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Vote:164 Fort Portal Referral Hospital Vote Performance Report Financial Year 2016/17 Vote:164 Fort Portal Referral Hospital QUARTER 3: Highlights of Vote Performance V1: Summary of Issues in Budget Execution Table V1.1: Overview of Vote Expenditures (UShs Billion) Approved Cashlimits Released Spent by % Budget % Budget % Releases Budget by End Q3 by End Q 3 End Q3 Released Spent Spent Recurrent Wage 3.552 2.664 2.664 2.348 75.0% 66.1% 88.1% Non Wage 1.603 1.196 1.196 0.980 74.6% 61.1% 82.0% Devt. GoU 1.058 0.901 0.901 0.076 85.2% 7.2% 8.4% Ext. Fin. 0.000 0.000 0.000 0.000 0.0% 0.0% 0.0% GoU Total 6.214 4.761 4.761 3.404 76.6% 54.8% 71.5% Total GoU+Ext Fin 6.214 4.761 4.761 3.404 76.6% 54.8% 71.5% (MTEF) Arrears 0.000 0.000 0.000 0.000 0.0% 0.0% 0.0% Total Budget 6.214 4.761 4.761 3.404 76.6% 54.8% 71.5% A.I.A Total 0.570 0.348 0.236 0.142 41.4% 25.0% 60.3% Grand Total 6.784 5.108 4.997 3.547 73.7% 52.3% 71.0% Total Vote Budget 6.784 5.108 4.997 3.547 73.7% 52.3% 71.0% Excluding Arrears Table V1.2: Releases and Expenditure by Program* Billion Uganda Shillings Approved Released Spent % Budget % Budget %Releases Budget Released Spent Spent Program: 0856 Regional Referral Hospital Services 6.78 5.00 3.55 73.7% 52.3% 71.0% Total for Vote 6.78 5.00 3.55 73.7% 52.3% 71.0% Matters to note in budget execution The transfer of new procurement officer slowed down the procurement process due to capacity challenges. he hospital runs a risk of accumulating utility, cleaning, sanitation and arrears due inadequate budget. There remains low uptake of family planning in the hospital. The erratic supply of ;UD\DQGODERUDWRU\FRQVXPDEOHVUHVXOWVLQORZRXWSXWV7KHKRVSLWDOLQFXUVKLJKFRVWRIUHIHUUDODQGUXQQLQJWKHJHQHUDWRUGXHWRIUHTXHQWSRZHU outages. there was delay in recruitment of positions cleared by Ministry of Public Service which affects service delivery but shall also cause the hospital to fail to absorb the provide awge The transfer of new procurement officer slowed down the procurement process due to capacity challenges. he hospital runs a risk of accumulating utility, cleaning, sanitation and arrears due inadequate budget. There remains low uptake of family planning in the hospital. The erratic supply of ;UD\DQGODERUDWRU\FRQVXPDEOHVUHVXOWVLQORZRXWSXWV7KHKRVSLWDOLQFXUVKLJKFRVWRIUHIHUUDODQGUXQQLQJWKHJHQHUDWRUGXHWRIUHTXHQWSRZHU outages. there was delay in recruitment of positions cleared by Ministry of Public Service which affects service delivery but shall also cause the hospital to fail to absorb the provide wage. Table V1.3: High Unspent Balances and Over-Expenditure in the Domestic Budget (Ushs Bn) (i) Major unpsent balances Programs , Projects 1/35 Program 0856 Regional Referral Hospital Services Vote Performance Report Financial Year 2016/17 Vote:164 Fort Portal Referral Hospital QUARTER 3: Highlights of Vote Performance 0.171 Bn Shs SubProgram/Project :01 Fort Portal Referral Hospital Services Reason: Delay in clearing files from MPS Delay in securing supplier number Procurement delays Delay in securing supplier number Delay in securing supplier number Items 21,746,812.000 UShs 213004 Gratuity Expenses Reason: Delay in clearing files from MPS 16,408,107.500 UShs 228002 Maintenance - Vehicles Reason: Delay in securing supplier number 16,161,600.000 UShs 221010 Special Meals and Drinks Reason: Procurement capacity of procurement officer failing to recognize availability of funds yet there were pending payments 15,804,604.000 UShs 212102 Pension for General Civil Service Reason: Paid as per payroll from MPS 15,290,735.000 UShs 224005 Uniforms, Beddings and Protective Gear Reason: Procurement delays 0.003 Bn Shs SubProgram/Project :02 Fort Portal Referral Hospital Internal Audit Reason: Delay to request for funds Items 3,020,000.000 UShs 211103 Allowances Reason: Delay to request for funds 0.042 Bn Shs SubProgram/Project :03 Fort Portal Regional Maintenance Reason: Procurement delays( capacity issue of new officer) of failure to recognize availability of funds yet there providers needing payment under framework agreement Items 20,090,250.000 UShs 228003 Maintenance ±Machinery, Equipment & Furniture Reason: rocurement delays( capacity issue of new officer) of failure to recognize availability of funds yet there providers needing payment under framework agreement 8,885,622.000 UShs 221003 Staff Training Reason: Delays in decisions by training committee 3,000,000.000 UShs 228002 Maintenance - Vehicles Reason: rocurement delays( capacity issue of new officer) of failure to recognize availability of funds yet there providers needing payment under framework agreement 2,995,200.000 UShs 224005 Uniforms, Beddings and Protective Gear Reason: Delay in procurement 1,828,250.000 UShs 227004 Fuel, Lubricants and Oils 2/35 Vote Performance Report Financial Year 2016/17 