Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Non Wage Recurrent NTR 306,845 45,000 262,198 9,029 282,888 45,000 08 56 02 Outpatient services - 85,000 general outpatients - 2,850 surgical outpatients - 4,600 orthopedic outpatients - 4,750 pediatric outpatients - 2,050 gyne outpatients - 4,300 ENT outpatients - 9,350 eye outpatients - 7,400 dental outpatients - 7,350 HIV/AIDS outpatients - 300 TB outpatients - 9,800 mental outpatients - 830 casualty outpatients - 62,036 General outpatients -1,571surgical outpatients - 3,517 orthpedic outpatients - 3,766 pediatric outpatients - 2,405 gyne outpatients - 4,278 ENT outpatients - 7,346 eye outpatients - 5,227 dental outpatients - 75,000 General outpatients - 2,200 surgical outpatients - 4,300 pediatric outpatients - 5,100 orthopedic outpatients - 2,100 gyne outpatients - 9,350 eye outpatients - 3,850 ENT outpatients - 7,800 dental outpatients - 280 TB outpatients - 9,100 psuchiatric outpatients Total Wage Recurrent Non Wage Recurrent 270,707 0 270,707 187,602 0 187,602 188,800 0 188,800 08 56 03 Medicines and health supplies procured and dispensed 80% of essential drugs available and accessed by patients Medicines and medical supplies worth 487,223,171 was delivered by NMS to the hospital.
80% of Drugs and supplies available and accessed by patients Total Wage Recurrent Non Wage Recurrent 28,623 0 28,623 20,709 0 20,709 47,200 0 47,200 08 56 04 Diagnostic services -151,800 laboratory tests - 1,780 xrays - 7,920 ultrasound scans - 4,630 blood transfusions - 1,140 police medical reports - 167,827 laboratory tests - 1,078 xray examinations - 6,923 ultrasound scans - 3,162 blood transfusions - 690 police reports - 153,500 laboratory tests - 2,800 xrays - 8,900 ultrasound scans - 3,800 blood transfusions - 1,100 police reports - 65 postmortem reports Total Wage Recurrent Non Wage Recurrent 38,166 0 38,166 28,626 0 28,626 188,800 0 188,800 08 56 05 Hospital Management and support services Salaries paid to all the staff members - Allowances paid to staff who are eligible - meetings held as per schedules and proportions of resolutions implemented - Hospital buildings mintained - No.
of functional vehicles - All staff paid their salaries - About 90% of all claims for payments made other service providers and to staff - 80% of meetings held as per schedule - 87% of all complains on faulty structures and equipment timely attended to Salaries paid to all the staff members - Allowances paid to staff who are eligible - meetings held as per schedules and proportions of resolutions implemented - Hospital buildings mantained - No.
of functional vehicles Total Wage Recurrent Non Wage Recurrent 2,749,615 2,663,616 86,000 1,982,381 1,919,781 62,600 2,805,216 2,663,616 141,600 08 56 06 Prevention and rehabilitation services - 1,810 physiotherapy cases seen - 2,840 family planning visits ( New users + revisits) - 7,900 ANC ( New + reattendance) - 1,911 physiotherapy cases attended to.
- 00 occupational therapy case attended to - 2,389 family planning visits ( New+ revisits) - 5,590 ANC (New+ re- attendances) - 2,350 physiotherapy cases - 7,600 ANC ( New + reattendance) - 3,100 family planning visits Total Wage Recurrent Non Wage Recurrent 44,418 0 44,418 32,715 0 32,715 47,200 0 47,200 08 56 07 Immunisation Services - 8,450 immunizations ( BCG+ all doses DPT + Measles) don - - 8,346 immunizations ( BCG+ all doses DPT + Measles) don - 8,600 immunizations( BCG + all doses DPT+ measles) Total Wage Recurrent 168,930 0 118,649 0 47,200 0 Vote Overview 262 Soroti Referral Hospital Vote: 171 Soroti Referral Hospital Ministerial Policy Statement Vote Function: 08 56 Regional Referral Hospital Services Programme 01 Soroti Referral Hospital Services Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Non Wage Recurrent 168,930 118,649 47,200 08 56 99 Arrears Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent NTR 33,763 0 33,763 3,686,067 2,663,616 977,451 45,000 33,763 0 33,763 2,675,672 1,919,781 746,862 9,029 164,673 0 164,673 3,816,977 2,663,616 1,108,361 45,000 Programme 02 Soroti Referral Hospital Internal Audit Programme Profile Responsible Officer: Hospital Director, Dr. Emmanuel Paul Batiibwe Objectives: To ascertain value for money of all hospital programmes and assessing the extent to which the hospital objectives have been achieved.
Outputs: Regular internal audits of various hospital activities and production of quaterly reports Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 05 Hospital Management and support services - 4 quarterly internal audit reports produced - The draft report was discussed, awaiting the final report to be produced by the outgoing Internal Auditor Four internal audit reports produced and submitted to Ministry of Finance Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 12,000 7,000 5,000 12,000 7,000 5,000 9,909 7,409 2,500 9,909 7,409 2,500 12,000 7,000 5,000 12,000 7,000 5,000 Vote Overview 263 Ministerial Policy Statement Soroti Referral Hospital Vote: 171 Soroti Referral Hospital Vote Function: 08 56 Regional Referral Hospital Services Programme 03 Soroti Regional Maintenance Programme Profile Responsible Officer: Hospital Director, Dr. Emmanuel Paul Batiibwe Objectives: To maintain all the region's Health facilities medical equipments and plants in a functional state Outputs: Regular maintenance and servicing of equipment, user training for staff and hold regional maintenance meetings.
Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 05 Hospital Management and support services - Assorted medical equipment maintained - Workshop vehicle maintained -Atleast 87% of all faulty equipment reported are maintained and job cards signed by the Senior Hospital Administrator - No regional workshop meeting held, planned for 4th quarter - Faulty medical equipment within the region are maintained as planned - One annual workshop management committee meeting held - One user training conducted Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 141,000 0 141,000 141,000 0 141,000 99,248 0 99,248 99,248 0 99,248 141,000 0 141,000 141,000 0 141,000 Vote Overview 264 Ministerial Policy Statement Soroti Referral Hospital Vote: 171 Soroti Referral Hospital Vote Function: 08 56 Regional Referral Hospital Services Project 1004 Soroti Rehabilitation Referral Hospital Project Profile Responsible Officer: Hospital Director, Dr. Emmanuel Paul Batiibwe Objectives: -Maintain and Improve on hospital Infrastructure, improve on the working environment, increase staff accommodation Outputs: TFC completed, Sewerage system phase one and two completed, main theatre rehabilitated, equipments procured interns mess at 95% completed, furnishing the interns mess, furniture for the board room ,purchase staff van, public address system,ecosan toilets constructed,New staff house,Expanded maternity ward,New private wing,one vehicle for monitoring
 purposes and Sheltered walkways Start Date: 7/1/2008 Projected End Date: 6/30/2015 Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 73 Roads, Streets and Highways Total GoU Development External Financing 08 56 78 Purchase of Office and Residential Furniture and Fittings Total GoU Development External Financing 08 56 80 Hospital Construction/rehabilitation Total GoU Development External Financing 0 0 0 0 0 0 0 0 0 Payment for retention on walkway phase 2 construction 8,000 8,000 0 Purchase of furniture for the private wing and resource centre.
40,000 40,000 0 Payment of retention for remodeling of private wing 20,000 20,000 0 0 0 0 0 0 0 0 0 0 08 56 81 Staff houses construction and rehabilitation - Construction of staff house continued - Finished construction of ring beam for one staff house of 24 units - Preparation for roofing on going, to commence immediately - 40% of the door frames have been fitted The hospital will continue constructing the 24 unit staff house .

Payment of the supervising Engineer will also be undertaken.
Construction expected to be completed by June, 2015 Total GoU Development External Financing GRAND TOTAL GoU Development External Financing 799,880 799,880 0 799,880 799,880 0 351,689 351,689 0 351,689 351,689 0 832,000 832,000 0 900,000 900,000 0 Table V3.2: Past and Medum Term Key Vote Output Indicators* Vote Function Key Output Indicators and Costs: 2013/14 Outturn 2014/15 Approved Plan Releases Prel.
Actual MTEF Projections 2015/16 2016/17 2017/18 Vote: 171 Soroti Referral Hospital Vote Function:0856 Regional Referral Hospital Services No.

of in-patients (Admissions) N/A N/A Vote Overview No info 28,800 29,000 29,000 265 Soroti Referral Hospital Vote: 171 Soroti Referral Hospital Ministerial Policy Statement Vote Function Key Output Indicators and Costs: No.

of specialised outpatients attended to No.

of antenatal cases (All attendances) No.

reconstructed/rehabilitated general wards No.


of staff houses constructed/rehabilitated Vote Function Cost (UShs bn) VF Cost Excluding Ext.

Fin Cost of Vote Services (UShs Bn) * Excluding Taxes and Arrears 2013/14 Outturn 2014/15 Approved Plan Releases Prel.
Actual MTEF Projections 2015/16 2016/17 2017/18 N/A N/A N/A N/A 4.341 4.341 4.341 4.341 53,580 9694 48,100 48,100 48,100 N/A No info 6,100 6,100 6,100 0 1 4.605 4.605 4.605 4.605 0 1 3.537 3.537 3.537 3.537 1 1 1 4.705 5.573 4.705 5.573 Medium Term Plans Continuation with the Construction of staff accommodation (i) Measures to improve Efficiency Adhere to the provisions of Public finance and accounting regulation and enforce prompt accountability of funds disbursed Table V3.3: Key Unit Costs of Services Provided and Services Funded (Shs '000) Vote Overview 266 Soroti Referral Hospital Vote: 171 Soroti Referral Hospital Ministerial Policy Statement (ii) Vote Investment Plans Funds are inadequate yet the Capital purchases are vital in attracting, retention and motivating staff, creating a pleasant work place and diminishing response time to obstetric emergencies.
Functionalising private wing creates a formidable alternate income base.
Table V3.4: Allocations by Class of Output over the Medium Term Billion Uganda Shillings 2014/15 2015/16 2016/17 2017/18 2014/15 2015/16 2016/17 2017/18 Consumption Expendture(Outputs Provided) Investment (Capital Purchases) Grand Total 3.8 0.8 4.6 3.8 0.9 4.7 4.4 1.1 5.6 4.2 0.5 4.7 82.6% 80.9% 79.5% 88.9% 17.4% 19.1% 20.5% 11.1% 100.0% 100.0% 100.0% 100.0% (i) Allocation (Shs Bn) (ii) % Vote Budget Table V3.5: Major Capital Investments (Outputs of class Capital Purchases over 0.5Billion) 2014/15 2015/16 Project, Programme Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditures and Outputs by End March (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Vote Function: 08 56 Regional Referral Hospital Services Project 1004 Soroti Rehabilitation Referral Hospital 08 56 81 Staff houses construction and rehabilitation - Construction of staff house continued - Finished construction of ring beam for one staff house of 24 units - Preparation for roofing on going, to commence immediately - 40% of the door frames have been fitted The hospital will continue constructing the 24 unit staff house .
Payment of the supervising Engineer will also be undertaken.
Construction expected to be completed by June, 2015 Total GoU Development External Financingt 799,880 799,880 0 351,689 351,689 0 832,000 832,000 0 (iii) Priority Vote Actions to Improve Sector Performance To improve on staffing position, a submission has been made to HSC to recruit on a replacement basis and also staff house is under construction to attract and retain staff deployed Table V3.6: Vote Actions to Improve Sector Performance 2014/15 Planned Actions: 2015/16 Planned Actions: 2014/15 Actual Actions: MT Strategy: Sector Outcome 0: Vote Function: 08 56 Regional Referral Hospital Services VF Performance Issue: Lobby for funding for construction of more ward spaces and office space Inadequate, largely dilapidated ward and office space Advocacy for office and ward space still on going, involving a number of stakeholders like the district local government and other donors - Continuation with construction of staff hous Sector Outcome 1: Increased deliveries in health facilities Vote Function: 08 56 Regional Referral Hospital Services VF Performance Issue: Under and poorly remunerated staff structures Lobby MoPS for recruitment of key cadesof staff on a replacement basis Staff invited for promotional interviews, awaiting results, results for support staff recruitment submitted to HSC for appointment - Submit to HSC for recruitment on repalcement basis Sector Outcome 2: Children under one year old protected against life threatening diseases Vote Function: 08 56 Regional Referral Hospital Services VF Performance Issue: Large inventories of poorly maintained equipment Regular up dte of assets register - Continue with regular update of assets register A modern software already picked from MoFPED and a records staff assigned the task of up dating the register.
A training programme for all staff to be arrnged, conducted Vote Overview Recruitment of key cadres of staff Promt preparation of equipment inventory with constant up dating 267 Soroti Referral Hospital Vote: 171 Soroti Referral Hospital Ministerial Policy Statement 2014/15 Planned Actions: 2014/15 Actual Actions: 2015/16 Planned Actions: MT Strategy: by officilals from MoFPED V4: Proposed Budget Allocations for 2015/16 and the Medium Term This section sets out the proposed vote budget allocations for 2016/17 and the medium term, including major areas of expenditures and any notable changes in allocations.
Table V4.1: Past Outturns and Medium Term Projections by Vote Function* * Excluding Taxes and Arrears Vote: 171 Soroti Referral Hospital 0856 Regional Referral Hospital Services Total for Vote: 2014/15 MTEF Budget Projections 2013/14 Outturn Appr.
Budget Releases End Mar 2015/16 2016/17 2017/18 4.341 4.341 4.605 4.605 3.537 3.537 4.705 4.705 5.573 5.573 4.679 4.679 (i) The Total Budget over the Medium Term The hospital requires over a billion shillings to cater for the on going staff house construction (ii) The major expenditure allocations in the Vote for 2015/16 Wage enhancement increased the budget for wages, non wage recurrent also increased to cater for payment of utility bills, with designs to curb increase in the bills.
(iii) The major planned changes in resource allocations within the Vote for 2015/16 No major planned changes in resource allocation Table V4.2: Key Changes in Vote Resource Allocation Changes in Budget Allocations and Outputs in 2015/16 from 2014/15 Planned Levels: Justification for proposed Changes in Expenditure and Outputs Output: UShs Bn: Output: UShs Bn: Output: UShs Bn: Output: UShs Bn: Output: UShs Bn: Vote Function:0802 Regional Referral Hospital Services Output: UShs Bn: 02 Outpatient services -0.082 0856 0856 04 Diagnostic services 0.151 0856 07 Immunisation Services -0.122 The allocation is in line with the anticipated needs of the catchment area taking into account disease patterns, population and available funding The allocation is in line with the anticipated needs of the catchment area taking into account disease patterns, population and available funding The allocation is in line with the anticipated needs of the catchment area taking into account disease patterns, population and available funding 0856 78 Purchase of Office and Residential Furniture and Fittings 0.040 Funds are for purchase of furniture for the private wing and resource centre.
0856 80 Hospital Construction/rehabilitation 0.020 0856 99 Arrears -0.034 Funds are for Payment of retention for remodeling of private wing The allocation is in line with the schedule of arrears as provided by the Ministry of Finance, Planning and Economic Development Table V4.3: 2014/15 and 2015/16 Budget Allocations by Item 2014/15 Approved Budget 2015/16 Draft Estimates Million Uganda Shillings GoU Ext.
Fin Output Class: Outputs Provided 211101 General Staff Salaries 211103 Allowances 213001 Medical expenses (To employees) 213002 Incapacity, death benefits and funeral expen 221001 Advertising and Public Relations 221002 Workshops and Seminars 3,760.3 2,670.6 70.7 2.4 2.2 19.8 6.1 0.0 0.0 0.0 0.0 0.0 0.0 0.0 AIA 45.0 0.0 18.0 0.0 0.0 0.0 0.0 Total GoU Ext.
Fin 3,805.3 2,670.6 88.7 2.4 2.2 19.8 6.1 3,760.3 2,670.6 92.4 2.4 2.2 8.2 6.1 0.0 0.0 0.0 0.0 0.0 0.0 0.0 AIA 45.0 0.0 45.0 0.0 0.0 0.0 0.0 Total 3,805.3 2,670.6 137.4 2.4 2.2 8.2 6.1 Vote Overview 268 Soroti Referral Hospital Vote: 171 Soroti Referral Hospital Ministerial Policy Statement Million Uganda Shillings 221003 Staff Training 221005 Hire of Venue (chairs, projector, etc) 221007 Books, Periodicals & Newspapers 221008 Computer supplies and Information Technol 221009 Welfare and Entertainment 221010 Special Meals and Drinks 221011 Printing, Stationery, Photocopying and Bind 221012 Small Office Equipment 221014 Bank Charges and other Bank related costs 222001 Telecommunications 222002 Postage and Courier 223003 Rent – (Produced Assets) to private entities 223004 Guard and Security services 223005 Electricity 223006 Water 223007 Other Utilities- (fuel, gas, firewood, charcoa 224001 Medical and Agricultural supplies 224004 Cleaning and Sanitation 224005 Uniforms, Beddings and Protective Gear 227001 Travel inland 227002 Travel abroad 227004 Fuel, Lubricants and Oils 228001 Maintenance - Civil 228002 Maintenance - Vehicles 228003 Maintenance – Machinery, Equipment & Fu 228004 Maintenance – Other 282104 Compensation to 3rd Parties Output Class: Capital Purchases 231001 Non Residential buildings (Depreciation) 231002 Residential buildings (Depreciation) 231003 Roads and bridges (Depreciation) 231006 Furniture and fittings (Depreciation) 281504 Monitoring, Supervision & Appraisal of cap Output Class: Arrears
 321612 Water arrears(Budgeting) 321614 Electricity arrears (Budgeting) Grand Total: Total Excluding Taxes, Arrears and AIA ***where AIA is Appropriation in Aid 2014/15 Approved Budget 2015/16 Draft Estimates GoU Ext.
Fin AIA Total GoU Ext.
Fin AIA Total V5: Vote Cross-Cutting Policy and Other Budgetary Issues This section discusses how the vote's plans will address and respond to the cross-cutting policy,
 issues of gender and equity; HIV/AIDS; and the Environment, and other budgetary issues such as Arrears and NTR.. (i) Cross-cutting Policy Issues (a) Gender and Equity Objective: Issue of Concern : To omprove maternal and neonatal health Increasing maternal and neonatal deaths Proposed Intervensions Improve on referral syatem by encouraging support supervision to lower health units Budget Allocations UGX billion 2 Performance Indicators Low number of mothers dying Vote Overview 269 Soroti Referral Hospital
 Vote: 171 Soroti Referral Hospital (b) HIV/AIDS Objective: To reduce on the high number of new infections Issue of Concern : Rising HIV/AIDS prevalence Proposed Intervensions Ministerial Policy Statement - Elimination of mother to child transmission, Safe male circumcision, behaviour change promotion Budget Allocations UGX billion 2 Performance Indicators Reduced HIV/AIDS prevalence, Reduced HIV/AIDS related deaths (c) Environment Objective: To improve management of medical and non medical wastes Issue of Concern : Poor waste segregation and disposal, Proposed Intervensions Educate staff on proper and safe waste segregation and disposal, Put in place incinerators for waste icineration Budget Allocations UGX billion 0.5 Performance Indicators Proper waste segregation and disposal in place, Infection control committee in place and fully functional with monthly reports produced (ii) Non Tax Revenue Collections Source of NTR UShs Bn Sale of drugs Sale of (Produced) Government Properties/Assets Other Fees and Charges Interest from private entities - Domestic 2013/14 Actual 2014/15 Budget 2014/15 Prel Actual 2015/16 Projected 0.000 0.000 0.000 Total: 0.000 0.030 0.010 0.005 0.045 0.000 0.000 0.030 0.010 0.005 0.045 0.090 Current NTR is not good at a paltry 25m annually.
We forecast this to rise to 60m per annum, following a number of expected income from interns mess, and revived private wing functionality Vote Overview 270 Lira Referral Hospital Vote: 172 Lira Referral Hospital V1: Vote Overview (i) Vote Mission Statement Ministerial Policy Statement To be a regional centre of excellence in providing specialised and super specialised quality health services, conduct tertiary medical training, research and contributing to National Health Policy (ii) Summary of Past Performance and Medium Term Budget Allocations Table V1.1: Overview of Vote Expenditures (UShs Billion) (i) Excluding Arrears, Taxes 2013/14 Outturn Approved Budget Rel.
by End Mar 2014/15 Recurrent Development Wage Non Wage GoU Donor GoU Total Total GoU+Donor (MTEF) (ii) Arrears and Taxes Arrears Taxes** Total Budget (iii) Non Tax Revenue Grand Total Excluding Taxes, Arrears MTEF Budget Projections 2015/16 2016/17 2017/18 2.569 1.094 0.600 0.000 4.263 4.263 0.051 0.000 4.314 0.030 4.344 4.293 2.569 0.761 1.350 0.000 4.680 4.680 N/A N/A N/A 0.030 N/A 4.710 1.835 0.761 1.350 0.000 3.946 3.946 N/A N/A N/A 0.030 N/A 3.976 The chart below shows total funding allocations to the Vote by Vote Function over the medium term: Chart V1.1: Medium Term Budget Projections by Vote Function (Excluding Taxes, Arrears) n o i l l i B s h s U 4.8 4.7 4.6 4.5 4.4 4.3 4.2 4. 2014/15 Approved Budget Estimates 2015/16 Budget Projections 2016/17 Budget Projections Vote Overview 271 Lira Referral Hospital Vote: 172 Lira Referral Hospital Ministerial Policy Statement V2: Vote Performance for FY 2014/15 and Planned Outputs for FY 2015/16 This section describes past vote performance and planned Outputs, in terms of key vote outputs (i) Past Vote Outputs Preliminary 2014/15 Performance There were 146,129 outpatient’s, 60,758 specialized clinic attendances, 13,428 Admissions with 94% bed occupancy and Average length of stay 7
 days.
Medicines worth sh.

631,972,536 were delivered by NMS and dispensed by end of March.

39,029 Lab tests and 4230 x-ray imaging were undertaken with 12,726 antenatal cases, 25,398 people immunized, 3,188 people receiving family planning services.

Four theatre rooms 98% completed.

Female ward repainted and damaged ceiling replaced, plumbing system for TFC repaired, damaged windows of male medicine ward.
V3: Detailed Planned Outputs for FY 2015/16 2015/16 Planned Outputs There are plans to attend to 220,000 outpatients, 80,000 patients in specialized clinic, 20,000 Admissions with a Bed Occupancy rate of 90% and ALOS 5 days.

Medicines worth sh.

1.100,000,000 are to be delivered by NMS and dispensed.

60,000 lab tests, 8,500 x-ray imaging, ultra sound 6,500 examinations are to be undertaken.

20,000 antenatal cases 34,000 people immunized, 3,600 people receive family planning services.
Theatre will be completed and retention paid.

Installation of medical Incinerator completed.

Part Purchase of Theatre/ ICU equipment will be undertaken.

Toilets for male surgery and Medicine wards rehabilitated.
Table V3.1: Vote Function Profiles, Programme/Project Profiles and Workplan Outputs Vote Function: 08 56 Regional Referral Hospital Services Vote Function Profile Responsible Officer: Hospital Director Services: To offer comprehensive, specialised, curative, promotive, preventive and rehabilitative health care services in the region.

To offer tertiary training and continuing professional development (CPD) To undertake and conduct operational, professional and technical research.
To provide quality assurance, support supervision and outreach servcies.

Monitoring and evaluation of the implementation of health servcies in the region.

Disease surveillence.
Vote Function Projects and Programmes: Project or Programme Name Recurrent Programmes 01 02 03 Development Projects Lira Referral Hospital Services Lira Referral Hospital Internal Audit Lira Regional Maintenance Responsible Officer Hospital Director Hospital Director Hospital Director 1004 Lira Rehabilitation Referral Hospital Hospital Director Programme 01 Lira Referral Hospital Services Programme Profile Responsible Officer: Hospital Director Objectives: To provide specialised and super specialised quality health services, conduct tertiary medical training, research and contributing to National Health Policy training, Outputs: 1.In patient services.
2.

Out patient services.

3.

Diagnostic servicies.

4.

Medicines.

5, Hospital management and support services.

6.

Prevention and rehabilitation services.

7.

Immunisation services.


