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Annual Analytical Report Fy 2017-2018

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Annual Analytical Report Fy 2017-2018 ANNUAL ANALYTICAL REPORT FY 2017-2018 DR AMBROSOLI MEMORIAL HOSPITAL KALONGO Dr. Ambrosoli Memorial Hospital Kalongo Annual Analytical Report 2015-16 i Endorsement of Report This Annual Analytical Report covering the period of Financial Year 2017-2018 has been prepared by the management of Dr Ambrosoli Memorial Hospital. I endorse that it represents the management’s views on the position of the hospital in the period under report. Name: Dr Okot Godfrey Smart Signature _________________ Chief Executive Officer Dr. Ambrosoli Memorial Hospital Date ______________________ This is to acknowledge that I have received this Annual Analytical Report for Dr. Ambrosoli Memorial Hospital- Kalongo covering the period July 1st 2017 to June 30th 2018. I have read it and endorse its authenticity and representativeness of the position of the hospital in the year under report. Name: His Grace John Baptist Odama Signature ________________________________ Chairperson of the Board of Governors Date ______________________ Dr. Ambrosoli Memorial Hospital Kalongo Annual Analytical Report 2015-16 i FOREWORD This Annual Analytical report for 2017/18 FY provides analysis of the hospitals’ performance against set targets, goals, and objectives with a comparative analysis of previous trends of performance. The report is premised on the mission and policy statement of Dr Ambrosoli Memorial Hospital (which mirrors the dedication of the founder; Fr Giuseppe Ambrosoli), as well as departmental work plans. The report also examines both the internal and external environments of the hospital; which very much brings into context what is achieved, what is not achieved and the challenges experienced. The FY 2017/18 has been full of ups and downs for the hospital. The threats of the hospital has mainly been the low sustainability rate in the absence of donor funding. This is coupled to the fact that donor support towards recurrent cost continues to dwindle. Reversing this threat is a huge but surmountable task; demanding that every stakeholder plays their part. The works done over the year could not have been accomplished without the tireless effort of our dedicated staff, as well as the help of the Government and the Local Authorities and the generosity of many people and Organisations, above all the Dr. Ambrosoli Foundation, and the Comboni Missionaries. This generosity is carrying a message of solidarity and collaboration amongst peoples. As a hospital, we strive to carry forward both the positive and negative lessons learnt during the FY, to enable us face the threats of the new FY with the right attitude. “Service with love and humility” Dr Okot Godfrey Smart Chief Executive Officer Dr. Ambrosoli Memorial Hospital Kalongo Annual Analytical Report 2016-17 ii Table of Contents ENDORSEMENT OF REPORT ............................................................................................... I FOREWORD ...................................................................................................................... II LIST OF ABBREVIATIONS/ACRONYMS ............................................................................. XII ACKNOWLEDGEMENTS .................................................................................................. XIV IMPORTANT INDICATORS AND DEFINITIONS ................................................................... XV EXECUTIVE SUMMARY .................................................................................................. XVII CHAPTER ONE .................................................................................................................. 1 INTRODUCTION ................................................................................................................ 1 Background ......................................................................................................................................... 1 The hospital and its’ environment ...................................................................................................... 1 Demographic data for the hospital catchment area ........................................................................... 3 Community Health Status ................................................................................................................... 4 CHAPTER TWO.................................................................................................................. 6 HEALTH POLICY AND DISTRICT HEALTH SERVICES .............................................................. 6 Health Policy ....................................................................................................................................... 6 District Health Services ...................................................................................................................... 6 Funding ............................................................................................................................................... 9 Health Infrastructure .......................................................................................................................... 9 Prevention and Health promotion services ...................................................................................... 10 The HC II function of the hospital ..................................................................................................... 10 CHAPTER THREE ............................................................................................................. 12 GOVERNANCE ................................................................................................................ 12 The Board of Governors .................................................................................................................... 12 Hospital Management ...................................................................................................................... 14 Statutory commitments compliance ................................................................................................ 15 Internal Regulatory Documents ........................................................................................................ 15 Advocacy, lobby and negotiation ...................................................................................................... 16 CHAPTER FOUR............................................................................................................... 17 HUMAN RESOURCES ....................................................................................................... 17 Staff Establishment ........................................................................................................................... 17 Staff turn-over ................................................................................................................................... 17 Human resources development and career progression ................................................................. 19 CHAPTER FIVE................................................................................................................. 21 Dr. Ambrosoli Memorial Hospital Kalongo Annual Analytical Report 2016-17 iii FINANCES ....................................................................................................................... 21 Income .............................................................................................................................................. 21 Expenditure ....................................................................................................................................... 23 CHAPTER SIX .................................................................................................................. 27 SERVICES ........................................................................................................................ 27 OUT PATIENT DEPARTMENT ........................................................................................... 28 Staffing composition ......................................................................................................................... 28 OPD key indicators ............................................................................................................................ 29 Morbidity Trend in the OPD .............................................................................................................. 30 ANTENATAL CLINIC ........................................................................................................................... 31 ANC staffing Composition ............................................................................................................. 31 Cervical cancer Screening ............................................................................................................. 33 HIV/AIDS Clinic .................................................................................................................................. 33 HIV Testing Services (HTS) ................................................................................................................ 34 Antiretroviral therapy ....................................................................................................................... 36 Tuberculosis (TB) treatment ............................................................................................................. 39 TB treatment outcome ....................................................................................................................
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