Health Sub Programme Grant, Budget and Implementation Guidelines for Local Governments

THE REPUBLIC OF UGANDA

MINISTRY OF HEALTH

FINANCIAL YEAR 2021/22

Foreword These guidelines are issued by the Ministry of Health to Local Governments to provide them with information that is used during budgeting and implementation. Where necessary, there are cross-references to other guidelines and policies which provide more details. The Health Sub Programme grants to Local Governments are divided into six categories: namely, the Conditional Wage Grant, Conditional Non-Wage Grant, the Transitional Development Ad Hoc Grant, Result Based Financing (RBF), Global Fund for Tuberculosis, HIV/AIDS, and Malaria (GFTAM) and The Global Alliance for Vaccines and Immunization (GAVI) Health Systems Strengthening (HSS2) subventions. Local Governments are required to provide timely accountabilities for these grants. During FY 2021/22 the Health Sub Programme will continue to re-prioritize Health Promotion, Disease Prevention, hygiene, and Sanitation and 30% of Non-Wage Recurrent has been earmarked to undertake activities related to these priority areas across the spectrum i.e., Local Government Health Office, District Hospital and each health facility. Lastly, allow me to re-echo my appeal that during FY 2021/22 we all refocus on activities associated with immediate reduction of incidence of communicable and non-communicable disease including public health emergencies like the COVID-19 pandemic, and improving and sustaining high coverage of health care services to reduce the cost of health care in localities using a multisectoral approach. I therefore call upon all Local Government Accounting Officers to ensure that the Health Sector detailed work plans, and estimates are finalized and implemented on time in line with these Health Sub-Programme Grant and Budget Guidelines.

Dr. Diana Atwine PERMANENT SECRETARY

Table of Contents Foreword ...... ii Abbreviations ...... vi Users of the Health Guidelines ...... vii 1. GRANT INFORMATION ...... 8 1.1 Structure and Objectives of the grants in the Health sub-Programme ...... 8 1.2 Linkage to the NDP III and expected Service Delivery Outcomes (Results) ...... 9 2 HUMAN RESOURCE MANAGEMENT ...... 14 2.1 Budgeting for Wage ...... 14 2.1.1 Use of the Wage Grant and Minimum Staffing Service Delivery Standards ...... 14 2.1.3 Principles to guide the prioritization of positions to be filled ...... 14 2.1.4 Procedures and timelines for requesting clearance to fill a position ...... 15 2.1.5 Procedures and timelines for preparation of the recruitment Plan ...... 15 2.1.6 Incorporation into the Annual Workplan (AWP) and Budget (performance contract) ..... 15 2.1.7 Approach to transition and integrate NGO staff in facilities serving refugees into the LG service delivery system ...... 15 2.2 Human Resource Management ...... 15 2.2.1 Procedures for recruitment of staff ...... 15 2.2.2 Circumstances and procedures for requesting for secondment of staff ...... 16 2.2.3 Guidelines for staff deployment including publicizing ...... 16 2.2.4 Procedures for performance Appraisal of staff ...... 16 2.2.5 Performance Improvement/training of staff ...... 16 3 NON-WAGE RECURRENT GRANT ...... 17 3.1 Budgeting for NWR Grant ...... 17 3.1.1 Use of the Grant (Budget Requirements) ...... 17 3.1.2 Minimum Service Delivery Standards ...... 19 3.1.3 Approach to transition and integrate NGO refugee facilities into the LG service delivery system 19 3.1.4 Preparation of AWP and Budget for LGs and LLHFs ...... 19 3.1.5 Incorporation into the AWP and Budget (performance contract on PBS) ...... 20 3.2 Implementation Guidelines ...... 20 3.2.1 Procedures & deadlines for transfer of grants to LLGs & facilities incl. publication ...... 20 3.2.2 Procedures for mobilization of beneficiaries ...... 20 3.2.3 Procedures for monitoring and/or inspecting facilities and LLGs ...... 21 3.2.4 Procedures for supporting LLGs and facilities to address gaps (performance improvement plans) 21 4 DEVELOPMENT GRANTS ...... 22 4.1 Budgeting for Development Grants ...... 22 4.1.1 Use of the Development Grant(s) ...... 22 iii

4.1.2 Minimum quality standards (Infrastructure Standards) ...... 24 4.1.3 Maintaining the Asset Register ...... 25 4.1.4 Principles for selection and prioritization of investments (including access to land) ...... 26 4.1.5 Conducting Desk and Field Appraisals ...... 27 4.1.6 Incorporation of investments into the AWP and Budget (performance contract) ...... 28 4.1.7 Preparation of the Procurement Plan ...... 28 4.1.8 Preparation of Bills of Quantities (BoQs) and standard bidding documents ...... 28 4.1.9 Procurement of Equipment ...... 28 4.2 Guidelines for Implementation of Infrastructure Investments ...... 28 4.2.1 Procedures for carrying out: Environmental, Social and Climate Change Screening or Environment Social Impact Assessment (ESIA) and developing costed ESMP ...... 28 4.2.2 Procurement procedures ...... 29 4.2.2.1 Procurement Procedure for Medical Equipment under Health Development Grant...... 30 4.2.3 Composition and roles of the Project Implementation Team ...... 30 4.2.4 Procedures for conducting site meetings ...... 30 4.2.5 Procedures for supervision of projects including ascertaining compliance to ESMPs ...... 30 4.2.6 Procedures for Certification of Works ...... 31 4.2.7 Payment of contractors ...... 31 4.2.8 Procedures for recording, investigating, responding, and recording grievances ...... 31 Health Facility Grievance Redress ...... 32 District/Municipal/City Grievance Redress ...... 32 5 ANNEXES ...... 34 Annex 1: Health Sub-Programme Output codes and Indicators ...... 34 Annex 2: Staffing Structure for District Health Department ...... 36 Annex 3: Staffing Structure for Municipal Health Department...... 36 Annex 4: Staffing Structure for General Hospital ...... 36 Annex 5: Staffing Structure for Health Centre IV ...... 38 Annex 6: Staffing Structure for Health Centre III ...... 39 Annex 7: Staffing Structure for Health Centre II ...... 39 Annex 8: MoU between the DLG and PNFP Health Service Providers for FY 20….../…...... 40 Annex 9: Guidelines for Integration of Refugee Settlement Health Facilities into the LG Health Systems...... 43 Annex 10: Format for Health Facility Asset Register (Form 1:) ...... 45 Annex 11: Format for Health Facility Application Form for facilities improvements (Form 2) ...... 46 Annex 12: Format for Basic Environment and Social Screening Checklist to Accompany Application ...... 48 Annex 13: Full Environmental and Social Screening Form (ESSF) ...... 49 ANNEX 14: The Main Grievances Avenues for Local Governments ...... 54 Annex 15: Summary of Grants and Selected Subventions ...... 56

Annex 21: Indicative Planning Figures (IPFs) for Construction of Staff Houses for the Upgraded Health Facilities of FY 2018/19 ...... 63 Annex 22: Indicative Planning Figures (IPFs) for Equipment for the Upgraded Facilities of FY 2019/20 ...... 67 Annex 19: Beneficiary List of HC IIs to be Upgraded to HC IIIs Under UGIFT ...... 69 Annex 20: List of Districts with New Construction in Sub Counties with no HC III ...... 71 Annex 18: Beneficiary List for Transitional Development Adhoc for FY 2021/22 ...... 72 Annex 17: LG Indicative Planning Figures (IPFs) for FY 2021/22 for PHC AND Development Grants . 73 Annex 16: URMCHIP RBF Incentives FY 2021/22 ...... 80 Annex 16: Enhancing Health in Acholi (EHA) Incentives FY 2021/22 ...... 86 Annex 16: GAVI Grants FY 2021/22 ...... 88 Annex 16: GFTAM Grant FY 2021/22 ...... 95

Abbreviations AWP&B Annual Work Plan & Budget BOQ Bills of Quantities CAO Chief Administrative Officer DHMT District Health Management Team DDEG Discretionary Development Equalization Grant DHO District Health Office/Officer EHA Enabling Health in Acholi Sub-Region EMHS Essential Medicines and Health Supplies GAVI Global Alliance for Vaccines and Immunization GFTAM Global Fund for TB, HIV/AIDS and Malaria GH General Hospital GoU Government of Uganda GRC Grievance Redress Committee GRM Grievance Redress Mechanism HC Health Centre HRM Human Resource Management HSD Health Sub District HSDP Health Sub Programme Development Plan HUMC Health Unit Management Committee IGFT Inter-Governmental Fiscal Transfer IGG Inspector General of Government IMR Infant Mortality Rate IPF Indicative Planning Figure JMS Joint Medical Stores LGFAR Local Government Finance and Accountability Regulations LLHFs Lower-Level Health Facilities LG Local Government MoFPED Ministry of Finance, Planning and Economic Development MoH Ministry of Health MMoH Municipal Medical Officer of Health MoPS Ministry of Public Service MoLG Ministry of Local Government MTP Medium Term Plan NACME National Advisory Committee on Medical Equipment NDP National Development Plan NMS National Medical Stores NWR Non-Wage Recurrent O&M Operation and Maintenance O/W Of Which OPD Out-Patient Department PFMA Public Finance Management Act PHC Primary Health Care PBS Programme Budgeting System PNFP Private Not for Profit Providers PPDA Public Procurement & Disposal of Assets RMNCAH Reproductive Maternal Neonatal Child and Adolescent Health USF Uganda Sanitation Fund VHT Village Health Teams

Users of the Health Guidelines This document is to provide guidance to LGs for budgeting and implementation of Health Service Delivery activities, utilizing the Primary Health Care (PHC) grants and other Decentralized Health Grants in Financial Year (FY) 2021/22. These guidelines should also be used to prepare and implement Annual Work Plans for both Public and Private-Not-For-Profit (PNFP) facilities.

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1. GRANT INFORMATION This section provides an overview of the Health Sub-Programme grants to Local Governments (LGs) and Health Facilities which are provided for service delivery to achieve Universal Health Coverage (UHC) with emphasis on access, quality, and affordability aspects. The structure and purpose of these grants is explained below.

1.1 Structure and Objectives of the grants in the Health sub-Programme The LG Health Sub-Programme grants structure is as illustrated in Table 1 below.

Table 1: Structure and Objectives of LG Health Sub-Programme Grants

No Grant Purpose 1. Wage Conditional Grant To pay salaries for all Health Workers in the District/Municipal/City service including in Health Facilities and Hospitals. 2. Non-Wage Of which Health Office To fund service delivery operations by the Health Conditional (o/w) PHC Department supervision, management, and Grant epidemic preparedness. PHC Health To fund service delivery operations by the Centres (Gov) Government Health Centres (HC) for prevention, promotion, supervision, management, curative, epidemic preparedness. PHC Health To fund service delivery operations by the Centres Private-Not-For-Profit (PNFP) HCs for prevention, (PNFP) promotion, supervision, management, curative, epidemic preparedness. o/w PHC Hospital To fund service delivery operations by Hospital (Gov) Government Hospitals for prevention, promotion, supervision, management, curative, epidemic preparedness PHC Hospital To fund service delivery operations by PNFP (PNFP) Hospitals for prevention, promotion, supervision, management, curative, epidemic preparedness 3. Development Grant(s) Health Upgrading of HC IIs to HC This will fund the upgrading of HC IIs to HC IIIs in Development IIIs the Sub Counties with no HC IIIs but have HC IIs (IGFT) Grant and construction of new HC IIIs in sub counties with no HC IIIs at all Functioning of Existing This will finance major repairs to health Health Facilities infrastructure and equipping and completion of existing public health facilities and capacity development activities. Transitional Development – Ad Hoc This will continue to fund hospital rehabilitation and other specified capital investments in selected LGs.

For details on budgeting for subventions, see Annex 15

1.2 Linkage to the NDP III and expected Service Delivery Outcomes (Results)

Primary Health Care (PHC), District Hospital Services & Health Management and Supervision are Sub- programs under the Human Capital Development Programme (HCDP) in National Development Plan 2020/21-2024/25 (NDP III). Therefore, the Health Sub Programme efforts will be geared towards attainment of UHC through:  Immediate reduction of incidence, health care burdens and risk factors by; Minimizing occurrence of most of the communicable diseases e.g., malaria, neglected tropical diseaases etc., halting and reversing rising burden of HIV/TB, Non-Communicable Diseases (NCDs), epidemics etc., containing risk factors e.g., sedentary lifestyle, unsafe sex, sexual and Gender- based violence.  improving and sustaining high coverage by provision of; (Reproductive Maternal Neonatal Child and Adolescent Health (RMNCAH) services, health promotion and quality lifesaving interventions, HIV and TB treatment and chronic care, Nutrition, integrate refugee and health services in the affected communities, public health screening and early detection of NCD and urban health.

1.3 Procedures and Guidelines for Allocating the respective Grants across LGs

1.3.1 Wage Conditional Grant

Staff salaries are financed from sector conditional wage grant. The basis of allocation of conditional wage grants across LGs is the salary scales, filled positions, and recruitment plans.

Annually the District Health Officer (DHO)/City Health Officer (CHO)/Municipal Medical Officer of Health (MMOH) is required to budget for all Health Workers in accordance with the staffing norms, as part of the LG budget/performance contract using the Programme Budgeting System (PBS).

In Financial year (FY) 2021/22, the budget allocations for the Wage Conditional Grants in the LGs have been enhanced to cater for the following.

a) Additional wage to all LGs with Health Facility upgrades under Uganda Intergovernmental Fiscal Transfer (UGIFT) Program to cater for recruitment of 10 additional staffs in each of the upgraded HC IIIs. b) The refugee serving health facilities that have been transitioned into Government of Uganda (GoU) aided facilities for 100% recruitment of staffs in these facilities. c) LGs with least staffed Health Facilities to recruit additional staffs other than support staffs to raise their staffing levels up to 75% of the staffing levels.

1.3.2 Non-wage Conditional Grant

The PHC Non-wage Conditional Grant has five (5) subgrants; (i) the PHC DHO/MMHO Non Wage Recurrent (NWR) allocation; (ii) PHC Hospital NWR (PNFP); (iii) PHC Hospital NWR (Government); (iv)PHC NWR (PNFP); and (v) PHC NWR (Government).

A. Allocation of the PHC NWR for Health Facilities across LGs.

To determine the amount of the PHC NWR grant that each LG is allocated, the following 3 steps are followed:

Step 1: The first part of this grant is allocated to each LG to cover the Fixed Minimum Costs by Lower- Level Health Facility (LLHF) level facility as follows:

Table 2: Fixed Minimum Costs by LLHF level

Type Fixed cost (UGX) Government Health Facilities HC II 2,000,000 HC III 4,000,000 HC IV 20,000,000 PNFP Health Facilities HC II 1,000,000 HC III 2,000,000 HC IV 4,000,000

Step 2: After these minimum costs have been catered for, the remainder is allocated across LGs using the formula below:

Table 3: PHC NWR Grant Allocation formula for LLHFs after allocation of the minimum costs

Variable Weighting Set up Rationale/justification (%)

Population1 60% Population represents the overall target beneficiaries and is an indicator of need for health services and the scale of services required.