Vote Overview 272 Lira Referral Hospital Vote: 172 Lira Referral Hospital Vote Function: 08 56 Regional Referral Hospital Services Programme 01 Lira Referral Hospital Services Ministerial Policy Statement Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 01 Inpatient services 23,000 patients to be admitted.

Avearge length of stay 5days, bed occupancy rate 88% 16,013 patients admited, average lengthy of stay 6 days, and Bed occupancy rate 88% 23,000 patients to be admitted.
Avearge length of stay 5days, bed occupancy rate 88% Total Wage Recurrent Non Wage Recurrent 08 56 02 Outpatient services NTR Total Wage Recurrent Non Wage Recurrent 2,928,908 2,561,775 357,133 10,000 2,104,329 1,879,722 224,608 0 2,918,908 2,561,775 357,133 0 230,000 patients treated.

Specilaised clinic attendence 94,000 patients 163,564 patients traeted, 7,357 patients specialized clinic attended to 230,000 patients treated.
Specilaised clinic attendence 94,000 patients 120,824 0 120,824 70,639 0 70,639 120,824 0 120,824 08 56 03 Medicines and health supplies procured and dispensed Drugs and Health supplies orderd from NMS worth Ug.

Shs 1,000,000,000.

770,008,147.87/= worth of drugs delivered by NMS Drugs and Health supplies orderd from NMS worth Ug.

Shs 1,000,000,000.
Shs 1,000,000,000.

Total Wage Recurrent Non Wage Recurrent 08 56 04 Diagnostic services Total Wage Recurrent Non Wage Recurrent 08 56 05 Hospital Management and support services 70,000 laboratory tests.

8,700 Xray examinations 6800 Ultra sound scans 4,000 Blood transfusions 27,840 0 27,840 66,626 0 66,626 20,044 0 20,044 27,840 0 27,840 86,591 lab tests done 5,211 x-ray examinations done 4,021 scans done 2,558 blood transfuions done 70,000 laboratory tests done.
8,700 Xray examinations undertaken 6800 Ultra sound scans done 4,000 Blood transfusions done 44,159 0 44,159 66,626 0 66,626 Meetings held Buildings and Equipment maitained.

Monthly, quarterly Bi-annual and Annual Hospital reports made.

Procurement of goods and services Payment for Good and Services 0 Hospital Board meeting 2 Senior staff meeting 2 General staff meeting 11 Top management meetings.

Authorise payments for goods and services.

Supervision and performance evaluation of staff.


Meetings held Buildings and Equipment maitained.

Monthly, quarterly Bi-annual and Annual Hospital reports made.

Procurement of goods and services Payment for Good and Services Total Wage Recurrent Non Wage Recurrent NTR 296,802 0 291,802 5,000 203,556 0 203,556 0 321,802 0 291,802 30,000 08 56 06 Prevention and rehabilitation services 13,000 Ante Natal clients, 2584 Physiotherapy and 6,600 Occupational Therapy and 100 Orthopeadic Appliances made.
4,800 Familly planning 12,822 Ante Natal clients, 2,491 Physiotherapy and 4,163 Occupational Therapy and 224 Orthopeadic workshop.

3,082 Familly planning 13,000 Ante Natal clients attended to, 2584 Physiotherapy cases handled, 6,600 Occupational Therapy cases handled and 100 Orthopeadic Appliances made.
4,800 Familly planning Total Wage Recurrent Non Wage Recurrent 76,134 0 76,134 53,233 0 53,233 76,134 0 76,134 08 56 07 Immunisation Services 36,000 Immunisation 25,270 immunisations made 36,000 clients Immunised Total Wage Recurrent Non Wage Recurrent 17,200 0 17,200 7,139 0 7,139 17,200 0 17,200 Vote Overview 273 Lira Referral Hospital Vote: 172 Lira Referral Hospital Ministerial Policy Statement Vote Function: 08 56 Regional Referral Hospital Services Programme 01 Lira Referral Hospital Services Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 99 Arrears Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent NTR 113,107 0 113,107 3,647,441 2,561,775 1,070,666 15,000 113,107 0 113,107 2,616,205 1,879,722 736,484 0 51,346 0 51,346 3,600,681 2,561,775 1,008,905 30,000 Programme 02 Lira Referral Hospital Internal Audit Programme Profile Responsible Officer: Hospital Director Objectives: To ensure existence of efficient and effective internal controls Outputs: Management audit reports.
Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 05 Hospital Management and support services Monthly, Quarterly and Annual Audit reports 9 Monthly and 3 Quarterly Audit reports done Monthly, Quarterly and Annual Audit reports Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 15,000 7,000 8,000 15,000 7,000 8,000 6,000 0 6,000 6,000 0 6,000 15,000 7,000 8,000 15,000 7,000 8,000 Vote Overview 274 Ministerial Policy Statement Lira Referral Hospital Vote: 172 Lira Referral Hospital Vote Function: 08 56 Regional Referral Hospital Services Programme 03 Lira Regional Maintenance Programme Profile Responsible Officer: Hospital Director Objectives: To Ensure availability of functional medical equipment in the region Outputs: Functional medical equipment.
Trained health workers in operating equipment.. Quarterly Reports Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.

Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 05 Hospital Management and support services Hold 4 management meetings, purchase of spares, Repair medical equipment, and conduct user training.
Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 128,491 0 128,491 128,491 0 128,491 -2 management meetings Held (7.5m) Spare parts worth 33,222,000 purchased for LRRH, Apac, Aduku, Dokolo H.C IV, Amolatar, Amac and Ogur Health centre Ivs, Alebtong, Anyke and Aboke - Training on medical Equipment (5m) and Inventory, fuel, perdiem, stationery worth 12,475,000/= 74,106 0 74,106 74,106 0 74,106 Hold 4 management meetings, purchase of spares, Repair medical equipment, and conduct user training.
128,491 0 128,491 128,491 0 128,491 Vote Overview 275 Ministerial Policy Statement Lira Referral Hospital Vote: 172 Lira Referral Hospital Vote Function: 08 56 Regional Referral Hospital Services Project 1004 Lira Rehabilitation Referral Hospital Project Profile Responsible Officer: Hospital Director Objectives: Outputs: 1.

To contruct a medical records block.

2.

To develop a Master and strategic plan.

3.

To install internet connectivity.

To Install water tanks.


To contruct patients' attendants shade.

To construct inpatients pharmacy.

To secure Hospital Land Title.

To renovate Office block.

To procure staff shuttle.

To terrace pave and organize the compound.

To construct walk ways.

To purchase medical equipment.

To renovate Female sufgical ward.

To upgrade the sewerage system and stone pitch dranage.

To construct Medical equipment workshop.

To construct theatre and Intensive care unit and procure specialised medical equipment.
To renovate all wards.

To construct askari and generator houses.

Intercomm installed.

1.

Medical records Block constructed.

2.

Master Plan Developed.

3.

Internet connected.4.

Water tanks installed.

5.

Attendants' shade constructed.6.

Inpatients' pharmacy constructed.

6.

Hospital Land title secured.7, Office Block constructed.

8.

Staff shuttle Delivered.

9.

Compound Beautified and orderly.

10.

Medical equipment delivered.

11.

All Wards renovated.

12.

Sewerage system up graded.

13.


Storm water Drainage stone pitched.

14.

Medical Equipment Workshop.

15.

Theatre and Intensive care units constructed.

16.

Specialised Medical equipment delivered.

17.

Internal communication improved.18.


Medical waste incinerater installed and functional Start Date: 7/1/2008 Projected End Date: 6/30/2015 Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 81 Staff houses construction and rehabilitation 24 units staff house started and 1st Phase Completed.
7,649,700/= used for walkways 458,594,552/= advance payment slab level complete, raising super structure started, continuation of moulding Construction of (24 units) staff houses continued and 1st Phase (8 units) to be Completed in may 2016. however the funds are not adequate for completing the project Total GoU Development External Financing GRAND TOTAL GoU Development External Financing 865,850 865,850 0 865,850 865,850 0 574,695 574,695 0 574,695 574,695 0 600,000 600,000 0 600,000 600,000 0 Table V3.2: Past and Medum Term Key Vote Output Indicators* Vote Function Key Output Indicators and Costs: 2013/14 Outturn 2014/15 Approved Plan Releases Prel.
Actual MTEF Projections 2015/16 2016/17 2017/18 Vote: 172 Lira Referral Hospital Vote Function:0856 Regional Referral Hospital Services No.

of in-patients (Admissions) No.

of specialised outpatients attended to No.

of antenatal cases (All attendances) No.


of staff houses constructed/rehabilitated Vote Function Cost (UShs bn) N/A N/A 3.778 N/A N/A N/A 100,000 No info 2773 25,000 110,000 25,000 110,000 25,000 110,000 N/A N/A No info 24,500 24,500 24,500 0 2 4.678 3.673 4.293 4.710 3.976 Vote Overview 276 Lira Referral Hospital Vote: 172 Lira Referral Hospital Ministerial Policy Statement Vote Function Key Output Indicators and Costs: VF Cost Excluding Ext.
Fin Cost of Vote Services (UShs Bn) * Excluding Taxes and Arrears 2013/14 Outturn 3.778 3.778 3.778 2014/15 Approved Plan Releases Prel.

Actual 4.678 4.678 4.678 3.673 3.673 3.673 MTEF Projections 2015/16 2016/17 2017/18 4.293 4.710 3.976 Medium Term Plans Construction of Perimetre wall, Gyneacological complex, Construction of OPD, Construction of Intern Doctor's Residence and 24 units of staff accommodation.
(i) Measures to improve Efficiency we will ensure efficiency through procurement planning of Goods, Works and Services to avoid stock outs and expiry of drugs.

We Wiil also ensure prompt payment of suppliers to avoid legal costs of delayed payments.

Contract management will also be emphasized especially to critical procurements such as construction of staff houses by constituting contract management plans and teams to avoid cost overruns.
Table V3.3: Key Unit Costs of Services Provided and Services Funded (Shs '000) Unit Cost Description Proposed 2015/16 Planned 2014/15 Actual 2014/15 Actual 2013/14 Costing Assumptions and Reasons for any Changes and Variations from Plan Vote Function:0856 Regional Referral Hospital Services 4,000 Water 4,000 4,000 Increased infrastructure and activity.
Staff houses 180,000,000 180,000,000 180,000,000 price flactuation and locality of building materials Special Meals for interns Outside cleaning Inside cleaning Fuel Electricity 300,000 300,000 300,000 Number of intern Doctors remain constant 10,000 15,000 10,000 15,000 10,000 prices remain the same 15,000 1.Prices of cleaning materials remain the same.

2. increase in the number of buildings.


4,000 4,000 4,000 600 600 600 Fluactuations in prices of fuel and increased hospital activities due to improved infrastructure.

1.Unit cost for power remain the same.

2.

Increased number of Building and equipment.

Vote Overview 277 Lira Referral Hospital Vote: 172 Lira Referral Hospital (ii) Vote Investment Plans The funding has been inadequate given the priorites.
Table V3.4: Allocations by Class of Output over the Medium Term Ministerial Policy Statement Billion Uganda Shillings 2014/15 2015/16 2016/17 2017/18 2014/15 2015/16 2016/17 2017/18 Consumption Expendture(Outputs Provided) Investment (Capital Purchases) Grand Total 3.7 1.0 4.7 3.7 0.6 4.3 4.2 0.5 4.7 3.6 0.4 4.0 78.6% 86.0% 89.2% 89.7% 21.4% 14.0% 10.8% 10.3% 100.0% 100.0% 100.0% 100.0% (i) Allocation (Shs Bn) (ii) % Vote Budget Table V3.5: Major Capital Investments (Outputs of class Capital Purchases over 0.5Billion) 2014/15 2015/16 Project, Programme Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditures and Outputs by End March (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Vote Function: 08 56 Regional Referral Hospital Services Project 1004 Lira Rehabilitation Referral Hospital 08 56 81 Staff houses construction and rehabilitation 24 units staff house started and 1st Phase Completed.
7,649,700/= used for walkways 458,594,552/= advance payment slab level complete, raising super structure started, continuation of moulding Construction of (24 units) staff houses continued and 1st Phase (8 units) to be Completed in may 2016. however the funds are not adequate for completing the project Total GoU Development External Financingt 865,850 865,850 0 574,695 574,695 0 600,000 600,000 0 (iii) Priority Vote Actions to Improve Sector Performance the vote will improve its performance through the construction of staff houses.
This will shorten the distance of employees' homes and the entity and improve on the staff attendance at work.

The construction of staff houses will motivate the staff to work diligently and ease the availability of Doctors and Nurses to attend to night duties.
The entity will also improve on its performance through training of staff members and through carrying out continuous professional development with the aim of equiping the staff members with knowledge, skills and new trends in the Health fraternity.

We will also ensure prompt payment of salaries as required by the new decentralised system of payment in order to motivate employees and in turn improve productivity.
Table V3.6: Vote Actions to Improve Sector Performance 2014/15 Planned Actions: 2015/16 Planned Actions: 2014/15 Actual Actions: MT Strategy: Sector Outcome 3: Health facilities receive adequate stocks of essential medicines and health supplies (EMHS) Vote Function: 08 56 Regional Referral Hospital Services Equipment procured in the last Financial year still adequate.
VF Performance Issue: Availability of Medical Equipment Procurement of medical equipment to be prioritized over the medium term V4: Proposed Budget Allocations for 2015/16 and the Medium Term This section sets out the proposed vote budget allocations for 2016/17 and the medium term, including major areas of expenditures and any notable changes in allocations.
Table V4.1: Past Outturns and Medium Term Projections by Vote Function* Procurement of medical equipment to be prioritized over the medium term Provision of specialised servcies.

* Excluding Taxes and Arrears Vote: 172 Lira Referral Hospital 0856 Regional Referral Hospital Services Total for Vote: 2014/15 MTEF Budget Projections 2013/14 Outturn Appr.
Budget Releases End Mar 2015/16 2016/17 2017/18 3.778 3.778 4.678 4.678 3.673 3.673 4.293 4.293 4.710 4.710 3.976 3.976 (i) The Total Budget over the Medium Term The total allocation of 2015/16 is 4.663B.

1.0B will enable the construction of staff houses phase 1, Vote Overview 278 Lira Referral Hospital Vote: 172 Lira Referral Hospital Ministerial Policy Statement construction of Intern Doctor's Residence, purchase of heavy duty washing machine as well as photocopying machine and printer.
The wage allocation is 2.569B which will enable payment of salaries and 1.094B is meant for recurrent expenditure to enable ease the hospital's operations.

(ii) The major expenditure allocations in the Vote for 2015/16 The hospital will undertake construction of staff houses phase 1 at One Billion.

The Regional Equipment Maintenance Workshop is allocated 128.5 million.

(iii) The major planned changes in resource allocations within the Vote for 2015/16 There have been no changes in resource allocation.
Table V4.2: Key Changes in Vote Resource Allocation Changes in Budget Allocations and Outputs in 2015/16 from 2014/15 Planned Levels: Justification for proposed Changes in Expenditure and Outputs Vote Function:0801 Regional Referral Hospital Services Output: 01 Inpatient services UShs Bn: -0.367 0856 Output: UShs Bn: 0856 04 Diagnostic services -0.067 Output: UShs Bn: Output: UShs Bn: Output: UShs Bn: 0856 05 Hospital Management and support services -0.267 0856 06 Prevention and rehabilitation services -0.076 0856 81 Staff houses construction and rehabilitation -0.266 Output: UShs Bn: 0856 99 Arrears -0.113 The allocation is in line with the anticipated needs of the hospital catchment area taking into account disease patterns, population, functionality of neighboring health facilities and available funding.


The allocation is in line with the anticipated needs of the hospital catchment area taking into account disease patterns, population, functionality of neighboring health facilities and available funding.


The reduction is on account of the reduced allocation of the hospital development budget in favour of other pressing sector matters The reduction is in line with the schedule of allocation of arrears by the Ministry of Finance, Planning and Economic Development for the period 2015/16.
Table V4.3: 2014/15 and 2015/16 Budget Allocations by Item 2014/15 Approved Budget 2015/16 Draft Estimates Million Uganda Shillings GoU Ext.
Fin Output Class: Outputs Provided 211101 General Staff Salaries 211103 Allowances 213001 Medical expenses (To employees) 213002 Incapacity, death benefits and funeral expen 221001 Advertising and Public Relations 221002 Workshops and Seminars 221003 Staff Training 221006 Commissions and related charges 221007 Books, Periodicals & Newspapers 221008 Computer supplies and Information Technol 221009 Welfare and Entertainment 221010 Special Meals and Drinks 221011 Printing, Stationery, Photocopying and Bind 221012 Small Office Equipment AIA 15.0 0.0 15.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Total GoU Ext.
Fin AIA 30.0 0.0 30.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Total 3,692.8 2,568.8 111.0 10.5 2.6 6.0 20.3 29.0 20.0 4.5 15.0 39.4 15.0 53.1 14.6 Vote Overview 279 Lira Referral Hospital Ministerial Policy Statement Lira Referral Hospital Vote: 172 Million Uganda Shillings 221016 IFMS Recurrent costs 222001 Telecommunications 222002 Postage and Courier 222003 Information and communications technolog 223001 Property Expenses 223003 Rent – (Produced Assets) to private entities 223004 Guard and Security services 223005 Electricity 223006 Water 223007 Other Utilities- (fuel, gas, firewood, charcoa 224004 Cleaning and Sanitation 224005 Uniforms, Beddings and Protective Gear 225001 Consultancy Services- Short term 227001 Travel inland 227004 Fuel, Lubricants and Oils 228001 Maintenance - Civil 228002 Maintenance - Vehicles 228003 Maintenance – Machinery, Equipment & Fu 228004 Maintenance – Other Output Class: Capital Purchases 231001 Non Residential buildings (Depreciation) 231002 Residential buildings (Depreciation) 231007 Other Fixed Assets (Depreciation) 281503 Engineering and Design Studies & Plans for 281504 Monitoring, Supervision & Appraisal of cap Output Class: Arrears 321612 Water arrears(Budgeting) 321614 Electricity arrears (Budgeting) Grand Total: Total Excluding Taxes, Arrears and
 AIA ***where AIA is Appropriation in Aid 2014/15 Approved Budget 2015/16 Draft Estimates GoU Ext.
Fin AIA Total GoU Ext.
Fin AIA Total V5: Vote Cross-Cutting Policy and Other Budgetary Issues This section discusses how the vote's plans will address and respond to the cross-cutting policy, issues of gender and equity; HIV/AIDS; and the Environment, and other budgetary issues such as Arrears and NTR.. (i) Cross-cutting Policy Issues (a) Gender and Equity Objective: To eliminate mother to child transmission of HIV/AIDS, and also to promote safe male
 circumcision and provide Tetenus toxoid vaccine to Voluntary Medical Male Circumcision and women in the reproductive age.
Issue of Concern : Proposed Intervensions Budget Allocations UGX billion Performance Indicators Objective: To focus on the reduction of maternal and neonatal mortality.

To plan and procure medicines and other health supplies for emergency obstetric and new born care.
Issue of Concern : Proposed Intervensions Vote Overview 280 Lira Referral Hospital Vote: 172 Lira Referral Hospital Ministerial Policy Statement Budget Allocations UGX billion Performance Indicators (b) HIV/AIDS Objective: To provide HIV services to adolescents and the youth at specialsed clinics.

Issue of Concern : Proposed Intervensions Budget Allocations UGX billion Performance Indicators Objective: 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 Diseases Clinic to all pesons especially without discrimnation.
Issue of Concern : Proposed Intervensions Budget Allocations UGX billion Performance Indicators (c) Environment Objective: To mitigate the effect of environmental degradation by use of fuel efficient stoves for cooking in the hospital Issue of Concern : Proposed Intervensions Budget Allocations UGX billion Performance Indicators Objective: To promote green environment through sentisation of our clients and staff and planting of trees and grass within the hospital.
Issue of Concern : Proposed Intervensions Budget Allocations UGX billion Performance Indicators Objective: To improve on the management of medical and other wastes disposal within the hospital.
Issue of Concern : Proposed Intervensions Vote Overview 281 Lira Referral Hospital Vote: 172 Lira Referral Hospital Ministerial Policy Statement Budget Allocations UGX billion Performance Indicators (ii) Non Tax Revenue Collections Source of NTR UShs Bn Other Fees and Charges Educational/Instruction related levies Total: 2013/14 Actual 2014/15 Budget 0.000 0.000 0.000 0.012 0.003 0.015 2014/15 Prel Actual 2015/16 Projected 0.010 0.020 0.030 Lira Regional Referral Hospital projects to collect about Thirty Million in the Financial Year 2015-16.
The Hospital will use part of theses funds to motivate staff and rest will be used for general staff meetings, committee meetings and Top management meetings but not hospital management board meetings.

Vote Overview 282 Mbarara Referral Hospital Ministerial Policy Statement Vote: 173 Mbarara Referral Hospital V1: Vote Overview (i) Vote Mission Statement To provide comprehensive, super specialised health services, conduct tertiary health training, research and contributing to the health policy.
(ii) Summary of Past Performance and Medium Term Budget Allocations Table V1.1: Overview of Vote Expenditures (UShs Billion) (i) Excluding Arrears, Taxes 2013/14 Outturn Approved Budget Rel.
by End Mar 2014/15 Recurrent Development Wage Non Wage GoU Donor GoU Total Total GoU+Donor (MTEF) (ii) Arrears and Taxes Arrears Taxes** Total Budget (iii) Non Tax Revenue Grand Total Excluding Taxes, Arrears MTEF Budget Projections 2015/16 2016/17 2017/18 3.279 1.147 1.210 0.000 5.636 5.636 0.300 0.119 6.055 0.725 6.779 6.361 3.279 0.981 1.000 0.000 5.260 5.260 N/A N/A N/A 0.800 N/A 6.060 2.089 0.981 1.000 0.000 4.070 4.070 N/A N/A N/A 0.800 N/A 4.870 The chart below shows total funding allocations to the Vote by Vote Function over the medium term: Chart V1.1: Medium Term Budget Projections by Vote Function (Excluding Taxes, Arrears) n o i l l i B s h s U 5.7 5.6 5.5 5.4 5.3 5.2 5. 2014/15 Approved Budget Estimates 2015/16 Budget Projections 2016/17 Budget Projections Vote Overview 283 Mbarara Referral Hospital Ministerial Policy Statement Vote: 173 Mbarara Referral Hospital V2: Vote Performance for FY 2014/15 and Planned Outputs for FY 2015/16 This section describes past vote performance and planned Outputs, in terms of key vote outputs (i) Past Vote Outputs Preliminary 2014/15 Performance 6,478 admissions 77 % Occupancy rate 4 days average length of stay 10,069 general out patients 27,440 special clinics outpatients 767 X-ray
 examinations 801 Ultra sound examinations 23,240 lab examinations 71 CT Scans 115 ECGs' 10 ECHOs, 7,350 immunizations done 3,159 antenatal attendances handled 426 family planning contacts made 3,428 PMTCT & VCT Contacts Construction of the 16 units staff quarters and refurbishment and remodelling of a basement into an office block for administration has commenced with completion of the procurement process and handover of sites done already V3: Detailed Planned Outputs for FY 2015/16 2015/16 Planned Outputs The Hospital will continue to put up new structures to improve working conditions for health workers and create a condusive environment for clients.
This will improve the staff morale and improve on their performance.
Particulary we shall continue construction of 16 apartments staff accomodation, put a face lift on all the old ward and structures and procure medical equipment to improve efficiency and effectiveness of our emergency unit, ICU and neuro-surgery Table V3.1: Vote Function Profiles, Programme/Project Profiles and Workplan Outputs Vote Function: 08 56 Regional Referral Hospital Services Vote Function Profile Responsible Officer: Hospital Director Services: 1.
Offer comprehensive super-specialised curative, promotive preventive and rehabilitative health care services.

2.

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

3.

Offer tertiary and continuing Professional Development of health workers.

4.

Contribute to the formulation of policies and guidelines of the Ministry of Health.

5.
5.

Participate in the monitoring and evaluation of health services in the country.

