Health Sector ANNUAL MONITORING REPORT Financial Year 2014/15
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THE REPUBLIC OF UGANDA Health Sector ANNUAL MONITORING REPORT Financial Year 2014/15 October 2015 Ministry of Finance, Planning and Economic Development P.O.Box 8147, Kampala www.finance.go.ug THE REPUBLIC OF UGANDA HEALTH SECTOR ANNUAL MONITORING REPORT FINANCIAL YEAR 2014/15 October 2015 Ministry of Finance, Planning and Economic Development P. O. Box 8147 Kampala www.finance.go.ug TABLE OF CONTENTS ABBREVIATIONS AND ACRONYMS ..................................................................................................... 1 FOREWORD ................................................................................................................................................ 3 EXECUTIVE SUMMARY........................................................................................................................... 4 CHAPTER 1: INTRODUCTION ................................................................................................................ 6 1.1 Background ............................................................................................................................................. 6 1.2 Rationale for the report ....................................................................................................................... 6 1.3 Report outline ........................................................................................................................................ 7 CHAPTER 2: METHODOLOGY ............................................................................................................... 8 2.1 Scope of the report ............................................................................................................................... 8 2.2 Process .................................................................................................................................................. 8 2.3 Data Collection ..................................................................................................................................... 9 2.4 Sampling .............................................................................................................................................. 9 2.5 Assessment guide ............................................................................................................................... 9 2.6 Limitations of the report .................................................................................................................... 9 Chapter 3: SECTOR PERFORMANCE .................................................................................................. 10 3.1 Introduction ........................................................................................................................................ 10 3.2 Financial Performance of the Health Sector ................................................................................ 10 3.3 Physical Performance of the Health Sector .................................................................................. 11 3.4 Ministry of Health (Vote 014) ........................................................................................................ 11 3.4.1 Uganda Health Systems Strengthening (Project 1123) ............................................................ 11 3.4.2 Support to Mulago Hospital Rehabilitation (Project 1187) .................................................... 31 3.4.3 Rehabilitation and equipping of health facilities in the West (1314)................................... 43 3.4.4 Construction of Specialized Neonatal and Maternal Unit in Mulago Hospital (Project 1315) ............................................................................................................................................................ 45 3. 5 UGANDA CANCER INSTITUTE (VOTE 114) ............................................................................ 48 3.6 UGANDA HEART INSTITUTE (VOTE 115) ................................................................................ 52 3.6.1 Uganda Heart Institute Project (Project 1121) ........................................................................... 52 3.7 Mulago Hospital Complex (Vote 161) ............................................................................................ 56 ii | HEALTH SECTOR ANNUAL MONITORING REPORT FINANCIAL YEAR 2014/15 3.8 Rehabilitation of Regional Referral Hospitals (Project 1004) ................................................... 59 3.8.1 Arua Regional Referral Hospital (Vote 163) ............................................................................. 60 3.8.2 Kabale Regional Referral Hospital (Vote 168) .......................................................................... 62 3.8.3 Gulu Regional Referral Hospital ................................................................................................... 65 3.8.4 Moroto Regional Referral Hospital (Vote 175) ......................................................................... 66 3.8.5 Fort Portal Regional Referral Hospital (Vote: 164) .................................................................. 68 3.8.6 Masaka Regional Referral Hospital (Vote: 169) .......................................................................70 3.8.7 Mbarara Regional Referral Hospital (Vote 173) ....................................................................... 72 3.9 PRIMARY HEALTH CARE (PHC) DEVELPMENT GRANT ......................................................... 74 3.9.1 Arua District ..................................................................................................................................... 75 3.9.2 Gomba District ................................................................................................................................ 78 3.9.3 Ibanda District ................................................................................................................................. 78 3.9.4 Kabale District ................................................................................................................................ 81 3.9.5 Kabarole District ............................................................................................................................. 85 3.9.6 Katakwi District .............................................................................................................................. 87 3.9.7 Masaka District .............................................................................................................................. 90 3.9.8 Mbarara District ............................................................................................................................. 93 3.9.9 Nakapiripiriti District ..................................................................................................................... 96 3.9.10 Napak District ............................................................................................................................. 100 3.9.11 Nebbi District ............................................................................................................................... 104 3.9.12 Nwoya District ............................................................................................................................. 106 3.9.13 Nakaseke district ......................................................................................................................... 109 Analysis ..................................................................................................................................................... 110 CHAPTER 4: CONCLUSIONS AND RECOMMENDATIONS ......................................................... 112 4.1Conclusion ........................................................................................................................................... 112 4.2 Recommendations ............................................................................................................................ 112 References ................................................................................................................................................ 113 ANNEX 1: LIST OF PERSONS INTERVIEWED .................................................................................. 114 iii | HEALTH SECTOR ANNUAL MONITORING REPORT FINANCIAL YEAR 2014/15 ABBREVIATIONS AND ACRONYMS ADB African Development Bank AIDS Acquired Immune Deficiency Syndrome ARVS Anti-Retroviral BP Blood Pressure CATIC China National Aerial-Technology International Engineering Corporation COMPLAT China National Complete Plant DHO District Health Officer DHT'S District Health Teams ECG Electrocardiogram EmNOC Emergency Obstetric and Neonatal Care FY Financial Year GoU Government of Uganda HC Health Centre HIV Human Immune Virus HMIS Health Management Information System HSD Health Sub District HSS Health Strengthening Support ICT Information Communication Technology ICU Intensive Care Unit ID Infrastructure Design IFC International Fund Corporation IFMS Integrated Financial Management Services ISDB Islamic Development Bank JMS Joint Medical Stores KCCA Kampala Capital City Authority KM Kilometers MFPED Ministry of Finance Planning and Economic Development MoH Ministry of Health MoPS Ministry of Public Service MRI Magnetic Resonance Imaging NMS National Medical Stores NWSC National Water and Sewerage Corporation OPD Out Patent Department ORS Oral Rehydration Solutions PPDA Public Procurement and Disposal for Public Assets Authority