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Health Facilities Inventory July 2012

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THE REPUBLIC OF UGANDA Ministry of Health Health Facilities Inventory July 2012 Master Health Facilities Inventory Health Infrastructure Division Department of Clinical Services Ministry Of Health P. O. Box 7272 Kampala MASTER HEALTH FACILITIES INVENTORY, JULY 2012 HEALTH INFRASTRUCTURE DIVISION i GOVERNMENT OF UGANDA Ministry of Health Health Facilities Inventory July 2012 MASTER HEALTH FACILITIES INVENTORY, JULY 2012 HEALTH INFRASTRUCTURE DIVISION ii MASTER HEALTH FACILITIES INVENTORY, JULY 2012 HEALTH INFRASTRUCTURE DIVISION iii TABLE OF CONTENTS FOREWORD.........................................................Error! Bookmark not defined. 1.0 Introduction ...................................................................................................1 2.0 Nomenclature of Health Facilities .......................................................................1 2.0 Status of Health Facilities .................................................................................1 3.0 General guideline for establishment of new health facilities ......................................2 4.0 Detailed Health Infrastructure Inventory ..............................................................3 MASTER HEALTH FACILITIES INVENTORY, JULY 2012 HEALTH INFRASTRUCTURE DIVISION iv 1.0 INTRODUCTION This Health Facilities Inventory has been compiled from information provided by districts through the offices of the District Health Officers, verified by the Resident District Commissioners and / or the Chief Administrative Officers. It covers all the 112 districts of the country. The report has been compiled to: - i. Provide information on the current stock of health care facilities by location, level, ownership and status of functionality as of June 2012. ii. Enable identification of underserved areas and thereby provide a guide for locating and/or siting of new Health Units. It is intended that new construction shall be directed to the underserved areas. iii. To guide effective planning for staffing and rational distribution of medicines and supplies 2.0 NOMENCLATURE OF HEALTH FACILITIES Health facilities in Uganda are classified into seven levels based on the services they provide and the cathment area they are intended to serve. The health facilities are designated as Health Centre level one (HC I) to Health Centre Level four (HC IV); General hospital, Regional Referral hospital and National Referral hospital. The respective services provided at each of the levels and the desired catchment area / populations are as in Table 1. Table 1: Service Delivery by Level of Health Facility. Level of Health Unit Target Services provided population Health Centre I 1,000 Community based preventive and Promotive Health Services. Village (Village Health Teams) Health committee or similar status. Health Centre II 5,000 Preventive, Promotive and Outpatient Curative Health Services, outreach care, and emergency deliveries. Health Centre III 20,000 Preventive, Promotive, Outpatient Curative, Maternity, inpatient Health Services and Laboratory