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Budget-Performance-Health-2018 THE REPUBLIC O F UGAN D A OFFICE OF THE AUDITOR GENERAL www.oag.go.ug | E-mail: [email protected] A VALUE FOR MONEY AUDIT REPORT ON BUDGET PERFORMANCE ASSESSMENT OF DELIVERY OF PLANNED OUTPUTS BY SELECTED HEALTH SECTOR INSTITUTIONS DURING THE FINANCIAL YEAR 2018/19 A REPORT BY THE AUDITOR GENERAL DECEMBER, 2019 THE REPUBLIC OF UGANDA Budget Performance Assessment of Delivery of Planned Outputs by Selected Health Sector Institutions during the Financial Year 2018/19 A Report by the Auditor General December, 2019 AUDITOR GENERAL’S MESSAGE 24th December 2019 The Rt. Hon. Speaker of Parliament Parliament of Uganda Kampala. BUDGET PERFORMANCE ASSESSMENT OF DELIVERY OF PLANNED OUTPUTS BY SELECTED HEALTH SECTOR INSTITUTIONS DURING THE FINANCIAL YEAR 2018/19 In accordance with Article 163(3) of the Constitution, I hereby submit my report on the Budget Performance Assessment of Delivery of Planned Outputs by the Health Sector during the Financial Year 2018/19. My office intends to carry out a follow-up at an appropriate time regarding actions taken in relation to the recommendations in this report. I would like to thank my staff who undertook this audit and the staff of the Ministry of Health and other selected Health Sector entities for the assistance offered to my staff during the period of the audit. John F.S. Muwanga AUDITOR GENERAL TABLE OF CONTENTS LIST OF TABLES.........................................................................................................................................II ABBREVIATIONS........................................................................................................................................III EXECUTIVE SUMMARY...............................................................................................................................IV CHAPTER ONE..........................................................................................................................................1 INTRODUCTION...........................................................................................................................................2 1.1 Background to the Study..................................................................................................................2 1.2 Motivation........................................................................................................................................2 1.3 Description of the Audit Area..........................................................................................................3 1.4 Audit Objectives...............................................................................................................................6 1.5 Audit Scope......................................................................................................................................6 CHAPTER TWO.........................................................................................................................................7 AUDIT METHODOLOGY.................................................................................................................................7 2.1 Selection Criteria.............................................................................................................................8 2.2 Data Collection................................................................................................................................8 2.3 Data Analysis.................................................................................................................................10 CHAPTER THREE:...................................................................................................................................11 SYSTEM AND PROCESS DESCRIPTION.....................................................................................................12 3.1 Roles And Responsibilities Of Key Players...................................................................................12 3.2 Systems and Process Description.................................................................................................13 CHAPTER FOUR......................................................................................................................................14 FINDINGS AND RECOMMENDATIONS........................................................................................................15 4.1 Extent of delivery of planned outputs.............................................................................................15 4.2 Planning and budgeting ...............................................................................................................37 4.3 Release/ Disbursement performance...........................................................................................42 4.4 Utilization/ Absorption of funds....................................................................................................44 4.5 Monitoring and Evaluation............................................................................................................50 4.6 Performance Reporting................................................................................................................52 Overall Conclusion....................................................................................................................................55 Glossary of Key Terms...............................................................................................................................56 APPENDICES.............................................................................................................................................57 Appendix I: Selected entities, programmes and sub programmes...........................................................57 Appendix II: Documents Reviewed...........................................................................................................73 Appendix III: Interviews conducted...........................................................................................................74 Appendix IV: Showing the detailed GoU budget execution process........................................................75 Appendix V: Showing extent of delivery of planned outputs...................................................................77 Appendix VI: Showing details of funds diverted by Selected Health Sector Institutions.......................155 Appendix VII: Showing duration of the procurement process................................................................246 Appendix VIII: Showing inconsistencies in reporting among selected Health Sector Institutions............251 Budget Performance Assessment of Delivery of Planned Outputs by Selected Health Sector Institutions during the Financial Year 2018/19 | A Report by the Auditor General I LIST OF TABLES Table 1: Showing a comparative analysis of the Health sector budgets for FYs 2017/2018 and 2018/2019 ...................................................................................................................................................................5 Table 2: Showing Budget vs Actual Expenditure for the selected health sector entities FY 2018/19.......5 Table 3: Showing extent of delivery of planned outputs by selected Health sector institutions...............................................................................................................................................15 Table 4: Showing extent of delivery of planned activities by selected entities........................................16 Table 5: Showing reasons for partially achieved outputs by selected health sector institutions...............................................................................................................................................17 Table 6: Showing output not-implemented as per the approved annual work plan...............................28 Table 7: Showing outputs/activities without targets and clear performance indicators........................34 Table 8: Showing significant inconsistencies between the operational Plan and strategic plan multi- year funding projections..........................................................................................................................38 Table 9: Showing approved supplementary and revised Budgets on different outputs by MOH............39 Table 10: Showing budget line items under Monitoring, Supervision and Evaluation...........................40 Table 11: Showing Release performance for Selected Health Sector Entities FY 2018/19.....................42 Table 12: Showing percentage release of external financing Vs GoU counterpart funding....................43 Table 13: Showing selected Health Sector approved budget absorption rates FY 2018/19....................44 Table 14: Showing posts that were not filled by HSC by the end of the FY 2018/2019............................45 Table 15: Showing funds diverted from the planned sampled outputs..................................................46 Table 16: Showing sampled outputs either partially or not implemented as a result of diversion of funds........................................................................................................................................................47 Table 17: Detailing the time required for different activities of the procurement process....................49 Table 18: Showing tools and resources available for the M&E activities in the selected Health sector institutions...............................................................................................................................................51
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