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

7.
Provide quality assurance and support services to Health Care delivery System Vote Function Projects and Programmes: Project or Programme Name Recurrent Programmes 01 02 Development Projects Mbarara Referral Hospital Services Mbarara Referral Hospital Internal Audit Responsible Officer Hospital Director Hospital Director 1004 Mbarara Rehabilitation Referral Hospital Hospital Director Office Programme 01 Mbarara Referral Hospital Services Programme Profile Responsible Officer: Hospital Director Vote Overview 284 Mbarara Referral Hospital Ministerial Policy Statement Vote: 173 Mbarara Referral Hospital Vote Function: 08 56 Regional Referral Hospital Services Programme 01 Mbarara Referral Hospital Services Objectives: To provide comprehensive, super-specialised health services, conduct tertiary health training, research and contributing to the national health policy.
Outputs: 1.

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

2.

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

3.

Offer tertiary and continuing Profession Development of health workers.

4.

Contribute to the formulation of policies and guidelines of the Ministry of Health.

5.
5.

Participate in monitoring and evaluation of health services in the country.

6.

Undertake and conduct operational, technical and professional research.

7.

Provide quality assurance and support services to Health Care delivery System.

Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 01 Inpatient services 30,000 admissions 19,351 Admissions 70% Occupancy rate 75% Occupancy rate 5 days average length of stay 5 Days Average Length of Stay 30,000 admissions 75 % Occupancy rate 5 Days average length of stay Total Wage Recurrent Non Wage Recurrent NTR 1,041,748 0 481,748 560,000 764,932 0 354,586 410,346 1,206,248 0 481,748 724,500 08 56 02 Outpatient services 40,000 Outpatients 27,943 general outpatients 40,000 Outpatients 120,000 Special clinics' attendance 82,548 special clinics' outpatients.
133,000 special clinics attendance Total Wage Recurrent Non Wage Recurrent 180,689 0 180,689 131,194 0 131,194 180,689 0 180,689 08 56 04 Diagnostic services 6,000 X-rays examinations 6,000 Ultra sound examinations 1,100 CT Scans 60,000 lab examinations 7,000 blood transfusions 1,000 ECGs' 800 ECHOs' 100 Sessions of dialysis 2,478 X-ray examinations 4,379 Ultra scan examinations 0 CT Scan examinations 66,006 laboratory examinations Also handled; 345 ECG Examinations 71 ECHO Examinations 6,000 X-rays examinations 6,000 Ultra sound examinations 600 CT Scans 130,000 lab examinations 1,000 ECGs' 800 ECHOs' Total Wage Recurrent Non Wage Recurrent 101,772 0 101,772 69,668 0 69,668 101,772 0 101,772 08 56 05 Hospital Management and support services 7,200 meals for malnourished children & TB patients 7,568 meals for malnourished children & TB patients 7,200 meals for malnourished children & TB patients 24 top management meetings 10 top management meetings 24 top management meetings 20 other committee meetings 12 other committee meetings 20 other committee meetings 12 contracts committee meetings held 10 contracts committee meetings held 12 contracts committee meetings held 4 hospital Board meetings held 3 hospital board meeting held 4 hospital Board meetings held Vote Overview 285 Mbarara Referral Hospital Ministerial Policy Statement Vote: 173 Mbarara Referral Hospital Vote Function: 08 56 Regional Referral Hospital Services Programme 01 Mbarara Referral Hospital Services Project, Programme 2014/15 2015/16 Vote
 Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 14 evaluation committee meeting held 11 evaluation committee meetings held 14 evaluation committee meeting held 40 other staff meetings held 38 other staff meetings held 40 other staff meetings held 60 medical equipments repaired and maintained.

26 medical equipment repaired.

60 medical equipments repaired and maintained.


20 repairs on 7 vehicles & generators 20 repairs and eight services of vehicles done 20 repairs on 7 vehicles & generators Payment for utilities i.e water & power Cleaning of Hospital compounds and buildings Washing of linen Preparation of workplans and reports Payment for utilities i.e.
water & power for the for the nine months Cleaning of Hospital compounds and buildings for the nine months Washing of linen during the quarter i.e.24535 piece of linen washed Half year performance report prepared & submitted Payment for utilities i.e water & power Cleaning of Hospital compounds and buildings Washing of linen Preparation of workplans and reports Total Wage Recurrent Non Wage Recurrent 3,544,755 3,271,398 273,357 2,375,814 2,036,860 338,954 3,544,755 3,271,398 273,357 08 56 06 Prevention and rehabilitation services 3,000 family planning contacts 11,000 antenatal attendances 1,127 family planning contacts 5,595 antenantal attendance 10,333 EMTCT/HCT Contacts 11,000 antenatal attendances 23,689 EMTCT/HCT Contacts 22,000 PMTCT/VCT Contacts 3,000 family planning contacts Total Wage Recurrent Non Wage Recurrent 61,108 0 61,108 44,726 0 44,726 61,108 0 61,108 08 56 07 Immunisation Services 30,000 immunizations conducted 21,657 immunizations 30,000 immunizations conducted 08 56 99 Arrears Total Wage Recurrent Non Wage Recurrent Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent NTR Vote Overview 286 Mbarara Referral Hospital Ministerial Policy Statement Vote: 173 Mbarara Referral Hospital Vote Function: 08 56 Regional Referral Hospital Services Programme 02
 Mbarara Referral Hospital Internal Audit Programme Profile Responsible Officer: Hospital Director Objectives: To provide independent, objective and advisory services to management on Internal controls for adding value and improved operations of the hospital.
To ensure adherence to laws and regulations inorder to achieve value for money.

Outputs: •Conduct systems audit to ascertain operating efficiency and effectiveness.

•Review and report on financial information, data and reports to ensure reliability and integrity.•Audit management on fraud control and risk prevention measures through asessment of the environment and processes.
Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 05 Hospital Management and support services Stores management audits Witnessing of delivery of googs and services Audit of value for money for goods and services Quarterly audit management letters Audit of compliance to regulations and laws Verification of adherence to internal controls Review of procurement processes & avoidance of conflict of interest.
Risk assesment Audit of stores done for the period Delivered goods & Services verified during for the period Value for money audits done during for the period Management letter for previous quarter audit issued Audit of compliance to regulations and laws for the transactions of the period done Verification of adherence to internal controls for the period done Review of procurement processes & avoidance of conflict of interest during the period done Risk assesment during the period done Stores management audits Witnessing of delivery of googs and services Audit of value for money for goods and services Quarterly audit management letters Audit of compliance to regulations and laws Verification of adherence to internal controls Review of procurement processes & avoidance of conflict of interest.
Risk assesment Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 24,300 8,000 16,300 24,300 8,000 16,300 12,225 0 12,225 12,225 0 12,225 24,300 8,000 16,300 24,300 8,000 16,300 Vote Overview 287 Mbarara Referral Hospital Ministerial Policy Statement Vote: 173 Mbarara Referral Hospital Vote Function: 08 56 Regional Referral Hospital Services Programme 03 Mbarara Regional Maintenance Programme Profile Responsible Officer: Objectives: Outputs: Project 1004 Mbarara Rehabilitation Referral Hospital Project Profile Responsible Officer: Hospital Director Office Objectives: To renovate existing infrastructure.
To purchase transport equipment.

To procure medical equipment.

To improve general working conditions for both Health workers & patients.

Outputs: 1.

Rehabilitation of the Gynaecology ward.

2.

Construction of walkways.

3.

Rehabilitation of the Paediatric ward.

4.

Rehabilitation of the surgical ward.

5.

Purchase of medical equipment & furniture.

5.

Construction of drainage channels.

6.

Construction of a block of flats for staff houses.

7.

Purchase of three vehicles.

8.


Procurement of a 200kva generator.

9.

Procurement of ICT equipment.

10.

Drawing of a strategic investment plan.

Start Date: 7/1/2008 Projected End Date: 6/30/2015 Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 80 Hospital Construction/rehabilitation Refurbished administration block Works on going at 70% completion Handover expected in April -Purchase of medical equipment for the emergency unit including mobile x-ray, resuscitation table, defiblirator, patient monitors and instruments.
Purchase of Neuro-surgery equipment -Purchase of transport equipment one double cabin pick up truck -Add a coat of paint on the old structures of the hospital Total GoU Development External Financing 129,850 129,850 0 60,000 60,000 0 703,350 703,350 0 08 56 81 Staff houses construction and rehabilitation 8 units flat for staff quarters Works on going Continuation of construction of sixteen units staff quarters Start construction of a 16 units flat for staff quarters The foundation completed Overall performance of the project at 13% Total GoU Development External Financing GRAND TOTAL GoU Development External Financing 840,000 840,000 0 969,850 969,850 0 497,296 497,296 0 557,296 557,296 0 625,356 625,356 0 1,328,706 1,328,706 0 Vote Overview 288 Mbarara Referral Hospital Ministerial Policy Statement Vote: 173 Mbarara Referral Hospital Table V3.2: Past and Medum Term Key Vote Output Indicators* Vote Function Key Output Indicators and Costs: 2013/14 Outturn 2014/15 Approved Plan Releases Prel.
Actual MTEF Projections 2015/16 2016/17 2017/18 N/A N/A Vote: 173 Mbarara Referral Hospital Vote Function:0856 Regional Referral Hospital Services No.

of in-patients (Admissions) No.

of specialised outpatients attended to No.

of antenatal cases (All attendances) No.

reconstructed/rehabilitated general wards No.

of staff houses constructed/rehabilitated Vote Function Cost (UShs bn) VF Cost Excluding Ext.
Fin Cost of Vote Services (UShs Bn) N/A N/A N/A 4.777 4.777 4.777 4.777 N/A 120,000 No info 82548 30,000 133,000 30,000 133,000 30,000 133,000 N/A No info 11000 34689 34689 0 24 5.986 5.986 5.986 5.986 0 2 4.233 4.233 4.233 4.233 8 16 0 16 0 6.361 6.060 4.870 6.361 6.060 4.870 * Excluding Taxes and Arrears Medium Term Plans • Construct two blocks of flats comprising 16 units of staff houses • Fencing the hospital • Acquisition of more land for the hospital development and expansion • Orthopedic workshop, Oxygen plant and mantainance workshop • Alternative sources power supply and a dedicated power line from the sub station • Specialist outreach services • Conducting and Strengthening research • Overhaul of water, sewerage and electric system to improve efficiency • Water harvesting project • Attract, retain, motivate critical Staff • Management of health and general information System • Training Staff in Customer care • Isolation unit/disaster preparedness and T.B unit (i) Measures to improve Efficiency Putting the entity on IFMS will improve efficiency and help in execution of the budget as per the work plans.
Most of the resources are allocated to care of the inpatients,out patients and human resource function which are critical for service delivery.

The entity plans to fill the human resource gaps within the available resources by declaring the vacant posts for filling.
Table V3.3: Key Unit Costs of Services Provided and Services Funded (Shs '000) Unit Cost Description Proposed 2015/16 Planned 2014/15 Actual 2014/15 Actual 2013/14 Costing Assumptions and Reasons for any Changes and Variations from Plan Vote Function:0856 Regional Referral Hospital Services 7 Water - bills per month 7 Travel Inland Maintenance Machinery, Equipment & Furniture per month Maintenance – Vehicles: maintenance of one vehicle per month 120 1,322 120 981 7 120 981 7 Water consumption from NWSC will continue to decline as we utilise the water harvest 120 On average pay 525 nights allowances.
981 On average service and repeir 80 big equipments during the year as period of waranty runs out and equipment become older 3,214 4,714 4,714 4,714 The seven vehicles take an average of 2,500,000 shs.every month on servicng & repairs Vote Overview 289 Mbarara Referral Hospital Ministerial Policy Statement Vote: 173 Mbarara Referral Hospital Unit Cost Description Fuel, Lubricants and Oils - purchased per month Electricity bills per month Actual 2013/14 Planned 2014/15 Actual 2014/15 Proposed 2015/16 Costing Assumptions and Reasons for any Changes and Variations from Plan 3 1 0 1 0 1 0 1 Inflation led pricing and power blacouts tat will lead to higher consumption of fuel Consumption expected to rise and reach 280,000 units of power per month Vote Overview 290 Mbarara Referral Hospital Ministerial Policy Statement Vote: 173 Mbarara Referral Hospital (ii) Vote Investment Plans Funding requirements for capital development are too big compared to the current level of investment requirements due to dilapidated infraastructure, lack of staff accomodation, increased hospital services resulting in congestion.
The stagnant low level of funding too far below the requirements will take ages to make any meaningful impact.

Funding is directed mainly towards requirements that improve patient care and staff welfare like staff houses.
The entity needs to invest in mantainance of the gains made by putting up a mantainance work shop and construct an oxygen plant for management of critically ill patients Table V3.4: Allocations by Class of Output over the Medium Term Billion Uganda Shillings 2014/15 2015/16 2016/17 2017/18 2014/15 2015/16 2016/17 2017/18 Consumption Expendture(Outputs Provided) Investment (Capital Purchases) Grand Total 5.0 1.0 6.0 5.2 1.2 6.4 4.8 1.3 6.1 4.8 0.1 4.9 83.3% 81.0% 79.1% 98.7% 1.3% 16.7% 19.0% 20.9% 100.0% 100.0% 100.0% 100.0% (i) Allocation (Shs Bn) (ii) % Vote Budget Table V3.5: Major Capital Investments (Outputs of class Capital Purchases over 0.5Billion) 2014/15 2015/16 Project, Programme Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditures and Outputs by End March (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Vote Function: 08 56 Regional Referral Hospital Services Project 1004 Mbarara Rehabilitation Referral Hospital 08 56 80 Hospital Construction/rehabili tation Refurbished administration block Works on going at 70% completion Handover expected in April -Purchase of medical equipment for the emergency unit including mobile x-ray, resuscitation table, defiblirator, patient monitors and instruments.
Purchase of Neuro- surgery equipment -Purchase of transport equipment one double cabin pick up truck -Add a coat of paint on the old structures of the hospital 703,350 703,350 0 Continuation of construction of sixteen units staff quarters 08 56 81 Total GoU Development External Financingt Staff houses construction and rehabilitation Total GoU Development External Financingt 129,850 129,850 0 60,000 60,000 0 8 units flat for staff quarters Works on going Start construction of a 16 units flat for staff quarters The foundation completed Overall performance of the project at 13% 840,000 840,000 0 497,296 497,296 0 625,356 625,356 0 (iii) Priority Vote Actions to Improve Sector Performance The required and key policy action required is the filling of the existing human resource gaps within the establishment.
The entity will continous declare posts for filling within the available wage bill resources.

Availability of medicines and sundries is critical to service delivery and the entity will continue to engage NMS to deliver as per the orders and timely.
Table V3.6: Vote Actions to Improve Sector Performance 2014/15 Planned Actions: 2015/16 Planned Actions: 2014/15 Actual Actions: MT Strategy: Sector Outcome 0: Vote Function: 08 56 Regional Referral Hospital Services VF Performance Issue: Improvement of maternal child health care Fill all the existing human resource gaps in delivery of maternal child health care services.
Improve supply of medicines and sonsumables Submitted all the human resource gaps for midwives for filling and have engage NMS to have improved supply of medicines and sonsumables Vote Overview 291 Mbarara Referral Hospital Ministerial Policy Statement Vote: 173 Mbarara Referral Hospital 2014/15 Planned Actions: 2014/15 Actual Actions: 2015/16 Planned Actions: MT Strategy: for service delivery.
Minor renovation to improvemenon the environment Sector Outcome 1: Increased deliveries in health facilities Vote Function: 08 56 Regional Referral Hospital Services VF Performance Issue: Under staffed structures Recruitment Plans submitted to MOH As a result of the recruitment plans submitted some few critical cadres have been recriuted and posted.

Clearance has been sought to replace attrrition cases.
Clearance for more recruitment covering our wage balance has been made and is awaited Recruitment of all critical cadres and replacement of attrition cases in line with our submission of vacant positions for clearance Engage MOH,MOPS and Health Service Commission to ensure the clearance is granted Sector Outcome 3: Health facilities receive adequate stocks of essential medicines and health supplies (EMHS) Vote Function: 08 56 Regional Referral Hospital Services VF Performance Issue: General and patient information not well managed Trainning of all staf at data generation points in HMIS Procure computers, recruit and close data gaps Close monitoring of the existing staff and mentoring Continuous trainning and including data capture in performance plans for individuals performing the task.
Efforts being made to get skilled medical records officers at some data generation points V4: Proposed Budget Allocations for 2015/16 and the Medium Term This section sets out the proposed vote budget allocations for 2016/17 and the medium term, including major areas of expenditures and any notable changes in allocations.
Table V4.1: Past Outturns and Medium Term Projections by Vote Function* * Excluding Taxes and Arrears Vote: 173 Mbarara Referral Hospital 0856 Regional Referral Hospital Services Total for Vote: 2014/15 MTEF Budget Projections 2013/14 Outturn Appr.

Budget Releases End Mar 2015/16 2016/17 2017/18 4.777 4.777 5.986 5.986 4.233 4.233 6.361 6.361 6.060 6.060 4.870 4.870 (i) The Total Budget over the Medium Term Resource allocation over the medium term has not changed due to capped ceilings for the period.
Instead we are experiencing budget cuts for capital development which affects the pace of completion of projects being implemented.
(ii) The major expenditure allocations in the Vote for 2015/16 The major expenditure allocation is on utilities due to increased patient number and machinery that are crucial for service delivery and putting an end to accumulation of domestic arreas, catering for feeding costs of interns who handle the bulk of work, cleaning services and infection control to create a safe working environment for both health workers and clients.
To improve welfare and motivation of staff construction of staff accomodation is undergoing.

(iii) The major planned changes in resource allocations within the Vote for 2015/16 Our priorities have remained the same in the medium term thus no major changes in resource allocation.

However the budget reduction for capital development greatly affects resource allocation.
Table V4.2: Key Changes in Vote Resource Allocation Changes in Budget Allocations and Outputs in 2015/16 from 2014/15 Planned Levels: Justification for proposed Changes in Expenditure and Outputs Vote Function:0801 Regional Referral Hospital Services Vote Overview 292 Mbarara Referral Hospital Ministerial Policy Statement Vote: 173 Mbarara Referral Hospital Changes in Budget Allocations and Outputs in 2015/16 from 2014/15 Planned Levels: Justification for proposed Changes in Expenditure and Outputs Output: UShs Bn: 0856 01 Inpatient services -0.317 Output: UShs Bn: 0856 02 Outpatient services -0.181 Output: UShs Bn: 0856 04 Diagnostic services -0.102 Output: UShs Bn: Output: UShs Bn: 0856 80 Hospital Construction/rehabilitation 0.574 0856 81 Staff houses construction and rehabilitation -0.215 Output: UShs Bn: 0856 99 Arrears -0.138 The adjustment is in line with the anticipated needs of the hospital catchment area taking into account disease patterns, population, functionality of neighboring health facilities and available funding.


The adjustment is in line with the anticipated needs of the hospital catchment area taking into account disease patterns, population, functionality of neighboring health facilities and available funding.
The additional funds are to fund purchase of medical equipment for the emergency unit including mobile x-ray, resuscitation table, defiblirator, patient monitors and Neuro-surgery equipment among others.

A coat of paint will also be applied to improve the appearance of the hospital buildings.

Funds were moved to output 085680-(hospital construction/rehabilitation).
The reallocation is to fund purchase of medical equipment for the emergency unit including mobile x- ray, resuscitation table, defiblirator, patient monitors and Neuro- surgery equipment among others.

A coat of paint will also be applied to improve the appearance of the hospital buildings.

The allocation is in line with the schedule of arrears as provided by THE Ministry of Finance, Planning and Economic Table V4.3: 2014/15 and 2015/16 Budget Allocations by Item Million Uganda Shillings GoU Ext.
Fin AIA Total GoU Ext.
Fin AIA Total 2014/15 Approved Budget 2015/16 Draft Estimates Output Class: Outputs Provided 211101 General Staff Salaries 211103 Allowances 213001 Medical expenses (To employees) 213002 Incapacity, death benefits and funeral expen 221001 Advertising and Public Relations 221002 Workshops and Seminars 221003 Staff Training 221007 Books, Periodicals & Newspapers 221008 Computer supplies and Information Technol 221009 Welfare and Entertainment 221010 Special Meals and Drinks 221011 Printing, Stationery, Photocopying and Bind 221012 Small Office Equipment 221014 Bank Charges and other Bank related costs 222001 Telecommunications 222002 Postage and Courier 222003 Information and communications technolog 223001 Property Expenses 223004 Guard and Security services 223005 Electricity 223006 Water 223007 Other Utilities- (fuel, gas, firewood, charcoa 224001 Medical and Agricultural supplies 224004 Cleaning and Sanitation 0.0
Vote Overview 293 Mbarara Referral Hospital Ministerial Policy Statement Vote: 173 Mbarara Referral Hospital 2014/15 Approved Budget 2015/16 Draft Estimates Million Uganda Shillings GoU Ext.
Fin AIA Total GoU Ext.
Fin 224005 Uniforms, Beddings and Protective Gear 227001 Travel inland 227002 Travel abroad 227003 Carriage, Haulage, Freight and transport hir 227004 Fuel, Lubricants and Oils 228001 Maintenance - Civil 228002 Maintenance - Vehicles 228003 Maintenance – Machinery, Equipment & Fu 228004 Maintenance – Other Output Class: Capital Purchases 231001 Non Residential buildings (Depreciation) 231002 Residential buildings (Depreciation) 231004 Transport equipment 231005 Machinery and equipment 231006 Furniture and fittings (Depreciation) 281503 Engineering and Design Studies & Plans for 281504 Monitoring, Supervision & Appraisal of cap 312204 Taxes on Machinery, Furniture & Vehicles Output Class: Arrears 321612 Water arrears(Budgeting) 321614 Electricity arrears (Budgeting) Grand Total: Total Excluding Taxes, Arrears and AIA ***where AIA is Appropriation in Aid AIA 29.8 0.0
0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 AIA 29.8 0.0 0.0 0.0 40.5 40.0 0.0 70.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Total 55.8 57.6 1.9 5.8 125.8 57.5 32.0 97.0 12.0 1,328.7 69.6 625.4 115.0 400.0 0.0 0.0 0.0 118.7 299.6 60.0 239.6 724.5 0.0 6,779.1 5,636.4 V5: Vote Cross-Cutting Policy and Other Budgetary Issues This section discusses how the vote's plans will address and respond to the cross-cutting policy, issues of gender and equity; HIV/AIDS; and the Environment, and other budgetary issues such as Arrears and NTR.. (i) Cross-cutting Policy
 Issues (a) Gender and Equity Objective: Issue of Concern : To educate the community about the dangers of late service seeking behavior Delayed health seeking behavior that results into complications Proposed Intervensions Health education at hospital, outreach services to the catchment area Budget Allocations UGX billion 0.09 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 Objective: Issue of Concern : To offer ambulatory services to all critically ill patients referred out of the facility Innapropriate ambulatory services for critically ill patients Proposed Intervensions Provision of free ambulatory services for critially ill poor patients and on cost sahring basis for those who can afford Budget Allocations UGX billion 0.001 Performance Indicators Number of patients offered ambulatory services on referral out of the facility Objective: To have equal acess to health services despite gender, age and social economic status Vote Overview 294 Mbarara Referral Hospital Ministerial Policy Statement Vote: 173 Mbarara Referral Hospital Issue of Concern : Acess to maternal child health services Proposed Intervensions 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 Allocations UGX billion 0.006 Performance Indicators Number of mothers attending antenatal care, Number of mothers vaccinated for TT, Number of deliveries in the health facility, number of health workers vaccinated against hepatatis B (b) HIV/AIDS Objective: To give HAART TO all that are eligible Issue of Concern : To reach the tipping point and safeguard the population from new infections.
Proposed Intervensions Putting all positive people on full HAART, all other clients whose CD4 count requires initiation of HAART, counselling of positive clients to adhere and live positively Budget Allocations UGX billion 0.1 Performance Indicators Number of clients on full HAART, number of clients counselled, compliance levels of those clients on treatment Objective: Reduce incidence of HIV infections Issue of Concern : Increased incidence of HIV in the community and most at risk populations Proposed Intervensions Safe male circumcission, provision of prophyflaxis to all infected persons, provision of post exposure prophyflaxis to the exposed, health education towards responsible behavior and personal protection, couple counselling and testing.
Treatment of sexually transmitted infections Budget Allocations UGX billion 0.3 Performance Indicators Number of incidences, number of male circumcissions, number of condoms issued, number of vulnerable people issued post exposure prophyflaxis and number of infected people on prophyflaxis, number of dicondant couples and number of people treated for STIs'.
Objective: To eliminate mother to child transmission of HIV Issue of Concern : Babies born with HIV when mothers are not diagnosed during antenantals Proposed Intervensions Test every mother and husband during antenantal, those who are found positive are put on treatment and followed up until delivery, Budget Allocations UGX billion 0.003 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 (c) Environment Objective: Proper waste disposal and management Issue of Concern : Environmental polution and public safety Proposed Intervensions Vote Overview 295 Mbarara Referral Hospital Ministerial Policy Statement Vote: 173 Mbarara Referral Hospital Slushing of compound, disposal of expired drugs, inceneration of dangerous wastes, disposal of waste water into National Water and Sewarage Corporation waste line Budget Allocations UGX billion 0.1 Performance Indicators Clean compound, expired drugs disposed, dangerous wastes being disposed, bills for waste water disposal Objective: To have a clean and safe working environment Issue of Concern : Contamination resulting into cross infection Proposed Intervensions Proper cleaning and decontamination, segregation of wastes and proper disposal, availabilty of running water, functional toilet facilities, full uniform for staff and linen for theatre Budget Allocations UGX billion 0.05 Performance Indicators Level of cleanliness, availability of running water, level of segregation of wastes, availability of color coded bins, staff in full uniform Objective: To eliminate facility based infections Issue of Concern : Facility based infections that result into sepsis Proposed Intervensions Infection control and elimination of sepsis through provision of infection control materials, segregation of wastes and inceneration and isolation of septic cases, autoclaving, protective gear and proper cleaning.
Budget Allocations UGX billion 0.05 Performance Indicators Number of septic cases registered, level of infections on wards, quantity of infection control materials procured (ii) Non Tax Revenue Collections Source of NTR UShs Bn Other Fees and Charges Other Fees and Charges 2013/14 Actual 0.000 2014/15 Budget 0.560 Total: 0.000 0.560 2014/15 Prel Actual 0.000 0.000 2015/16 Projected 0.725 0.725 The enity started a private patients scheme that will be making one year in March 2014.
It has a private wing for admision of inpatients and all the srvices hat go with, a private patients general OPD and special clinics.