Poverty Head Count 20% Weighted by Approximates socio-economic goal of population increasing access for poorer communities

Infant Mortality Rate 10% Weighted by Equalizing health outcomes: most of the causes (IMR) population of infant mortality are preventable using Relative+ already proven interventions. These include immunization, ORS, nutrition, and hygiene. Therefore, strengthening the health system will address the causes that enhance disparities in IMR

Population in hard- 10% Mountainous, islands, rivers, etc have peculiar to-reach areas terrain. Provides greater allocations to areas where costs are likely to be high.

Step 3: Total Allocation of the PHC NWR to each LG

The total allocation for each LG is then arrived at by adding the result of step 1 to that of step 2. What each LG gets in step 1 is commensurate to the number of facilities by level and ownership.

1 The population includes refugees in all cases

1.4 Procedures and Guidelines for allocating of the PHC NWR across Health facilities in a LG.

Allocation of the PHC NWR across Health Facilities (HC II - HC IV) within LGs

Out of the total PHC NWR grant that a LG is allocated (based on Step 1 + Step 2, excluding the PHC Hospital NWR grant), 85% is allocated by the respective ratios to facilities based on their type and level as described in Step 1 above.

Note: Apart from the upgraded PNFP facilities, all the budget allocations for PNFP facilities have been kept as of last FY.

Allocation of the PHC NWR for the DHO/CHO/MHO’s Office

Out of the total PHC NWR grant that a LG is allocated based on (Step 1+ Step 2, excluding the PHC Hospital NWR grant), 15% is centrally allocated for DHO/MMHOs/CHOs to use for health services management functions by the District/City/Municipality specifically under the output 0883 in the Program Budgeting System (PBS) for “Health Management and Supervision” following these steps.

a) From the 15% of the total NWR excluding hospital grants, each city/district/municipality is allocated a fixed amount to cater for the minimum cost of running the office as indicated below.

Table 4: Fixed allocation for District/City/Municipality

Office Fixed Allocation (UGX) District Health office 20,000,000 City Health Office 20,000,000 Municipal Health Office 10,000,000

b) After these minimum costs have been catered for, the remainder is allocated across all DHO/CHO/MMOH using the formula below.

Table 5: Allocation formula for District/City/Municipality after catering for the fixed allocation costs

Variable Weighting Infant mortality 5% Poverty headcount 10% Population including refugees 30% Population in hard to reach hard to stay areas 5% Number of HC II, III, IV and Hospitals 50%

Therefore, the total PHC non-wage recurrent grants excluding the hospital grants is allocated as indicated below.

Table 6: Total PHC non-wage recurrent grants excluding the hospital grants

Variable Weight Justification DHO minimum allocation 15% Fixed minimum cost for DHOs Health facility allocation 85% Facility level allocations based on type and weight ownership

B. Allocation of PHC NWR for Hospitals

The catchment populations are used in the allocation of the PHC NWR for General Hospitals, instead of LG populations.

In addition, hospitals are allocated minimum costs. PNFP hospitals in LGs without Government hospitals get an additional Ush.50 million shillings.

Table 7: Minimum PHC NWR allocation for hospitals

Type Fixed cost (UGX) Government Hospital 250,000,000 PNFP Hospital 50,000,000 o/w LG without Government 50,000,000 hospital

After the fixed minimum costs, the remainder is allocated using the formula in the table below. The formula is the same as the PHC NWR formula for LLHFs, except that the population used is the catchment population.

Table 8: PHC NWR Grant Allocation formula for Hospitals after allocation of the minimum costs

Variable Weighting Set up Rationale/justification (%)

Population 60% Hospital Population represents the overall target catchment beneficiaries and is an indicator of need for population health services and the scale of services required.

Poverty Head Count 20% Hospital Approximates socio-economic goal of catchment x increasing access for poorer communities poverty

Infant Mortality Rate 10% Hospital Equalizing health outcomes: most of the (IMR) catchment x causes of infant mortality are preventable infant using already proven interventions. These mortality include immunization, ORS, nutrition, and hygiene. Therefore, strengthening the health system will address the causes that enhance disparities in IMR

Population in hard- 10% Hospital Mountainous, islands, rivers, etc have peculiar to-reach areas catchment x terrain. Provides greater allocations to areas (HTRA) HTRA where costs are likely to be high.

1.4.1 Allocation of Health Conditional Development Grant across LGs - including a performance element.

The Development Grant Allocation formula for 2021/22 has two components:

i. The facilities policy component (costs of up-grading HC II to level III) ii. Allocation drawn from: a. The basic formula whereby the following variables are used in the allocation of the basic component of the PHC development grant:

Variable Weight

Number of existing GoU HC IIIs, HC IVs and Hospitals 50%

Population per GoU or PNFP health facility (Hospital, HC IV, HC III), including refugees 50%

b. The Local Government Performance Assessment (LGPA) - i.e allocation based on the LG Health Sub-program performance assessment results computed as: % of Minimum Conditions met multiplied by the results of the Performance Measures in Health, divided by 100 and then weighted with the amount from the basic formula, as in the table below:

Table 9: LG Development Grant Allocation Formula Grant Ad hoc/core minimum Performance Grant allocations

Basic Performance element (% MC met X PM Formula score/100 then weighted with the basic formula) %age

LG Health Costs for up-grading HC II to 50% 50% Development III (facilities policy component)

To ensure that each score has a meaningful impact, squared LGPA scores are used and are weighted by 50% of the performance component and 50% of the basic formula component.

2 HUMAN RESOURCE MANAGEMENT This section elaborates how LGs are to budget for and deploy staff, performance management, planning and transfer of funds for service delivery and performance improvement. 2.1 Budgeting for Wage LGs are responsible for payment of salaries for staff in health facilities and DHO/MHOs/CHOs. On this basis the DHOs/MMOHs/CHOs are required to ensure that they budget for all health workers in accordance with the staffing norms.

Table 10: Summary of budget requirements for wage

Grant Summary of budget requirements

Wage i. Districts and Municipalities are responsible for payment of salaries of health staff in health facilities and DHO/MHOs/CHOs ii. Salary allocations must be aligned to the filled posts within the approved structure, recruitment plan and salary scales in a given FY. iii. The Health Department must prepare a recruitment plan and submit it to the Human Resource Management (HRM) Department for the vacant positions of health workers and DHO/MHOs/CHOs iv. Hard to reach allowance must be provided for staff in hard-to-reach areas outside town councils and HLG headquarters, in line with the hard to reach framework and schedule designated by the Ministry of Public Service (MoPS)

2.1.1 Use of the Wage Grant and Minimum Staffing Service Delivery Standards The wage grant is for payment of salaries for all Health Workers in the District/Municipal Health Office as well as those in LLHFs Health Facilities (HC IV - HC II) and Hospitals.

As a minimum LGs are required to ensure that the staffing norms are adhered to both in the LG Office staff placements as well as Health Workers at facility level (Refer to Annexes 9 to 14) on the minimum staffing standards and for the eligible positions to be paid for under this grant. To this end the LG Health office should ensure that the health staff are working in facilities where they are deployed.

2.1.3 Principles to guide the prioritization of positions to be filled In filling vacant positions both LG health office and at facility level, LGs should: i. Prioritize filling positions of critical staff. At the LG Health office level these are as in the table below.

Table 11: Critical positions for the LG Health Department

District Municipality District Health Officer Medical Officer of Health services / PMO Assistant DHO, Child Health and Nursing Principal Health Inspector Assistant DHO Environmental Health Health Educator Principal Health Inspector (Senior Environment Officer Senior Health Educator Biostatistician Cold Chain Technician

ii. Prioritize health facilities with lower staffing relative to the staffing norms to have at least 75% of the technical staff required, in accordance with the staffing norms as per Annexes 10 to 14.

2.1.4 Procedures and timelines for requesting clearance to fill a position To achieve completely new recruitment(s), LGs2 are required to submit requests against their wage bill analyses by 30th September of the current FY to the Ministry of Public Service (MoPS) for approval of positions to be filled in the subsequent FY. Based on the results of this analyses, the LG can then either prepare a recruitment plan or request for a supplementary and submit to MoFPED and MoPS by December of the same year. To this end, the LG Health office should ensure timely submission of their recruitment plans to the LG HRM department, which consolidates this with those of other departments, for onward submission to the MoPS for approval. 2.1.5 Procedures and timelines for preparation of the recruitment Plan The LG Health office should ensure timely submission of their recruitment plans to the LG HRM department, which consolidates this with those of other departments, for onward submission to the MoPS for approval. 2.1.6 Incorporation into the Annual Workplan (AWP) and Budget (performance contract) The list of health staff as recruited and deployed should be incorporated in the AWP and rhyme with that in the LG Performance Contract on the PBS. 2.1.7 Approach to transition and integrate NGO staff in facilities serving refugees into the LG service delivery system3 The UgIFT Medium-Term Plan (MTP) includes an allocation earmarked for the transition of non- government refugee (and host) serving health facilities in Refugee-Hosting LGs to the government system (see table 12). The budget ceiling is constant over FY 2021/22 - 2023/24 at approximately Ushs. 2.3 billion a year.

Table 12: UgIFT Budget Ceiling for Health Facility Transition

Item FY 2021/22 FY 2022/23 FY 2023/24 Wage (UGX) 2,299,958,741 2,299,958,741 2,299,958,741

This allocation is entirely dedicated to cover the staffing costs of health workers in NGO Refugee serving health facilities transitioned to the GoU systems. The operating costs of these facilities will be covered out of the existing budget ceiling for the Conditional NWR Health Grant. 2.2 Human Resource Management This section provides guidance to LGs on budgeting for, actual recruitment and deployment of health staff as well as performance management. 2.2.1 Procedures for recruitment of staff LGs are required to budget for all health workers in the PBS as part of the performance contract and in accordance with the staffing norms (Annexes 2 to 7).

2 Submission is to be done by signature of the CAO/TC of the given LG 3 A separate guidance note will be issued to Refugee hosting LGs only for this purpose.

2.2.2 Circumstances and procedures for requesting for secondment of staff Where a LG fails to attract or recruit critical staff, it should formally request for secondment from the MoH. 2.2.3 Guidelines for staff deployment including publicizing Local Governments are required to:

i. Deploy health workers as per guidelines; all health facilities should have at least 75% of the technical staff required. ii. Ensure that health workers are working in facilities of their deployment. iii. To publicize health worker deployment for purposes of community awareness, transparency and minimizing absenteeism. This should be done by display of names and positions of all health workers on the noticeboards of their respective facilities of duty. 2.2.4 Procedures for performance Appraisal of staff As part of staff performance management, DHOs/MHOs/CHOs are required to:

i. Conduct annual performance appraisal of the health office staff as well as all the health facility in-charges, against the agreed performance plans, and submit copies of the appraisal reports to the LG Human Resource Office. ii. Ensure that Health Facility In-charges conduct performance appraisal of all health facility workers, against agreed performance plans and submit copies of the appraisal reports through the DHO/MHO/CHO’s office to the LG Human Resource Office.

2.2.5 Performance Improvement/training of staff To register improvements, sustain continuous effectiveness and contribute to efficiency in health service delivery, LGs should plan for and conduct training of health workers (continuous professional development) in accordance with the training plans. The training activities require to be documented in a database for follow up and replanning.

3 NON-WAGE RECURRENT GRANT 3.1 Budgeting for NWR Grant To access conditional grant funding, LGs are required to adhere to several requirements relating to the budget allocation and utilization of the PHC NWR grant as outlined below. 3.1.1 Use of the Grant (Budget Requirements)

Table 13: Summary of budget requirements for PHC NWR Grant

Grant Summary of budget requirements

PHC NWR - Health Office A maximum of 15% of the NWR Budget (excluding PHC Hospital NWR Grant) can (District/City/Municipal) be allocated to the Health Office and used for:

i. Management and oversight of health service delivery operations by the LG health department led by the District/ Municipality / City Health Offices, under output 0883- Health Management and Supervision. ii. LG level Public Health Promotion and Education; Environmental Health, Sanitation and Hygiene and preparation of procurement plans for medical supplies for LLHFs is the responsibility of the District / Municipal/City Health Office under the following outputs: o Output: 088101 Public Health Promotion: LGs are required to allocate at least 30% of the Health office budget to health promotion, education and prevention activities. o Output: 088104 Medical Supplies for Health Facilities o Output: 088106 Promotion of Sanitation and Hygiene and any Lower Local Services Outputs where documentation can show what the money is being spent on, relating to sanitation and promotion

PHC NWR - Health  The total allocation to lower-level facilities (HC II, HC III, HC IV) must be at Facilities least 85% of the PHC NWR (excluding PHC Hospital NWR Grant)  PNFP health facilities which meet the eligibility criteria are funded from the window of NWR grant for PHC and must sign a Memorandum of Understanding (MoU) with the LG (See sample of MoU in Annex 8).

The operating cost of public LLHF (HC IV, HC III & HC IIs)

 For each public LLHF, in addition to the funding appropriated under the LG NWR grant, an Essential Medicines and Health Supplies (EMHS) budget allocation will be appropriated under National Medical Stores (NMS) for FY 2021/22. This is budgeted outside the PHC NWR Grant.  LGs and General Hospitals will be required to make annual procurement plans and order for the EMHS in line with the guidelines and schedules from NMS.  The following items should be planned for under PHC NWR Grants by public health facilities: Employee costs (other than Wage), Administrative expenses, Food supply, Medical and office equipment, Operation and maintenance, Utilities, Cleaning services, Material supplies and manufactured goods, Training costs, Outreaches, Monitoring, supervision and reporting, Property costs.

Grant Summary of budget requirements

 The activities to be undertaken by the public LLHFs are to be integrated in the LGs BFP and the AWP&B for the LGs for FY 2021/22.  The public LLHFs are required to comply to the accounting and financial arrangements stipulated in the LGFAR 2007, the PPDA 2005, PFMA 2015 and the LGA Amendment 2008 to guide financial management, reporting and accounting procedures.

The operating cost of PNFP LLHF (HC IV, HC III & HC IIs)

 PNFP health facilities are funded from the window of NWR grant for PHC.  Only PNFP (NGO or CBO) health facilities which meet the eligibility criteria and have been approved by the MoH should be allocated PHC funds.  All eligible and approved PNFP (NGO or CBO) health facilities must sign a Memorandum of Understanding (MoU) with the respective LGs.  For each PNFP facility, in addition to the funding appropriated under the LG grant, additional funding equal to the LG grant funding will be appropriated under MoH and will constitute a medicines credit line facility at Joint Medical Stores (JMS) for FY 2021/22. This is budgeted outside the PHC NWR Grant.  The PNFP health facilities will be required to make and submit half annual procurement plan for EMHS from JMS based on quarterly budgets and guidelines from JMS and MoH.  The following items should be planned for under PHC NWR Grants by PNFP health facilities: Employee costs (other than Wage), Administrative expenses, Food supply, Medical and office equipment, Operation and maintenance, Utilities, Cleaning services, Material supplies and manufactured goods, Training costs, Outreaches, Monitoring, supervision and reporting, Property costs  The activities to be undertaken by the PNFP health institutions are to be integrated in the LGs BFP and the AW&B for the LGs for FY 2021/22.  The PNFP facilities are required to comply to the accounting and financial arrangements stipulated in the LGFAR 2007, the PPDA 2005, PFMA 2015 and the LGA Amendment 2008 to guide financial management, reporting and accounting procedures. In addition, sub annexes to the guidelines provide specific formats for monthly and annual reporting as well as cash books.