services. Health Centre IV 100,000 Preventive, Promotive Outpatient Curative, Maternity, inpatient Health Services, Emergency surgery and Blood transfusion and Laboratory services. General Hospital 500,000 In addition to services offered at HC IV, other general services will be provided. It will also provide in service training, consultation and research to community based health care programmes. Regional Hospital 2,000,000 In addition to services offered at the general hospital, specialist services will be offered, such as psychiatry, Ear, Nose and Throat (ENT), Ophthalmology, dentistry, intensive care, radiology, pathology, higher level surgical and medical services. National Hospital 10,000,000 These provide comprehensive specialist services. In addition, they are involved in teaching and research. 3.0 STATUS OF HEALTH FACILITIES The status of health facilities has been classified into four categories namely: Functional, Unfunctional, Completed and under construction. Functional refers to facilities that have been operating as of June 2012; Unfunctional refers to facilities that have the basic infrastructure but are not operational for reason such as conflict, lack of staff and equipment, MASTER HEALTH FACILITIES INVENTORY, JULY 2012 HEALTH INFRASTRUCTURE DIVISION 1 and for which there is plan to operationise them in financial year 2012/13; Completed facilities are those which were not operating by June 2012 due to lack of either medicines or staff but are ready to start operations in the financial year 2012/13; while units that are indicated to be under construction are those that are still being developed and shall not carry out service delivery operations in the financial year 2012/13. 4.0 GENERAL GUIDELINE FOR ESTABLISHMENT OF NEW HEALTH FACILITIES The Policy on Health Infrastructure Development is to provide a network of functional, efficient and sustainable Health Infrastructure within walking distance (5 km) to communities. In this regard, developments should be such as to ensure that new health units are located in those areas which are underserved to attain increased accessibility while the major focus is consolidation of the existing facilities so that they can effectively deliver the services outlined in 2.0 at the respective levels. In order to streamline future development in line with the above strategy, Guidelines for Establishment of new and Upgrading of Health Facilities have been developed which can be obtained from the Ministry of Health Headquarters at the Clinical Services Department. Districts are urged to adhere to the guidelines in all future development of health facilities. MASTER HEALTH FACILITIES INVENTORY, JULY 2012 HEALTH INFRASTRUCTURE DIVISION 2 4.0 Detailed Health Infrastructure Inventory MASTER HEALTH FACILITIES INVENTORY, JULY 2012 HEALTH INFRASTRUCTURE DIVISION 3 Table 1. Health Facilities by level and ownership. OWNERSHIP LEVEL OF FACILITY GOVT NGO PRIVATE TOTAL HOSPITAL 64 65 23 152 HC IV 170 15 8 193 HC III 937 272 70 1279 HC II 1696 522 1387 3605 TOTAL 2867 874 1488 5229 MASTER HEALTH FACILITIES INVENTORY, JULY 2012 HEALTH INFRASTRUCTURE DIVISION 4 Table 2. Distribution of Health Units by District, Level and Ownership. HOSPITAL