This has seen a tremendous inrease in the NTR collections and is projected to continue growing.

The proceeds are used to motivate health workers who deliver the service through payment of allowances amounting to over 60% while the balance is spent on supplies, maintanance civil and machinery.
Vote Overview 296 Mubende Referral Hospital Ministerial Policy Statement Vote: 174 Mubende Referral Hospital V1: Vote Overview (i) Vote Mission Statement To be a centre of excellence in providing both specialised and general curative , preventive and rehabilitative services to the community in our catchment area (ii) Summary of Past Performance and Medium Term Budget Allocations Table V1.1: Overview of Vote Expenditures (UShs Billion) (i) Excluding Arrears, Taxes 2013/14 Outturn Approved Budget Rel.
by End Mar 2014/15 MTEF Budget Projections 2015/16 2016/17 2017/18 Recurrent Development Wage Non Wage GoU Donor GoU Total Total GoU+Donor (MTEF) (ii) Arrears and Taxes Arrears Taxes** Total Budget (iii) Non Tax Revenue Grand Total Excluding Taxes, Arrears N/A N/A N/A N/A N/A N/A 0.030 0.000 N/A N/A The chart below shows total funding allocations to the Vote by Vote Function over the medium term: Chart V1.1: Medium Term Budget Projections by Vote Function (Excluding Taxes, Arrears) n o i l l i B s h s U 5 4.5 4 3.5 3 2.5 2 1.5 1 0. 2014/15 Approved Budget Estimates 2015/16 Budget Projections 2016/17 Budget Projections Vote Overview 297 Mubende Referral Hospital Ministerial Policy Statement Vote: 174 Mubende Referral Hospital V2: Vote Performance for FY 2014/15 and Planned Outputs for FY 2015/16 This section describes past vote performance and planned Outputs, in terms of key vote outputs (i) Past Vote Outputs Preliminary 2014/15 Performance 3/4 major projects that were initiated earlier were completed i.e.
hospital stores, walkway and renovation of one (1) old building.

Construction of the Peadiatric/medical/mortuary block is still ongoing.
V3: Detailed Planned Outputs for FY 2015/16 2015/16 Planned Outputs Recruitment of additional staff is expected, continuation of construction of Peadiatric/Medical/Mortuary block, Fencing of hospital stores, Purchase of new equipment (Medical, orthopedic & dental), increase in outpatient and inpatient service utilization, increase in maternal and child health service utilization & improvement in diagnostic care Table V3.1: Vote Function Profiles, Programme/Project Profiles and Workplan Outputs Vote Function: 08 56 Regional Referral Hospital Services Vote Function Profile Responsible Officer: Hospital Director (Dr. Peter Mukobi) Services: Specialised and general health promotion,disease prevention,curative and rehabilitative services Vote Function Projects and Programmes: Project or Programme Name Recurrent Programmes 01 02 03 Development Projects Mubende Referral Hospital Services Mubende Referral Hospital Internal Audit Mubende Regional Maintenance Responsible Officer Dr. Peter Mukobi Internal Auditor Hospital Director (Dr. Peter Mukobi) 1004 Mubende Rehabilitation Referal Hospital Dr. Peter Mukobi Programme 01 Mubende Referral Hospital Services Programme Profile Responsible Officer: Dr. Peter Mukobi Objectives: To provide specialised and general health care & treatment, disease prevention, rehabilitative and health promotion services.
Outputs: Improvement in patient attendance, specialised care, Average Length of Stay, Bed Occupancy rate as well as maternal & immunization services utilization will be achieved through: 1. enhanced coordination of development/implementation of policies, strategies & programmes 2.

Provision of strategic as well as operational planning, budgeting & implementation 3.

Facility & community based service delivery 4.

Moibilizing resources while promoting accountability & transparency 5.
Ensuring collaboration with partners 6.

Supporting M&E as well as Research Initiatives 7.

Strengthening capacity building for staff, enforcing ethics & standards Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Vote Overview 298 Mubende Referral Hospital Ministerial Policy Statement Vote: 174 Mubende Referral Hospital Vote Function: 08 56 Regional Referral Hospital Services Programme 01 Mubende Referral Hospital Services Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 01 Inpatient services No.

of patients admitted 15,000:, BOR 100%, ALOS 4.5 days, Deliveries 4,500 Caesareans sections 900.

Surgical Operations Minor 15,000 Major 2,000, Eye Operations 40 and No.

Of Blood transfusion 3,000, o. of patients admitted 9907:, BOR 276%, ALOS 4days, Deliveries 2915 Caesareans sections 684.

Surgical Operations Minor 5303, Major 1361, Eye Operations719, and No.
Of Blood transfusion 792 No.

of patients admitted 15,000:, BOR 100%, ALOS 4 days, Deliveries 4,500 Caesareans sections 900.

Surgical Operations Minor 15,000 Major 2,000, Eye Operations 40 and No.

Of Blood transfusion 3,000, Total Wage Recurrent Non Wage Recurrent 209,900 0 209,900 1,562,750 1,405,543 157,207 205,900 0 205,900 08 56 02 Outpatient services No.

of General outpatient seen 120,000, No.

Of specialized outpatients 30,000 No.


of emergencies attended 7,200, no of outreaches carried out 60. no of antenatal attendances 11,000, HIV+ves started on ART 800. no of dental extractions 3000 No.

of General outpatient seen 64877, No.

Of specialized outpatients 15411 No.

of emergencies attended 7412, no of outreaches carried out 24. no of antenatal attendances 6095, HIV+ves started on ART 791. no of dental extractions 2942 No.

of General outpatient seen 120,000, No.


Of specialized outpatients 30,000 No.

of emergencies attended 7,200, no of outreaches carried out 60. no of antenatal attendances 11,000, HIV+ves started on ART 800. no of dental extractions 3000 Total Wage Recurrent Non Wage Recurrent 37,140 0 37,140 25,595 0 25,595 37,140 0 37,140 08 56 04 Diagnostic services No.

of Lab tests done 96,000 , Xrays done 4,000; No of Ultrasounds done 5,000; Post Mortems Perfomed 28 No.
of Lab tests done 84537, Xrays done 1489; No of Ultrasounds done 1211; Post Mortems Perfomed 25 No.

of Lab tests done 96,000 , Xrays done 4,000; No of Ultrasounds done 5,000; Post Mortems Perfomed 28 Total Wage Recurrent Non Wage Recurrent 25,740 0 25,740 7,644 0 7,644 25,740 0 25,740 08 56 05 Hospital Management and support services 4 Board Meetings held, 1 Budget Conference held, 12 Top management meetings held, 12 senior staff meetings, 90 departmental meetings held.
Laundry, Cleaning, Security Services and maintenance done.

Transport, allowances and utility bills paid, staff tea 3 Board Meetings held, , 7 Top management meetings held, 9 senior staff meetings,67 departmental meetings held.

Laundry, Cleaning, Security Services and maintenance done.

Transport, allowances and utility bills paid, staff tea 4 Board Meetings held, 1 Budget Conference held, 12 Top management meetings held, Laundry, Cleaning, Security Services and maintenance done.
Transport, allowances and utility bills paid, special Meals provided.

Total Wage Recurrent Non Wage Recurrent NTR 2,409,223 2,138,060 261,163 10,000 157,688 0 157,688 0 2,429,223 2,138,060 261,163 30,000 08 56 06 Prevention and rehabilitation services No.

of immunisations 22,000, No.

of person receiving Family planning 2400, No.

of HIV +ve pregnant mothers put on option B+ 220, VCT/RCT 45,000, HIV +ves on septrin 1,200, exposed infants started on prophylaxis 480.

No.

of immunisations 16413, No.


of person receiving Family planning 1952, No.

of HIV +ve pregnant mothers put on option B+ 46, VCT/RCT 15164, HIV +ves on septrin 925, exposed infants started on prophylaxis 197.

No.

of immunisations 22,000, No.

of person receiving Family planning 2400, No.

of HIV +ve pregnant mothers put on option B+ 220, VCT/RCT 45,000, HIV +ves on septrin 1,200, exposed infants started on prophylaxis 220.
Total Wage Recurrent Non Wage Recurrent 144,106 0 144,106 84,429 0 84,429 144,106 0 144,106 08 56 07 Immunisation Services No.

of immunisations 22,000, No.

of immunisations 12895 No.
of immunisations 22,000 Total Wage Recurrent Non Wage Recurrent 10,000 0 10,000 7,826 0 7,826 10,000 0 10,000 Vote Overview 299 Mubende Referral Hospital Ministerial Policy Statement Vote: 174 Mubende Referral Hospital Vote Function: 08 56 Regional Referral Hospital Services Programme 01 Mubende Referral Hospital Services GRAND TOTAL Wage Recurrent Non Wage Recurrent 2,836,109 2,138,060 688,049 10,000 1,845,932 1,405,543 440,389 0 2,852,109 2,138,060 684,049 30,000 Programme 02 Mubende Referral Hospital Internal Audit Programme Profile Responsible Officer: Internal Auditor Objectives: Ensure efficient & effective utilization as well as accountability for all resources Outputs: Periodic & routine performance audits and preparation/sharing of audit reports.
Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.

Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 05 Hospital Management and support services 4 audit reports prepared and delivered to MFEPD, all supplies verified.
three reports have so far be produced in this Quarter and, all supplies procured in the Q2 inspected.

4 audit reports prepared and delivered to MFEPD, all supplies verified.
Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 6,000 0 6,000 6,000 0 6,000 4,000 0 4,000 4,000 0 4,000 10,000 0 10,000 10,000 0 10,000 Programme 03 Mubende Regional Maintenance Programme Profile Responsible Officer: Hospital Director (Dr. Peter Mukobi) Objectives: Available equippment in working condition all the time.

Outputs: 1.

All equipment mantained and repaired in time.

2.


All buildings mantained in clean state Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 05 Hospital Management and support services Equipment in all health facilitities of the hospital catchment area of 6 districts maintained Equipments in the Referral hospital and other catchment area were maintained this quarter and report produced.
Equipment in all health facilitities of the hospital catchment area of 4 districts maintained Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 94,379 0 94,379 94,379 0 94,379 19,982 0 19,982 19,982 0 19,982 94,379 0 94,379 94,379 0 94,379 Vote Overview 300 Mubende Referral Hospital Ministerial Policy Statement Vote: 174 Mubende Referral Hospital Vote Function: 08 56 Regional Referral Hospital Services Project 1004 Mubende Rehabilitation Referal Hospital Project Profile Responsible Officer: Dr. Peter Mukobi Objectives: In order to elevate the hospital to a functional level of a regional referral hospitalntend to: 1.
Construct/rehabilitate buildings for wards, medicines stores and maintainance workshop, mortuary, administration offices, library/conference facilities and staff houses.

2.

To construct roofed walkways and landscaping 3 .

To procure equipment and furniture for the new structure Outputs: 1.

Equipment procured/furniture procured & maintained 2.

Wards& other medical buildings/units renovated/constructed.

3. parking yard 4.

Walkway constructed and maintained.

5.Staff houses constructed, 6.


Operating theatre constructed 7.

Administration buildings constructed 8.

Hospital fence constructed Start Date: 7/1/2009 Projected End Date: 6/30/2016 Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 77 Purchase of Specialised Machinery & Equipment buy two hysterosalpingogram sets and two barium enema sets, automated x-ray film drier, ENT equipment The process for the procurement of two hysterosalpingogram sets and two barium enema sets, automated x-ray film drier, ENT equipment still on going and contract is yet to be signed.
Total GoU Development External Financing 08 56 78 Purchase of Office and Residential Furniture and Fittings Total GoU Development External Financing 08 56 80 Hospital Construction/rehabilitation 38,000 38,000 0 0 0 0 0 0 0 0 0 0 complete medicines stores.
(482m), supervision of works (40m), continue construction of paed ward(360m), supervision of works (40m), complete connection of generator (18m) construction of the medicines stores has been completed and handle over paediatric ward and supervision of works still on going.
Total GoU Development External Financing GRAND TOTAL GoU Development External Financing 939,850 939,850 0 977,850 977,850 0 982,937 982,937 0 982,937 982,937 0 Oxygen cylinders (pediatric & medical ward) procured, 10m Othopedic 12.3m Dental Equipment (Portable x- ray, Amalgamator, Apex locator, Instrument boxes) procured 27.7m 50,000 50,000 0 Furniture/pallets/shelves/pediatri c ward stools (assorted)/safe 80m 80,000 80,000 0 Continuation of pediatric/mortuary building 1040.989m Surpervision of works (150m) Fencing (stores area) 300m Renovation of selected old buildings 100m Maintenance of power and waste disposal to Incinerator 70m 1,670,000 1,670,000 0 1,800,000 1,800,000 0 Table V3.2: Past and Medum Term Key Vote Output Indicators* Vote Function Key Output Indicators and Costs: 2013/14 Outturn 2014/15 Approved Plan Releases Prel.
Actual MTEF Projections 2015/16 2016/17 2017/18 Vote: 174 Mubende Referral Hospital Vote Function:0856 Regional Referral Hospital Services No.

of in-patients (Admissions) N/A N/A Vote Overview No info 16,000 16,000 17,000 301 Mubende Referral Hospital Ministerial Policy Statement Vote: 174 Mubende Referral Hospital Vote Function Key Output Indicators and Costs: No.

of specialised outpatients attended to No.

of antenatal cases (All attendances) No.

reconstructed/rehabilitated general wards No.


of staff houses constructed/rehabilitated Vote Function Cost (UShs bn) VF Cost Excluding Ext.

Fin Cost of Vote Services (UShs Bn) * Excluding Taxes and Arrears 2013/14 Outturn 2014/15 Approved Plan Releases Prel.
Actual MTEF Projections 2015/16 2016/17 2017/18 N/A N/A N/A N/A 3.574 3.574 3.574 3.574 30,000 7300 30,000 30,000 30,000 N/A No info 12,000 12,000 12,000 1 0 3.936 3.936 3.936 3.936 1 0 3.076 3.076 3.076 3.076 1 1 1 4.756 4.756 Medium Term Plans Compeltion of Peadiatric/Medical/Mortuary block, completion of fencing of Medical Store, construction of staff houses, construction of walk way to administration block & purchase of additional medical & office equipment (i) Measures to improve Efficiency Reallocation from management & support services to other program outputs e.g.
inpatient, diagnostic & outpatient services is internded to enhance the quality & quantity of services offered to the partients.

This will ultimately lead to overall improved program output performance Table V3.3: Key Unit Costs of Services Provided and Services Funded (Shs '000) Unit Cost Description Proposed 2015/16 Planned 2014/15 Actual 2014/15 Actual 2013/14 Costing Assumptions and Reasons for any Changes and Variations from Plan Payment for water bill approxmented to 5m) per month for 12 months.
Durring the FY its approxmented to pay (516,500) for travels to each Staff.

Providing meals to patients(50patients per day)cost 80,000 per person per month this means the no.

of patients will remain costant at 600, which may not be the case due to the large catchment area.

C leaning services interior (5m), compund (1.5m) for 12 months.
Additional resources is allocated from maintenance other Vote Function:0856 Regional Referral Hospital Services 5,166,667 5,166,667 Water 5,166,667 5,000,000 Travel Inland 536,842 536,842 516,500 Special meals to partients/Staff 75,833 75,833 75,833 80,000 Clearning Services 8,000,000 8,000,000 6,500,000 6,500,000 Vote Overview 302 Mubende Referral Hospital Ministerial Policy Statement Vote: 174 Mubende Referral Hospital (ii) Vote Investment Plans Funds allocation has increased to cater for expansion of workspace in terms of construction of wards , medicines stores , mortuary, renovation of some old building & purchase of equipment Table V3.4: Allocations by Class of Output over the Medium Term Billion Uganda Shillings 2014/15 2015/16 2016/17 2017/18 2014/15 2015/16 2016/17 2017/18 Consumption Expendture(Outputs Provided) Investment (Capital Purchases) Grand Total 2.9 1.0 3.9 3.0 1.8 4.8 2.5 0.4 2.9 1.8 0.4 2.2 74.6% 62.2% 87.2% 83.3% 25.4% 37.8% 12.8% 16.7% 100.0% 100.0% 100.0% 100.0% (i) Allocation (Shs Bn) (ii) % Vote Budget Table V3.5: Major Capital Investments (Outputs of class Capital Purchases over 0.5Billion) 2014/15 2015/16 Project, Programme Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditures and Outputs by End March (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Vote Function: 08 56 Regional Referral Hospital Services Project 1004 Mubende Rehabilitation Referal Hospital 08 56 80 Hospital Construction/rehabili
 tation complete medicines stores.
(482m), supervision of works (40m), continue construction of paed ward(360m), supervision of works (40m), complete connection of generator (18m) construction of the medicines stores has been completed and handle over paediatric ward and supervision of works still on going.
Continuation of pediatric/mortuary building 1040.989m Surpervision of works (150m) Fencing (stores area) 300m Renovation of selected old buildings 100m Maintenance of power and waste disposal to Incinerator 70m Total GoU Development External Financingt 939,850 939,850 0 982,937 982,937 0 1,670,000 1,670,000 0 (iii) Priority Vote Actions to Improve Sector Performance Plan underway to recruit additional staff in order to contribute to overall vote function.
This is to be done in consonance with continued improvement in space availability as well as rehabilitation of of infrustructure Table V3.6: Vote Actions to Improve Sector Performance 2014/15 Planned Actions: 2015/16 Planned Actions: 2014/15 Actual Actions: MT Strategy: Sector Outcome 2: Children under one year old protected against life threatening diseases Vote Function: 08 56 Regional Referral Hospital Services VF Performance Issue: Insufficient Quality & Quantity of services offered Operationalize quality improvement initiatives, Strengthening community health interventions Sector Outcome 3: Health facilities receive adequate stocks of essential medicines and health supplies (EMHS) Vote Function: 08 56 Regional Referral Hospital Services VF Performance Issue: Inadequate Human Resources for Health Establish staff motivation & retention strategies, Improve staff performance monitoring VF Performance Issue: Completion of Paed ward, medicine store and a mortury.
Shortage of space and dilapidated buildings.

Works on going despite insufficient funding.

Ongoing attempts to mobilize extra resources Continuation of Paediatric/medical/mortuary block, construction and fencing off medicine store.

construction of more wards.

V4: Proposed Budget Allocations for 2015/16 and the Medium Term This section sets out the proposed vote budget allocations for 2016/17 and the medium term, including major areas of expenditures and any notable changes in allocations.
Table V4.1: Past Outturns and Medium Term Projections by Vote Function* * Excluding Taxes and Arrears 2014/15 MTEF Budget Projections 2013/14 Vote Overview Outturn Appr.

Budget Releases End Mar 303 Mubende Referral Hospital Ministerial Policy Statement Vote: 174 Mubende Referral Hospital 2013/14 Outturn Appr.
Budget Releases End Mar 2015/16 2016/17 2017/18 Vote: 174 Mubende Referral Hospital 0856 Regional Referral Hospital Services Total for Vote: 3.574 3.574 3.936 3.936 3.076 3.076 4.756 4.756 2.880 0.030 2.216 2.216 (i) The Total Budget over the Medium Term Mubende RRH is still under growth since its' inception in 2010.

The overall expenditure trends are incremental in view of the need to address the human resource, capital development & other resource requirements of a new Regional Refferal Hospital.
(ii) The major expenditure allocations in the Vote for 2015/16 Major allocations are on construction of residential and non residential buildings.

(iii) The major planned changes in resource allocations within the Vote for 2015/16 Positive (incremental) resource allocations from last financial year were precipitated by existence of a multi- billion shillings project (Peadiatric/Medical/Mortuary block) intended to address the shortage of a space in the Hospital.
The medium term increment in resource allocation should address the residential space (staff housing) as well as human resource (recruitment & retention) needs of the hospital Table V4.2: Key Changes in Vote Resource Allocation Changes in Budget Allocations and Outputs in 2015/16 from 2014/15 Planned Levels: Justification for proposed Changes in Expenditure and Outputs 0856 Vote Function:0801 Regional Referral Hospital Services Output: 01 Inpatient services UShs Bn: Funds are needed to facilitate new staff Deployment to fill the gaps 0.026 The reallocation would help to facilitate the new staff, facilitate operations of program area (private wing inclusive), and purchase some requirements for private wing using this NTR funds.
76 Purchase of Office and ICT Equipment, including Software Need to equip other units for proper service delivery.

77 Purchase of Specialised Machinery & Equipment 0856 0856 0.012 -0.010 Output: UShs Bn: Some of these ICT equipments were bought last FY 14/15 and need to reallocate these monies to equip other units.
Output: UShs Bn: Oxygen cylinders (pediatric & medical ward), Othopedic Dental Equipment (Portable x-ray, Amalgamator, Apex locator, Instrument boxes) Output: UShs Bn: Some selected equipment & furniture are required for appropriate functionality of selected departments.
Output: UShs Bn: There is need to have affirmative increment in capital allocation due to existence of an 8 billion project that may take too long at previous allocation levels 80 Hospital Construction/rehabilitation 0.080 0.730 0856 0856 78 Purchase of Office and Residential Furniture and Fittings Availability of equipment & oxgyen cylinder will help equimp the oxgyen in childrens ward combant the demard hence saving the childrens life.
Availability of equipment & furniture contributes to the quality of services provided thus reduce cost of providing care Early completion of capital projects will improve space availability & thus contribute to the quality of services provided while avoiding negative contractual implications due to lengthy periods of completion.

Table V4.3: 2014/15 and 2015/16 Budget Allocations by Item 2014/15 Approved Budget 2015/16 Draft Estimates Million Uganda Shillings GoU Ext.
Fin Output Class: Outputs Provided 211101 General Staff Salaries 211103 Allowances 213001 Medical expenses (To employees) 213002 Incapacity, death benefits and funeral expen 221001 Advertising and Public Relations 221002 Workshops and Seminars 221003 Staff Training 221004 Recruitment Expenses 221006 Commissions and related charges 2,926.5 2,138.1 47.0 2.4 2.4 2.4 8.0 10.0 6.0 23.4 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 AIA 10.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Total GoU Ext.
Fin AIA 30.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Total 2,956.5 2,138.1 58.6 4.4 4.4 2.4 8.0 10.0 2.0 23.4 Vote Overview 304 Mubende Referral Hospital Ministerial Policy Statement Vote: 174 Mubende Referral Hospital Million Uganda Shillings GoU Ext.