PHC NWR-Hospitals The operating costs of running hospitals both government and PNFP

 All hospital grants must be transferred directly to the hospitals.  Only PNFP (NGO or CBO) hospitals which meet the eligibility criteria and have been approved by the MoH should be allocated PHC funds.  PNFP hospitals in LGs without Government hospitals (and hence operating as government facilities) get an additional Ush.50 million shillings.  PNFP hospitals are funded from the window of NWR grant for hospitals.  For each PNFP hospital, in addition to the funding appropriated under the LG grant, additional funding equal to the LG grant funding will be appropriated under MoH and will constitute a medicines credit line facility at JMS for FY 2021/22. This is budgeted outside the PHC NWR Grant.

Grant Summary of budget requirements

 The PNFP hospitals will be required to make and submit half annual procurement plan for EMHS from JMS based on quarterly budgets and guidelines from JMS and MoH.

3.1.2 Minimum Service Delivery Standards LGs shall implement activities and deliver their mandated in conformity with the MoH Service Delivery Standards issued in June 2016, which prescribe the agreed minimum inputs and processes. On this basis, the budgeting and planning process for all health infrastructure investments must consider and adhere to the various minimum standards as prescribed therein.

3.1.3 Approach to transition and integrate NGO refugee facilities into the LG service delivery system

In FY 2021/22 a total of 15 NGO refugee health facilities will be transitioned into the LG service delivery system (i.e. management and funding).

Table 14: Transitioned health facilities in FY 2021/22

No. Transitioned 2021/22 DISTRICT

1. Ayilo 2 HC II Adjumani 2. Ayilo 1 HC III 3. Ayiri HC III 4. Ayivu HC III Yumbe 5. Bangatuti HC III 6. Bidibidi HC III 7. Jomorogo HC III 8. Komgbe HC III 9. Okubani HC III 10. Swinga HC III 11. Yangani HC III 12. Yayari HC III 13. Bellle HC III Obongi 14. Idiwa HC III 15. Luru HC III

The respective LGs will request for supplier numbers for the transitioned health facilities so that they can access the funding from government.

Guidelines have been provided to refugee hosting LGs to enable budgeting for the PHC NWR grants to support operational costs for transitioning of selected facilities (Annex 9). 3.1.4 Preparation of AWP and Budget for LGs and LLHFs Using part of the allocation the PHC NWR grant towards the LG Health office, DHO/MHO/CHOs and LLHFs are required to develop annual workplans based on the health sub programme priorities. Following Joint Review Mission, the following should be done:

i. Use the annual district or health facility performance report and planning tools to identify the performance gaps. ii. Identify health system bottlenecks and priority interventions to be implemented. iii. Determine activities to be implemented within the available resources detailing out the activities that cannot be funded within the available resources. iv. Develop the AWP and budget.

3.1.5 Incorporation into the AWP and Budget (performance contract on PBS) LGs are required to include the budget for all health facilities receiving the PHC NWR grant (both GoU and PNFP) in their AWP and Budgets (performance contracts). It is required that the list of health facilities receiving the PHC NWR grant is identical to the one in the budget, as reflected in the PBS. In case of anomalies, the Chief Administrative Officer (CAO) / Town Clerk (TC) is responsible to notify the MoH in writing by 30th September if the health facility has been listed incorrectly or missed in the previous FY.

3.2 Implementation Guidelines 3.2.1 Procedures & deadlines for transfer of grants to LLGs & facilities incl. publication LGs are required to ensure that funds budgeted for service delivery are timely transferred to LLHFs by:

i. Carrying out timely warranting/verification of the PHC NWR grants to health facilities during the FY. Timely warranting for a LG means five (5) working days from the date of receipt of releases from MoFPED. ii. Invoicing and communicating all PHC NWR grant transfers within five (5) working days from the date of funds release in each quarter iii. Publicizing all health facilities receiving the PHC NWR grant and the quarterly financial releases to all health facilities within five (5) working days from the date of receipt of the expenditure limits from MoFPED by, for example, posting on public notice boards.

3.2.2 Procedures for mobilization of beneficiaries One of the priorities of the MoH is to prevent Ugandans from diseases and ensure a productive population. However, over time, the above has not yielded the expected outcomes, and subsequently resulted into unnecessary health care costs.

To address the challenges related to the high diseases burden, in FY 2021/2022 the MoH is prioritizing community-based health promotion, education and prevention programs to workplaces, schools, vulnerable urban and rural communities.

It is again at this background that during the budgeting for FY 2021/22, LGs are required to:

i. Use part of their PHC NWR allocation for District/Municipal/City Health office to plan and implement health promotion and prevention activities (see summary of budget requirements above) ii. Ensure that the District/Municipal/City Health Teams develop work plans for and lead health promotion, disease prevention and social mobilization activities. These activities should be conducted to target community-based health promotion, education, and prevention programmes activities at GH level, District/City/Municipal Health offices and LLHFs. Activities undertaken should include sensitization on Public Health Protocols, environmental health, sanitation and hygiene promotion, Sanitation Day activities, family planning, among others.

3.2.3 Procedures for monitoring and/or inspecting facilities and LLGs Using part of the allocation the PHC NWR grant towards the LG Health office, DHO/MHO/CHOs should ensure that the LG Health departments: i. Carry out quarterly monitoring and provide hands on quarterly integrated support supervision to all HC IVs and General Hospitals and technical supervision to all health facilities, including PNFPs ones receiving the PHC NWR grants. ii. Ensure that the Health Sub Districts (HSDs), where these exist, carry out quarterly oversight, monitoring and provide hands on support supervision to all lower-level health facilities, including PNFPs receiving the PHC NWR grants. iii. Provide support to all health facilities in the management of medicines and health supplies. iv. Provide written and facility specific feedback to health facilities, focused on addressing identified weak areas. v. Use the outcome of these monitoring and support supervision visits as a basis for actions taken by the DHMT to address identified weaknesses. vi. Hold quarterly performance review meetings involving all health facility In-charges, implementing partners, DHMTs, key departments e.g Community Development, Education and Water (WASH) to discuss district performance and key challenges.

3.2.4 Procedures for supporting LLGs and facilities to address gaps (performance improvement plans) Based on the results of the LG Performance assessment, DHMT monitoring and support supervision reports the health departments are required to develop a performance improvement plan (PIP) for the weakest performing health facilities. This will require:

i. Assigning DHMT members to do analysis of the causes of the weak performance. ii. Collection and analysis of facility specific monitoring and support supervision reports iii. Holding physical discussions with facility in-charges and staff iv. Preparation of appropriate materials/guidance for supporting and training facility staff v. Administering appropriate performance improvement support e.g on the job hands-on support, peer learning etc. vi. Preparation of PIP reports as a basis for follow up and progressive improvement.

4 DEVELOPMENT GRANTS 4.1 Budgeting for Development Grants To access the health conditional development grant funding, LGs are required to adhere to requirements relating to the budget allocation and utilization as outlined below. 4.1.1 Use of the Development Grant(s) In the medium term, as directed by His Excellency the President, the Health Sub-Programme Development (IGFT) Grant will be focused on funding:

i. The upgrading of HC IIs to HC IIIs in the Sub Counties with no HC IIIs but have HC IIs and establishing a functional HC III per Sub County, where there is none across the country. ii. Rehabilitation, completion of health infrastructure in and equipping of existing public health facilities. iii. Capacity development activities.

Other eligible activities for LGs to use the Health Development Grant include:

Table 15: Eligible activities for LGs Health Development Grant

LG Mandated Services Eligible Activities

District Hospital and PHC 088155 – Standard pit latrine construction (incl. rehabilitation and emptying)

088156 – Hand washing facility installation

088182 – Maternity Ward construction and rehabilitation

088184 – Theatre construction and rehabilitation

088281 – Staff houses construction and rehabilitation.

088283 – OPD and other ward construction and rehabilitation

LGs must not budget for activities specified as ineligible expenditures for capital investment.

Table 16: Eligible and ineligible activities under the Development Grant

Eligible activities/Service delivery Ineligible activities: LGs cannot use the health infrastructure and equipment development grant funds for: o HC III, IV o Construction of new HC IIs o OPD block o Recurrent cost activities; o Maternity ward o Purchase and repair of vehicles; o Female ward o Projects with unsettled land issues o Male ward o Private goods and private business with o Operating theatre (HC IV) exclusive options for utilization o Drug store o All kinds of credit schemes and insurances, o Mortuary guarantees etc.

o Staff houses o Projects which have a detrimental o Toilets/pit latrines & bathrooms environmental/and or social impact o Medical waste pit o Projects which are not following public design o Water source standards o Medical equipment o Furniture o Electricity (grid or solar) o Fencing

Budget requirements

All health infrastructure and equipment budgeted for must:

o Be approved by: (a) Chair of the Health Unit Management Committee (HUMC) or Hospital Management Board; (b) the in charge of the health facility; and (c) the village (LC1) and district/municipal/city councilor for the area in which the health facility is located using the form specified in the sub annexes of these guidelines. o Be accompanied by (a) duly filled application form which is accompanied by (b) a completed environmental and social safeguards checklist and (c) evidence of land availability.

Table 17: Summary of budget requirements for Health Development Grants

Grant Summary of budget requirements

PHC From the allocation for facility upgrades: Development  LGs must budget at least 95% of the value of their Health Sub Programme Grant Development allocation for “Upgrading of HC IIs to HC IIIs or construction of facilities”, unless otherwise agreed with the MoH. This should be budgeted for under the outputs (088180 - 088185).  A maximum of 5% can be budgeted for investment servicing costs for the construction of those facilities. These may be spent under the following items: o 281501 Environment Impact Assessment for Capital Works; o 281502 Feasibility Studies for Capital Works; o 281503 Engineering and Design Studies & Plans for Capital Works; o 281504 Monitoring, Supervision & Appraisal of Capital Works.  Of the 5% above at most 2.5% of the allocation for capital outputs should be used for monitoring and supervision of projects under the item: 281504 Monitoring, Supervision & Appraisal of Capital Works.

From the maintenance component of the grant:

If the maintenance funding (formula and performance allocation of the Health Development Grant) exceeds UGX 300,000,000/= the LG shall be required to submit their work plan and budget to the MoH to obtain a No objection for the planned investments.

Grant Summary of budget requirements

 Upto 20% shall be allocated for the repair of medical equipment by the Regional Equipment Workshop under the Regional Referral Hospital.  Upto 20% shall be allocated for replacement of small medical equipment and medical furniture.  Upto 60% shall be allocated for upgrade and new construction including Geotechnical Investigation on the selected sites, maintenance of buildings, completion of unfinished structures and provision of auxiliary structures for support services.

4.1.2 Minimum quality standards (Infrastructure Standards)

The National Health Policy specifies the following as the nationally agreed minimum health facility population ratio (Table 16) as well as the basic infrastructure requirements per level of health facility (Table 17), to be used in the delivery of health services. The basic equipment requirements and specifications per level are also provided in the MoH National Medical Equipment Policy Detailed Technical Specifications per Health Care Level (Genera Hospital and HCs) available on the MoH website www.health.go.ug.

Therefore, the budgeting and planning process for LG health infrastructure investments to be funded either using the health development grant or the Discretionary Development Equalization Grant (DDEG) should take these into account.

Table 18: National Health Facility Availability Standards

Type of Facility Health Facility Population Ratio standard

National Referral Hospital 1: 10,000,000

Regional Referral Hospital 1: 3,000,000 or 1per region

General Hospital 1: 500,000 or 1 per District

Health Centre IV 1: 100,000 or 1 per county

Health Centre III 1: 20,000 or 1 per sub-county

Health Centre II 1: 5,000 or 1 per parish

Health Centre I/ VHT 1: 1,000 or 1 per village

Table 19: Basic Infrastructure Requirements per Level of Health Facility Level of Health care Basic infrastructure requirements

Hospital Medical Buildings - Out Patient Department - Administration Offices - Operation Theatre [2 rooms] - Female Ward [at least 15 beds] - Pediatric Ward [at least 15 beds] - Maternity Ward [at least 15 beds] - Male Ward [at least 15 beds] - Mortuary - Placenta Pit and Medical Waste Pit - Incinerator Staff houses - 80 No. Housing Units Health Centre IV Medical Buildings - Out-Patient Department - Drug Store with Administration Office - Operation Theatre - General Ward Maternity Ward - Mortuary - Placenta Pit and Medical Waste Pit - Incinerator Staff houses - 18 No. Housing Units Health Centre III Medical Buildings - Out-Patient Department - Maternity ward - General Ward - Placenta Pit & Medical Waste Pit - Incinerator Staff houses - 10 No. Housing Units Health Centre II Medical Buildings - Outpatient Department - Emergency Delivery room - Placenta Pit - Medical Waste Pit Staff houses - 4 No. Housing Units

4.1.3 Maintaining the Asset Register To guide the prioritization and selection of investments, LGs are required to maintain an up-to-date asset register of health facilities and their condition using the PBS where possible. The asset register should set out health facilities and equipment relative to the basic standards – (refer to Form 1 in Annex

10 to these guidelines). The register should be compiled from the annual health facility health infrastructure inventory reports HMIS 101: Health Unit Physical Inventory. 4.1.4 Principles for selection and prioritization of investments (including access to land) The process of selection and prioritization of investments should consider:

i. Wide consultation at the Subcounty/Division and facility level for a request to be generated for health facility infrastructure and equipment using the application Form 2 in the Annex 11. ii. From the applications made and the asset register, the LG should prepare a prioritized list of investments to be constructed over the next three years and select those investments that can be implemented with available resources in the budget year being planned. iii. LGs must follow the MoH guidelines on upgrading and accreditation of health facilities. A LG must receive written authorization from MoH before budgeting for a new health facility to be constructed, or an existing one to be upgraded. To facilitate this process, the MoH has prepared a list of HC IIIs which have been pre-authorized for construction or upgrading during FY 2021/22. iv. All health infrastructure and equipment budgeted for must be accompanied by: a. A duly filled application Form in Annex 11 approved by: (a) Chair of the HUMC (if the facility exists) or Hospital Management Board; (b) the In charge of the health facility; and (c) the village (LC1) and District/Municipal/City Councilor for the area in which the health facility is located. b. A completed basic environmental and social safeguards checklist (Annex 12) c. Evidence of land availability d. Detailed project profile and work plans for the projects to be undertaken in FY 2021/22. v. The “Upgrading Health Centre” window of the Health Development Grant and other funding sources may be used for upgrading and new health facility construction on the following priority order: a. The priority will be to upgrade HC IIs to IIIs in Sub Counties without a HC III or higher- level health facility. Currently, 250 out of 285 Sub Counties with no HC III but have a HC II have been upgraded under this program. In FY 2021/22, 46 HC IIs will be upgraded and equipped out of remaining 89 subcounties. b. Additionally, funds under the development grant have been provided for equipping of the upgraded HC IIs to HC IIIs. The facilities upgraded in FY 2018/2019 shall be partially equipped by URMCHIP and GoU (beds, mattresses and beddings). The equipment for facilities upgraded in FY 2019/2020 has been budgeted for in the FY 2021/2022 at Ug.Shs 180,000,000/- each facility. c. Next is to construct new HC IIIs in Sub Counties with no health facilities at all. Currently, there are 132 Sub Counties with no health facilities at all. In the FY 2021/22, 12 Sub Counties have been selected for construction of New HC IIIs. The rest will be constructed subsequently as the funds are made available. d. Thirdly, in large and highly populated sub counties, additional new HC IIIs shall be constructed to attain a 5km walking distance to a health facility. Other geographical features like islands, mountainous areas will be considered in the allocation of HC IIIs. vi. Capital allocations will also be made to the functioning of existing health facilities which should be prioritized as follows: a. First, rehabilitating, completing, and equipping existing facilities in lower LGs with HC IIIs which serve more than 20,000 people where there are gaps in basic buildings’ requirements and equipment.

