Primary Health Care Grants Guidelines
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THE REPUBLIC OF UGANDA MINISTRY OF HEALTH PRIMARY HEALTH CARE GRANTS GUIDELINES FINANCIAL YEAR 2016/17 1 Table of Contents Foreword ............................................................................................................................................. 2 Table of Contents ............................................................................................................................. 3 1.0 Introduction ........................................................................................................................... 5 1.1 Vision..................................................................................................................................... 5 1.2 Mission .................................................................................................................................. 5 1.3 Goal ........................................................................................................................................ 5 1.4 Health Sector Policy Priorities FY 2016/17 ............................................................... 5 1.5 Purpose of the Guidelines ............................................................................................... 5 1.6 Proposed LG approaches to improve Health Service Delivery .............................. 6 1.7 Reform on Consolidation of Local Government Fiscal Transfers ........................ 7 2.0 Overview of the PHC Service Delivery System ............................................................ 11 2.1 Mandates of Local Governments ................................................................................. 12 2.2 Role of the District Health Office ................................................................................ 12 2.3 Role of the Municipal Health Office ............................................................................ 14 2.4 Role of the Heath Sub-District ..................................................................................... 15 2.5 Role of the Community / VHT (HC I) ......................................................................... 16 2.6 Role of Health Centre II .................................................................................................. 16 2.7 Role of Health Centre III ................................................................................................ 17 2.8 Role of Health Centre IV ................................................................................................ 17 2.9 Role of the General Hospital ......................................................................................... 17 3.0 Health Sector Grants and Allocation Formula .......................................................... 19 3.1 Structure and Purpose of PHC Grants ...................................................................... 19 3.2 Grant Allocation Formula for Generating IPFs ....................................................... 20 4.0 Grant Utilization Guidelines ........................................................................................... 21 4.1 PHC Conditional Wage Recurrent Grant .................................................................. 21 4.2 PHC Non-Wage Recurrent Grant ................................................................................ 21 4.3 PHC Development Grants ............................................................................................. 23 4.4 Development Project Implementation ........................................................................ 24 4.5 Changes in projects to be implemented .................................................................... 24 4.6 Development Project Progress Reports ...................................................................... 25 5.0 Public Subsidies for PNFPs and PHPs ......................................................................... 26 5.1 Criteria / Requirements for Access of Public Subsidies by PNFPs and PHPs26 6.0 Medicine Procurement, supply and Management .................................................... 28 6.1 Guidelines on Medicine Procurement, supply and Management ...................... 28 6.2 Roles of LGs in the Procurement and management of Medicines ..................... 29 7.0 Direct Transfers of PHC Grants to Health Facilities (Public and Private) ......... 30 3 7.1 The Planning and Budgeting process ........................................................................ 30 7.2 The New Grant Payment Procedures for PHC Grants........................................... 31 7.3 Release of Funds .............................................................................................................. 31 7.4 Signatories to Health Bank Accounts ........................................................................ 31 7.5 Disbursement Procedures ............................................................................................. 32 7.6 Transfer of Funds ............................................................................................................ 33 7.7 Condition for Release to Beneficiary Health Facilities .......................................... 33 7.8 Handling of Unpaid Grants........................................................................................... 35 7.9 Reporting and Accountability for Funds ................................................................... 35 7.10 Roles and Responsibilities of Officers/ Involved in the Grants Release and Payment Processes .................................................................................................................... 36 7.11 Critical Success Factors ............................................................................................. 37 7.12 Possible Consequences of Not Meeting Direct Transfer Guidelines .............. 37 7.13 Conclusion ..................................................................................................................... 38 8.0 ANNEXES .............................................................................................................................. 39 Annex I. Copy of the MOU Between the GoU and PNFP Health Service Providers 39 Annex II. Copy of The Memorandum of Understanding Between the DLG and PNFP Health Service Providers for FY 2016/17 ................................................................ 45 Annex III: Planning and Budget Calendar for LG Institutions ..................................... 48 Annex IV. Primary Health Care Grants - Indicative Planning Figures for FY 2016/17 ........................................................................................................................................ 51 Annex V. Breakdown of PHC Non-Wage to DHO/MHO, HCs II- IV & HSDs ......... 57 Annex VI. PHC Transitional Development Grant (Ad Hoc) for FY 2016/17 ............. 63 Annex VII. PHC Non-Wage Grants Detailed Health Facility Allocations (Direct Transfers) For FY 2016/17 ..................................................................................................... 64 Annex VIII. List of HSD Headquarters by Constituency for FY 2016/17 ................ 188 Annex IX. Project Quarterly Implementation Reporting Format ................................ 195 Annex X. Outputs and Indicators ..................................................................................... 199 4 1.0 Introduction Chapter one of the guidelines provides the strategic direction and health sector priorities for the Financial Year (FY) 2016/17. The second National Health Policy (NHP II) puts the client and community at the forefront and adopts a client-centered approach with consideration of both the supply and demand side of healthcare. 1.1 Vision The vision of the health sector is a healthy and productive population that contributes to socio-economic growth and national development. 1.2 Mission To facilitate the attainment of a good standard of health by all people of Uganda in order to promote a healthy and productive life. 1.3 Goal The goal of the Health Sector Development Plan (HSDP) 2015/16 – 2019/20 is ‘To accelerate movement towards Universal Health Coverage (UHC) with essential health and related services needed for promotion of a healthy and productive life’. UHC makes it possible to ensure that all people receive essential and good quality health services they need without suffering financial hardship. 1.4 Health Sector Policy Priorities FY 2016/17 Overall, according to the National Development Plan (NDP II) the health sector efforts will be geared towards attainment of UHC through: strengthening of the national health system including governance; disease prevention, mitigation and control; health education, promotion and control; contributing to early childhood development; curative services; rehabilitation services; palliative services; and health infrastructure development. 1.5 Purpose of the Guidelines This document is to provide guidance for the utilization of the Primary Health Care (PHC) grants and other decentralized health grants in FY 2016/17. These guidelines should be used to prepare and implement annual work plans for both Public and Private-Not-For-Profit (PNFP) facilities as well as Private Health Provider facilities where feasible / desirable. Financial Management and Accounting procedures should be guided by the Public Finance Management Act 2015, Local Government Financing and Accounting regulations 2007, the Public Procurement and Disposal Act (PPDA) 2014 and any other guidelines as approved by the Ministry