Fin AIA Total GoU Ext.
Fin AIA Total 2014/15 Approved Budget 2015/16 Draft Estimates 221007 Books, Periodicals & Newspapers 221008 Computer supplies and Information Technol 221009 Welfare and Entertainment 221010 Special Meals and Drinks 221011 Printing, Stationery, Photocopying and Bind 221012 Small Office Equipment 221014 Bank Charges and other Bank related costs 222001 Telecommunications 222002 Postage and Courier 223001 Property Expenses 223004 Guard and Security services 223005 Electricity 223006 Water 223007 Other Utilities- (fuel, gas, firewood, charcoa 224001 Medical and Agricultural supplies 224004 Cleaning and Sanitation 225001 Consultancy Services- Short term 227001 Travel inland 227002 Travel abroad 227004 Fuel, Lubricants and Oils 228001 Maintenance - Civil 228002 Maintenance - Vehicles 228003 Maintenance – Machinery, Equipment & Fu 228004 Maintenance – Other Output Class: Capital Purchases 231001 Non Residential buildings (Depreciation) 231003 Roads and bridges (Depreciation) 231005 Machinery and equipment 231006 Furniture and fittings (Depreciation) 281504 Monitoring, Supervision & Appraisal of cap 312104 Other Structures Grand Total: Total Excluding Taxes, Arrears and AIA ***where AIA is Appropriation in Aid 10.0
0.0
V5: Vote Cross-Cutting Policy and Other Budgetary Issues This section discusses how the vote's plans will address and respond to the cross-cutting policy, issues of gender and equity; HIV/AIDS; and the Environment, and other budgetary issues such as Arrears and NTR.. (i) Cross-cutting Policy Issues (a) Gender and Equity Objective: Issue of Concern : Poor access to sanitary facilities and wards Improve access for People With Disabilty (PWDs) to quality hospital services Proposed Intervensions Maintainance of PWD toilets and ramps Budget Allocations UGX billion 3500000 Performance Indicators Number of PWD facilities maintained Objective: Issue of Concern : Poor health seeking behaviour by men Ensure equitable access to health services by all men, women & children Proposed Intervensions Vote Overview 305 Mubende Referral Hospital Ministerial Policy Statement Vote: 174 Mubende Referral Hospital Promote male involvement in health through health education talks on radio, outreaches & in the hospital Budget Allocations UGX billion 10000000 Performance Indicators Proportion of women accompanied by men to the
 hospital (b) HIV/AIDS Objective: Contribute to elimination of mother to Child Transmission of HIV Issue of Concern : High HIV burden among new born babies Proposed Intervensions Delivery of comprehensive EMTCT package Budget Allocations UGX billion 7500000 Performance Indicators Proportion of HIV exposed babies testing positive Objective: Control HIV/AIDS among the general population Issue of Concern : High HIV/AIDS burden among the general population Proposed Intervensions increased sensitaisation among the
 population though radio talk shows and outreaches, offer facility based HIV/AIDS prevention, care & treatment services Budget Allocations UGX billion 15000000 Performance Indicators HIV sero-positivity among general population (c) Environment Objective: Contribute to a conducive environment for communities served Issue of Concern : Unconducive hospital surroundings for patients Proposed Intervensions Plant & maintain trees in hospital compound Budget Allocations UGX billion 1000000 Performance Indicators Number of trees planted & maintained (ii) Non Tax Revenue Collections Source of NTR UShs Bn Other Fees and Charges Miscellaneous receipts/income Total: 2013/14 Actual 2014/15 Budget 0.000 0.000 0.010 0.010 2014/15 Prel Actual 0.000 0.000 2015/16 Projected 0.030 0.030 0.060 Hospital Private medical services shall be started and others fees will be collected from schools that contribute to student upkeep Vote Overview 306 Moroto Referral Hosptial Ministerial Policy Statement Vote: 175 Moroto Referral Hosptial V1: Vote Overview (i) Vote Mission Statement To increase access of all people in Karamoja Region and beyond to quality general and specialized health services.
(ii) Summary of Past Performance and Medium Term Budget Allocations Table V1.1: Overview of Vote Expenditures (UShs Billion) (i) Excluding Arrears, Taxes 2013/14 Outturn Approved Budget Rel.
by End Mar 2014/15 MTEF Budget Projections 2015/16 2016/17 2017/18 Recurrent Development Wage Non Wage GoU Donor GoU Total Total GoU+Donor (MTEF) (ii) Arrears and Taxes Arrears Taxes** Total Budget (iii) Non Tax Revenue Grand Total Excluding Taxes, Arrears N/A N/A N/A 0.000 N/A 2.543 1.173 0.640 0.500 2.313 N/A N/A N/A 0.000 N/A The chart below shows total funding allocations to the Vote by Vote Function over the medium term: Chart V1.1: Medium Term Budget Projections by Vote Function (Excluding Taxes, Arrears) n o i l l i B s h s U 4 3.5 3 2.5 2 1.5 1 0. 2014/15 Approved Budget Estimates 2015/16 Budget Projections 2016/17 Budget Projections Vote Overview 307 Moroto Referral Hosptial Ministerial Policy Statement Vote: 175 Moroto Referral Hosptial V2: Vote Performance for FY 2014/15 and Planned Outputs for FY 2015/16 This section describes past vote performance and planned Outputs, in terms of key vote outputs (i) Past Vote Outputs Preliminary 2014/15 Performance Preliminary report as at 31st September 2014 3,825 General Admissions 6 days of Average Length of Stay 92% Bed Occupancy Rate 13,397 Patients attended to in General OPD
 2,300 Patients attended to in specialised outpatient clinics 12,803 Lab test done 703 X-Rays done 405 Ultrasound scan done 765 people attended antenatal clinic 4,798 mothers and children immunized 237 family planning contacts Roofing done and finishing and internal fittings ongoing for the 10 units.
Completion works on the 6 units staff house being done.
V3: Detailed Planned Outputs for FY 2015/16 2015/16 Planned Outputs 15,000 general admissions; 5 days average length of stay; 95% bed occupancy rate; 52,500 patients; attended to in general out-patient clinic; 7,500 patients attended to in specialized outpatient clinic; 13,500 lab tests; 1,200 X-rays (imaging) done; 1,000 Ultra Sound Scans done; 2,500 people attended antenatal clinic; 10,000 mothers and children immunized; 1000 Family planning contacts; Complete construction of first phase (10 units) of 30 units of staff houses and start construction of second and third phase of(20 units) of the 30 units.
Table V3.1: Vote Function Profiles, Programme/Project Profiles and Workplan Outputs Vote Function: 08 56 Regional Referral Hospital Services Vote Function Profile Responsible Officer: DR. NYEKO FILBERT Services: 1.

Out Patient Services - General - Specialists 2.

In- Patient Services - General medical services - Specialist services - Internal Medicine - Obstetrics and Gynaecology - Paediatrics - General Surgery - Orthopaedic Surgery - Psychiatry -Ophthamology - ENT - Mental Health - Nutrition 3.
Clinical Suport Services - Medical Laboratory Vote Overview 308 Moroto Referral Hosptial Ministerial Policy Statement Vote: 175 Moroto Referral Hosptial Vote Function: 08 56 Regional Referral Hospital Services - Medical Imaging/Radiology - Physiotherapy - Post mortem examination - Blood Transfusion - Outreach services in the catchment area - Technical support supervision - Training of Health workers - Research 4.
Diagnostic Services - Lab servies - Radiology Vote Function Projects and Programmes: Project or Programme Name Recurrent Programmes 01 02 03 Development Projects Moroto Referral Hosptial Services Moroto Referral Hospital Internal Audit Moroto Regional Maintenance Responsible Officer Hospital Director Hospital Director Hospital Director 1004 Moroto Rehabilitation Referal Hospital HOSPITAL DIRECTOR Programme 01 Moroto Referral Hosptial Services Programme Profile Responsible Officer: Hospital Director Objectives: To provide comprehensive, general and specialised health services, conduct tertiary health training, research and contributing to the health policy Outputs: Comprehensive general and specialised curative, promotive, preventive, rehabilitative services offered; Outreach specialist support supervision services provided ; Tertiary education and continuing professional development of health workers supported; Contribution to the development of health policies done Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 01 Inpatient services 15,000 general admissions 5 days average length of stay 95% bed occupancy rate 15,000 general admissions 5 days average length of stay 95% bed occupancy rate 15,000 general admissions 5 days average length of stay 95% bed occupancy rate Total Wage Recurrent Non Wage Recurrent 224,800 0 224,800 493,280 332,483 160,797 271,700 0 271,700 08 56 02 Outpatient services 52,500 patients attended to in general out-patient clinic 5,000 patients attended to in specialized outpatient clinic 52,500 patients attended to in general out-patient clinic 5,000 patients attended to in specialized outpatient clinic 52,500 patients attended to in general out-patient clinic 7,500 patients attended to in specialized outpatient clinic Total Wage Recurrent Non Wage Recurrent 105,200 0 105,200 78,900 0 78,900 99,500 0 99,500 08 56 04 Diagnostic services 11,500 lab tests 1,200 X-rays (imaging) done 1,000 Ultrasound scans done 11,500 lab tests 1,200 X-rays (imaging) done 1,000 Ultrasound scans don 13,500 lab tests 1,200 X-rays (imaging) done 1,000 Ultrasound scans done Total Wage Recurrent Non Wage Recurrent 51,150 0 51,150 38,585 0 38,585 39,800 0 39,800 Vote Overview 309 Moroto Referral Hosptial Ministerial Policy Statement Vote: 175 Moroto Referral Hosptial Vote Function: 08 56 Regional Referral Hospital Services Programme 01 Moroto Referral Hosptial Services Project, Programme 2014/15 2015/16 Vote Function
 Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 05 Hospital Management and support services 4 Specialists outreaches to general and PNFP Hospitals and HC IV.

5 Doctors facilitated to do their duties Night allowances paid to staff for 432 nights.

Disturbance/settlement allowance paid to 40 staff posted.

Safari day allowance paid to (….)

120 staff.

Special duty allowance (evening, night and weekend calls) paid on daily basis to senior staff.
Medical expenses paid to staff who require services not available in the hospital.

Funeral and burrial expenses made for staff and their immediate family members.

Adverts for procurement of goods and services made in the gazzetes.

Four workshops conducted for staff.

Staff facilitated for short and long term training.

Facilities for workshops hired.

Five board meetings held .

Magazines and relevant books for management functions and service delivery procured.
Computers serviced, accessories and parts procured .

Medical and administrative forms printed, stationery procured and photocopying and binding services procured.

Small office equipment procured Bad debts paid.

Bank charges and bank related costs met.

Subscriptions made to some proffessional bodies to which staff belong.

Telecommunication services procured.

Expenses on hospital property made.

Rental services for staff (doctors) accomodation procured from private entities.
Services of armed security guards procured.

Long and Short-term consultancy services procured.

4 Specialists outreaches to general and PNFP Hospitals and HC IV.

5 Doctors facilitated to do their duties Night allowances paid to staff for 432 nights.

Disturbance/settlement allowance paid to 40 staff posted.

Safari day allowance paid to (….)

120 staff.

Special duty allowance (evening, night and weekend calls) paid on daily basis to senior staff.
Medical expenses paid to staff who require services not available in the hospital.

Funeral and burrial expenses made for staff and their immediate family members.

Adverts for procurement of goods and services made in the gazzetes.

Four workshops conducted for staff.

Staff facilitated for short and long term training.

Facilities for workshops hired.

Five board meetings held .

Magazines and relevant books for management functions and service delivery procured.
Computers serviced, accessories and parts procured .

Medical and administrative forms printed, stationery procured and photocopying and binding services procured.

Small office equipment procured Bad debts paid.

Bank charges and bank related costs met.

Subscriptions made to some proffessional bodies to which staff belong.

Telecommunication services procured.

Expenses on hospital property made.

Rental services for staff (doctors) accomodation procured from private entities.
Services of armed security guards procured.

Long and Short-term consultancy services procured.

4 Specialists outreaches to general and PNFP Hospitals and HC IV.

5 Doctors facilitated to do their duties Night allowances paid to staff for 432 nights.

Disturbance/settlement allowance paid to 40 staff posted.

Safari day allowance paid to (….)

120 staff.

Special duty allowance (evening, night and weekend calls) paid on daily basis to senior staff.
Medical expenses paid to staff who require services not available in the hospital.

Funeral and burrial expenses made for staff and their immediate family members.

Adverts for procurement of goods and services made in the gazzetes.

Four workshops conducted for staff.

Staff facilitated for short and long term training.

Facilities for workshops hired.

Five board meetings held .

Magazines and relevant books for management functions and service delivery procured.
Computers serviced, accessories and parts procured .

Medical and administrative forms printed, stationery procured and photocopying and binding services procured.

Small office equipment procured Bad debts paid.

Bank charges and bank related costs met.

Subscriptions made to some proffessional bodies to which staff belong.

Telecommunication services procured.

Expenses on hospital property made.

Rental services for staff (doctors) accomodation procured from private entities.
Services of armed security guards procured.

Long and Short-term consultancy services procured.
Total Wage Recurrent Non Wage Recurrent 2,003,458 1,733,569 269,889 625,791 433,392 192,399 1,955,758 1,733,569 222,189 08 56 06 Prevention and rehabilitation services 2,500 people attended antenatal clinic 1,000 familiy planning contacts 2,500 people attended antenatal clinic 1,000 familiy planning contacts 2,500 people attended antenatal clinic 1,000 familiy planning contacts Total Wage Recurrent Non Wage Recurrent 16,905 0 16,905 13,355 0 13,355 30,755 0 30,755 08 56 07 Immunisation Services 3,500 mothers and 6,500children immunized 3,500 mothers and 6,500children immunized 3,500 mothers and 6,500children immunized Vote Overview 310 Moroto Referral Hosptial Ministerial Policy Statement Vote: 175 Moroto Referral Hosptial Vote Function: 08 56 Regional Referral Hospital Services Programme 01 Moroto Referral Hosptial Services Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 16,905 0 16,905 2,418,418 1,733,569 684,849 13,655 0 13,655 1,263,566 765,875 497,691 20,905 0 20,905 2,418,418 1,733,569 684,849 Programme 02 Moroto Referral Hospital Internal Audit Programme Profile Responsible Officer: Hospital Director Objectives: To provide comprehensive, super specialised health services, conduct tertiary health training, research and contributing to the health policy Outputs: Comprehensive super specialised curative, promotive, preventive, rehabiitive services offered; Outreach specialist support supervision services provided; Tertiary and continuing professional development of health workers offered; Contribution to the development of health policies done Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 05 Hospital Management and support services Monthly,quarterly, half year and annual performance reports prepared Monthly,quarterly, half year and annual performance reports prepared Verification and examination of financially related transactions undertaken Verification and examination of financially related transactions undertaken Quarterly, half year and annual performance reports prepared Verification and examination of finances, Assets, and other resourses Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 7,000 0 7,000 7,000 0 7,000 4,000 0 4,000 4,000 0 4,000 7,000 0 7,000 7,000 0 7,000 Vote Overview 311 Moroto Referral Hosptial Ministerial Policy Statement Vote: 175 Moroto Referral Hosptial Vote Function: 08 56 Regional Referral Hospital Services Programme 03 Moroto Regional Maintenance Programme Profile Responsible Officer: Hospital Director Objectives: 1.
Provide comprehensive and super specialized health services, 2.

Support tertiary health training, 3.

Conduct research and 4.

Contribute to the health policy Outputs: 1.

Comprehensive super specialized curative, promotive, preventive, rehabilitive services offered 2.

Outreach specialist support supervision services provided 3.

Tertiary and continuing professional development of health workers supported 4.
Contribution to the development on health policies done Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 05 Hospital Management and support services Provide Regional Medical Equipment Maintenance Services to Health Facilities in Karamoja Provide Regional Medical Equipment Maintenance Services to Health Facilities in Karamoja Medical Equipment in Karamoja Region maintained Medical Equipment users in the region trained to maintain equipment Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 124,700 0 124,700 124,700 0 124,700 88,512 0 88,512 88,512 0 88,512 124,700 0 124,700 124,700 0 124,700 Vote Overview 312 Moroto Referral Hosptial Ministerial Policy Statement Vote: 175 Moroto Referral Hosptial Vote Function: 08 56 Regional Referral Hospital Services Project 1004 Moroto Rehabilitation Referal Hospital Project Profile Responsible Officer: HOSPITAL DIRECTOR Objectives: Outputs: The aim of the project is to improve the quality of health service delivery in the hospital and the region The specific objectives are:- • To provide efficient and effective health service delivery • To attract, retain and motivate health care workers in the hospital • To create adequate ward and office space in the hospital • To provide state of the art equipment • To provide conducive working environment Hospital land is surveyed, titled and fenced Staff houses constructed to accommodate 80% of the staff Hospital buildings constructed (OPD, wards, theater, offices, diagnostics, stores, service houses)
 Rehabilitation and remodeling of administration and service blocks done Relevant equipment procured (medical, ICT, Furniture, Transport and Machinery) Working environment improved Capacity of the hospital/staff to improve quality of service delivery increased OPD utilization in terms of general and specialized services increased Patient admissions increased Average Length of Stay (ALOS) reduced Bed Occupancy Rate optimized Increased major and minor operations done Increased Laboratory tests increased Increased Ultra sound scans and X-rays done Increased Antenatal Care (ANC) contacts Increased Family Planning (FP) contacts Increased number of mothers and children immunized Technical support supervision in the region strengthened Increased number of medical equipment maintained Start Date: 7/1/2010 Projected End Date: 6/15/2020 Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 75 Purchase of Motor Vehicles and Other Transport Equipment Total GoU Development External Financing 0 0 0 Official Vehicle procured for Director 0 0 0 160,000 160,000 0 08 56 81 Staff houses construction and rehabilitation completion of the construction of the first phase(10 ) of30 units staff houses started in FY 2013/14.


Complete works and payments for the first phase (10 units) of the 30 units of staff houses.
supervision of construction of staff houses supervision of construction of staff houses Total GoU Development External Financing 999,850 999,850 0 999,850 999,850 0 504,000 504,000 0 Vote Overview 313 Moroto Referral Hosptial Ministerial Policy Statement Vote: 175 Moroto Referral Hosptial Vote Function: 08 56 Regional Referral Hospital Services Project 1004 Moroto Rehabilitation Referal Hospital GRAND TOTAL GoU Development External Financing 999,850 999,850 0 999,850 999,850 0 664,000 664,000 0 Table V3.2: Past and Medum Term Key Vote Output Indicators* Vote Function Key Output Indicators and Costs: 2013/14 Outturn 2014/15 Approved Plan Releases Prel.
Actual MTEF Projections 2015/16 2016/17 2017/18 N/A N/A Vote: 175 Moroto Referral Hosptial Vote Function:0856 Regional Referral Hospital Services No.

of in-patients (Admissions) No.

of specialised outpatients attended to No.

of antenatal cases (All attendances) No.

reconstructed/rehabilitated general wards No.

of staff houses constructed/rehabilitated Vote Function Cost (UShs bn) VF Cost Excluding Ext.
Fin Cost of Vote Services (UShs Bn) N/A N/A N/A 3.369 3.369 3.369 3.369 N/A 5,000 No info 5332 15,000 7,500 16,000 8,500 17,000 10,000 N/A No info 2,500 2,550 2,600 0 30 3.550 3.550 3.550 3.550 0 0 2.360 2.360 2.360 2.360 0 10 0 20 0 20 3.214 2.543 3.214 2.543 * Excluding Taxes and Arrears Medium Term Plans Construction of Staff houses, OPD, theater-maternity ward – Paediatric ward - Private ward complex and Medical ward-surgical ward complex, administrative block, EYE/ENT wards, procurement of ICT equipment and Furniture.
Procure official transport for the Hospital Director.

(i) Measures to improve Efficiency Plans to improve on efficiency and value for money include: Capacity building for the service providers; Involvement of all stake holders; Strengthening of management structures and committees, Strengthening of support and technical supervision; staff motivation; enforcing sanctions and rewards for staff; improving the work environment.
Table V3.3: Key Unit Costs of Services Provided and Services Funded (Shs '000) Unit Cost Description Proposed 2015/16 Planned 2014/15 Actual 2014/15 Actual 2013/14 Costing Assumptions and Reasons for any Changes and Variations from Plan Vote Function:0856 Regional Referral Hospital Services Immunization services Cost of preventive and Rehabilitative services 11,835 10 10 2,091 8,787 2,588 1,955 1,955 1,658 22,744 18,349 18,349 18,113 The Unit Cost planned for 2014/15 is lower because of expedted increase of output against stagnant MTEF The Unit Cost planned for 2014/15 is lower because of expedted increase of output against stagnant MTEF The Unit Cost planned for 2014/15 is lower because of expedted increase of output against stagnant MTEF 5,092 4,000 2,436 4,000 2,436 4,000 - 2,535 This is the initial costing for diagnostic services based on allocations and outputs 6,275,000 6,275,000 6,608,333 - Vote Overview Cost of Outpatient services Cost of Inpatient services Cost of fuel Cost of Diagnostic Services Cost of cleaning services 314 Moroto Referral Hosptial Ministerial Policy Statement Vote: 175 Moroto Referral Hosptial (ii) Vote Investment Plans •The level of funding has been increasing over the medium term because the hospital needs to be rehabilitated and expanded following its upgrading from General to Regional Hospital.
•In the F/Y 2011/12 the hospital received Ugx 0.150 Billion which was used for construction of the hospital fence to safe guard the already secured hospital land.

•In F/Y 2012/13 funding increased to Ugx 0.500 billion which was spent on the construction of 6 units of staff houses.

Staff house construction is the first priority of the hospital in order to attract, retain and motivate staff.
•In F/Y 2013/14 funding was increased to Ugx 1.388 billion which is being used for the completion of 6 units of staff houses (0.3 billion) and construction of the first phase of additional 30 units of staff houses (1.038 billion), in line with the priorities of the hospital to address the serious accommodation challenges.

Ugx 0.050 billion has been used to procure assorted medical equipment (Ugx 0.03 bn), procurement of hospital furniture (Ugx 0.010 bn ) and procurement of ICT Equipment (Ugx 0.010 bn).
In F/Y 2014/15 funding was decreased to Ugx 1 billion which is being used for the completion of construction of 6 units of staff houses (0.119 billion) and construction of the first phase (10 units) of 30 units of staff houses (0.881 billion), in line with the priorities of the hospital to address the serious accommodation challenges.
• In F/Y 2015/16 Ugx 1 Billion (the whole Capital Development allocation) will be used for the completion of payment for 1st phase (10units) and construction of 2nd and 3rd phase (20units) of the 30 units of staff houses (which costs UGX.

5.252 Billion), procurement of official transport for Hospital Director (UGX.

0.251 Billion) and procurement of ICT equipment and Furniture (UGX.
0.1Billion) Table V3.4: Allocations by Class of Output over the Medium Term Billion Uganda Shillings 2014/15 2015/16 2016/17 2017/18 2014/15 2015/16 2016/17 2017/18 Consumption Expendture(Outputs Provided) Investment (Capital Purchases) Grand Total 2.6 1.0 3.5 2.6 0.7 3.2 1.4 1.1 2.5 1.5 0.8 2.3 71.8% 79.3% 55.1% 66.8% 28.2% 20.7% 44.9% 33.2% 100.0% 100.0% 100.0% 100.0% (i) Allocation (Shs Bn) (ii) % Vote Budget Table V3.5: Major Capital Investments (Outputs of class Capital Purchases over 0.5Billion) 2014/15 2015/16 Project, Programme Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditures and Outputs by End March (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Vote Function: 08 56 Regional Referral Hospital Services Project 1004 Moroto Rehabilitation Referal Hospital 08 56 81 Staff houses construction and rehabilitation completion of the construction of the first phase(10 ) of30 units staff houses started in FY 2013/14.


Complete works and payments for the first phase (10 units) of the 30 units of staff houses.
supervision of construction of staff houses supervision of construction of staff houses Total GoU Development External Financingt 999,850 999,850 0 999,850 999,850 0 504,000 504,000 0 (iii) Priority Vote Actions to Improve Sector Performance The strategy is to provide Quality general and Specialized Health Services in line with the hospital Vision, Mission and strategic objectives.