b. Secondly, upgrading HC IIs, completing, expanding existing or constructing new HC IIIs in LLGs which have either have no HC IIIs or where HC IIIs on average serve less than 20,000 4.1.5 Conducting Desk and Field Appraisals

i. Desk appraisal includes examining the proposed projects against the following criteria, short of which they do not qualify: a) Must be derived from the approved LG Development Plan and included in the AWP and budget of the LG b) Investment(s) prioritized must be eligible for funding using either the health development grant(s) or the DDEG. c) Financial feasibility-checking the cost of the proposed investment against the funds available to the LG in the budget FY (and realistic projection if phased in a multi-year manner). d) Project profiles for the proposed investments, with costing developed as per the LG planning guidelines ii. Field appraisal includes visiting the proposed areas of location of the investments and examining them against the following criteria, short of which they do not qualify: a) Technical feasibility-this involves checking among others, whether: (i) the proposed project aims to satisfy the needs envisaged at conception; (ii)whether the proposed project can be delivered using the available materials whether in the locality or the market within the budget resources provided. b) Environmental and social acceptability4 screening checklist which includes: c) Environmental screening and proposed mitigation measures for identified risks by the LG Environment Officer involving: . Project site selection-involving checking if the generic designs for the various infrastructure investments must be customized to suit site conditions . planning and screening (including screening for climate change) . Preparation and implementation of Environmental and Social Management Plans (ESMP) . Waste management in an environmentally safe manner . Scope for proper drainage of wastewater . Scope for protection of beneficiaries and catchment area from pollution . Scope for management of borrow pits, if applicable . Feasibility for post construction sites management e.g. re-vegetate eco- systems d) Social, health and safety screening and proposed mitigation measures for identified risks by the CDO and/or Labor Officer, involving: . Ascertaining land acquisition and proof of ownership, access, and availability . Appraise if the target community are positively responsive to the proposed intervention (community engagement procedures were followed in selection) . Training of workers on health and safety . Social, health and safety reporting checklist for LGs completed

4 Refer to detailed guidelines of Environmental Safeguards and Social, Health and Safety issued by MoWE/NEMA & MoGLSD respectively; checklists for screening of subprojects for environmental and social safeguards.

4.1.6 Incorporation of investments into the AWP and Budget (performance contract) LGs are required to ensure that the prioritized health investments for a given FY are in the AWP, with a corresponding Budget allocation in the performance contract reflected in the PBS. This is done by isolating out the identified priorities for the FY being planned for from the LG five-year rolling- development plan.

4.1.7 Preparation of the Procurement Plan LGs should ensure that all health contracts are procured and managed as per Section 58 (4) of the PPDA Act, 2003. To this end the DHO/MHO/CHO is required to submit all the health infrastructure and other procurement requests to the LG Procurement and Disposal Unit (PDU) by the 30th April of the year the investment is due, for incorporation into the approved LG annual work plan, budget and procurement plans.

4.1.8 Preparation of Bills of Quantities (BoQs) and standard bidding documents Preparation of bidding documents, including development of evaluation criteria, bills of quantities, etc will be done jointly between MoH and LGs under the “hybrid” procurement approach. LGs should ensure that the ESMPs are incorporated in the BoQs, bidding and contractual documents for all health infrastructure projects. 4.1.9 Procurement of Equipment LGs should ensure that all equipment to be procured is approved by the Health Infrastructure Department of the MoH. This is so that the Ministry can submit the specification to the National Advisory Committee on Medical Equipment (NACME) for approval. This is to ensure standardization of all equipment across the Health sector. No procurement of equipment should be carried out without a “No objection” from the MoH.

Procurement of Equipment under the UgIFT funding will be carried out centrally. It will be divided into 4 Lots covering the Regions of Central, Western, Eastern and Northern with lead the lead LG being the ones delegated in the procurement of Civil works of the Upgrade of facilities. The standard Bidding document will be prepared by MoH with specifications approved by NACME and the tender will be advertised by the MoH. The Evaluation committee shall comprise of the DHO/MHO/CHO and Procurement officer from the beneficiary LG and a Biomedical Engineer from the MoH.

4.2 Guidelines for Implementation of Infrastructure Investments 4.2.1 Procedures for carrying out: Environmental, Social and Climate Change Screening or Environment Social Impact Assessment (ESIA) and developing costed ESMP5

Prior to procurement of any investments, and preferably during budget preparation, the LG must ensure that it has carried out environmental, and climate change screening/Environment Social Impact Assessments where applicable, in accordance with the guidelines. This includes: i. Ensuring that the Environmental Officer and CDO have visited the site to carry out the exercise ii. Completing the environmental and social screening Forms (refer to Annex 12 and 13)

5 Refer to detailed guidelines of Environmental Safeguards and Social, Health and Safety issued by MoWE/NEMA & MoGLSD respectively; checklists for screening of subprojects for environmental and social safeguards.

iii. Environmental Social Impact Assessment reports (ESIAs) iv. Where risks are identified, mitigation actions and the responsible parties must be identified, and appropriate mitigation plans put in place.

Refer to detailed guidelines of Environmental Safeguards and Social, Health and Safety issued by MoWE/NEMA & MoGLSD respectively; checklists for screening of subprojects for environmental and social safeguards.

4.2.2 Procurement procedures All procurement must be done in accordance with PPDA Regulations 2017 and in reference to Circular No.3 of 2019 on the implementation of procurements under the Intergovernmental Fiscal Transfer Program for Results (attached herein). The synopsis of some of the provisions is outlined below; however, materials are available at https://www.ppda.go.ug/ and any subsequent PPDA communication, are definitive and final. 1. The procurement to be done must be incorporated in the LG Procurement Plan. 2. The Constructions shall be clustered or lotted and the LGs in each lot shall select a Lead LG. The implementing LGs shall issue proper delegation of activities to the Lead LG in writing using the draft letter prepared by the PPDA. (Find it attached herein). 3. The following shall be the responsibilities of a LG. (i) Issuance of the bidding documents; (ii) Holding of pre-bid meetings in collaboration with the Line Ministry; (iii) Issuance of clarifications; (iv) Receiving and opening of bids; (v) Evaluation of the bids; (vi) Award of the contracts; (vii) Issuance of a Notice of the Best Evaluated Bidder (NoBEB); (viii) Communication of award decisions to all implementing LGs at expiry of No BEB; (ix) Obtain Solicitor General approval after expiry of NoBEB period and where no Administrative Review is pending with clearance from the Line Ministry where required; (x) Requesting for extension of bid validity and security; (xi) Handling of Administrative Reviews.

The Lead lg PDU shall maintain a complete record of the procurement process which shall be shared with all implementing Local Governments.

4. The following are the responsibilities of the lg (i) Nomination of three representatives from the Engineering/Works Department, Health Departments or the Procurement and Disposal Unit (PDU) as members of the Evaluation Committee; (ii) Signing of contracts to the awarded providers; (iii) Contract implementation and management in collaboration with the Line Ministry.

5. The following shall be the responsibilities of the Line Ministries. (i) Identification of the site location for construction of the works; (ii) Requisition for works; (iii) Preparation of the statement of requirements (The Bills of Quantities (BoQs) should incorporate measures to mitigate social and environment impacts); (iv) Preparation of the bidding document in consultation with the implementing Local Governments; (v) Advertisement of the bid notice.

(vi) Lead/oversee the evaluation of the Bids (vii) Oversite monitoring of the implementation of the projects.

4.2.2.1 Procurement Procedure for Medical Equipment under Health Development Grant. The procurement of medical equipment under the UgIFT P4R shall follow the same procedure as outlined above. However, the following shall differ in procedure:

(i) The beneficiary Local Governments shall be lotted into only four lots according to the Regions. Therefore, only four suppliers shall be contracted to supply the medical equipment; (ii) The Lead Local Government shall remain as the one nominated in the exercise above; (iii) Local Government shall nominate only two members to the evaluation committee. The DHO/MO and a member of PDU of the Local Government. The Ministry shall then nominate a Biomedical Engineer to handle the technical evaluation of the bids. 4.2.3 Composition and roles of the Project Implementation Team The LG Accounting Officer shall establish a Project Implementation Teams (PIT) for all health projects composed of: Project Manager (LG Engineer), Contract Manager (DHO/MHO), Environment Officer, Community Development Officer & Labor Officer and Clerk of Works. 4.2.4 Procedures for conducting site meetings LGs are required to hold monthly site meetings chaired by the CAO/TC and comprised of the SAS, the designated project and contract managers, chairperson of HUMC, in-charge of beneficiary facility, the Community Development, Environment and Labor Officers.

To enhance transparency and accountability:

 At the LG level, the health facilities selected for upgrade, re-construction or construction shall be disseminated as widely as possible.  At the health facility level, HUMC will publicly display all incomes and expenditures. HUMC will also be responsible for day to day supervision of works on behalf of the LG; and to conduct monthly site meetings for each of the projects.

4.2.5 Procedures for supervision of projects including ascertaining compliance to ESMPs The Project Implementation Team shall carry out supervision of projects as follows:  The Project Manager will be responsible for supervising works sites at each of the critical stages of construction and issue payment certificates for satisfactorily executed works. S/he will among others, ascertain compliance to the following technical requirements: o Conformity to the structural designs o Conformity to the architectural drawings o Conformity to the required specifications o Timeliness o Cost control  The Contract Manager shall be responsible to ensure a smooth implementation of the Project  The Environment, CDO and Labor Officers shall confirm that environmental and social safeguards requirements have been implemented satisfactorily prior to issuance of the certificate of completion of works and payment to contractors. They will among others, ascertain compliance to the following EHSS requirements: o Minimal vegetation clearing; revegetating cleared areas as quickly as practicable. o Ensuring proper site drainage.

o Proper solid waste management: stripped soil (overburden) used for site restoration and landscaping, rather than being dumped offsite; workers do not litter school campus with litter (plastic bags, water bottles, etc); reusable waste (e.g. timber planks, paper bags, etc) given to local people if requested, pit latrines lined with masonry brickwork to enable their emptying with a honey sucker when full. o Schedule transporting of materials and other noisy activities outside school hours to minimize risk of accidents, road dust and traffic noise at school campus o Fencing off construction sites to avoid risk of accident of falling debris to children. o HIV awareness among the surrounding community and workers. o All workers should have appropriate safety gear and latrines should be safely dug on firm ground, carefully watching out for signs of possible wall failure to minimize risk of workers at heights or depth. o Sensitization of workers and other related measures to address issues of Gender Based Violence (GBV), Violence Against Children (VAC) and other influx of labor related issues (Child Labor, labor disputes, etc)  The Clerk of Works is responsible for maintenance of daily records of site works, consolidate and submit weekly to the Project Manager (LG Engineer) in copy to the Contract Manager (DHO).

4.2.6 Procedures for Certification of Works The final certification of completed works shall be done by a team of technical officers including the LG Environment Officer, the Community Development Officer, and the LG Engineer, who will finally approve. 4.2.7 Payment of contractors Upon satisfactory certification as in 4.2.6, DHOs/MHOs as Contract Managers are required to initiate payments of contractors within 10 working days after submission of certificate(s) with an invoice from the Contractor(s), as per the terms in the construction/supply contract.

The payment procedure shall conform to the PFMA and other statutory requirements. It should be noted that the release for subsequent quarters shall depend on the satisfactory report on utilization and accountability of funds disbursed. 4.2.8 Procedures for recording, investigating, responding, and recording grievances The grievance redress mechanism (GRM) describes avenues, procedures, steps, roles and responsibilities for managing grievances and resolving disputes. Every aggrieved person should be able to trigger this mechanism to quickly resolve their complaints. The purpose of the grievance redress mechanism is to:

 Provide affected people with avenues for making a complaint or resolving any dispute that may arise during implementation of health facility activities.  Ensure that appropriate and mutually acceptable corrective actions are identified and implemented to address complaints.  Verify that complainants are satisfied with outcomes of corrective actions.  Avoid the need to resort to judicial (legal court) proceedings unless it is warranted.

There are several types of grievance, these may include:  Quality of works delivered by contractors.  Quality of health care  Misuse of personal data

 Violence against and abuse of patients by health workers, staff, contracted labor, donated support workers  Bullying  Condition of health infrastructure and facilities  Functioning of the Hospital Board/ HUMC  Corruption and misuse of funds  Health Workers absenteeism  Land issues related to development.  Other issues relating to behavior of Health staff, Hospital Board/ HUMC and contractors

There are several stakeholders, who may be the source of grievance:  Patients  Health Workers  Members of the Hospital Board/HUMC  Members of the surrounding community  Others Wherever possible, the first port of call for Grievances should be at the health facility level, but other avenues must also be available to those with grievance and there must be appropriate referral processes. The main avenues and their purposes are set out in Annex 8. It should be displayed on the noticeboard of any administrative officer and the facility. The local and facility level guidelines should be filled out at the appropriate level. Health Facility Grievance Redress At the health facility level, the GRM provides avenues for affected persons to lodge complaints or grievances against various stakeholders directly to the Health facility management and get redress. This, wherever possible and appropriate should be the first point of grievance redress. All health facilities are required to: a. Ensure that there is a systematic process for handling of grievances that arise among various stakeholders within a timely manner. b. Post information on the different avenues for grievance redress, including the health facility level mechanism and other mechanisms available.