HC IV HC III HC II NO. DISTRICT GOVT NGO PRIVATE GOVT NGO PRIVATE GOVT NGO PRIVATE GOVT NGO PRIVATE TOTAL 1ABIM 100000 3101310 19 2 ADJUMANI 1 0 0 1 0 0 7 3 0 21 0 0 33 3 AGAGO 0 1 0 0 0 0 9 0 0 23 0 0 33 4ALEBTONG000100 4101020 18 5AMOLATAR010100 300610 12 6AMUDAT 010000 200500 8 7AMURIA 000 20 0 86 0 175 0 38 8AMURU 00 0 10 0 52 0 213 0 32 9APAC 100 10 0 92 0 172 0 32 10ARUA 120 40024902551 71 11 BUDAKA 0 1 0 1 0 0 9 2 0 3 3 0 19 12BUDUDA 100000 800430 16 13BUGIRI 100 10 0 90 0 24141 50 14 BUHWEJU 0 0 1 1 0 0 3 0 0 8 4 0 17 15BUIKWE 14 0 00 0 91 0 108 0 33 16 BUKEDEA 0 0 0 1 0 0 5 0 0 9 5 0 20 17 BUKOMANSIMBI 0 0 0 1 0 0 3 3 0 3 3 0 13 18 BUKWO 1 0 0 0 1 0 3 0 0 11 0 0 16 19BULAMBULI0001001000 730 21 20BULIISA 000100 100500 7 21BUNDIBUGYO 100 20 0 51 0 142 0 25 22 BUSHENYI 0 3 0 2 0 0 8 2 0 15 6 0 36 23 BUSIA 1 1 0 1 0 0 7 2 0 20 2 0 34 24 BUTALEJA 1 1 0 0 0 0 12 1 0 10 0 0 25 25 BUTAMBALA 1 0 0 0 0 0 5 3 0 8 3 4 24 26 BUVUMA 0 0 0 1 0 0 3 1 0 5 1 0 11 27 BUYENDE 0 0 0 1 0 0 4 8 0 5 5 0 23 28 DOKOLO 0 0 0 1 0 0 4 0 0 11 1 0 17 29GOMBA 000100 5201100 19 30 GULU 2 1 1 2 0 0 13 1 0 37 16 0 73 31HOIMA 100 21027501350 54 32IBANDA 01 0 20 0 62 0 322 0 45 33 IGANGA 1 0 0 2 0 0 12 2 0 25 14 1 57 34ISINGIRO000 40017403341 63 35JINJA 211 500124034945113 36 KAABONG 1 0 0 1 0 0 6 2 0 25 2 0 37 37 KABALE 1 1 0 7 0 0 16 8 1 65 22 18 139 38KABAROLE 120 30016502184 60 39KABERAMAIDO 010 10 0 71 0 63 1 20 40 KALANGALA 0 0 0 2 0 0 6 0 0 2 1 0 11 41KALIRO 000 10 0 51 0 77 0 21 42KALUNGU010110 630660 24 43 KAMPALA 5 9 14 4 3 7 8 12 50 3 16 1261 1392 44 KAMULI 1 1 0 2 0 0 10 1 0 23 15 1 54 45 KAMWENGE 0 0 0 2 0 0 9 1 0 16 8 0 36 46 KANUNGU 1 1 0 2 0 0 8 1 0 14 20 0 47 47 KAPCHORWA 1 0 0 0 0 0 6 0 1 8 3 1 20 48 KASESE 1 2 0 0 2 1 24 11 9 46 4 7 107 49KATAKWI 100 10 0 62 0 152 0 27 50 KAYUNGA 1 0 0 2 0 0 8 0 0 9 4 0 24 51KIBAALE 100 31015801680 52 52KIBOGA 100 10 0 51 2 122 16 40 53 KIBUKU 0 0 0 1 0 0 7 3 0 6 0 0 17 54KIRUHURA010 20013102020 39 55 KIRYANDONGO 1 0 0 0 0 0 5 3 0 13 0 0 22 MASTER HEALTH FACILITIES INVENTORY, JULY 2012 HEALTH INFRASTRUCTURE DIVISION 5 56 KISORO 1 1 0 3 0 0 13 2 0 14 1 0 35 57 KITGUM 1 1 0 1 0 0 8 0 0 10 1 0 22 58 KOBOKO 0 0 0 1 0 0 5 1 0 8 0 0 15 59 KOLE 0 0 0 1 0 0 4 0 0 5 1 0 11 60 KOTIDO 0 0 0 1 0 0 4 2 0 11 1 0 19 61KUMI 12010060077024 62 KWEEN 0 0 0 1 0 0 8 0 0 7 6 0 22 63 KYANKWANZI 0 0 0 1 0 0 6 1 1 7 4 1 21 64 KYEGEGWA 0 0 0 1 0 0 6 1 0 7 0 0 15 65 KYENJOJO 1 0 0 1 0 0 8 4 0 6 6 0 26 66 LAMWO 0 0 0 2 0 0 7 1 0 13 0 0 23 67 LIRA 1 0 0 2 1 0 9 5 0 10 1 0 29 68 LUUKA 0 0 0 1 0 0 5 2 0 16 4 0 28 69 LUWERO 1 0 1 3 1 0 16 10 1 20 11 1 65 70 LWENGO 0 0 0 3 0 0 4 6 0 9 16 0 38 71 LYANTONDE 1 0 0 0 0 0 4 2 0 14 0 7 28 72 MANAFWA 0 0 0 2 1 0 11 1 0 3 5 0 23 73 MARACHA 0 1 0 0 0 0 9 0 0 3 1 0 14 74 MASAKA 1 1 0 2 0 0 6 2 0 17 3 0 32 75 MASINDI 1 0 0 2 0 0 8 2 4 22 3 1 43 76 MAYUGE 0 1 0 2 0 0 5 0 0 27 7 0 42 77 MBALE 1 2 1 3 0 0 19 3 0 10 7 1 47 78 MBARARA 1 3 2 4 0 0 14 2 0 29 3 0 58 79MITOOMA 00 0 10 0 62 0 94 0 22 80 MITYANA 1 0 0 3 0 0 9 9 0 19 12 0 53 81MOROTO 10000032072015 82 MOYO 1 0 0 1 0 0 11 2 0 22 4 0 41 83 MPIGI 0 1 0 1 0 0 10 11 0 9 1 0 33 84 MUBENDE 1 0 0 2 0 0 13 3 0 43 9 0 71 85 MUKONO 0 1 0 2 1 0 13 1 0 21 6 0 45 86 NAKAPIRIPIRIT .
