Health Sector Semi-Annual Monitoring Report FY2020/21
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HEALTH SECTOR SEMI-ANNUAL BUDGET MONITORING REPORT FINANCIAL YEAR 2020/21 MAY 2021 Ministry of Finance, Planning and Economic Development P.O. Box 8147, Kampala www.finance.go.ug MOFPED #DoingMore Health Sector: Semi-Annual Budget Monitoring Report - FY 2020/21 A HEALTH SECTOR SEMI-ANNUAL BUDGET MONITORING REPORT FINANCIAL YEAR 2020/21 MAY 2021 MOFPED #DoingMore Ministry of Finance, Planning and Economic Development TABLE OF CONTENTS ABBREVIATIONS AND ACRONYMS .............................................................................iv FOREWORD.........................................................................................................................vi EXECUTIVE SUMMARY ..................................................................................................vii CHAPTER 1: INTRODUCTION .........................................................................................1 1.1 Background ........................................................................................................................1 CHAPTER 2: METHODOLOGY........................................................................................2 2.1 Scope ..................................................................................................................................2 2.2 Methodology ......................................................................................................................3 2.2.1 Sampling .........................................................................................................................3 2.2.2 Data Collection ...............................................................................................................4 2.2.3 Data Analysis ..................................................................................................................4 2.3 Limitations of the report ....................................................................................................5 2.4 Structure of the Report .......................................................................................................5 CHAPTER 3: SECTOR PERFORMANCE ........................................................................6 3.1 Introduction ........................................................................................................................6 3.2 Sector Votes ........................................................................................................................7 3.3 Overall Sector Financial Performance ...............................................................................7 3.4 Ministry of Health (Vote 014) ............................................................................................7 3.4.1 Health Governance and Regulation (Programme 01) .....................................................8 3.4.2 Health Infrastructure and Equipment (Programme 02) ..................................................9 3.4.3 Public Health Services (Programme 06) .......................................................................31 3.4.4 Clinical Health Services (Programe 08) .......................................................................36 3.5 Uganda Cancer Institute (Vote 114) .................................................................................43 3.5.1 Uganda Cancer Institute (Project 1120) ........................................................................45 3.5.2 ADB Support to UCI (Project 1345) .............................................................................47 3.5.3 Retooling of Uganda Cancer Institute (Project 1570) ...................................................50 3.6 Uganda Heart Institute (Vote 115) ...................................................................................54 3.6.1 Medical Services (Sub-programme 02) ........................................................................55 3.7 Uganda Blood Transfusion Services (UBTS)-Vote 151 ..................................................59 3.7.1 Safe Blood Provision (Programme 53) .........................................................................59 3.7.2 Regional Blood Banks (Sub programme two) ..............................................................60 3.8 Health Service Commission (Vote 134) ...........................................................................68 3.8.1 Human Resource Management (Sub-Programme 02) ..................................................68 Retooling of Health Service Commission (Project 1635): ....................................................70 3.9 National Referral Hospitals (Vote 161, 162, 177 and 178) ..............................................72 Health Sector: Semi-Annual Budget Monitoring Report - FY 2020/21 i Ministry of Finance, Planning and Economic Development 3.9.1 Mulago National Referral Hospital - Vote 161 .............................................................73 3.9.1.1 Mulago Hospital Complex Medical Services (Sub-Programme One) .......................73 3.9.1.2 Retooling of Mulago National Referral Hospital Project (1637) ...............................73 3.9.2 Kiruddu National Regional Referral Hospital (Vote 177) ............................................76 Kiruddu Referral Hospital Services (Sub-Programme One): ................................................76 Retooling of to Kiruddu National Referral Hospital (Project 1574): ....................................77 3.9.3 Kawempe Referral Hospital (Vote 178) ........................................................................79 3.9.3.1: Kawempe National Referral Hospital Services (Sub-Programme One) ...................79 3.9.4 Butabika National Mental Referral Hospital (Vote 162) ..............................................81 3.9.4.1 Provision of Specialised Mental Health Services Blood Provision (Programme 55) 82 Retooling of Butabika National Referral Hospital (Project 1572): .......................................82 3.10 Referral Hospitals (Vote 163-180) .................................................................................86 3.10.1 Vote: 163- Arua Regional Referral Hospital ...............................................................87 3.10.2 Vote: 164- Fort Portal Regional Referral Hospital (FRRH) .......................................90 3.10.3 Vote 165- Gulu Regional Referral Hospital ................................................................93 3.10.4: Vote 166 - Hoima Regional Referral Hospital ...........................................................96 3.10.5 Vote 168: Kabale Regional Referral Hospital .............................................................98 3.10.6 Vote: 169- Masaka Regional Referral Hospital ........................................................101 3.10.7 Vote 170- Mbale Regional Referral Hospital (MRRH) ............................................105 3.10.8 Vote: 171- Soroti Regional Referral Hospital (FRRH) .............................................108 3.10.9 Vote: 172 - Lira Regional Referral Hospital (LRRH) ...............................................110 3.10.9 Vote: 173- Mbarara Regional Referral Hospital .......................................................114 3.10.10 Vote: 174-Mubende Regional Referral Hospital (MRRH) .....................................117 3.10.11 Vote 179: Entebbe Regional Referral Hospital .......................................................120 3.11 Vote 180: Mulago Specialised Women and Neonatal Hospital ....................................125 3.12 Primary Health Care at Local Government level .........................................................127 CHAPTER 4: ECONOMIC STIMULUS PACKAGE TO THE HEALTH SECTOR 130 CORONA VIRUS DISEASE (COVID-19) HEALTH SECTOR PREPAREDNESS AND RESPONSE..........................................................................................................................130 1.0 Introduction ....................................................................................................................130 4.0 Performance ...................................................................................................................131 4.1 Overall Financial Performance ......................................................................................131 4.1.1 Detailed financial performance of selected funders ....................................................132 4.4.2 Overall Physical performance .....................................................................................137 4.3 Performance by Planned Outputs ...................................................................................138 4.3.1 Non-medical masks procured and distributed .............................................................138 4.3.2 Emergency Intensive Care Units at COVID-19 Treatment Centres established ........140 4.4 Performance by selected outcome indicators .................................................................156 ii Health Sector: Semi-Annual Budget Monitoring Report - FY 2020/21 Ministry of Finance, Planning and Economic Development Overall Challenges in COVID-19 Response .......................................................................159 Conclusion ...........................................................................................................................159 Recommendations ................................................................................................................159 CHAPTER 5: CONCLUSION AND RECOMMENDATIONS ....................................161 5.1 Conclusion .....................................................................................................................161