District/Municipal/City Grievance Redress At the district level, the DHO is charged with overall responsibility for managing complaints from the community and other stakeholders relating to provision of health services and implementation of planned projects. Implementation of the GRM in an effective and transparent manner will require establishing a simple Grievance Redress Committee (GRC) at each institution with the involvement of the Local Councils, relevant staff of the institutions and the implementing agency, MoH (Project Coordinating Unit), etc. At the health facility and district level, the GRC shall specify a set of simple referral processes, which should be displayed at the relevant health facilities, District Offices and made widely available to the community. The LG shall specify a system for recording, investigating, and responding to grievances, which should be displayed at the district offices and made widely available. The general steps of a Grievance Redress process are as follows:

i. Receipt of complaints - Is the first step when a verbal or written complaint from a complainant is made, received, and recorded in a complaints log by the GRC. Complaint boxes and contact details for lodging complaints should be made available at each LG and institution. Complaints with the designated focal persons should be available at each institution. ii. Determining and implementing the redress action - If in his/her view, a grievance can be solved at this stage, the GRC will determine a corrective action in consultation with the aggrieved person. Grievances will be resolved, and the status reported back to complainants within 5 working days. If more time is required, this will be communicated in writing, and via practical means to accompany the written notice, clearly and in advance to the aggrieved person. iii. Verifying the redress action - The proposed corrective action and timeframe in which it is to be implemented will be discussed with the complainant within 5 days of receipt of the grievance. Consent to proceed with corrective action will be sought from the complainant and witnessed by the area’s local council chairperson (LC Chairman). iv. Amicable mediation and settlement - Agreed corrective action will be undertaken by the project or its contractor within the agreed timeframe. The date of the completed action will be recorded in the grievance log. v. Dissatisfaction and alternative actions - To verify satisfaction, the aggrieved person will be asked to return and resume the grievance process, if not satisfied with the corrective action.

If there is no resolution to the grievance, then: (a) The GRC at the institution and the aggrieved PAP(s) shall refer the matter to the relevant District Authorities; (b) An Appeal to Court - Ugandan laws allow any aggrieved person the right to access courts of law. If the complainant remains dissatisfied with the District’s Decision, the complainant has the option to pursue appropriate recourse via a judicial process in Uganda. Courts of law will be a “last resort” option, in view of the above mechanism.

5 ANNEXES

Annex 1: Health Sub-Programme Output codes and Indicators Programme: 0881 Primary Health Centre and Sanitation Services Output: 088101 Public Health Promotion Output: 088104 Medical Supplies for Health Facilities Indicator: Number of health facilities reporting no stock out of the 6 tracer drugs. Indicator: Value of essential medicines and health supplies delivered to health facilities by NMS Indicator: Value of health supplies and medicines delivered to health facilities by NMS Output: 088106 Promotion of Sanitation and Hygiene Output: 088153 NGO Basic Healthcare Services (LLS) Indicator: Number of children immunized with pentavalent vaccine in the NGO Basic health facilities Indicator: No. and proportion of deliveries conducted in the NGO Basic health facilities Indicator: Number of outpatients that visited the NGO Basic health facilities Indicator: Number of inpatients that visited the NGO Basic health facilities Output: 088154 Basic Healthcare Services (HCIV-HCII-LLS) Indicator: Number of trained health workers in health Centres Indicator: No. of trained health related training sessions held. Indicator: Number of outpatients that visited the Govt. health facilities. Indicator: Number of inpatients that visited the Govt. health facilities. Indicator: No. and proportion of deliveries conducted in the Govt. health facilities Indicator: % of approved posts filled with qualified health workers Indicator: %of Villages with functional (existing, trained, and reporting quarterly) VHTs. Indicator: No. of children immunized with pentavalent vaccine Output: 088155 Standard Pit Latrine Construction (LLS.) Indicator: No. of new standard pit latrines constructed in a village Indicator: No. of villages which have been declared Open Defecation Free (ODF) Output: 088156 Hand Washing facility installation (LLS.) Indicator: No of standard hand washing facilities (tippy tap) installed next to the pit latrines Output: 088159 Multi Health Sub Programme Transfers to Lower Local Governments Output: 088175 Other Service Delivery Capital Investments Output: 088180 Health Centre construction and rehabilitation Indicator: No of health Centres constructed Indicator: No of health Centres rehabilitated Output: 088181 Staff houses construction and rehabilitation Indicator: No of staff houses constructed Indicator: No of staff houses rehabilitated Output: 088182 Maternity ward construction and rehabilitation Indicator: No of maternity wards constructed Indicator: No of maternity wards rehabilitated Output: 088183 OPD and other ward construction and rehabilitation Indicator: No of OPD and other wards constructed Indicator: No of OPD and other wards rehabilitated Output: 088184 Theatre construction and rehabilitation Indicator: No of theatres constructed Indicator: No of theatres rehabilitated

Output: 088185 Specialist health equipment and machinery Indicator: Value of medical equipment procured

Programme: 0882 District Hospital Services Output: 088251 District Hospital Services (LLS.) Output: 088275 Other Service Delivery Capital Investment Output: 088280 Hospital construction and rehabilitation Output: 088281 Staff houses construction and rehabilitation Output: 088282 Maternity ward construction and rehabilitation Output: 088283 OPD and other ward construction and rehabilitation Output: 088284 Theatre construction and rehabilitation Output: 088285 Specialist health equipment and machinery

Programme: 0883 Health Management and Supervision Output: 088301 Healthcare Management Services Output: 088302 Healthcare Services Monitoring and Inspection Output: 088303 Health Sub Programme Capacity Development Output: 088372 Administrative Capital Investment

Annex 2: Staffing Structure for District Health Department

No Post Salary No. of scale staff 1 District Health Officer U1E 1 2 Assistant District Health Officer (Environmental Health) U2 1 3 Assistant District Health Officer (Maternal/Child U2 1 Health/Nursing) 4 Sr Environmental Health Officer U3 1 5 Sr Health Educator U3 1 6 Biostatistician U4 1 7 Assistant Inventory Management Officer U5 1 8 Cold Chain Technician U6 1 Total 8

Annex 3: Staffing Structure for Municipal Health Department

No Post Salary No. of scale staff 1 Medical Officer of Health Services U2 1 2 Principal Health Inspector U3 1 3 Health Educator U4 1 4 Health Inspector U5 1 5 Health Assistant U7 2 Total 6

Annex 4: Staffing Structure for General Hospital

No. Post Scale No of staff A Medical Officers: 1 Principal Medical Officer U2 (Med 1) 1 2 Medical Officers Special Grade (Community) U2 (Med 1) 1 3 Medical officer special grade (Obstetrics and gynaecology) U2 (Med 1) 1 4 Medical officer special grade (internal medicine) U2 (Med 1) 1 5 Medical officer special grade (surgery) U2 (Med 1) 1 6 Medical officer special grade (Paediatrics) U2 (Med 1) 1 7 Senior Medical Officer U3 (Med 1) 1 8 Medical Officer U4 (Med 1) 4 Sub total 11 B Dental: 1 Dental surgeon U3 (Med 1) 1 2 Public Health Dental Officer U5 2 3 Dental attendant U8 (Med) 1 Sub total 4

No. Post Scale No of staff C Pharmacy: 1 Pharmacist U3 (Med 1) 1 2 Dispenser U5 2 Sub total 3 D Nursing: 1 Principal Nursing Officer U3 (Med 2) 1 2 Senior Nursing Officer U4 5 3 Nursing Officer (Nursing) U5 17 4 Nursing Officer (Midwife) U5 3 5 Nursing Officer (Psychiatry) U5 1 6 Public Health Nurse U5 1 7 Enrolled Psychiatric Nurse U7 2 8 Enrolled Nurse U7 46 9 Enrolled Midwife U7 25 10 Nursing Assistant U8 15 Sub total 116 E Allied health professionals: 1 Senior Clinical Officer U4 1 2 Health Educator U4 1 3 Senior Laboratory Technologist U4 1 4 Psychiatric Clinical Officer U5 1 5 Ophthalmic Clinical Officer U5 1 6 Clinical Officer U5 5 7 Health Inspector U5 1 8 Assistant Entomological Officer (Medical) U5 1 9 Radiographer U5 2 10 Physiotherapist U5 1 11 Occupation Therapist U5 1 12 Orthopaedic Officer U5 2 13 Assistant Health Educator U5 1 14 Anaesthetic Officer U5 3 15 Laboratory Technologist U5 1 16 Laboratory Technician U5 2 17 Laboratory Assistant U7 1 18 Anaesthetic Attendant U7 2 Sub total 28 F Administrative and other staff: 1 Senior Hospital Administrator U3 1 2 Hospital Administrator U4 1 3 Personnel Officer U4 1 4 Medical Social Worker U4 1 5 Nutritionists U4 1 6 Supplies Officer U5 (lower) 1 7 Senior Accounts Assistant U5 (lower) 1 8 Stenographer Secretary U5 (lower) 1

No. Post Scale No of staff 9 Office Typist U7 (lower) 1 10 Stores Assistant U7 (lower) 2 11 Records Assistant U7 (lower) 2 12 Accounts Assistant U7 (lower) 2 Sub total 15 G Support staff: 1 Darkroom Attendant U8 (Med) 1 2 Mortuary Attendant U8 (Med) 2 3 Driver U8 (Lower) 2 4 Porter U8 (Lower) 3 5 Askari U8 (Lower) 2 6 Artisans Mate U8 (Lower) 3 Sub total 13 Hospital total 190

Annex 5: Staffing Structure for Health Centre IV

No. Post Scale Number of staff

1 Senior Medical Officer U3 1 2 Medical Officer U4 1 3 Senior Nursing Officer U4 1 5 Public Health Nurse U5 1 6 Clinical Officer U5 2 7 Ophthalmic Clinical Officer U5 1 8 Health Inspector U5 2 9 Dispenser U5 1 10 Public Health Dental Officer U5 1 11 Laboratory Technician U5 1 12 Assistant Entomological Officer (Medical) U5 1 13 Nursing Officer (Nursing) U5 1 14 Nursing Officer (Midwife) U5 1 15 Nursing Officer (Psychiatry) U5 1 16 Assistant Health Educator U5 1 17 Anaesthetic Officer U5 1 18 Theatre Assistant U6 2 19 Anaesthetic Assistant U7 2 20 Enrolled Psychiatric Nurse U7 1 21 Enrolled Nurse U7 3 22 Enrolled Midwife U7 3 23 Laboratory Assistant U7 1 24 Stores Assistant U7 1 25 Health Assistant U7 1 26 Health Information Assistant U7 1 27 Cold Chain Assistant U7 1

No. Post Scale Number of staff

28 Accounts Assistant U7 (lower) 1 29 Office Typist U7 (lower) 1 30 Nursing Assistant U8 5 31 Driver U8 (Lower) 1 32 Askari U8 (Lower) 3 33 Porter U8 (Lower) 3 TOTAL 48

Annex 6: Staffing Structure for Health Centre III

No. Post Scale Number of staff 1 Senior Clinical Officer U4 1 2 Clinical Officer U5 1 3 Laboratory Technician U5 1 4 Nursing Officer (Nursing) U5 1 5 Enrolled Nurse U7 3 6 Enrolled Midwife U7 2 7 Laboratory Assistant U7 1 8 Health Assistant U7 1 9 Health Information Assistant U7 1 10 Nursing Assistant U8 3 11 Askari U8 (Lower) 2 12 Porter U8 (Lower) 2 TOTAL 19

Annex 7: Staffing Structure for Health Centre II

No. Post Scale Number of staff 1 Enrolled Nurse U7 1 2 Enrolled Midwife U7 1 3 Health Assistant U7 1 4 Nursing Assistant U8 2 5 Askari U8 (Lower) 2 6 Porter U8 (Lower) 2 TOTAL 9

Annex 8: MoU between the DLG and PNFP Health Service Providers for FY 20….../…..

MEMORANDUM OF UNDERSTANDING BETWEEN THE UGANDA LOCAL GOVERNMENTS AND ……………………………FOR USE OF FUNDS OF THE PHC NON-WAGE RECURRENT GRANT FOR THE FINANCIAL YEAR……………FOR THE DELIVERY OF HEALTH SERVICES WITHIN THE LOCAL GOVERNMENT OF ……………...

This memorandum is made this………………………………day of…………………………20…..

BETWEEN

On the one part

THE …………………………. LOCAL GOVERNMENT (LG) represented by the Chief Administrative Officer, P.O Box ……….., ……………………. (Hereinafter referred to as “District”)

AND

(On the one part)

THE…………………………………………………………………………………….. (Name of Health Facility) represented by the Head of the facility (hereinafter as “the Health Facility” on the other part.

1. INTRODUCTION

WHEREAS LG wishes to improve the quality of life of the people of

………………………… LG.

1.1.1. WHEREAS LG, in order to achieve the above objectives will provide funds to the Health Facility in the form of Primary Health Care (PHC) Non-Wage Recurrent (NWR) Grant (hereafter referred to as “the Grant”).

The specific objectives of which are set out in the LG guidelines on the Health Sub Programme Grants and Budget Guidelines to LGs for the Delivery of Health Services (hereafter referred to as “the Guidelines).

1.1.2 WHEREAS LG has examined the Health Facility Annual Work plan for the Grant, which forms annex 1 this Memorandum of understanding (hereinafter referred to as the work plan).

1.1.3. WHEREAS LG confirms that the work plan has been prepared according to the Guidelines, adequately addresses the objectives of the Grant as set out in the Grant Guidelines and the needs of the LG, is realistic and achievable, is in line with Government of Uganda policy, and within the budget ceilings provided by LG.

1.2. WHEREAS LG agrees to provide funds for the implementation of activities identified in the work plan.

1.3 WHEREAS LG has attempted to ensure that the budget ceilings provide accurately project the level of funding that will be available to the Health Facility in the Financial Year 2021/22 Government of Uganda Budget.

AND

1.3.1. WHEREAS Health Facility has developed the Annual Work plan in accordance with the guidelines, and with Government Policy, and the Health Facility has ensured that the work plan addresses the needs of the LG.

1.4 WHEREAS THE Health Facility agrees implement the activities in the Annual Work plan using the funds provided by LG.

NOW THEREFORE IT IS AGREED HEREIN AS FOLLOWS

2. RESPONSIBILITIES OF THE HEALTH FACILITY

2.1 The Health Facility will make every reasonable effort to implement all the activities set out in the work plan.

2.2 The Health Facility will implement the Annual work plan, and report on the use of funds 2.2.1 The Health Facility will submit a Quarterly Progress Report, Cumulative progress Report and Budget Request to LG by the end of the first week after the close of the quarter to qualify for release of funds for that quarter, to enable the LG to confirm to the regulations as specified in the Guidelines.

2.2.2 If the Health Facility encounters problems in implementation of the Annual Workplan, it will seek technical assistance from LG or any other part in a position to Government will act on this assistance and make efforts to overcome any problems in implementation. If the Health Facility does not act on technical advice from District, it must give reasons for the same.

2.3 The Health Facility will not alter the work plan before getting written approval from the LG.

3. RESPONSIBILITIES OF THE LG

3.1. The LG will fund the implementation of activities identified in the Annual work plan, and the implementation of any other activities resulting from changes in the Annual work plan, provide that the Health Facility has followed the procedures for altering the Annual work plan set out under clause 2.4 and 2.5 of this MoU and has acquired approval of the LG.

3.1.2 Provided that the LG has received the required reports on time, as set out in the General guidelines will ensure that release of funds is made on time.