Vote:164 Fort Portal Referral Hospital QUARTER 3: Highlights of Vote Performance Reason: Failure to recognize availability of funds 0.825 Bn Shs SubProgram/Project :1004 Fort Portal Rehabilitation Referral Hospital Reason: Items 362,678,572.500 UShs 312102 Residential Buildings Reason: 299,999,999.750 UShs 312201 Transport Equipment Reason: 84,890,143.000 UShs 312202 Machinery and Equipment Reason: 56,612,442.750 UShs 312104 Other Structures Reason: 12,000,000.000 UShs 281503 Engineering and Design Studies & Plans for capital works Reason: (ii) Expenditures in excess of the original approved budget V2: Performance Highlights Table V2.1: Key Vote Output Indicators and Expenditures* Vote, Vote Function Approved Budget and Cumulative Expenditure Status and Reasons for Key Output Planned outputs and Performance any Variation from Plans Programme: 0856 Regional Referral Hospital Services Output: 085601 Inpatient services Description of Performance: 27,000 inpatients admissions; Total No. of Patients admitted: Targets met 85% bed occupancy rate and 5 day 7091 average stay for inpatients. The Total maternal deliveries 1588 increase in allocation is on account Major surgeries - 826 of the BOR 90.7% ALOS 4 Performance Indicators: No. of in-patients (Admissions) 27,000 21882 Output Cost: UShs Bn: 0.486 UShs Bn: 0.301 % Budget Spent: 61.9% Output: 085602 Outpatient services Description of Performance: 200,000 outpatient¶s attendance, No. of General outpatients - 13,441 Targets achieved 100,000 specialized clinic No. of Specialized outpatients ± attendance. The increase is on 48,379 account of the complexity of patients seen Performance Indicators: No. of general outpatients attended 200000 3/3532417 to Vote Performance Report Financial Year 2016/17 Vote:164 Fort Portal Referral Hospital QUARTER 3: Highlights of Vote Performance No. of specialised outpatients 100000 151450 attended to Output Cost: UShs Bn: 0.253 UShs Bn: 0.149 % Budget Spent: 59.0% Output: 085603 Medicines and health supplies procured and dispensed Description of Performance: Medicines delivered by NMS and Value of Medicines and Medical 80% of Budget spent dispensed Shs. 1,038,123,378 supplies received worth 240,125,898 Performance Indicators: Value of medicines 1,038,123,378 833858719 received/dispensed (Ush bn) Output Cost: UShs Bn: 0.059 UShs Bn: 0.037 % Budget Spent: 62.9% Output: 085604 Diagnostic services Description of Performance: 110,000 lab test 10,000 xray No. of Lab 28,554 Lab outputs within targets but imagings 10,000 Ultrasound Tests ; radiology unlikely to be achieved No of Radiology 2767 because of non supply of consumables Performance Indicators: No. of laboratory tests carried out 110,000 99428 No. of patient xrays (imaging) taken 20000 9813 Output Cost: UShs Bn: 0.086 UShs Bn: 0.059 % Budget Spent: 68.3% Output: 085605 Hospital Management and support services Description of Performance: Quarterly Performance Reports 3 Budget provision for Cleaning, Patients referrals sanitation and Laundry insufficient Contracts Committee Meetings, Compound Cleaning 9, Ward Cleaning 9, Laundry Services 9, Cesspool emptying ±162 trips. Board meetings 1 Performance Indicators: Output Cost: UShs Bn: 4.195 UShs Bn: 2.732 % Budget Spent: 65.1% Output: 085606 Prevention and rehabilitation services Description of Performance: No. of immunized - 15,000 No. of immunized persons ± The ANC includes only 1st and 4th Ante-Natal cases - 15,000 10,308 ANC Family planning contacts- 3000 ANC ±2,791 The still low up take of FP and FP PMTCT cases - 5,000 , HCT Family Planning - 627 needs to be integrated into all 10,000 person EID - 2,047 services points HCT persons ±6,277 Performance Indicators: No. of antenatal cases (All 15,000 8673 attendances) No. of children immunised (All 30000 33127 immunizations) No. of family planning users 3,000 2120 attended to (New and Old) 4/35 Vote Performance Report Financial Year 2016/17 Vote:164 Fort Portal Referral Hospital QUARTER 3: Highlights of Vote Performance Vote, Vote Function Approved Budget and Cumulative Expenditure Status and Reasons for Key Output Planned outputs and Performance any Variation from Plans Output Cost: UShs Bn: 0.040 UShs Bn: 0.027 % Budget Spent: 67.9% Output: 085607 Immunisation Services Description of Performance: No. of immunized persons ± Cumulative total of immunized person by end of 3rd quarter was 33,127 Performance Indicators: Output Cost: UShs Bn: 0.037 UShs Bn: 0.023 % Budget Spent: 61.9% Output: 085672 Government Buildings and Administrative Infrastructure Description of Performance: None Budget exhausted as the demand is very high yet the budget is insufficient Performance Indicators: Output Cost: UShs Bn: 0.038 UShs Bn: 0.024 % Budget Spent: 62.9% Output: 085677 Purchase of Specialised Machinery & Equipment Description
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