This involves strengthening systems, structures and processes to improve performance.
This includes implementation of the Clients Charter, Clinical reviews, Quality improvement basing on 5S, infrastructural development, staff recruitment, attraction, retention and motivation to fill the vacant posts with available resources.
Table V3.6: Vote Actions to Improve Sector Performance 2014/15 Planned Actions: 2015/16 Planned Actions: 2014/15 Actual Actions: MT Strategy: Sector Outcome 1: Increased deliveries in health facilities Vote Function: 08 56 Regional Referral Hospital Services VF Performance Issue: Under staffed structuress Prepare and submit Plan already submitted to Recruitment of new staff.
Raise staffing level from 42% Vote Overview 315 Moroto Referral Hosptial Ministerial Policy Statement Vote: 175 Moroto Referral Hosptial 2014/15 Planned Actions: 2014/15 Actual Actions: 2015/16 Planned Actions: MT Strategy: Recruitment recruitment plans to MOH, MOPS and HSC Ministry of health to 55% Recruitment Plan prepared and submitted to MOH, HSC, MOPS Advertisement for recruitment done V4: Proposed Budget Allocations for 2015/16 and the Medium Term This section sets out the proposed vote budget allocations for 2016/17 and the medium term, including major areas of expenditures and any notable changes in allocations.
Table V4.1: Past Outturns and Medium Term Projections by Vote Function* * Excluding Taxes and Arrears Vote: 175 Moroto Referral Hosptial 0856 Regional Referral Hospital Services Total for Vote: 2014/15 MTEF Budget Projections 2013/14 Outturn Appr.
Budget Releases End Mar 2015/16 2016/17 2017/18 3.369 3.369 3.550 3.550 2.360 2.360 3.214 3.214 2.543 2.543 2.313 2.313 (i) The Total Budget over the Medium Term •The level of funding has been increasing over the medium term because the hospital needs to be rehabilitated and expanded following its upgrading from General to Regional Hospital.

•In the F/Y 2011/12 the hospital received Ugx 0.150 Billion which was used for construction of the hospital fence to safe guard the already secured hospital land.
•In F/Y 2012/13 funding increased to Ugx 0.500 billion which was spent on the construction of 6 units of staff houses.

Staff house construction is the first priority of the hospital in order to attract, retain and motivate staff.
•In F/Y 2013/14 funding was increased to Ugx 1.388 billion which is being used for the completion of 6 units of staff houses (0.3 billion) and construction of the first phase of additional 30 units of staff houses (1.038 billion), in line with the priorities of the hospital to address the serious accommodation challenges.

Ugx 0.050 billion has been used to procure assorted medical equipment (Ugx 0.03 bn), procurement of hospital furniture (Ugx 0.010 bn ) and procurement of ICT Equipment (Ugx 0.010 bn).
• In F/Y 2014/15 funding was decreased to Ugx 1 billion which is being used for the completion of 6 units of staff houses (0.119 billion) and completion of construction of the first phase (10 units) of 30 units of staff houses (0.881 billion), in line with the priorities of the hospital to address the serious accommodation challenges.
(ii) The major expenditure allocations in the Vote for 2015/16 Major expenditure allocations include, cleaning hospital wards and units, cleaning hospital compound, emptying V.I.P latrines, unblocking sewage lines, tyres for motor vehicles, fuel for generator, printing and stationery, training, maintenance of infrastructure, property expenses, allowances, travel, construction of 30 unit staff house, procurement of assorted medical equipment, hospital furniture and ICT equipment.
Consultancy for supervision of construction (iii) The major planned changes in resource allocations within the Vote for 2015/16 The main planned changes in resource allocation involve allocation of funds for construction of staff houses as the first priority to address the accommodation problem.
Increase in Major expenditure allocations include, cleaning hospital wards and units, cleaning hospital compound, emptying V.I.P latrines, unblocking sewage lines, tyres for motor vehicles, fuel for generator, printing and stationery, training, maintenance of infrastructure and vehicles, property expenses, allowances, travel, construction of 1st Phase (10 units) of 30 unit staff houses, procurement of assorted medical equipment, hospital furniture and ICT equipment.
Consultancy for supervision of construction, recruitment of staff to address the staffing problem.
Table V4.2: Key Changes in Vote Resource Allocation Changes in Budget Allocations and Outputs in 2015/16 from 2014/15 Planned Levels: Justification for proposed Changes in Expenditure and Outputs Vote Function:0802 Regional Referral Hospital Services Output: 02 Outpatient services 0856 Vote Overview 316 Moroto Referral Hosptial Ministerial Policy Statement Vote: 175 Moroto Referral Hosptial Changes in Budget Allocations and Outputs in 2015/16 from 2014/15 Planned Levels: Justification for proposed Changes in Expenditure and Outputs 0856 -0.105 UShs Bn: Actually the change is negligible i.e from 0.105 to 0.1000.
(Allocation for OPD is 0.100, not 0.000).

Output: 04 Diagnostic services UShs Bn: There is reduction in allocation from 0.051 down to 0.040 by 0.011.

Output: UShs Bn: The change is a reduction from 2.135 to 2.080 by 0.055 -0.277 -0.051 0856 05 Hospital Management and support services N/A the hospital gets support from Partners such as SUSTAIN and Baylor for laboratory services.

This support caters for the reduction in allocation to the diagnostic services.
The reduction in allocation to Management services is to cater for increased demand for inpatient serves in terms of cleaning services, fuel for referrals and meintenance of ambulance which has depreciated considerably.
75 Purchase of Motor Vehicles and Other Transport Equipment 0856 Output: UShs Bn: There is an allocation of 0.150 to purchase a vehicle for transportation for the Director 0.160 0856 81 Staff houses construction and rehabilitation Output: UShs Bn: There is a reduction in allocation to 30 units of staff house construction -0.496 This allocation is to procure a vehicle to replace the old one which is now depreciated to a poor mechanical condition with high maintenance cost.
The vehicle has lasted for 5 years and its mileage is above 200,000 KM.

The reduction from Ugx.

1.0 Billion to Ugx 0.486 Billion is due to reduction in budget provision from Ugx 1.0 Billion in 2014/15 down to Ugx 0.664 Billion in 2015/16.

Part of the Capital Development budget is allocated for procurement of a vehicle, further reducing the allocation for staff house construction.

Table V4.3: 2014/15 and 2015/16 Budget Allocations by Item Million Uganda Shillings GoU Ext.

Fin AIA Total GoU Ext.
Fin AIA Total 2014/15 Approved Budget 2015/16 Draft Estimates Output Class: Outputs Provided 211101 General Staff Salaries 211103 Allowances 213001 Medical expenses (To employees) 213002 Incapacity, death benefits and funeral expen 221001 Advertising and Public Relations 221002 Workshops and Seminars 221003 Staff Training 221004 Recruitment Expenses 221006 Commissions and related charges 221007 Books, Periodicals & Newspapers 221008 Computer supplies and Information Technol 221009 Welfare and Entertainment 221010 Special Meals and Drinks 221011 Printing, Stationery, Photocopying and Bind 221012 Small Office Equipment 221014 Bank Charges and other Bank related costs 221017 Subscriptions 222001 Telecommunications 223001 Property Expenses 223003 Rent – (Produced Assets) to private entities 223004 Guard and Security services 223005 Electricity 223006 Water 223007 Other Utilities- (fuel, gas, firewood, charcoa 223901 Rent – (Produced Assets) to other govt.
unit 224004 Cleaning and Sanitation 224005 Uniforms, Beddings and Protective Gear 225001 Consultancy Services- Short term 227001 Travel inland 227002 Travel abroad 227004 Fuel, Lubricants and Oils Vote Overview 317 Moroto Referral Hosptial Ministerial Policy Statement Vote: 175 Moroto Referral Hosptial Million Uganda Shillings 228001 Maintenance - Civil 228002 Maintenance - Vehicles 228003 Maintenance –
 Machinery, Equipment & Fu 228004 Maintenance – Other Output Class: Capital Purchases 231002 Residential buildings (Depreciation) 231004 Transport equipment 281504 Monitoring, Supervision & Appraisal of cap Grand Total: Total Excluding Taxes, Arrears and AIA ***where AIA is Appropriation in Aid 2014/15 Approved Budget 2015/16 Draft Estimates GoU Ext.
Fin AIA Total GoU Ext.
Fin AIA Total V5: Vote Cross-Cutting Policy and Other Budgetary Issues This section discusses how the vote's plans will address and respond to the cross-cutting policy, issues of gender and equity; HIV/AIDS; and the Environment, and other budgetary issues such as Arrears and NTR.. (i) Cross-cutting Policy Issues (a) Gender and Equity Objective: Issue of Concern : To promote the Gender Based Violence center in Moroto Regional Referral Hospital Proposed Intervensions Budget Allocations UGX billion Performance Indicators (b) HIV/AIDS Objective: To provide quality HIV/AIDS services in Moroto Regional Referral Hospital Issue of Concern : Provision of a holistic HIV/AIDS services in Moroto Regional Referral Hospital Proposed Intervensions 1.
Comprehensive HIV/AIDS care 2.

Provision of Option B Plus services 3.

Provision of integrated HIV/AIDS outreaches 4.

Building partnerships in order to strengthen the ART Clinic 5.

Strengthen HIV/AIDS prevention strategies (SMC, Condom distribution, Health Education) Budget Allocations UGX billion 0 Performance Indicators - Number of people tested for HIV.

- Number of Clients enrolled into care.

- Number of children enrolled into Early Infant Diagnosis.

- Number of HIV/AIDS integrated outreaches.
- The value of support to the ART Clinic by partners (c) Environment Objective: To create a conducive working environment and avoid pollution of the hospital environment Issue of Concern : Proposed Intervensions Vote Overview 318 Naguru Referral Hospital Ministerial Policy Statement Vote: 176 Naguru Referral Hospital V1: Vote Overview (i) Vote Mission Statement To provide general and specialised patient care services, train health professionals and conduct research.
(ii) Summary of Past Performance and Medium Term Budget Allocations Table V1.1: Overview of Vote Expenditures (UShs Billion) (i) Excluding Arrears, Taxes 2013/14 Outturn Approved Budget Rel.
by End Mar 2014/15 MTEF Budget Projections 2015/16 2016/17 2017/18 Recurrent Development Wage Non Wage GoU Donor GoU Total Total GoU+Donor (MTEF) (ii) Arrears and Taxes Arrears Taxes** Total Budget (iii) Non Tax Revenue Grand Total Excluding Taxes, Arrears N/A N/A N/A N/A N/A N/A 0.278 0.281 N/A N/A The chart below shows total funding allocations to the Vote by Vote Function over the medium term: Chart V1.1: Medium Term Budget Projections by Vote Function (Excluding Taxes, Arrears) n o i l l i B s h s U 5.7 5.6 5.5 5.4 5.3 5.2 5. 2014/15 Approved Budget Estimates 2015/16 Budget Projections 2016/17 Budget Projections Vote Overview 319 Naguru Referral Hospital Ministerial Policy Statement Vote: 176 Naguru Referral Hospital V2: Vote Performance for FY 2014/15 and Planned Outputs for FY 2015/16 This section describes past vote performance and planned Outputs, in terms of key vote outputs (i) Past Vote Outputs Preliminary 2014/15 Performance The Hospital continued to fulfil its primary objective of patient care that is offer prevention, curative, preventive and rehabilitative services.
With regard to training and research, several institutions have partnered with Naguru Referral Hospital in training students to acquire practical clinical skills.

With regard to research, IDI and Baylor Uganda have initiated research projects with Naguru.

V3: Detailed Planned Outputs for FY 2015/16 2015/16 Planned Outputs The Hospital will continue to pay wages, offer outpatient, management and support, prevention and rehabilitation and diagnostic, audit services.
With regard capital development, the vote will complete first block of staff house, commence construction of retention wall, remodel records offices, migrate from postpaid to pre-paid electricity and water meters, procure assorted specialized equipment form various departments.

Table V3.1: Vote Function Profiles, Programme/Project Profiles and Workplan Outputs Vote Function: 08 56 Regional Referral Hospital Services Vote Function Profile Responsible Officer: Hospital Director Services: i.
Inpatient Services ii.

Outpatient services iii.

Diagnostic services iv.

Specialised curative care services v.Prevention and rehabilitation vi.

Community outreach services v11.
management and support services Vote Function Projects and Programmes: Project or Programme Name Recurrent Programmes 01 02 Development Projects Naguru Referral Hosptial Services Naguru Referral Hospital Internal Audit Responsible Officer Hospital Director Hospital Director 1004 Naguru Rehabilitation Referal Hospital Hospital Director Programme 01 Naguru Referral Hosptial Services Programme Profile Responsible Officer: Hospital Director Objectives: To provide arrange of general and specialized curative, promotive, preventive and rehabilitative services.
To contribute to regional human resource development through training of various cadres of health workers To contribute and participate in operational research To contribute and participate as requested to the ministry’s national policy and support Vote Overview 320 Naguru Referral Hospital Ministerial Policy Statement Vote: 176 Naguru Referral Hospital Vote Function: 08 56 Regional Referral Hospital Services Programme 01 Naguru Referral Hosptial Services supervision Outputs: To provide Inpatient Services, Outpatient services, Diagnostic services, Specialised curative care services, Prevention and rehabilitation, Community outreach services, Maternity services, teenage services and management and support services.
Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 01 Inpatient services 13,248 in patients 7,976 deliveries 4,880 Surgical operations (includes emergencies &C/sections 1,048 Internal med 2,064 Paediatrics 10,576 in patients 5,697 deliveries 3,185 Surgical operations (includes emergencies &C/sections 1,029 Internal med 1,976 Paediatrics 16,733 in patients 8,358 deliveries 4,796 Surgical operations (includes emergencies &C/sections 1,137 Internal med 2,714 Paediatrics 100 In patients fed Total Wage Recurrent Non Wage Recurrent 252,900 0 252,900 171,257 0 171,257 144,605 0 144,605 08 56 02 Outpatient services 129,360 general outpatients 119,680 Specialised out patient clinics which include -12,856 surgical outpatient contacts - medical opd (31,076) - pead specialised (22,988) -Dental specialised (4,460) - HIV Clinic (17,004) -Gastro entorology (1,608) -Urology (764) - ENT (1,072) - Hypetension (1,576) - Acupuncture (1,108) 105,000 general outpatients Specialized outpatient clinics which include -12,741 surgical outpatient contacts - Medical opd (39,968) - pead specialized (26,120) -Dental specialized (6,123) - HIV Clinic (45,784) -Gastro entorology (2,032) -Urology (516) - ENT (2,090) - Hypertension (3,226) - Acupuncture (2,512) - Diabetes (712) -gynecology (2,356) - Orthopedics (3,775) - T.B clinic (511) - eye clinic (2,704) 116,124 general outpatients 181,404 Specialised out patient clinics which include -16,598 surgical outpatient contacts - 74,684 medical
 opd - 42,563 pead specialised 9,396.Dental specialised - 24,792 HIV Contacts - 1,713 Gastro entorology contacts - 708 Urology contacts - 1,983 ENT contacts - 4,150 Hypetension contacts - 2,887 Acupuncture contacts -2,588 eye contacts Total Wage Recurrent Non Wage Recurrent 08 56 03 Medicines and health supplies procured and dispensed medicines and supplies procured from NMS Total Wage Recurrent Non Wage Recurrent 08 56 04 Diagnostic services 84,110 0 84,110 3,000 0 3,000 49,692 0 49,692 60,500 0 60,500 4
 cycles of essential medicines and supplies were delivered by NMS at a total cost 635,387,054 represented by a percentage of 76 % of total allocated budget Medicines and health supplies procured and dispensed 750 0 750 20,000 0 20,000 252 CT Scans 9,140 ultra sound ations (both general scans & specialised scans) 3,088 x-ray examinations ( S, Medical, Ips) 33,984 Laboratory tests (for CH, SOPDs, MOPDs, Paediatrics, ENT, Eye, Teenage clients) 189 CT Scans 7,264 ultra sound (both general scans & specialized scans) 2,660 x-ray examinations ( S, Medical, Ips) 85,968 Laboratory tests (for CH, SOPDs, MOPDs, Pediatrics, ENT, Eye, Teenage clients 961 Blood transfusion 201 CT Scans 10,878 ultra sound ations (both general scans & specialised scans) - 5,161 x-ray examinations ( S, Medical, Ips) - 149,498 Laboratory tests (for CH, SOPDs, MOPDs, Paediatrics, ENT, Eye, Teenage clients) Total Wage Recurrent Non Wage Recurrent 61,000 0 61,000 24,104 0 24,104 59,360 0 47,360 Vote Overview 321 Naguru Referral Hospital Ministerial Policy Statement Vote: 176 Naguru Referral Hospital Vote Function: 08 56 Regional Referral Hospital Services Programme 01 Naguru Referral Hosptial Services Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 05 Hospital Management and support services -All Staff salaries paid -Staff medical expenses paid -Staff welfare catered for -Good Hospital -Public relations attained -Community and patients sensitized and counselled -Comm, council & Board minutes -Computer supplies & IT services maintain Quarterly - Staff salaries paid -Staff medical expenses paid -Staff welfare catered for -Good Hospital -Public relations attained -Community and patients sensitized and counselled -Comm, council & Board minutes -Computer supplies & IT services maintain - All Staff salaries paid -Staff medical expenses paid -Staff welfare catered for -Good Hospital -Public relations attained -Community and patients sensitized and counselled -Comm, council & Board minutes -Computer supplies & IT services maintain Total Wage Recurrent Non Wage Recurrent NTR 3,957,552 3,411,845 375,127 170,580 1,985,506 1,697,861 287,646 0 4,017,756 3,411,845 447,332 158,580 08 56 06 Prevention and rehabilitation services 45,632 MCH contacts which include • ANC (29,848)) • Family planning (3,348) • PMTCT(12,436) 16,760 client contacts/sessions (Includes Physiotherapy , Occupational therapy, social rehabilitation, appliances to Ips, and Ops) MCH contacts which include • ANC 19,479 • Family planning 3418 • PMTCT 9,064 14,394 client contacts/sessions (Includes Physiotherapy, Occupational therapy, social rehabilitation, appliances to Ips, and Ops) 372 post natal
 clinic 1,584 cervical cancer screening - 39,548 MCH contacts which include • ANC (42,200)) • Family planning (16,968)) • PMTCT(13,508) 17,400 client contacts/sessions (Includes Physiotherapy , Occupational, therapy, social rehabilitation, appliances to Ips, and Ops) - 10,752 orthopeadic contacts Total Wage Recurrent Non Wage Recurrent 24,000 0 24,000 15,082 0 15,082 19,000 0 19,000 08 56 07 Immunisation Services 24,044 Immunisations 34,523 immunisation contacts 40,652 Immunisations Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 3,215 0 3,215 4,385,776 3,411,845 803,352 170,580 2,756 0 2,756 2,249,147 1,697,861 551,287 0 6,000 0 6,000 4,327,222 3,411,845 744,797 170,580 Vote Overview 322 Naguru Referral Hospital Ministerial Policy Statement Vote: 176 Naguru Referral Hospital Vote Function: 08 56 Regional Referral Hospital Services Programme 02 Naguru Referral Hospital Internal Audit Programme Profile Responsible Officer: Hospital Director Objectives: Ensure compliance with financial and procurement laws and regulations.
Outputs: Quarterly and annual audit reports Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 05 Hospital Management and support services -Assorted goods and services verified Q3audit report prepared and submitted preparation of audit reports for management purposes Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 21,195 8,155 13,040 21,195 8,155 13,040 8,493 0 8,493 8,493 0 8,493 29,755 8,155 21,600 29,755 8,155 21,600 Programme 03 Naguru Regional Maintenance Programme Profile Responsible Officer: Hospital Director Objectives: ensure availability of essential medical servises through maintenance of medical and non- medical equipment, to engage in civil works for the purpose of establishing accomodation of staff and storage of medical and non-medical supplies, improvement of information management systems thru ICT acquisitions,ensure availabilty of transport and communications within the institution Outputs: procure and maintenance of medical and non-medical equipment,construction and completion of structures for both residential and non-residential purposes, procure ,installl and commission and maintain ICT equipment,connection of both water and power supply within the critical arreas of the hospital Vote Overview 323 Naguru Referral Hospital Ministerial Policy Statement Vote: 176 Naguru Referral Hospital Vote Function: 08 56 Regional Referral Hospital Services Project 1004 Naguru Rehabilitation Referal Hospital Project Profile Responsible Officer: Hospital Director Objectives: To expand, equip, maintain and rehabilitate the hospital Outputs: 1. construction of first block of staff quarters completed and construction retaining wall commenced ii.
Assorted office and ICT equipment and software procured and maintained iii.

Assorted specialised equipment procured iv.

Assorted furniture and fittings procured, Start Date: 7/1/2013 Projected End Date: 6/30/2015 Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 56 72 Government Buildings and Administrative Infrastructure bulky/drug store completed Not completed due to deferment of development permission by KCCA --Records department remodelled - xray stair case remodelled for toilets -retaining wall constructed -isolation shelter constructed - retaining wall at construction site commenced Total GoU Development External Financing 62,115 62,115 0 62,115 62,115 0 657,600 657,600 0 08 56 76 Purchase of Office and ICT Equipment, including Software Assorted ICT equipments procured ICT equipments and soft ware procured including internet software procured Total GoU Development External Financing 08 56 77 Purchase of Specialised Machinery & Equipment Total GoU Development External Financing 20,000 20,000 0 0 0 0 15,009 15,009 0 0 0 0 08 56 78 Purchase of Office and Residential Furniture and Fittings bulky/drug store equipped bulky stores construction incomplete there fore cannot be equipped -assorted ICT software -computers procured -I administrative photocopier procured 80,100 80,100 0 -assorted engineering equipment procured -medical oxygen trolleys procured - spare tyre for ambulance procured 25,400 25,400 0 - rewiring of critical units prepaid metering done -file shelves for accounts procured -partitioning labour suit done -notice boards for various wards procured -burglar proofing various units done Total GoU Development External Financing 35,500 35,500 0 23,023 23,023 0
 85,500 85,500 0 08 56 81 Staff houses construction and rehabilitation 12 unit storyed 2 bedroomed staff hostel construction completed 35% of the construction works of the staff hostel completed and supervision works ongoing block 1 staff hostel completed consultancy fees paid Total 902,232 891,797 448,400 Vote Overview 324 Naguru Referral Hospital Ministerial Policy Statement Vote: 176 Naguru Referral Hospital Vote Function: 08 56 Regional Referral Hospital Services Project 1004 Naguru Rehabilitation Referal Hospital Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Total Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) GoU Development External Financing 902,232 0 891,797 0 448,400 0 08 56 85 Purchase of Medical Equipment -Assorted equipment for dental (oral-facial maxillary) procured -Assorted equipment for eye department procured -Assorted pharmacy equipments (trays, etec) procured -Assorted radiology equipments procured -Assorted Othopeadic equipment procured -Mackintosh covers and examination couches (nursing) procured -Assorted surgical equipments (cheattle, forceps etc) procured Assorted physiotherapy equipment i.e one therapeutic ultra sound , 5 dumb balls, I couch, I tilt table, ) procured Total GoU Development External Financing GRAND TOTAL GoU Development External Financing 0 0 0 1,019,847 1,019,847 0 0 0 0 991,944 991,944 0 97,000 97,000 0 1,394,000 1,394,000 0 Table V3.2: Past and Medum Term Key Vote Output Indicators* Vote Function Key Output Indicators and Costs: 2013/14 Outturn 2014/15 Approved Plan Releases Prel.
Actual MTEF Projections 2015/16 2016/17 2017/18 N/A N/A Vote: 176 Naguru Referral Hospital Vote Function:0856 Regional Referral Hospital Services No.

of in-patients (Admissions) No.

of specialised outpatients attended to No.

of antenatal cases (All attendances) No.

reconstructed/rehabilitated general wards No.

of staff houses constructed/rehabilitated Vote Function Cost (UShs bn) VF Cost Excluding Ext.
Fin Cost of Vote Services (UShs Bn) N/A N/A N/A 7.116 7.116 7.116 7.116 N/A 119,680 No info 151170 16,733 181,404 16,733 181,404 N/A No info 82,688 82,688 0 12 5.427 5.427 5.427 5.427 .
0 3.525 3.525 3.525 3.525 12 5.751 5.751 12 12 * Excluding Taxes and Arrears Medium Term Plans Completion of retaining wall valued at 1.1bn, commencement of perimeter wall valued at 400m, and creation of additional floor to create space for the increasing number of patients and additional office space and intensive care unit.
(i) Measures to improve Efficiency The plans to improve the efficiency and value for money over the medium term shall include, strengthening Vote Overview 325 Naguru Referral Hospital Ministerial Policy Statement Vote: 176 Naguru Referral Hospital the risk management system of the institution and strengthening financial controls and to follow the PPDA guidelines during the procurement process.
The justification for the allocations to service delivery and key sector outputs is to ensure delivery of quality Health services.