3.2 The LG will not release funds if the required reports set out in 2.3 are not received.

3.2.1 The LG will analyze all Activity reports (if applicable), progress reports and Budget Requests submitted by the Local government. Each budget Request will be considered on its own merit and the funds released are below the Budget Request. Central Government must give reasons for the same in writing to the LG.

3.3 The LG will provide technical assistance for the preparation of work plans for next Financial Year.

3.4 Changes to the Annual work plan

3.4.1 The LG will consider each request for authority to make changes to the Annual Work plan on its own merit.

3.4.2. If the LG does not find proposed changes in an Annual work plan acceptable, it must give reasons for the same, and suggest viable alternatives to the Health Facility.

4. VALIDITY OF MEMORANDUM OF UNDERSTANDING

4.1 This Memorandum of Understanding is valid from the date of signing until such time as LG has both received the Verified Cumulative Annual Reports for the Grant and any unspent funds returned to LG in accordance with the Health Sub Programme Budget and Grant guidelines to the LGs. 4.2 Any modification to this Memorandum of Understanding of shall by mutual agreement of both parties.

SIGNED for and on behalf of

IN THE PRESENCE OF HEALTH FACILITY OWNERSHIP …………………………………………. Name & Signature

………………………………………….. Name & Signature

SIGNED FOR and on behalf of

IN THE PRESENCE OF THE LG

………………………………………….. Name & Signature

Annex 9: Guidelines for Integration of Refugee Settlement Health Facilities into the LG Health Systems.

One of the key objectives of the UgIFT programme is to integrate the delivery of health care services to host and refugee communities under the LG System. The planned integration includes two main components: i) addition of refugee communities to the population variables included in the allocation formulae of Health Conditional Grants to LGs; and ii) the transition of Non-Government Refugee-Serving Health Facilities to LG system (i.e. management and funding).

1) Non-Government Refugee-Serving Health Facilities

According to data compiled by UNHCR, there are 44 non-government health facilities funded by Humanitarian Partners serving refugee communities across 9 Refugee Hosting LGs. Three of the twelve districts (i.e. Kiryandongo, Madi-Okollo, Koboko) do not have any non-government facility in these conditions. From the 44 non-government refugee-serving facilities listed in UNHCR records, only 35 are included in the respective LG Development Plans.

Grand District

Arua Total

Yumbe

Lamwo Obongi

Isingiro

Kikuube

Adjumani

Kyegegwa

Kamwenge Level of Health II III II III II II II III II II III II III II III Facility # Non-Government Refugee-Serving 1 2 6 3 5 1 2 2 1 3 1 5 3 1 8 44 Facilities Health Facilities in 1 2 5 3 3 1 2 2 0 3 1 0 3 1 8 35 the DDP

2) Criteria for Selection of Health Facilities

The funds available under UgIFT are not sufficient to cover the staff costs of the 35 transition facilities included in the respective LG Development Plans. The staff costs of the non-government refugee- serving facilities were estimated according to the current MoH staffing structures at entry level salaries. This corresponds to 9 staff members at an annual cost of Ushs. 38.6 million for a HC II and 19 staff members at an annual cost of Ushs. 144.3 million for a HC III. The budget ceiling is constant over FY 2021/22 - 2023/24 at approximately Ushs. 2.3 billion a year. As a result, a subset of facilities which can be accommodated within the available funds needs to be selected.

According to preliminary guidance provided by MoH, the transition of HC IIIs should be prioritized in consistency with the Ministry’s policy to progressively phase out HC IIs. There are 19 HC IIIs among the 35 facilities eligible for transition. Nevertheless, the funds available under UgIFT can only cover the cost of 16 HC IIIs at an annual staff cost of Ushs. 144.3 million.

3) Required Steps for LGs to operationalize the transition of health facilities by July 2021

Going forward, a number of decisions and actions need to be undertaken by the relevant stakeholders to operationalize the transition of PHC facilities into the LG Health System. These are listed below:

1) Local Governments incorporate all the transition health facilities into their budgets for FY 2021/2022. 2) Implementing and development partners with support of OPM and UNHCR continue to support the refugee settlement health facilities in all health systems strengthening interventions going forward since resources may not be adequate to fully run the facilities. 3) Implementing partners and NGOs sign MoUs with Host districts on coordination, management, and operationalization of all health facilities within the LG system. 4) Implementing partners participate in management and performance review meetings and report through UNHCR and OPM to Host districts, MOH and MOFPED on additional off budget financing to the health facilities in the refugee settlement on quarterly and annual basis. 5) Host Districts have integrated refugee response plans for FY 2021/22 providing details of on budget and off budget support from partners. e,g UNHCR, World Bank, DRDIP, etc.

Annex 10: Format for Health Facility Asset Register (Form 1:)

Facility HMIS Item Medical Buildings 1.1.1.1.1.1.1.3 Equipment Name Number 1.1.1.1.1.1.1.1

inerator inerator

OPD Store Drug HSD with Office Mortuary

Operation Theatre Ward General Maternity Ward Placenta Pit and Medical Pit Waste Inc houses Staff Existing

Facilities No in need of rehabilitation Number required

1.1.1.1.1.1.1.4 1.1.1.1.1.1.1.5 1.1.1.1.1.1.1.6 1.1.1.1.1.1.1.7 1.1.1.1.1.1.1.8 1.1.1.1.1.1.1.10 1.1.1.1.1.1.1.9 1.1.1.1.1.1.1.11 1.1.1.1.1.1.1.2

Existing Facilities

No in need of rehabilitation

Number required

Annex 11: Format for Health Facility Application Form for facilities improvements (Form 2)

Facility Name: ______Facility HMIS Number: ______Facility level: ______District: ______Sub county/Division: ______

Item Medical Buildings Equipment Staff

houses

OPD Drug Store with HSD Office Operation Theatre Ward General Maternity Ward Mortuary Pit Placenta Medical and Pit Waste

Incinerator

Existing Facilities No. Existing Facilities

Description of 1.1.1.1.1.1.1.1 condition facilities Planned routine maintenance Facilities Required No. facilities requiring rehabilitation No. new facilities required Justification

We certify that:

 The land required for the construction and operation of the new facilit(y/ies) is owned by the facility and formal evidence of land ownership is attached.

 The guidelines at facility and local government levels, applicable laws and regulations, have been fully reviewed and this request is in accordance with them.

 An inclusive process of consultation has been followed regarding key aspects of the application (state those consulted by name and designation and changes made to consider results of consultations below and in additional pages attached):

……………………………………………………………………………………………………

 The information contained on this form is truthful and other financing options to build the facilities have been fully investigated prior to this application.

 An ESSP has been filled out for this application and is attached.

Signed: Chairperson HUMC / HMB …………………………………….. Date: ……………………………

Designation on HUMC/HMB: ……………………………………………………………………………………………………………

Signed: 2nd Representative HUMC/HMB …………………………………….. Date………………………

Designation on HUMC/HMB:……………………………………………………………………………………………………………..

Signed: Local councillor of the parish/sub county/TC/Division in which the facilit(y/ies) is/are to be built:

………………………………………………………………………………………………………. Date: …………………………………..

Designation: ………………………………………………………………………………………………………………………………….

Signed: OIC………………………………………………………………………………..Date:………………

Signed: owner of facility………………………………………………… Date: ………………………….

Description of others consulted, how they were consulted, and what changed as a result of the consultation: …….

AFFIX MORE PAGES IF REQUIRED

Annex 12: Format for Basic Environment and Social Screening Checklist to Accompany Application

District/Municipal Council

Sub-county/Town Council/Municipal Division

Parish

Village

Name of the Facility

HMIS Code

Description of Infrastructure to Construct

No. Will the health infrastructure have any of the following impacts? Yes No If Yes, describe (please mark X next to the relevant potential impact) mitigation measures

1.  Loss of vegetation cover causing erosion of soil

2.  Dumping of construction debris in wetlands or other sensitive areas

3.  Use of limited or sensitively located local construction materials

4.  Dust pollution due to movement of equipment, digging

5.  Noise pollution due to construction

6.  Pollution of surface water

7.  Health hazards due to inadequate cleaning and maintenance of latrines

8.  Occupation and safety hazards due to collapsing latrine and placenta pits

9.  Privacy concerns and sexual violence due e.g. to lack of gender separated facility latrines 10.  Dust and noise pollution due to movement of vehicles etc.

11.  Safety concerns due to speeding vehicles

12.  Land disputes related to the infrastructure (including access)

13.  The relevant authority does not own the land required

14.  Involuntary resettlement required to make the land available

15.  Influx of labor to carry out the works

NB: This list is not intended to be exhaustive. For more detailed guidance please refer to the local government environment guidelines issued by NEMA. Please provide more information on a separate sheet.

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Annex 13: Full Environmental and Social Screening Form (ESSF)

This form is to be filled in by the Environment Focal Point Person at Sub-county level or Environment officer at the District/Municipal level for selected projects

REPUBLIC OF UGANDA Health Facility Environmental and Social Screening Form Please type or print clearly, completing this form in its entirety. You may provide additional information on a separate sheet of paper if necessary. Kindly note that the information you are to provide is required by Section 19 of the National Environmental Act, Cap. 153. Name of the project: …………………………………………………………………………….

Health Sub programme of the project: ………………………………………………………

Department implementing the project …………………………………………………

Name of the District/Municipality where the project is to be implemented: …………….……………

Name of Lower Local Government: ……………………………………………………….

Name of Approving Authority ……………………………………………….

Name, job title, and contact details for the person who is responsible for filling out this form.

Name: ………………………………………………………………………………………………

Job Title: ..………………………

Telephone number: ………………………………………………………………………

Fax number: …………………………………………………………………………………...

E-mail address …………………………………………………………………………….

Date: ………………………………………………………………………….

Signature: ……………………………………………………………………

1. Brief Project Description Please provide information on the type and scale of the project (project area, area of required land, approximate size of total building floor areas, etc.) ______

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______

2. The Natural Environment (a) Describe the land formation, topography, vegetation in/adjacent to the project area (e.g. is it a low lying land, water logged, rocky, swampy or wetland, etc.,) ______

(b) Estimate and indicate whether vegetation might need to be cleared

______

(c) Are there any environmentally sensitive areas or threatened species that could be adversely affected by the project (specify below)?

(i) Intact natural forests Yes______No______

(ii) Riverine forest Yes______No______

(iii) Wetlands (lakes, rivers, seasonally inundated [flooded] areas) Yes______No______

(iv) How far are the nearest wetlands (lakes, rivers, seasonally inundated [flooded] areas)? ______km

(v) Habitats of endangered species for which protection is required under Ugandan laws and/or international agreements. Yes______No______

(vi) Others (describe). Yes______No______(e.g. cultural sites, burial places, etc.,)

3. Rivers and Lakes Ecology

Is there a possibility that due to construction and operation of the project the river and lake ecology will be adversely affected? Attention should be paid to water quality and quantity; the nature, productivity and use of aquatic habitats, and variations of these over time.

Yes______No______

4. Protected areas

Does the project area (or components of the project) occur within/adjacent to any protected areas designated by government (national park, national reserve, world heritage site, etc.)

Yes______No______

If the project is outside of, but close to, any protected area, is it likely to adversely affect the ecology within the protected area (e.g. interference with the migration routes of mammals or birds)

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Yes______No______

5. Geology and Soils

Based upon visual inspection or available literature, are there areas of possible geologic or soil instability (erosion prone, landslide prone, subsidence-prone)?

Yes______No______

Based upon visual inspection or available literature, are there areas that have risks of large-scale increase in soil salinity?

Yes______No______

6. Landscape/aesthetics

Is there a possibility that the project will adversely affect the aesthetic attractiveness of the local landscape?

Yes______No______

7. Historical, archaeological, or cultural heritage site.

Based on available sources, consultation with local authorities, local knowledge and/or observations, could the sub-project alter any historical, archaeological, or cultural heritage site or require excavation nearby?

Yes______No______

8. Resettlement and/or Land Acquisition

Will involuntary resettlement, land acquisition, or loss, denial or restriction of access to land and other economic resources be caused by the project implementation?

Yes______No______

9. Loss of Crops, Fruit Trees and Household Infrastructure

Will the project result in permanent or temporary loss of crops, fruit trees and household infrastructure (such as granaries, outside toilets and kitchens, etc.)?

Yes___ No_____

10. Noise pollution during Construction and Operations

Will the operating noise level exceed the allowable noise limits?

Yes___ No_____

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11. Solid or Liquid Wastes, including Medical Waste.

Will the project generate solid or liquid wastes, including medical waste?

Yes____ No___

If “Yes”, does the project include a plan for their adequate collection and disposal?

Yes____ No____ 12. Pesticides, Insecticides, Herbicides or any other Poisonous or Hazardous Chemicals.

Will the project require the use of such chemicals? Yes___ No_____ If, “Yes”, does the project include a plan for their safe handling, use and disposal? Yes___ No____

13. Occupational health and safety Will there be any risks of accidents during construction or operation of the project which could affect both human health and environment? Yes____ No___

14. Community Health and Safety Will the surrounding community be exposed to accidents due to increased traffic and movement of heavy machinery, Communicable diseases brought by workers from outside of the area?

15. Land use Are there any plans for future land uses on or around the location which could be affected by the project? Yes____ No_____

16. Climate Impacts Is the Project location susceptible to earthquakes, landslides, flooding, erosion, or extreme weather conditions that could affect the project?

17. Human health Will the project involve the use, storage, transportation and/or handling of substances that could be harmful to human health or the surrounding environment?

RECOMMENDATIONS:

Based on the above screening results, the following recommendations are made:

______(a) Implementation of the environmental mitigation measures as proposed in the Environmental and Social Management Plan and Clause 8 contained in the Bidding Documents

______(b) before construction can commence, preparation of the relevant safeguard instruments (site specific ESMPs) and implementation of a resettlement action plan/compensation plan consistent with the provisions of the Resettlement Policy Framework, November 2002, will be required

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TESTIMONY

I confirm that the information provided herein is accurate to the best of my knowledge. I will also endeavor to provide additional information and facilitate a site visit if required.

------Signed: Environment Officer Date:

Signed:

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ANNEX 14: The Main Grievances Avenues for Local Governments

The following notice should be posted on the LG Notice board, with details specific to the Local Government to be completed by the Local Government DHO. A similar version is prepared for facilities and included in the facilities guidelines.