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    This report may be presented as received by IDRC from Dr MacDonald and Robert Bortolussi. It has not been subjected to peer review or other review processes. This work is used with the permission of Robert Bortolussi and Noni MacDonald. © 2014, Robert Bortolussi and Noni MacDonald. Report from MicroResearch Curriculum Development Meeting April 28-30, 2014 Halifax, Canada Eisha Grant in Halifax presenting outcomes of her research in Uganda 1 Funding and “In Kind” contributions for MicroResearch Curriculum Development Meeting • International Development Research Council (IDRC) Canada • Global Health Research Initiative (GHRI) Canada • Department Foreign Affairs, Trade and Development (DFATD) Canada • IWK Health Centre & Foundation, Halifax, Canada • Department of Paediatrics, Dalhousie University, Halifax, Canada • Tanzanian Training Centre International Health (TTCIH) Tanzania • Mbarara University for Science and Technology (MUST) Uganda • University of Nairobi (UoN) Kenya • With ongoing support to MicroResearch from: Canadian Child Health Clinician Scientist Program Healthy Child Uganda Dalhousie Medical Research Foundation Dalhousie University Makerere University University of Alberta University of Calgary BC Women’s and Children’s Hospital Foundation Canadian Paediatric Society Society of Obstetricians and Gynaecologists of Canada Process Pathways Private donations 2 Background: Poverty, hunger, illiteracy, maternal and child deaths in lower income developing countries (LIDC) are social and health issues that the world began to address in 2000 by pledging to achieve eight Millennium Development Goals (MDGs) by 2015. Building on MDG achievements, the United Nations proposed the Action Agenda for Sustainable Development (2013), including further actions to improve health outcomes. Developing local capacity to sustain and improve on health gains is a challenge since resource limited LIDC bear 25% of the globe’s disease burden with less than 1% of its healthcare professionals (HCP).
  • The Status of Clinical Diagnostic Imaging Services in Uganda's Regional Referral Hospitals

    The Status of Clinical Diagnostic Imaging Services in Uganda's Regional Referral Hospitals

    THE STATUS OF CLINICAL DIAGNOSTIC IMAGING SERVICES: 9(1) 27-36 UMU Press 2011 THE STATUS OF CLINICAL DIAGNOSTIC IMAGING SERVICES IN UGANDA’S REGIONAL REFERRAL HOSPITALS Hillary Onziga*, Everd Maniple# and Vincent Bwete# *Corresponding author. P.O. BOX 10952, Kampala, Uganda or 126, Arua, Uganda. E-mail: [email protected] #Faculty of Health Sciences, Uganda Martyrs University, P.O. Box 5498, Kampala, Uganda Abstract Background: Clinical imaging is an essential component of health care which supports and improves the effectiveness of clinical decision-making. Quality care saves lives and resources of both the patient and the health system. However, many developing countries have neglected diagnostics, especially clinical imaging. Non-use of or poor imaging services lead to wrong diagnosis and treatment, unnecessary health expenditures, and poor health outcomes. Regional Referral Hospitals should have good diagnostic imaging services to provide expert care and bridge the continuum of care by stemming the flow of uncomplicated cases from general hospitals to National Referral Hospitals. Aim: To determine the situation of diagnostic imaging services at regional referral hospitals in Uganda. Methods: A descriptive cross-sectional survey of all the nine Regional Referral Hospitals of Uganda was done in 2007. Environmental inspection of the imaging units, process observation and exit interviews with 156 patients present on the day of the visit were done to assess their satisfaction with the imaging services. Staff were also interviewed. However, quality validation of the imaging outputs was not done. Selected health facilities in the capital Kampala were visited to obtain data on patients referred from upcountry. Five-year hospital records were reviewed for outputs.