Additionally key capital allocations are to ensure availability of accommodation for critical staff.

Finally, allocation of funds for construction of the retention wall is to prevent collapse of land which may result into destruction of the access roads and soil erosion to the surrounding constructed structures.
Table V3.3: Key Unit Costs of Services Provided and Services Funded (Shs '000) Unit Cost Description Proposed 2015/16 Planned 2014/15 Actual 2014/15 Actual 2013/14 Costing Assumptions and Reasons for any Changes and Variations from Plan Vote Function:0856 Regional Referral Hospital Services 1 Cost per outpatient (budget for outpatient / number of out patients seen) Cost per inpatient (budget for inpatient / number of inpatients seen) cost per diagnostic contact 19 1 1 19 1 1 stable prices of inputs 12 stable prices of inputs 0 stable prices in inputs Vote Overview 326 Naguru Referral Hospital Ministerial Policy Statement Vote: 176 Naguru Referral Hospital (ii) Vote Investment Plans The first hostel shall house only eight families yet there are additional critical staff to be considered for accommodation hence the need for an extra hostel block.
The retaining wall is critical in preventing storm water from washing away the newly constructed hostel in addition to protecting the surrounding access road from collapsing during the rainy season.
Table V3.4: Allocations by Class of Output over the Medium Term Billion Uganda Shillings 2014/15 2015/16 2016/17 2017/18 2014/15 2015/16 2016/17 2017/18 Consumption Expendture(Outputs Provided) Investment (Capital Purchases) Grand Total 4.4 1.0 5.4 4.4 1.4 5.8 4.5 0.3 4.8 81.2% 75.8% 93.2% 18.8% 24.2% 6.8% 100.0% 100.0% 100.0% 100.0% 100.0% 2.6 2.6 (i) Allocation (Shs Bn) (ii) % Vote Budget Table V3.5: Major Capital Investments (Outputs of class Capital Purchases over 0.5Billion) 2014/15 2015/16 Project, Programme Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditures and Outputs by End March (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Vote Function: 08 56 Regional Referral Hospital Services Project 1004 Naguru Rehabilitation Referal Hospital 08 56 72 Government Buildings and Administrative Infrastructure bulky/drug store completed Not completed due to deferment of development permission by KCCA --Records department remodelled - xray stair case remodelled for toilets -retaining wall constructed -isolation shelter constructed - retaining wall at construction site commenced Total GoU Development External Financingt 62,115 62,115 0 62,115 62,115 0 657,600 657,600 0 (iii) Priority Vote Actions to Improve Sector Performance 1.Develop Human resource for health that is Equipping staff with various skills through training and benchmarking.
2.

Equipment Maintenance plan i.e preventive and corrective maintenance on timely and regular basis 3.
Lobby for additional funding Table V3.6: Vote Actions to Improve Sector Performance 2014/15 Planned Actions: 2015/16 Planned Actions: 2014/15 Actual Actions: MT Strategy: Sector Outcome 1: Increased deliveries in health facilities Vote Function: 08 56 Regional Referral Hospital Services VF Performance Issue: space for clinical services implementation as per the developed a 30 year master plan and a five year strategic and investment plan.
staff accomodation VF Performance Issue: COMMENCEMENT OF CONSTRUCTION WORKS FOR STAFF HOSTEL VF Performance Issue: Continue lobbying for recruitment of critical staff construction works ongoing completion of construction of the first block to house 8 staff and their families additional works to ensure completion of project with available funds staffing levels in critical areas Continue lobbying for recruitment of critical staff Continue lobbying for recruitment of critical staff and lobby for increament of the wage bill V4: Proposed Budget Allocations for 2015/16 and the Medium Term This section sets out the proposed vote budget allocations for 2016/17 and the medium term, including major areas of expenditures and any notable changes in allocations.
Continue lobbying for recruitment of critical staff and lobby for increament of the wage bill Vote Overview 327 Naguru Referral Hospital Ministerial Policy Statement Vote: 176 Naguru Referral Hospital Table V4.1: Past Outturns and Medium Term Projections by Vote Function* * Excluding Taxes and Arrears Vote: 176 Naguru Referral Hospital 0856 Regional Referral Hospital Services Total for Vote: 2014/15 MTEF Budget Projections 2013/14 Outturn Appr.
Budget Releases End Mar 2015/16 2016/17 2017/18 7.116 7.116 5.427 5.427 3.525 3.525 5.751 5.751 4.838 0.278 2.594 2.594 (i) The Total Budget over the Medium Term The total resource allocation is 3,4bn for wage , .816bnfor NWR, 1.02bn for capital.

The expenditure in the medium term for the inpatient services has reduced due to reduction in funds to cater for only the disadvantaged patients and the original funds reallocated for interns accomodation.
Expenditure on diagnostic services will increase due to increase in new equiments that will require high maintainance costs (ii) The major expenditure allocations in the Vote for 2015/16 Major expenditure allocations include Wage bill, utilities, fuel and lubricants, travel inland and goods and services.
This is as result of recruitment of more staff, acquisition of a multipurpose pick up, footage and mileage allowances to staff, increased patient load leading to increase in waste generated, cleaning services, increasing utility billsand infrastructural expansion , equiping and maintainace.
(iii) The major planned changes in resource allocations within the Vote for 2015/16 Reasons for changes in resource allocations within the sector is attributed to 1. reduction of funds from special meals (in patients) to cater for interns accomodation allowances 2. introduction of mileage allowance to cater for the newly recruited specialist within a radius of 8km from the place of work Table V4.2: Key Changes in Vote Resource Allocation Changes in Budget Allocations and Outputs in 2015/16 from 2014/15 Planned Levels: Justification for proposed Changes in Expenditure and Outputs 78 Purchase of Office and Residential Furniture and Fittings 76 Purchase of Office and ICT Equipment, including Software 0856 0856 0856 0.050 0.060 -0.058 Vote Function:0801 Regional Referral Hospital Services Output: 01 Inpatient services UShs Bn: significant reductions in the output is due to reduction in funding for special meals i.e Number of in patients fed will only be reduced to the identified needy patient and funds were reallocated to cater for interns housing aallowances Output: UShs Bn: increased demand for ICT equipment by the recruited specialist for data management and research and Spare parts for the newly procured assorted ICT equipments Output: UShs Bn: -Remodelling of registry will improve on the efficiency on the security and management of patients records,security of records,Buglar proofing will improve on the security of the property and specialized equipment,Partioning for patient privacy Output: UShs Bn: Increased
 alloaction is as a result of inceased need for staff coverage for emergency duties thus additional funding is geared towards improving staff perfomance and efficiency Output: UShs Bn: The recruitment of spacialists in dental and eye departments led to an increase in demand for spcialised medical equipment that were not available in the faility Output: UShs Bn: N/A 85 Purchase of Medical Equipment 99 Arrears -0.069 -0.454 0.097 0856 0856 0856 81 Staff houses construction and rehabilitation Re allocation of funds to interns settlement will result into availability of medical interns hence improve on coverage in all clinical areas.
This will subsequently lead to improved quality of care hence reduced morbidity and mortality resulting into productive society Improved quality of data management and research will generate accurate information for policy revies and changes in the interest of national development Security of records is essential for future research while patients privacy is a constitutional right Availability of staff accomodation is contributes to improved duty coverage, and improved emergency care all of which contribute to improved patient management, treatment outcomes and subsequentl lead to a health and productive population The availability of the spacialised medical equipment contributes to improved patient management and care and further contributes to a healthy and productive population N/A Table V4.3: 2014/15 and 2015/16 Budget Allocations by Item Vote Overview 328 Naguru Referral Hospital Ministerial Policy Statement Vote: 176 Naguru Referral Hospital Million Uganda Shillings GoU Ext.
Fin AIA Total GoU Ext.
Fin AIA Total 2014/15 Approved Budget 2015/16 Draft Estimates Output Class: Outputs Provided 211101 General Staff Salaries 211103 Allowances 213002 Incapacity, death benefits and funeral expen 221001 Advertising and Public Relations 221002 Workshops and Seminars 221003 Staff Training 221008 Computer supplies and Information Technol 221009 Welfare and Entertainment 221010 Special Meals and Drinks 221011 Printing, Stationery, Photocopying and Bind 221012 Small Office Equipment 221016 IFMS Recurrent costs 221020 IPPS Recurrent Costs 222001 Telecommunications 222002 Postage and Courier 223001 Property Expenses 223004 Guard and Security services 223005 Electricity 223006 Water 224004 Cleaning and Sanitation 224005 Uniforms, Beddings and Protective Gear 225001 Consultancy Services- Short term 225002 Consultancy Services- Long-term 226002 Licenses 227001 Travel inland 227002 Travel abroad 227003 Carriage, Haulage, Freight and transport hir 227004 Fuel, Lubricants and Oils 228001 Maintenance - Civil 228002 Maintenance - Vehicles 228003 Maintenance – Machinery, Equipment & Fu 228004 Maintenance – Other Output Class: Capital Purchases 231001 Non Residential buildings (Depreciation) 231002 Residential buildings (Depreciation) 231005 Machinery and equipment 231006 Furniture and fittings (Depreciation) 231007 Other Fixed Assets (Depreciation) 35.5
10.1 6.4 10.1 0.0 1,019.8 62.1 802.2 20.0 35.5 0.0 281504 Monitoring, Supervision & Appraisal of cap 100.0 Output Class: Arrears 321612 Water arrears(Budgeting) 321614 Electricity arrears (Budgeting) Grand Total: Total Excluding Taxes, Arrears and AIA ***where AIA is Appropriation in Aid 0.0
V5: Vote Cross-Cutting Policy and Other Budgetary Issues This section discusses how the vote's plans will address and respond to the cross-cutting policy, issues of gender and equity; HIV/AIDS; and the Environment, and other budgetary issues such as Arrears and NTR.. (i) Cross-cutting Policy
 Issues (a) Gender and Equity Objective: Issue of Concern : 3.strenghthen partnership with institutions that have services for the disadvantaged Resource allocation to the entity for different programmess is inadequate to meeet Vote Overview 329 Naguru Referral Hospital Ministerial Policy Statement Vote: 176 Naguru Referral Hospital all needs of the disadvantaged groups Proposed Intervensions lobby for funding and support from partners such as government MDAS, NGOS, Donors, dialogue with stake holders
 undertaking similar activities for disadvantaged groups in order to improve service delivery Budget Allocations UGX billion 0.005 Performance Indicators Institutions partnered with, proposals developed and funded Objective: Issue of Concern : 2.Improve access to services for the disadvantaged groups congestion and long waiting time for the disadvantaged Proposed Intervensions - Reorganisation of the patient flow system, Creation of special clinics to meet their needs, Triaging team to identify them and give the disadvantaged groups preferential support to the necessary clinics, train health personnel in customer care Budget Allocations UGX billion 0.01 Performance Indicators - Number of patients seen in the special clinics on time, number of tsaff trained in customer care Objective: 1.
To develop special services for diadvantaged such as elderly, disabled, blind, deaf, dump, and case presenting with Gender based Violence Issue of Concern : Naguru hospital has noted an increse in number of disadvantaged yet at its inception , no provision were made to cater for unique features related to the disadvantged groups Proposed Intervensions 1.

Creation of information to provide guidance to all disadvantaged cases.
2. display of health messages using the electronic display screens in various local languages to inform and guide the disadvantaged.

3. strenghten special clinics to handle the disadvantaged.

4.

Aid mobility of the diasabled and frail elderly patients by providing wheel chairs, trolleys and guides 5. procure equipment for physical rehabilitation 6. strenghthen privacy in variuos departments Budget Allocations UGX billion 0.029 Performance Indicators 1.

Information desk created.


2. messages developed and diplayed.
3.health workers equiped with knowledge and skills to handle the disadvantaged 4.Mobility aides provided 5. assorted physiotherapy equipment procured such as therapeutic ultra sound , 5 dumb balls, I couch, I tilt table, wheel chairs, 6. labour ward partitioned to strenghthen privacy (b) HIV/AIDS Objective: Promote research activities Issue of Concern : lack of information for evidence based management of HIV/AIDS CLIENTS Proposed Intervensions - Instution based research to be promoted, constitute institution ethical review board which currently does not exist, train board members Budget Allocations UGX billion 0.01 Performance Indicators - Ethical review board in place, approved research projects Objective: 2.
Improve partnershipwith stake holders engaged in treatment and care of HIV/AIDS Patients Vote Overview 330 Naguru Referral Hospital Ministerial Policy Statement Vote: 176 Naguru Referral Hospital Issue of Concern : Insufficient resources for comprehensive care for the HIV Patients Proposed Intervensions Lobby partners to collaborate in comprehensive care , write proposals for funding Budget Allocations UGX billion 1000000 Performance Indicators MOU signed, number of staff trained in comprehensive care Objective: 1.
Improve delivery of services for HIV clients Issue of Concern : shortage of manpower and space to provide comprehensive services to HIV clients Proposed Intervensions - Train more staff in comprehensive care, creation of isaolation and tratment area specifically for TB clients Budget Allocations UGX billion 250000 Performance Indicators -isolation tent procured, number of staff trained in comprehensive care (c) Environment Objective: 3. protection of environment from pollution Issue of Concern : High level of degradation of the environment Proposed Intervensions Lobby licencinsing authorities to enforce regulation Budget Allocations UGX billion 0.002 Performance Indicators Number of communications to regulatory authoritiies Objective: 2.
Minimise hospital acquired infections Issue of Concern : Reports on hospital acquired infection especially neo nates and mothers followin C/sections Proposed Intervensions -Sterilisation of equipments and materials for use, segregation and evacuation of medical waste, train healthworkers in safe handling secreations, sharps and materials while handling patients, use of protective gears Budget Allocations UGX billion 0.02 Performance Indicators Reduced hospital acquired infections, frequency of waste disposal , number of healthworkers trained in safe handling of secreations, sharps and materials while handling patients, Number of protective gears Objective: I.
Improve waste management at facility level Issue of Concern : accumulated medical and non waste Proposed Intervensions - lobby city council authorities to evacuate unclaimed bodies, intesify use of the hospital medical waste tratment machine by lobby for key man power to operate the equipment Budget Allocations UGX billion 0.08 Vote Overview 331 Naguru Referral Hospital Ministerial Policy Statement Vote: 176 Naguru Referral Hospital Performance Indicators Record of bodies evacuated, staff deployed to operate medical waste treatment machine (ii) Non Tax Revenue Collections Source of NTR UShs Bn Rent & rates – produced assets – from private entities Other Fees and Charges Total: 2013/14 Actual 2014/15 Budget 0.000 0.000 0.000 0.009 0.162 0.171 2014/15 Prel Actual 2015/16 Projected 0.095 0.076 0.171 The forecast is based on the fact that NTR service is newly instituted method of revenue generation in the hospital.
The funds generated are to be spent on Allowances, staff welfare, printing and stationary; Airtime for various sections; fuels and lubricants; and maintanance Vote Overview 332 501-850 Local Governments Ministerial Policy Statement Vote: 500 501-850 Local Governments V1: Vote Overview (i) Vote Mission Statement To facilitate the attainment of a good standard of health by all people of Uganda in order to promote a healthy and productive life (ii) Summary of Past Performance and Medium Term Budget Allocations Table V1.1: Overview of Vote Expenditures (UShs Billion) (i) Excluding Arrears, Taxes 2013/14 Outturn Approved Budget Rel.
by End Mar 2014/15 MTEF Budget Projections 2015/16 2016/17 2017/18 Wage 205.375 250.607 178.899 250.607 263.138 276.295 Recurrent Non Wage 41.185 38.977 30.359 43.677 47.171 51.416 Development GoU Ext.
Fin 30.084 33.284 24.163 26.284 28.386 39.741 0.000 4.506 0.000 4.678 0.000 0.000 GoU Total 276.643 322.868 233.421 320.568 338.695 367.452 Total GoU + Ext Fin (MTEF) 276.643 327.373 233.421 325.246 338.695 367.452 (ii) Arrears and Taxes Arrears Taxes 0.000 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Total Budget 276.643 327.373 233.421 325.246 N/A N/A N/A N/A N/A N/A The chart below shows total funding allocations to the Vote by Vote Function over the medium term: Chart V1.1: Medium Term Budget Projections by Vote Function (Excluding Taxes, Arrears) n o i l l i B s h s U 340 335 330 325 320 315 y r a m i r P e r a c h t l a e H 2014/15 Approved Budget Estimates 2015/16 Budget Projections 2016/17 Budget Projections Vote Overview 333 501-850 Local Governments Ministerial Policy Statement Vote: 500 501-850 Local Governments (iii) Vote Outcomes and Outcome Indicators The table below sets out the vote outcomes and outcome indicators Table V1.3: Vote Outcomes and Outcome Indicators V2: Vote Performance for FY 2014/15 and Planned Outputs for FY 2015/16 This section describes past vote performance and planned Outputs, in terms of key vote outputs (i) Past Vote Outputs Preliminary 2014/15 Performance Local Governments carried out the following range of Primary Health Care Services; • Reproductive and child health services • Routine immunization through static and outreach services • HIV/AIDS, Malaria and TB services • Health promotion and disease prevention • Sanitation and hygiene policy on ODF villages especially in
 the 30 Districts.
• Health infrastructure development • Installation of medical and energy equipment • Management of disease and epidemic outbreaks • VHTs capacity enhancement • Monitoring, supervision and inspection of Primary health care service delivery in both public and private facilities including schools Details of the out puts are contained in the BFP submissions .Under health infrastructure, the LGs renovated, rehabilitated, consolidated and functionalized existing health facilities through; construction of maternity wards, theatres, pit latrines, placenta pits, incinerators, rehabilitation of health units, procurement of medical supplies and equipment, procurement of vehicles, construction of staff houses, construction of OPDs and maintenance of existing infrastructure.
The main focus was on construction of staff accommodation and fictionalization of theatres.
The following were the physical performance achieved by the end of 3rd quarter of financial year 2014/15; Table V2.1: Past and 2015/16 Planned Key Vote Outputs Vote, Vote Function Key Output 2015/16 2016/17 Planned outputs Achievements by End March Planned Outputs Vote: 500 501-850 Local Governments Vote Function: 0881 Primary Healthcare V3: Detailed Planned Outputs for FY 2015/16 2015/16 Planned Outputs The key areas of focus for FY 2015/16 are; 1.
Human resource (attraction, motivation and retention).

2.

Improvement of maternal and child health services including reproductive health.

Vote Overview 334 501-850 Local Governments Ministerial Policy Statement Vote: 500 501-850 Local Governments 3.

Control of HIV/AIDS, Malaria and TB.

4.

 Improving Primary Health Care (disease prevention and health promotion, functionalizing lower level health facilities).

5.
5.

Reduction of referrals abroad (equipping, recruitment, staff motivation and acquisition of specialized medicines).

6.

Enhancing blood collection under the Uganda Blood Transfusion Services.

7.

 Control/preparedness for disease outbreaks including surveillance.

8.

Strengthen community health extension systems across the country.
Table V3.1: Vote Function Profiles, Programme/Project Profiles and Workplan Outputs Vote Function: 08 81 Primary Healthcare Vote Function Profile Responsible Officer: Chief Admnistrative Officers Services: -Health service delivery.by district health offices, health centres and general hospitals, -Recruitment and management of personnel for District Health Services.

Health infrastructure development and provision of basic medical equipment.

Monitoring, mentoring and support supervision.


Coordination and supervision of Health service delivery by private not for profit facilities.

Training and capacity building of HRH.
Responsible Officer Chief Admnistrative Officers Chief Admnistrative Officers Chief Administrative Officers Chief Adminsitrative Officers Chief Administrative Officers Vote Function Projects and Programmes: Project or Programme Name Recurrent Programmes 321407 321413 321417 321418 Development Projects District PHC wage District PHC non-wage District Hospital PHC NGO Hospitals 0422 1218 1243 PHC Development Uganda Sanitation Fund Project Rehabilitation and Construction of General Hospitals Programme 321407 District PHC wage Programme Profile Responsible Officer: Chief Admnistrative Officers Objectives: To renumerate health workers Outputs: Health workers paid Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 81 00 Mandatory wages for in post health workers paid Mandatory wages for in post health workers paid Vote Overview Mandatory wages for in post health workers paid 335 501-850 Local Governments Ministerial Policy Statement Vote: 500 501-850 Local Governments Vote Function: 08 81 Primary Healthcare Programme 321407 District PHC wage Project, Programme 2014/15 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 250,607,295 250,607,295 0 250,607,295 250,607,295 0 173,110,461 173,110,461 0 173,110,461 173,110,461 0 250,607,295 250,607,295 0 250,607,295 250,607,295 0 Annual Workplan for 2015/16 - Outputs, Activities, Inputs and their Cost Planned Outputs and Activities to Deliver Outputs (Quantity and Location) Inputs to be purchased to deliver outputs and their cost Input UShs Thousand Output: 08 81 00 Planned Outputs: Mandatory wages for in post health workers paid Activities to Deliver Outputs: Mandatory wages for in post health workers paid Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 250,607,295 250,607,295 0 250,607,295 250,607,295 0 Vote Overview 336 501-850 Local Governments Ministerial Policy Statement Vote: 500 501-850 Local Governments Vote Function: 08 81 Primary Healthcare Programme 321413 District PHC non-wage Programme Profile Responsible Officer: Chief Admnistrative Officers Objectives: To finance primary health care services in local governments Outputs: Inpatients served, Outpatients served, Deliveries at health facilities Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 81 00 Inpatient and Outpatient health services provided at HCII, HCIII and HCIV units; VHT* services; Inpatient and Outpatient health services provided at HCIIs, HCIIIs and HCIV units; Community health extension systems strengthened across the country • Reproductive and child health services • Routine immunization through static and outreach services.
• HIV/AIDS, Malaria and TB services • Health promotion and disease prevention • Sanitation and hygiene policy on ODF villages especially in the 30 Districts.
• Health infrastructure development • Installation of medical and energy equipments • Management of disease and epidemic outbreaks • VHTs capacity enhancement • Monitoring, supervision and inspection of Primary health care service delivery in both public and private facilities including schools N.B Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 15,838,899 0 15,838,899 15,838,899 0 15,838,899 11,879,174 0 11,879,174 11,879,174 0 11,879,174 20,544,606 0 20,544,606 20,544,606 0 20,544,606 Annual Workplan for 2015/16 - Outputs, Activities, Inputs and their Cost Planned Outputs and Activities to Deliver Outputs (Quantity and Location) Inputs to be purchased to deliver outputs and their cost Input UShs Thousand Output: 08 81 00 Planned Outputs: Inpatient and Outpatient health services provided at HCIIs, HCIIIs and HCIV units; Community health extension systems strengthened across the country Activities to Deliver Outputs: Inpatient and Outpatient health services provided at HCIIs, HCIIIs and HCIV units; Community health extension systems strengthened across the country Grant or Transfer Transfer to LGs Cost 20,544,606 Vote Overview 337 501-850 Local Governments Ministerial Policy Statement Vote: 500 501-850 Local Governments Vote Function: 08 81 Primary Healthcare Programme 321413 District PHC non-wage Planned Outputs and Activities to Deliver Outputs (Quantity and Location) Inputs to be purchased to deliver outputs and their cost Input UShs Thousand Total 20,544,606 Wage
 Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent 0 20,544,606 20,544,606 0 Non Wage Recurrent 20,544,606 Vote Overview 338 501-850 Local Governments Ministerial Policy Statement Vote: 500 501-850 Local Governments Vote Function: 08 81 Primary Healthcare Programme 321417 District Hospital Programme Profile Responsible Officer: Chief Administrative Officers Objectives: Tp provide hospital services Outputs: Inpatients, out patients, deliveries Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 81 00 Inpatient and Outpatient services provided at General Hospitals Inpatient and Outpatient services provided at General Hospitals • Reproductive and child health services • Routine immunization through static and outreach services • HIV/AIDS, Malaria and TB services • Health promotion and disease prevention • Sanitation and hygiene policy on ODF villages especially in the 30 Districts.
• Health infrastructure development • Installation of medical and energy equipments • Management of disease and epidemic outbreaks • VHTs capacity enhancement • Monitoring, supervision and inspection of Primary health care service delivery in both public and private facilities including schools N.B Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 5,943,067 0 5,943,067 5,943,067 0 5,943,067 4,457,300 0 4,457,300 4,457,300 0 4,457,300 5,943,067 0 5,943,067 5,943,067 0 5,943,067 Annual Workplan for 2015/16 - Outputs, Activities, Inputs and their Cost Planned Outputs and Activities to Deliver Outputs (Quantity and Location) Inputs to be purchased to deliver outputs and their cost Input UShs Thousand Output: 08 81 00 Planned Outputs: Inpatient and Outpatient services provided at General Hospitals Activities to Deliver Outputs: Inpatient and Outpatient services provided at General Hospitals Grant or Transfer Transfer to LGs Hospitals Cost 5,943,067 Total 5,943,067 Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent 0 5,943,067 5,943,067 0 Non Wage Recurrent 5,943,067 Vote Overview 339 501-850 Local Governments Ministerial Policy Statement Vote: 500 501-850 Local Governments Vote Function: 08 81 Primary Healthcare Programme 321418 PHC NGO Hospitals Programme Profile Responsible Officer: Chief Adminsitrative Officers Objectives: To facilitate the provision of primary health services and staff development in the PNFP sub sector Outputs: Workplan Outputs for 2014/15 and
 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 81 00 Inpatient and outpatient services provided at NGO Hospitals and HCs country wide Inpatient and outpatient services provided at NGO Hospitals and HCs country wide Inpatient and outpatient services provided at NGO Hospitals and HCs country wide Total Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent Non Wage Recurrent 17,194,707 0 17,194,707 17,194,707 0 17,194,707 12,896,030 0 12,896,030 12,896,030 0 12,896,030 17,189,000 0 17,189,000 17,189,000 0 17,189,000 Annual Workplan for 2015/16 - Outputs, Activities, Inputs and their Cost Planned Outputs and Activities to Deliver Outputs (Quantity and Location) Inputs to be purchased to deliver outputs and their cost Input UShs Thousand Output: 08 81 00 Planned Outputs: Inpatient and outpatient services provided at NGO Hospitals and HCs country wide Activities to Deliver Outputs: Inpatient and outpatient services provided at NGO Hospitals and HCs country wide Grant or Transfer Transfer to NGO Hospitals Cost 17,189,000 Total 17,189,000 Wage Recurrent Non Wage Recurrent GRAND TOTAL Wage Recurrent 0 17,189,000 17,189,000 0 Non Wage Recurrent 17,189,000 Vote Overview 340 501-850 Local Governments Ministerial Policy Statement Vote: 500 501-850 Local Governments Vote Function: 08 81 Primary Healthcare Project 0422 PHC Development Project Profile Responsible Officer: Chief Administrative Officers Objectives: The key objectives of this grant is to improve
 quality and quantity of health infrastructure in all Districts in the country.
Emphasis is on minor repairs, rehabilitation, maintenance, and painting among others Outputs: • Minor repair undertaken • Rehabilitation works undertaken • Infrastructure maintenance • Painting Start Date: Projected End Date: Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 81 00 Staff House Construction; OPD, Theater, Maternity and Other General Wards constructed; DHO Offices Small scale rehabilitation and maintenance works undertaken on health infrastructure including painting of facility buildings.
Under health infrastructure, the LGs renovated, rehabilitated, consolidated and functionalized existing health facilities through; construction of maternity wards, theatres, pit latrines, placenta pits, incinerators, rehabilitation of health units, procurement of medical supplies and equipments, procurement of vehicles, construction of staff houses, construction of OPDs and maintenance of existing infrastructure.