Avenue Type of Grievance Contact details Local Government level

Councilor  Violence against and abuse of children and adults by staff, contracted labor  Selection of health infrastructure not in line with guidelines  Quality of health care and absenteeism Health Officer  Quality of works delivered by contractors  Condition of school infrastructure and facilities  Quality of teaching  Functioning of the School Management Committee  Corruption and misuse of funds District land board  Complaints about land associated with health facilities and health infrastructure National level Police  Corruption and misuse of funds Telephone: 112/999  Other criminal activity CP ANTI-CORRUPTION 0717 121 110 CP ANTI HUMAN TRAFFIC MINISTRY OF INTERNAL AFFAIRS 0715 411 677 CP SEXUAL & GBV 0713 534 713 CP SEXUAL OFFENCES 0718 642 477

Email: [email protected]

Address: https://www.upf.go.ug/key- uganda-police-phone-contacts/ Uganda Patients  Emotional, physical or sex abuse Protection  Human trafficking  Child neglect esp. by parents or guardian Uganda Child Helpline  Emotional, physical or sex abuse Web: http://uchl.mglsd.go.ug/  Child trafficking Phone: 116  Child neglect esp. by parents or guardian NITA Helpline  Data protection issues TBC. Legislation just assented. Uganda Budget Hotline  Quality of works delivered by contractors Call for free: 0800 229 229

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Avenue Type of Grievance Contact details

 Missing and misuse of funds Feedback: www.budget.go.ug Email: [email protected] IGG Hotline  Corruption and misuse of funds Report: https://www.igg.go.ug/complaints/ Call: +256 414 347387

Email: kampala@igg.go.ug (other regions addresses at https://www.igg.go.ug/contact/ )

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Annex 15: Summary of Grants and Selected Subventions Grant/Subvention Purpose Allocation basis Summary of budget requirements

Wage Conditional Grant To pay salaries for all health Additional wage has been allocated for;  Districts and Municipalities are responsible for workers in the district health payment of salaries of health staff in health 1. Recruitment of health workers in service including health facilities facilities and DHO/MHO/CHOs least staffed health facilities and hospitals.  Salary allocations must be aligned to the filled 2. Recruitment of health workers in posts within the approved structure, newly upgraded health facilities recruitment plan and salary scales in a given 3. Transitioned Refugee-Serving health financial year. facilities into GoU aided  The Health Department must prepare a recruitment plan and submit it to the Human Resource Management (HRM) Department for Otherwise, ad hoc increments. the vacant positions of health workers and DHO/MHO/CHOs

 Hard to reach allowance must be provided for staff in hard to reach areas outside town councils and HLG headquarters, in line with the hard to reach framework and schedule designated by the Ministry of Public Service (MoPS)

Non-Wage o/w PHC Health Offices To fund service delivery Population* (60%); Infant mortality  The total allocation to lower level facilities (HC (10%); Poverty headcount (20%); Conditional operations by the health II, HC III, HC IV) must be at least 85% of the Population in Hard to Reach Hard to Grant department supervision, Stay Areas* (10%). PHC NWR (excluding PHC Hospital NWR Grant) management, and epidemic Population figures include refugees preparedness  PNFP health facilities should be funded from the window of NWR grant for PHC, have been PHC HCs To fund service delivery approved by the MoH, and have signed an Additionally, fixed costs have been operations by the HCs, both considered at all levels of care: MoU with the LG. Government and PNFP –

prevention, promotion, Government facilities:  Allocations to GHs should be at least the value of the NWR for hospitals supervision, management, HC II – 2 million shs curative, epidemic preparedness HC III – 4 million shs

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Grant/Subvention Purpose Allocation basis Summary of budget requirements

HC IV – 20 million shs  Only PNFP (NGO or CBO) hospitals which have been approved by the MoH should be PNFP facilities: allocated PHC funds. HC II – 1 million shs HC III – 2 million shs  A maximum of 15% of the NWR Budget (excluding PHC Hospital NWR Grant) can be HC IV – 4 million shs used for health services management Note: with exception of the upgraded functions by the District/ Municipality/City PNFPs, all PNFP budgets have been Health Offices. maintained.

o/w Hospital To fund service delivery In areas covered by the hospital: All hospital grants must go directly to hospitals. operations by hospitals both Population (60%); Infant mortality Eligibility criteria for PNFPs. (10%); Poverty headcount (20%); government and PNFP – Population in hard to reach and hard prevention, promotion, to stay areas (10%). supervision, management, curative, epidemic preparedness Additionally, fixed costs have been incorporated: Government hospitals – 250 million shs Additional for highway hospitals – 15 million shs PNFP hospitals – 50 million shs Additional for PNFP hospitals in LGs without other hospitals – 50 million shs Additional for ‘tourism hospitals’ – 100 million shs Development o/w Facilities This will fund the upgrading of Capital allocations should be prioritized All health infrastructure and equipment budgeted Conditional Development upgrading HC IIs to IIIs in the Sub Counties as follows. for must: Grants with no HC IIIs which have HC IIs. Grant - Health o To upgrade HC IIs to IIIs in Sub o be approved by: (a) chair of the HMC; (b) the Counties without a HC III or higher in charge of the health facility; and (c) the

level health facility. village (LC1) and district/municipal/city A maximum 650 Million shall be councilor for the area in which the health used for facility upgrades. o To construct new HC IIIs in Sub facility is located using the form specified in Counties with no health facilities at the sub annexes of these guidelines. all in sub counties with populations greater than 20,000.

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Grant/Subvention Purpose Allocation basis Summary of budget requirements

Additionally, 205 Million has o In large and highly populated sub o Be accompanied by (a) duly filled application been provided in the counties, additional new HC IIIs form which is accompanied by (b) a

development grant for equipping shall be constructed to attain a 5km completed environmental and social of the upgraded facilities. walking distance to a health facility. safeguards checklist and (c) evidence of land Other geographical features like availability.

islands, mountainous areas will be LGs must not budget for activities specified as Additional 150 Million has been considered in the allocation of HC ineligible expenditures for capital investment. provided to the health facilities IIIs. that were upgraded in FY LGs must budget at least 95% of the value of their 2018/19 for construction of staff Health Sub programme Health Development houses. allocation for “Upgrading of HC IIs to HC IIIs on construction of facilities” for construction of the

facilities listed in these guidelines or otherwise 180 Million has also been agreed with the MoH. provided for procurement of A maximum 5% of the allocation to capital equipment for the upgraded investments may be allocated to investment facilities of FY 2019/20 servicing costs for the construction of those facilities.

1.8 Billion has also been provided Allowed activities: for selected districts for Service delivery infrastructure and equipment construction of new HC IIIs in those sub counties with no HC III - HC III, IV at all - OPD block

- Maternity ward

- Female ward

Infrastructure This will finance repairs to health Number of government owned HC IIIs, - Male ward maintenance infrastructure in and equipping HC IVs and Hospitals (50%), Population and completion of existing public per GOU or PNFP health facility above - Operating theatre (HC IV) health facilities and capacity 22,000* (50%) - Drug store development activities. *Population figures include refugees - Mortuary The development budget will be

used for capital investments, to - Staff houses fund rehabilitation, construction - Toilets/pit latrines & bathrooms

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Grant/Subvention Purpose Allocation basis Summary of budget requirements

or equipping of service delivery To incentivize health related Local - Medical waste pit and/or administrative Government Performance, 50% of - Incinerator infrastructure. allocations are weighed by squared Local Government Performance - Water source Capital allocations for the Assessment (LGPA) scores. functioning of existing health - Medical equipment facilities should be prioritized as - Furniture follows:

- Electricity (grid or solar) o Firstly, rehabilitating, completing and equipping - Fencing existing facilities in lower

local governments with HCIIIs which serve more Not allowed: Construction of new HCIIs than 20,000 people where there are gaps in basic buildings’ requirements and equipment.

o Secondly, upgrading HC IIs, completing, expanding existing or constructing new HC IIIs in LLGs which have either have no HC IIIs or where HC IIIs on average serve less than 20,000;

o/w Transitional Ad Hoc The MoH will provide Ad hoc See Sub annex 5 for a list of grievance specific guidance to mechanisms to be followed in each local individual local government; Sub annex 1 for agreements governments with allocations for the Transitional Development Ad Hoc Health Grant on the investments to be financed from the grant.

Total grants

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Grant/Subvention Purpose Allocation basis Summary of budget requirements

GAVI 135 Districts6. In FY 2021/22, this 1. Support districts to implement GAVI through the Ministry of Health has provided subvention, which is financed by additional outreaches. a cash grant, paid as a subvention, with the a Development Partner, will fund objective of strengthening Health systems in 2. Hold quarterly one-day district health systems strengthening Uganda. The GAVI HSS II is a subvention (Other stakeholder’s performance review activities in the LGs. Government Transfer) directly from MoH to local meeting on EPI targeting (DHO, governments, outside of the local government ADHO-MCH, DHEO), Chairpersons transfers system. However local governments are (LCV & LC III), sub county chiefs, still required to budget for the use of HSS II RDC, DISO. funding based on IPFs communicated further to these Guidelines by MoH. 3. Hold HSD quarterly performance review meetings, targeting sub county chiefs, HSD in charges, Health facility in charges, health Assistants.

4. Support data improvement teams (DIT) to conduct follow up mentorship of health workers in data quality improvement (of EPI/HMIS programs) at all levels in the district.

5. Support to implement Integrated Child Health Days.

6. Support supervision for DHT.

7. Vaccines and supplies distribution.

GFTAM Covers 126 districts 1. IMM These funds are meant for implementation of district-based activities including integrated 2. Facility clinical audits management of malaria, facility clinical audits, 3. Training vector control officers external quality assurance and also district malaria epidemic review and response 4. EQA coordination meeting

6 Only LGs included in the total. A further UGX. 285.93 million Available for KCCA.

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Grant/Subvention Purpose Allocation basis Summary of budget requirements

5. District Malaria Epidemic review and response coordination meetings.

URMCHIP RBF DHMT 131 Districts and 40 Will be paid to the DHTMs based on Upon submission of the verified EDHMT outputs municipalities. In FY 2021/22, achievement of the agreed outputs on for the quarter and validation of the invoice by this subvention is financed by the a quarterly basis. the Regional RBF Unit. Funds are transferred to World Bank Loan, Global the TSA holding account from where they are Financing Facility and Swedish transferred to the Sub TSA’s for the respective International Development Aid districts. Grants, will be paid to improve

utilization of essential health Districts are required to have wok plans and services with a focus on RMNCAH Performance Improvement Plans for utilization of services in target districts; these funds. In addition districts are required to submit quarterly audit report on how the RBF funds of the previous quarter were utilized before any fund transfer are made

Hospital 98 Hospitals. Will be paid to Will be paid to Hospitals based on Funds are transferred directly to the respective improve utilization of essential achievement of the agreed outputs and hospital accounts upon submission and validation health services with a focus on quality scores on a quarterly basis. of the hospital invoice verified by the Regional RMNCAH services in target RBF teams. districts. Hospitals are required to have work plans and Performance Improvement Plans for utilization of these funds.

Health Centre 1,350 Health Facilities. Will be Will be paid to the Health Facilities Funds are transferred to the Health Facility paid to improve utilization of based on achievement of the agreed Account upon submission of District Invoice and essential health services with a outputs and quality scored on a verification by the Regional RBF teams. focus on RMNCAH services in quarterly basis.

target districts. HCs are required to have work plans and Performance Improvement Plans for the utilization of these funds.

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Grant/Subvention Purpose Allocation basis Summary of budget requirements

Enhancing Hospital Will be paid to improve Will be paid to Hospitals based on Funds are transferred to the District General Fund Health in utilization of essential health achievement of the agreed outputs and Account in the case of Public General Hospitals or Acholi Sub- services with a focus on RMNCAH quality scores on a quarterly basis. Hospital Accounts for PNFP Hospitals upon region (AHA) services in target districts. submission of District Invoice and verification by Project the Regional RBF Teams.

Hospitals are equipped to have work plans and Performance Improvement Plans for utilization of these funds.

DHMT Will be paid to the DHTMs based on Funds are transferred to the District General Fund achievement of the agreed outputs on Account upon submission of District Invoice and a quarterly basis. verification by the Regional RBF Unit.

Districts are required to have wok plans and Performance Improvement Plans for utilization of these funds.

Health Centre Will be paid to improve Will be paid to the Health Facilities Funds are transferred to the Health Facility utilization of essential health based on achievement of the agreed Account upon submission of District Invoice and services with a focus on RMNCAH outputs and quality scored on a verification by the Regional RBF Teams. services in target districts. quarterly basis.

HCs are required to have work plans and Performance Improvement Plans for the utilization of these funds.

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Annex 21: Indicative Planning Figures (IPFs) for Construction of Staff Houses for the Upgraded Health Facilities of FY 2018/19

No. Local Governments County Sub County / TC Health Facility to Construction Total be Upgraded of Staff Allocation House

1 Adjumani District East Moyo Arinyapi Arinyapi HC II 150,000,000 150,000,000 2 Apac District Maruzi Apac Olelpek HC II 150,000,000 150,000,000 3 Bundibugyo District Bughendera Burondo Burondo HC II 150,000,000 150,000,000

4 Bughendera Harugale Bupomboli HC II 150,000,000 150,000,000 5 Bushenyi District Igara Kyamuhunga Kibazi HC II 150,000,000 150,000,000 6 Busia District Samia Bugwe North Buyanga Buwembe HC II 150,000,000 150,000,000

7 Samia Bugwe South Majanji Majanji HC II 150,000,000 150,000,000 8 Kabale District Ndorwa Kamuganguzi Kasheregyenyi HC 150,000,000 150,000,000 II 9 Kabarole District Burahya Mugusu Nyantabooma HC II 150,000,000 150,000,000 10 Kamuli District Bugabula Kagumba Kagumba HC II 150,000,000 150,000,000 11 Kamwenge District Kibaale Kabambiro Kabambiro HC II 150,000,000 150,000,000

12 Kitagwenda Kanara Kanara HC II 150,000,000 150,000,000 13 Kanungu District Kinkizi Kihihi Matanda HC II 150,000,000 150,000,000 14 Kapchorwa District Tingey Chema Chemosong HC II 150,000,000 150,000,000

15 Kasese District Bukonzo West Bwera Nyakimasa HC II 150,000,000 150,000,000 16 Bukonzo West Isango Kyempara HC II 150,000,000 150,000,000 17 Katakwi District Usuk Katakwi Aliakamer HC II 150,000,000 150,000,000

18 Kayunga District Ntenjeru South Nazigo Bukamba HC II 150,000,000 150,000,000 19 Kibaale District Buyanja Matale Matale HC II 150,000,000 150,000,000 20 Kiboga District Kiboga East Lwamata Bulaga HC II 150,000,000 150,000,000

21 Kisoro District Bufumbira East Murora Chibumba HC II 150,000,000 150,000,000 22 Kyenjojo District Mwenge Central Katooke Myeri HC II 150,000,000 150,000,000 23 Mwenge South Kihuura Kyakaramata HC II 150,000,000 150,000,000

24 Luwero District Katikamu Luwero Katuugo HC II 150,000,000 150,000,000 25 Mayuge District Bunya Jagusi Jagusi HC II 150,000,000 150,000,000 26 Bunya Busakira Busaala HC II 150,000,000 150,000,000

27 Mubende District Kasambya Kigando Butawata HC II 150,000,000 150,000,000 28 Bukuya Kitumbi Buseregenyu HC II 150,000,000 150,000,000 29 Nakasongola District Nakasongola Kakooge Kiralamba HC II 150,000,000 150,000,000

30 Nebbi District Padyere Ndheu Oweko HC II 150,000,000 150,000,000 31 Ntungamo District Ruhama Rukoni East Kyamwasha HC II 150,000,000 150,000,000 32 Ntungamo District Kajara Nyabihoko Karuruma HC II 150,000,000 150,000,000

