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Annual Health Sector Performance Report THE REPUBLIC OF UGANDA MINISTRY OF HEALTH ANNUAL HEALTH SECTOR PERFORMANCE REPORT FINANCIAL YEAR 2015/2016 Hon.Dr. Ruth Jane Aceng Minister of Health Hon. Sarah Opendi Hon. Dr. Joyce Moriku Minister of State for Health/ Minister of State for Health/ General Duties Primary Health Care Dr. Asuman Lukwago Permanent Secretary Prof. Anthony Mbonye Ag. Director General Health Services Dr. Henry G. Mwebesa Director Health Services Planning& Development yY Annual Health Sector Performance Report for Financial Year 2015/16 TABLE OF CONTENTS TABLE OF CONTENTS ................................................................................................................ iv FOREWORD ................................................................................. Error! Bookmark not defined. LIST OF TABLES ........................................................................................................................... vi LIST OF FIGURES ....................................................................................................................... viii ACRONYMS ........................................................................................................................................ i FOREWORD ...................................................................................................................................... v 2 INTRODUCTION ......................................................................................................................... 1 2.1 Background .................................................................................................................................... 1 2.2 Vision, Mission, Goal and Strategic Objectives of the HSDP 2015/16 – 2019/20 ......................... 1 2.3 The Projected Demographics for FY 2015/16 ............................................................................... 2 2.4 The process of compiling the report ............................................................................................. 2 3 Overall Sector Performance and Progress ...................................................................... 3 3.1 Health Impact Indicators ............................................................................................................... 3 3.2 Performance against the key Health and Related Services Outcome Targets .............................. 7 3.3 Performance against the key Health Investment Output Targets .............................................. 10 3.4 Health Partnerships ..................................................................................................................... 27 3.5 Local Government Performance ................................................................................................. 34 3.6 Health Facility Performance ........................................................................................................ 38 4 ANNEXES .................................................................................................................................... 49 4.1 Annex One:Delivery of the Uganda National Minimum Health Care Package (UNMHCP). ........ 49 4.2 Annex Two: Integrated Health Sector Support Systems ............................................................. 74 4.3 Annex Three: Progress in Implementation of the 21st RJM Aide Memoire .............................. 100 4.4 Annex Four: Disaggregation of Key Performance Indicators .................................................... 108 yY Annual Health Sector Performance Report for Financial Year 2015/16 FOREWORD The health of the population is central to socio –economic transformation of the country. In line with statutory requirements, Government reviews the annual performance of the health sector in order to assess progress on agreed outputs and performance of the health sector and come up with strategies and recommendations on how to improve health care service delivery. The annual Health Sector Performance Report for financial year 2015/16 provides progress of the annual health sector work plan as well as the overall health sector performance against the set targets agreed upon with key stakeholders in financial year 2015/16. The report is the first annual review under the Health Sector Development Plan 2015/16- 2019/2020. This report shall be presented to stakeholders in the 22nd Joint Review Mission in which the sector shall specifically review what has been achieved, what has not been achieved and the reasons why the set targets have not been achieved. The review shall guide future planning and programming and help to refocus priorities towards achieving the National Development plan targets and the Sustainable Development Goals. The sector will continue to prioritize interventions defined in the five year Health Sector Development Plan with emphasis on efficiency and effectiveness in health service delivery. The Government of Uganda recognizes the contributions of the Health Development partners, the Civil Society Organizations, the private sector and the community in the achievement of progress in financial year 2015/16. Improvements in performance were made possible by the commitment of health providers and health workers in the public and private sector, working under sometimes difficult conditions especially in the hard to reach districts in the country. I commend the dedicated and productive health workers and implore and appeal to those who are not dedicated to work ethics in the health sector to improve so that the country health indicators improve to acceptable levels. I wish to thank members of Health Policy Advisory Committee and all partners for their contributions in the preparation of the Annual Health Sector Performance report and co financing the Joint Review Mission. Special gratitude to the MoH Planning Directorate that ensured that this annual report and the accompanying documents are available to all the participants. For God and My Country Hon. Dr. Aceng Jane Ruth Minister of Health yY Annual Health Sector Performance Report for Financial Year 2015/16 LIST OF TABLES Table 1: Population Projections for FY 2015/16 ....................................................................... 2 Table 2: Leading causes of Under 5 in-patient mortality .......................................................... 4 Table 3: Trends in Maternal Mortality and Total Fertility Rate ................................................. 5 Table 4: Leading causes of maternal deaths among maternal deaths audited......................... 5 Table 5: Common factors underlying maternal deaths ............................................................. 6 Table 6: Performance against the Health Service Outcome targets ......................................... 7 Table 7: CYP by method ............................................................................................................. 9 Table 8: Performance against the Health Investment targets ................................................ 10 Table 9: Persons who fell sick by the first Source where Treatment (%) ................................ 11 Table 10: Comparison of source of services based on the HMIS data for 2015/16 FY ........... 12 Table 11: Median Distance (KM) to Health facilities visited by residence (2015) ................... 12 Table 12: Availability Indicator for the 41 commodities ......................................................... 13 Table 13: Progress in Maternal death notification and reporting ........................................... 14 Table 14: Trends in Government allocation to the Health Sector 2010/11 to 2015/16 ......... 18 Table 15: GOU Budget Performance for FY 2015/16 ............................................................. 19 Table 16: PHC Grants FY 2010/11 - 2015/16 in Ushs billions ................................................. 19 Table 17: PHC Non-wage Allocation By Service Delivery Strata Within The PHC System ....... 20 Table 18: Human Resource trends in the Public Sector 2010/11 to 2015/16 ......................... 20 Table 19: Staffing level at different level of service in public sector fy 2015/16 .................... 21 Table 20: Staffing at RRHs ........................................................................................................ 22 Table 21: Staffing level for health professionals disaggregated by cadres ............................. 22 Table 22: Overall staffing level in the public sector versus the PNFP sector .......................... 23 Table 23: HPAC Institutional representatives’ attendance ..................................................... 27 Table 24: Progress in implementation of the HSDP Compact during FY 2015/16 .................. 28 Table 25: Top 15 performing districts Table 26: Bottom 15 performing districts................ 35 Table 27: TOP and bottom 10 District ranking for new districts FY 2015/16 .......................... 36 Table 28: TOP AND BOTTOM 10 hard-to-reach districts as per the hard-to-reach DLT ......... 36 Table 29: Staffing levels for 10 Top and Bottom Districts ....................................................... 37 Table 30: Health facility outputs and Outcomes by level of care FY 2015/16 ........................ 38 Table 31: Budget Performance for National Referral Hospitals .............................................. 39 Table 32: SUO for National Referral Hospitals FY 2015/16 ..................................................... 39 yY Annual Health Sector Performance Report for Financial Year 2015/16 Table 33: Budget performance
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