The main focus was on construction of staff accommodation and fictionalization of theatres.
The following were the physical performance achieved by the end of 3rd quarter of Financial year 2014/15; Total GoU Development External Financing GRAND TOTAL GoU Development External Financing 30,083,599 30,083,599 0 30,083,599 30,083,599 0 22,562,699 22,562,699 0 22,562,699 22,562,699 0 18,083,599 18,083,599 0 18,083,599 18,083,599 0 Annual Workplan for 2015/16 - Outputs, Activities, Inputs and their Cost Planned Outputs and Activities to Deliver Outputs (Quantity and Location) Inputs to be purchased to deliver outputs and their cost Input UShs Thousand Output: 08 81 00 Planned Outputs: Small scale rehabilitation and maintenance works undertaken on health infrastructure including painting of facility buildings.
Activities to Deliver Outputs: Small scale rehabilitation and maintenance works undertaken on health Grant or Transfer Transfer to LGs Development Cost 18,083,599 Vote Overview 341 501-850 Local Governments Ministerial Policy Statement Vote: 500 501-850 Local Governments Vote Function: 08 81 Primary Healthcare Project 0422 PHC Development Planned Outputs and Activities to Deliver Outputs (Quantity and Location) infrastructure including painting of facility buildings.
Project 1218 Uganda Sanitation Fund Project Project Profile Responsible Officer: Objectives: Eliminate open defecation in the homesteads Outputs: Number of open defecation free villages.
Inputs to be purchased to deliver outputs and their cost Input UShs Thousand Total GoU Development External Financing GRAND TOTAL GoU Development External Financing 18,083,599 18,083,599 0 18,083,599 18,083,599 0 Start Date: Projected End Date: Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 81 00 Conditional grants for sanitation activities 30 districts conducted sanitation demand creation activities in the communities.

Conditional grants for sanitation activities for the improvement of sanitation in the homesteads in participating Local Governments.
Total GoU Development External Financing GRAND TOTAL GoU Development External Financing 4,505,634 0 4,505,634 4,505,634 0 4,505,634 0 0 0 0 0 0 4,678,389 0 4,678,389 4,678,389 0 4,678,389 Annual Workplan for 2015/16 - Outputs, Activities, Inputs and their Cost Planned Outputs and Activities to Deliver Outputs (Quantity and Location) Inputs to be purchased to deliver outputs and their cost Input UShs Thousand Output: 08 81 00 Planned Outputs: Conditional grants for sanitation activities for the improvement of sanitation in the homesteads in participating Local Governments.
Activities to Deliver Outputs: Conditional grants for sanitation activities for the improvement of sanitation in the homesteads in participating Local Governments.
Grant or Transfer Conditional transfers LG Sanitation Cost 4,678,389 Total 4,678,389 GoU Development External Financing GRAND TOTAL GoU Development 0 4,678,389 4,678,389 0 External Financing 4,678,389 Vote Overview 342 501-850 Local Governments Ministerial Policy Statement Vote: 500 501-850 Local Governments Vote Function: 08 81 Primary Healthcare Project 1243 Rehabilitation and Construction of General Hospitals Project Profile Responsible Officer: Objectives: The key objectives of this grant is to improve quality of general hospital infrastructure in all Districts in the country.
Emphasis is on minor repairs, rehabilitation, maintenance, and painting among others.

Outputs: • Repair of hospital infrastructure undertaken • Rehabilitation works undertaken • Infrastructure maintenance, • Painting Start Date: Projected End Date: Workplan Outputs for 2014/15 and 2015/16 2014/15 Project, Programme 2015/16 Vote Function Output UShs Thousand Approved Budget, Planned Outputs (Quantity and Location) Expenditure and Prel.
Outputs by End Mar (Quantity and Location) Proposed Budget, Planned Outputs (Quantity and Location) 08 81 00 3 general hospitals ( Adjumani, Kapchorwa and Bundibugyo) rehabilitated Rehabilitation and construction works are ongoing in Kiboga and Adjumani while Kapchorwa and Bundibugyo Local Governments are still procuring service providers to undertake the rehabilitation works.
Partial rehabilitation works will be undertaken in the following General Hospitals: Adjumani,Kapchorwa,Kiboga,B undibugyo,Kitagata,Abim,Kabar ole,Apac,Kitgum,Kamwenge,Itoj o, Masindi, Bugiri, Atutur, Pallisa and Kaberamaido Total GoU Development External Financing GRAND TOTAL GoU Development External Financing 3,200,000 3,200,000 0 3,200,000 3,200,000 0 1,600,000 1,600,000 0 1,600,000 1,600,000 0 8,200,000 8,200,000 0 8,200,000 8,200,000 0 Annual Workplan for 2015/16 - Outputs, Activities, Inputs and their Cost Planned Outputs and Activities to Deliver Outputs (Quantity and Location) Inputs to be purchased to deliver outputs and their cost Input UShs Thousand Output: 08 81 00 Planned Outputs: Partial rehabilitation works will be undertaken in the following General Hospitals: Adjumani,Kapchorwa,Kiboga,Bundibugyo,Kitagata,Abim,Kabarole,Apac, Kitgum,Kamwenge,Itojo, Masindi, Bugiri, Atutur, Pallisa and Kaberamaido Activities to Deliver Outputs: Partial rehabilitation works will be undertaken in the following General Hospitals: Adjumani,Kapchorwa,Kiboga,Bundibugyo,Kitagata,Abim,Kabarole,Apac, Kitgum,Kamwenge,Itojo, Masindi, Bugiri, Atutur, Pallisa and Kaberamaido Grant or Transfer Conditional transfer GHs Cost 8,200,000 Total GoU Development External Financing 8,200,000 8,200,000 0 Vote Overview 343 Annex 1: RECOMMENDATIONS OF PARLIAMENT ON THE MINISTERIAL POLICY STATEMENT FOR FY 2014/15 1 1.1 Recommendation Arrears The committee recommends that the Ministry of Health should prioritize the payment of utility arrears
 Human resources 2 2.1 Anaesthetic Officers and Public Health Nurses should be upgraded from salary scale U5 as a way of attracting health workers to train and be retained in these fields.
Response The Ministry has followed this up beginning with Hospitals.

Measures taken not only include settlement of arrears but also disconnection of illegal connections and repairing of the utility systems such as that of Gulu Hospital.

The matter of installing prepaid metres is being followed up.
The Ministry has written to the Ministry of Public Service to restructure the sector and review schemes of service to address the issue 2.2 The Ministry of Health should come up train to with a deliberate strategy midwives as a matter of urgency.

The Ministry under the Bursary scheme has trained and bonded 500 midwives.

So far 150 have been deployed while 350 await deployment.
2.3 Government place more should emphasis on the provision of incentives such salary, accommodation working environment to attract and retain health workers.
improved and as 2.4 Deployment of critical cadres from be officers should medical recentralized; 2.5 Restructuring should be given special consideration; the Health Sector in Under the Uganda Health Systems Strengthening project, staff houses are being constructed to increase percentage of staff housed from the current 17% to 30% by 2018.A further 69 houses will be built with the support from the Italian Government.
Using the Development budget staff houses have been constructed in Kabale, Masaka, Hoima and Arua, Regional Referral Hospitals.

Construction of staff houses is ongoing in Mulago, Soroti, Hoima, Fortportal hospitals.

The decision on the matter lies outside the mandate of the Ministry.

The matter was brought to the attention of Ministry of Public Service and the Presidential Advisory Committee of Parliament.
The Ministry however contracted and deployed critical staff to districts and hospitals but absorption became slower than expected which resulted into payment constraints The Ministry of health submitted a reminder and awaits the response from the Ministry of Public Service.
Monitoring and Supervision of Health Service Delivery 3 3.1 Department of Sector Monitoring and Quality Assurance in the Ministry of Health should be rejuvenated Lack of Coordination of programs run by Development Partners: The Ministry of Health should strategically coordinate and monitor programs run by development partners.

4 5 Shortage of BCG Vaccine nation- wide; The Ministry of Health should that all children who have ensure This was done.
There is a vibrant and active department of Quality Assurance in place.

The Ministry Coordinates the Donor funded programmes included in the MTEF.

The challenge is with the Off issue was Budget Donor funded programmes.

The discussed in the Health Advisory Committee (HPAC).
A tool to assess the off budget funding has been jointly designed with the Donors as a beginning point The Ministry conducted catch up activities in poorly performing districts, did micro planning at facility level to identify all un-reached children & vaccination was done to 344 6 6.1 6.2 missed the vaccine and are still eligible get vaccinated as soon as the vaccine is available.

Hospital Infrastructure Funds should be sought to repair all the remaining General hospitals in a holistic manner.
This will go a long way in improving health service delivery in Uganda The Committee recommends that a portion of the funds from Non-Tax Revenue (NTR) collected from the hospitals be used for rehabilitation of hospital structures.

Governance in Mulago 7 7.1 Kidney Transplants; The Ministry of Health should expedite the process of drafting the necessary laws to regulate organ transplant in the country.
7.2 7.3 The Investigations be instituted against Ms. Alison Kantarama's acts by the Police and be fast tracked with a view of possible prosecution; Burns Unit; Government should provide the Ushs 1.6 billion to properly equip the Burns Unit.

improve all antigens.

This improved the utilization of BCG as well.

The Ministry submitted a proposal for funding the General Hospital to the Ministry of Finance for onward submission to the Islamic Development Bank.

A response is awaited.


With the Development budget of shs 3.2bn rehabilitation of Adjumani, Bundibugyo, Kapchorwa and Kiboga is underway.

Work on critical areas will be undertaken in a further 12 hospitals with emphasis on the Hospitals that were on phase II of the World Bank project.

This will be done where the levels of NTR collections permit The process of drafting the bill is underway.

A team from Solicitor General’s office is working with the hospital on the draft.
The Draft is expected by end of April.

The matter was handed to the directorate of CID by the committee on Health for further investigation.

We are yet to get a feedback on the progress.

A letter was written to MoFPED requesting for a Vote status and additional funds for the Institute.

Shs 1.5 bn has been provided in the FY 2015/16 budget for the Burns Institute.

The Institute will however continue operating under Mulago Hospital until the Vote Status is attained.
We await a response from MoFPED on the matter.

Uganda Heart Institute 8 8.1 Government should fast Uganda Heart Institute Bill; track the Bill was approved by Cabinet 8.2 Government should provide the Uganda Heart Institute with funds to procure second sets of super-specialised medical equipment so that the necessary services are available at all times; 8.3 Government should explore the cheaper alternative leasing medical of equipment so as to save on the cost of maintaining and disposing them.
9 9.1 Uganda Cancer Institute The Ministry of Health should expedite the process of drafting the law on the This has been done and procurement of the supplies is ongoing.

In FY 2015/16 an additional shs 2 bn has been provided Government is embracing the PPP programme for the highly specialised services.
Cabinet drafted the bill and it is now before the first Parliamentary council for Gazete 345 Uganda Cancer Institute; 9.2 Government the should allocation to Uganda Cancer Institute so as to operationalise the six-level cancer ward as soon as possible; increase Government allocated Ushs 2.9bn in FY 2014/15 and has allocated another Ushs 2 bn for FY 2015/16 towards operationalising the six-level cancer ward 9.3 Capacity should be built in Regional to Referral and General Hospitals manage cancer patients.
The UCI undertook a pilot in Arua and Mbarara as regional cancer centres.

More five centres will be included in line with the strategic Plan for the 2015-2025.

Plans for human capacity building to extend services to general and referral hospitals are underway.

10 Mental Health-Butabika 10.1 Mental Health in regions affected by war; The Ministry of Health should build capacity of health workers to handle mental health cases in Health Centre Ills and IVs in the high-burden regions.
10.2 The entire perimeter of Butabika Hospital Land should be fenced in a phased manner; 10.3 The Ministry of Health should ensure that all the land belonging to health facilities is surveyed.

11 Utilities in Hospitals; Government should explore the possibility of having health facilities pay for electricity and water at special discounted rates.

 Butabika Hospital continues to offer support supervision to Gulu and Lira Regional Referral Hospitals.
The Hospitals has participated in many organized trainings in the war affected regions of Pader, Gulu and Kitgum, both through WHO and World Vision Support.

 Recently 80 health workers and 390 village health teams had training in early recognition and referral of people with mental symptoms.

 The Ministry is also in partnership with organizations such as the Peter C. Alderman Foundation who identify and support people suffering from war related mental symptoms.
 The hospital has started on a phased approach to fencing the hospital land.

In the current and next financial years, the existing gaps will be covered with chain link and some areas reinforced with a natural hedge.

Planting of the natural hedge is already in progress.

This is in consideration of the fixed MTEF ceiling with no room for immediate major capital investment.

 In the following financial year construction of a perimeter wall will targeting approximately 500m per year.
then commence  The Hospital received permission from Ministry of Lands, Housing and Urban Development to carry out a survey and open boundaries for Butabika Hospital land an exercise which was successfully carried out in 2013.

 However, the Hospital faces a challenge of land encroachment in one section of the boarder areas that is shared with a wetland.

The Ministry wrote to all Districts to prioritise the surveying of land for all health facilities The Ministry has internally discussed the matter.
Its efforts in taking up the matter with the Utility agencies and key stakeholders was weakened by the revelation on the illegal connections such as those found in Mulago.
The Ministry therefore first concentrated on dealing with the 346 12 12.1 Oxygen Supply of Oxygen to Hospitals cylinders from National Medical Stores should be embossed to reduce theft at hospitals 12.2 Government should establish mini- oxygen plants which are estimated to cost Ushs 1 billion per Regional Referral Hospital to ensure efficient supply of oxygen to the respective regions 13 Medicines and medicines management 13.1 The National Medical Stores and Ministry of Health should find a mechanism for disseminating relevant information the procurement and supply of drugs; the public on to 13.2 The committee reiterates its previous recommendation that the capacity to requisition for drugs by health workers should be built to avoid unnecessary drug shortages; 13.3 The District Health Officers should their reviews of have quarterly procurement plans.
13.4 Hospitals should computerize their drug management tailor systems requisitions to their need so as to reduce on the expiries; and 13.5 Health facility managers should be trained in basic logistics management; 13.6 Ministry of Health should put in place a mechanism to coordinate donations and procurements of medical commodities by development partners.

matter.
matter.

The Ministry requests for further support from Parliament on the issues This is not possible because the cylinders belong to service providers such as Oxygas.

They therefore cannot be embossed because they are also used by other non-state players.

A mini oxygen plant will be established in Mbarara Hospital.

Mbale Regional Referral hospital has been advised to prioritise the activity in FY 2015/16.
Other hospitals have been urged to prioritise the activity within the available resources in the mid-term.

The National Medical Stores is now implementing a communication strategy that entails how information on the procurement and supply of drugs is disseminated.

Using our Medicine Management Supervisors who are stationed at HSD Health workers are mentored in making orders.

Staff from facilities from all over the country were trained in Medicines, Vaccines and Logistics management.
At an opportune time, this will be accessed and gradually scaled up to all commodities.

Pharmacy Division together with implementing partners in the area of medicine management has prioritized capacity building in procurement plan making as a key activity and will be clearly articulated in the PSSIP (Pharmaceutical Sector Investment Plan 2015 – 2020).

Procurement plans sent to NMS are supposed to guide NMS planned procurement for a whole year but this is flexible.
During the course of the year a district or a hospital can review its procurement plan and communicate the new amendments to NMS.

We are in the process of installing RX Solution in all hospitals.

This is computer program that helps manage Pharmaceutical Supply Management.

This is an ongoing activity that Pharmacy Division and IPS that supports PSM (Pharmaceutical Supply Management) are always involved in.

From the assessment done there is a lot of improvement.
Ministry of Health adopted the WHO guidelines on donation.

All donated medicines and those procured by IPS are verified by NDA (National Drug Authority).

Some of the requirement for being verified are; the place where they are going to be used and for what it is going to be 347 13.7 Government should urgently provide Ushs 45 billion for laboratory supplies to facilitate effective disease diagnosis and other forms of management.
13.8 All districts should only upgrade a health facility after consultation and approval from the Ministry of Health.

This is so because different grades of health centres are allocated different amounts of money.

So before a health centre can be upgraded, there must be sufficient funds to operate it at a higher grade.
13.9 Exceptional considerations should be for establishment of Health given Facilities areas with peculiar geographical challenges for example islands and highly mountainous areas to increase access to health services.
in 14 Adherence to clinical guidelines 14.1 Health Workers should always adhere to the up to date clinical guidelines of Uganda; 14.2 Ministry of Health should ensure that health workers in all health facilities access updated clinical guidelines; 14.3 Ministry of Health should operationalise the redundant printing unit so as to reduce costs of printing currently incurred by the Ministry; 14.4 Continuous medical education should the medical enforced within be profession.
Treatment for Jiggers 15 15.1 Ministry of Health should embark on massive sensitization about personal and household hygiene aimed at preventing and controlling jiggers in the high burden areas used.

However, some donors by pass this system by using Diplomatic Means (Diplomatic Bags).

This gap was highlighted in the FY 2014/15 BFP and MPS and a request was made to MFPED in the Inter- ministerial consultations but no funds have been provided for the purpose.
The gap stands and is a big challenge to the Ministry.

The Ministry developed guidelines for upgrading the Health Facilities and disseminated them to the relevant authorities country wide This is contained in the Primary Health Care Grant guidelines shared with the Districts annually The Uganda Clinical Guidelines were reviewed in 2012. than 20,000 copies have been printed and More disseminated to districts.

Next review is scheduled for 2015.


The District authorities should support the Ministry and carry out the necessary supervision to ensure adherence Dissemination has conducted using Area Team support supervision visits which cover all the 112 districts.

Some Health Development Partners have supported districts in the regions they are responsible for.

Consultations on the matter is ongoing including carry out the feasibility study This is being done.
The Ministry supports a number of staff to carry out the continuous training.

On average shs 300 million is allocated for the purpose.

More could be done with additional funding.

The ministry has published its public health plans for jiggers control in the papers & will follow this up with public health campaign combined with case identification and management.
The ministry will enforce the public health act to have people smear their houses regularly with cow dung or any suitable paste to break the breeding circle of jiggers.

15.2 There should also be sensitization The ministry will target especially health workers as 348 the community aimed at changing mind-set on the use of BBE as treatment for jiggers because it is not a new drug.

BBE has been used for a long time as treatment for scabies.

The community needs to appreciate that it can also treat jiggers.
15.3 Leaders in the affected communities should embark on an aggressive campaign to sensitize their populations about the prevention and treatment of jiggers.

16 Family Planning a) Ministry of Health should make deliberate efforts to train health family planning in workers their to services competence.

enhance agents of change for a cascading sensitization on BBE and its indications particularly for use in jiggers infestation.
The ministry has already held a sensitisation meeting with MPs from the affected region (Busoga and Karamoja).

The next phase is to hold sensitisation meetings with district political leadership and key stakeholders.

At implementation phase local councils will play a key role in identifying cases and ensuring the local bye laws so passed to ensure home hygiene are adhered to.
This will be done under the Sharpened Plan for RH b) There should be increased promotion of family planning among the general public.

17 Quality of Medicines a) Government should fund some critical NDA activities that need support; particular, and Government should facilitate NDA to upgrade its laboratory to carry out bio equivalence tests and other vital tests on drugs.
effects of from harmful Government has prioritized protecting the health of the counterfeit, population substandard, unsafe, poor quality medicines and other related health care products the microbiology laboratory, increasing presence at major ports of entry and conducting good manufacturing practices inspections of local and foreign manufacturing facilities.
through equipping b) The committee reiterates its previous recommendation that National Drug Authority should that be given a vote parliament appropriate funds for its operations can so 18 Need for Regional Blood Banks: The Ministry of Health should ensure that regional blood banks are established in all the regions of this country.

As reported in 2014/15 budget; Blood Transfusion Infrastructure is still inadequate.
There are only five purpose built Regional Blood banks in Nakasero; Gulu; Mbale; Mbarara and Forportal that were constructed with PEPFAR Donor funds.

This coverage is far short of the Health Sector Strategic Plan 11 recommendation of a Blood Bank for each Regional Referral Hospital.

Due to limited budget ceiling; no allocation was made in FY 2014/15 for construction of additional blood banks.

The priority areas for new blood banks are Moroto and 349 Arua regions.
It is critical that funding is secured to commence construction in these areas in 2015/16 FY.

19 should Hepatitis B: Government the find money urgently management of Hepatitis B including vaccination in the high burden districts and the most at risk persons in Uganda and report to Parliament in one month.

for The gap was highlighted in the Health BFP and MPS of FY 2014/15.
The matter was discussed in the Health Services Committee of Parliament and the Presidential Advisory Committee of Parliament the Budget discussions with MFPED.

No funds have been provided.

The implications on the Country will be far reaching if no funds for the fight against Hepatitis B are availed in 350