33 Pader District Aruu North Atanga Lapul Ocwida HC II 150,000,000 150,000,000 34 Pallisa Olok Olok HC II 150,000,000 150,000,000

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No. Local Governments County Sub County / TC Health Facility to Construction Total be Upgraded of Staff Allocation House

35 Rakai District Kooki Kiziba Rakai Kiziba HC II 150,000,000 150,000,000 36 Rukungiri District Rubabo Kebisoni Karuhembe HC II 150,000,000 150,000,000

37 Sembabule District Mawogola Mijwala Busheka 150,000,000 150,000,000 (Sembabule) HC II

38 Sironko District Budadri West Bukhulo Bundege HC II 150,000,000 150,000,000 39 Tororo District West Budama Sop Sop Sop Sop HC II 150,000,000 150,000,000

40 Wakiso District Busiro North Namayumba Nakitokolo 150,000,000 150,000,000 Namayumba HC II

41 Yumbe District Aringa South Midigo Mocha HC II 150,000,000 150,000,000

42 Aringa North Kerwa Kerwa HC II 150,000,000 150,000,000 43 Ibanda District Ibanda Ishongororo Kashozi (Ibanda) 150,000,000 150,000,000 HC II

44 Isingiro District Bukanga Endinzi Busheka (Isingiro) 150,000,000 150,000,000 HC II

45 Kaliro District Bulamogi Budomero Budomero HC II 150,000,000 150,000,000

46 Bulamogi North West Bukamba Nawampiti HC II 150,000,000 150,000,000 47 Kiruhura District Nyabushozi Kikatsi Rweshande HC II 150,000,000 150,000,000 48 Nyabushozi Kitura Kitura HC II 150,000,000 150,000,000

49 Amolatar District Kioga Muntu Nakatiti HC II 150,000,000 150,000,000 50 Amuria District Amuria Akeriau Akeriau HC II 150,000,000 150,000,000 51 Manafwa District Bubulo West Kaato Bukimanayi HC II 150,000,000 150,000,000

52 Bukwo District Kongasis Kabei Mutushet HC II 150,000,000 150,000,000 53 Mityana District Mityana South Namungo Namungo HC II 150,000,000 150,000,000 54 Nakaseke District Nakaseke North Butalangu TC Butalangu HC II 150,000,000 150,000,000

55 Amuru District Kilak South Amuru TC Otwee HC III 150,000,000 150,000,000 56 Budaka District Budaka Kakule Namusita (Budaka) 150,000,000 150,000,000 HC II

57 Oyam District Oyam South Aber Atura HC II 150,000,000 150,000,000

58 Oyam North Aboke Ariba HC II 150,000,000 150,000,000 59 Namutumba District Busiki Mazuba Namutumba Kagulu 150,000,000 150,000,000 HC II

60 Dokolo District Dokolo Adeknino Awelo HC II 150,000,000 150,000,000

61 Dokolo Adok Adok HC II 150,000,000 150,000,000 62 Buliisa District Buliisa Ngwendo Avogera HC II 150,000,000 150,000,000

63 Buliisa District Buliisa Butiaba Butiaba HC II 150,000,000 150,000,000 64 Maracha District Maracha East Paranga Ajikoro HC II 150,000,000 150,000,000 65 Bukedea District Bukedea Bukedea Akuoro HC II 150,000,000 150,000,000 66 Bududa District Manjia Bushika Bubungi HC II 150,000,000 150,000,000

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No. Local Governments County Sub County / TC Health Facility to Construction Total be Upgraded of Staff Allocation House

67 Lyantonde District Kabula Lyakajura Lyakajura HC II 150,000,000 150,000,000 68 Kyegegwa District Kyaka Ruyonza Karwenyi HC II 150,000,000 150,000,000

69 Lamwo District Lamwo Padibe East Katum HC II 150,000,000 150,000,000 70 Otuke District Otuke Ogwette Ogwete HC II 150,000,000 150,000,000 71 Zombo District Okoro Atyak Ther-uru HC II 150,000,000 150,000,000

72 Alebtong District Ajuri Awei Awei HC II 150,000,000 150,000,000

73 Ajuri Angetta Angetta HC II 150,000,000 150,000,000 74 Bulambuli District Bulambuli Nabongo Bunangaka HC II 150,000,000 150,000,000

75 Gomba District Gomba Kyegonza Mamba HC II 150,000,000 150,000,000

76 Gomba Ngomanene Ngomanene HC II 150,000,000 150,000,000 77 Luuka District Luuka Bulongo Bukendi HC II 150,000,000 150,000,000

78 Namayingo District Bukoli Islands Lolwe Lolwe HC II 150,000,000 150,000,000 79 Ntoroko District Ntoroko Bweramule Bweramule HC II 150,000,000 150,000,000 80 Serere District Kasilo Kadungulu Kagwara HC II 150,000,000 150,000,000

81 Kasilo Labori Aarapoo HC II 150,000,000 150,000,000 82 Kyankwanzi District Butemba Bananywa Mujunza HC II 150,000,000 150,000,000

83 Ntwetwe Wattuba Kikolimbo HC II 150,000,000 150,000,000

84 Kalungu District Kalungu Kyamuliibwa Kabaale HC II 150,000,000 150,000,000 85 Lwengo District Bukoto West Kyazanga Kakoma HC II 150,000,000 150,000,000 86 Mitooma District Ruhinda Kashenshero Bukuba HC II 150,000,000 150,000,000

87 Rubirizi District Katerera Katanda Munyonyi HC II 150,000,000 150,000,000

88 Bunyaruguru Ryeru Mushumba HC II 150,000,000 150,000,000

89 Kibuku District Kibuku Kibuku Nalubembe HC II 150,000,000 150,000,000 90 Nwoya District Nwoya Koch Lii Koch Lii HC II 150,000,000 150,000,000 91 Kole District Kole South Ayer Ayer HC II 150,000,000 150,000,000

92 Butambala District Butambala Kibibi Butaaka HC II 150,000,000 150,000,000 93 Sheema District Sheema North Masheruka TC Mabaare HC II 150,000,000 150,000,000

94 Sheema South Kasaana Kyeihara HC II 150,000,000 150,000,000

95 Buhweju District Buhweju Buhunga Mushasha HC II 150,000,000 150,000,000

96 Buhweju Engaju Engaju HC II 150,000,000 150,000,000 97 Agago District Agago South Lukole Lapirin HC II 150,000,000 150,000,000

98 Kween District Kween Kitawoi Terenpoy HC II 150,000,000 150,000,000 99 Kagadi District Buyaga West Muhorro TC Muhorro HC II 150,000,000 150,000,000

100 Buyaga East Paachwa Kyabasara HC II 150,000,000 150,000,000

101 Kakumiro District Bugangaizi West Birembo Birembo HC II 150,000,000 150,000,000 102 Bugangaizi West Kijangi Masaka HC II 150,000,000 150,000,000 103 Omoro District Omoro Lakwaya Loyoajonga HC II 150,000,000 150,000,000

104 Rubanda District Rubanda Hamurwa Mpungu HC II 150,000,000 150,000,000

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No. Local Governments County Sub County / TC Health Facility to Construction Total be Upgraded of Staff Allocation House

105 Butebo District Butebo Butebo Kanyumu HC II 150,000,000 150,000,000 106 Bunyangabu District Bunyangabu Buheesi Kabahango HC II 150,000,000 150,000,000

107 Bugweri Bugweri Namalemba Nawangisa HC II 150,000,000 150,000,000 108 Kasanda District Bukuya Makokoto Butoloogo HC II 150,000,000 150,000,000

109 Kassanda Kalwana Kikandwa HC II 150,000,000 150,000,000

110 Koboko District Koboko Ludara Chakulia HC II 150,000,000 150,000,000

Grand Total 16,500,000,000

Page 66 of 101

Annex 22: Indicative Planning Figures (IPFs) for Equipment for the Upgraded Facilities of FY 2019/20

NO Local Government name County Subcounty / TC Facility Name Equipment Allocation

1. Agago District Agago South Omot Omot HC II 180,000,000

2. Agago North Omiya Pachwa Layita HC II 180,000,000

3. Alebtong District Moroto Aloi Anara HC II 180,000,000

4. Amolatar District Kioga Agwingiri Alyecmeda HC II 180,000,000

5. Kioga Awelo Anamwany HC II 180,000,000

6. Amuria District Amuria Willa Alere HC II 180,000,000

7. Bududa District Manjia Bushiribo Bunamono HC II 180,000,000

8. Bugweri Namalemba Minani HC II 180,000,000 Buhweju District 9. Buhweju Rwagere Rushambya HC II 180,000,000

10. Bukwo District Kongasis Bukwo Amanang HC II 180,000,000

11. Kongasis Suam Kwirwot HC II 180,000,000

12. Bulambuli District Elgon Bulaago Bulaago HC II 180,000,000

13. Bulambuli Bwikhonge Bwikhonge HC II 180,000,000

14. Buliisa District Buliisa Kigwera Kigwera HC II 180,000,000

15. Bundibugyo District Bwamba Bubandi Tombwe HC II 180,000,000

16. Bwamba Kirumya Bundimulangya HC II 180,000,000

17. Buvuma District Buvuma Island Lwajje Lwajje HC II 180,000,000

18. Dokolo District Dokolo Dokolo Adagmon HC II 180,000,000

19. Kabale District Ndorwa Ryakirimira TC Buramba HC II 180,000,000

20. Kabarole District Burahya Karangura Nyakitokoli HC II 180,000,000

21. Kagadi District Buyaga West Burora Burora (Kagadi) HC II 180,000,000

22. Kakumiro District Bugangaizi East Kitaihuka Kitaihuka HC II 180,000,000

23. Kalangala District Kyamuswa Bubeke Bubeke HC II 180,000,000

24. Kaliro District Bulamogi Kasokwe Kasokwe HC II 180,000,000

25. Kamwenge District Kibaale Buhanga Kabingo HC II 180,000,000

26. Kanungu District Kinkizi Kinaba Kinaba HC II 180,000,000

27. Kapchorwa District Tingey Kaptanya Ngangatta HC II 180,000,000

28. Kasanda District Kassanda Makokoto Makokoto HC II 180,000,000

29. Kasese District Busongora North Bwesumbu Bwesumbu HC II 180,000,000

30. Kasese Municipal Council Kasese Municipality Kasese Central Division Railway HC II 180,000,000

31. Kazo District Kazo Kazo Nkungu HC II 180,000,000

32. Kiboga District Kiboga East Kyekumbya Buninga HCII 180,000,000

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NO Local Government name County Subcounty / TC Facility Name Equipment Allocation

33. Kibuku District Kibuku Kabweri Kabweri HC II 180,000,000

34. Kiruhura District Nyabushozi Kenshunga Nshwere HC II 180,000,000

35. Kween District Kween Kaptum Kaptum HC II 180,000,000

36. Kween Kwosir Benet HC II 180,000,000

37. Kyankwanzi District Ntwetwe Ntwetwe Kitabona Sirimula HC II 180,000,000

38. Kyenjojo District Mwenge Central Kyembogo Kigoyera HC II 180,000,000

39. Maracha District Maracha Awiziru Curube HC II 180,000,000

40. Mayuge District Bunya West Bukatube Bukatube HC II 180,000,000

41. Mitooma District Ruhinda Rurehe Ryengyerero HC II 180,000,000

42. Ruhinda Mitooma Nyakishojwa HC II 180,000,000

43. Moyo District West Moyo Oche Aya HC II 180,000,000

44. Namayingo District Bukooli South Bugana Bugana HC II 180,000,000

45. Bukooli South Buyinja Syanyonja HC II 180,000,000

46. Ntoroko District Ntoroko Nombe Musandama HC II 180,000,000

47. Ntungamo District Kajara Bwongyera Rwanda HC II 180,000,000

48. Kajara Ruhama East Kishami HCII 180,000,000

49. Nwoya District Nwoya Purungo Para HC II 180,000,000

50. Omoro District Tochi Koro Lakwatomer HC II 180,000,000

51. Omoro Acet TC Acet HC II 180,000,000

52. Oyam District Oyam South Loro TC Loro HC II 180,000,000

53. Oyam North Iceme TC Iceme HC II 180,000,000

54. Rubirizi District Bunyaruguru Rutoto Ndagaro HC II 180,000,000

55. Rukungiri District Rubabo Buyanja Kasheshe HC II 180,000,000

56. Rwampara District Rwampara Bugamba Nyaruhandagazi HC II 180,000,000

57. Serere District Serere Olio Oburin HC II 180,000,000

58. Sheema District Sheema South Rugarama Rugarama HC II 180,000,000

59. Sheema Municipal Council Sheema Municipality Sheema Central Division Rwamujojo HC II 180,000,000

60. Sironko District Budadri East Bumalimba Mutufu HC II 180,000,000

61. Tororo District Tororo Akadot Kamuli HCII 180,000,000

62. Wakiso District Busiro South Bussi Bussi HC II 180,000,000

GRAND TOTAL 11,160,000,000

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Annex 19: Beneficiary List of HC IIs to be Upgraded to HC IIIs Under UGIFT

No. District County Subcounty / Health Facility Construction Equipment Total TC Allocation 1 Alebtong Ajuri Adwir Adwir HC II 650,000,000 205,217,391 855,217,391

2 Amolatar Kioga Arwotchek Arwotchek HC II 650,000,000 205,217,391 855,217,391

3 Amuria Amuria Apeduru Golokwara (Ajaki) 650,000,000 205,217,391 855,217,391 HC II 4 Amuria Amuria Ogolai Abeko HC II 650,000,000 205,217,391 855,217,391

5 Buhweju Buhweju Bitsya Bitsya HC II 650,000,000 205,217,391 855,217,391

6 Bukedea Bukedea Kachumbala Nalugai HC II 650,000,000 205,217,391 855,217,391 7 Bukwo Kongasis Kamet Aralam HC II 650,000,000 205,217,391 855,217,391

8 Bukwo Kongasis Senendet Kapkoros HC II 650,000,000 205,217,391 855,217,391 9 Bukwo Kongasis Tulel Tulel HC II 650,000,000 205,217,391 855,217,391 10 Bulambuli Elgon Simu Bukibologoto HC II 650,000,000 205,217,391 855,217,391

11 Buliisa Buliisa Kihungya Kihungya HC II 650,000,000 205,217,391 855,217,391 12 Bundibugyo Bughendera Kasitu Kyondo HC II 650,000,000 205,217,391 855,217,391 13 Bundibugyo Bwamba Tokwe Buhanda HC II 650,000,000 205,217,391 855,217,391

14 Buvuma Buvuma Islands Lyabaana Nkata HC II 650,000,000 205,217,391 855,217,391 15 Buvuma Buvuma Islands Nairambi Lukale HC II 650,000,000 205,217,391 855,217,391 16 Buvuma Buvuma Islands Buwooya Buwooya HC II 650,000,000 205,217,391 855,217,391

17 Dokolo Dokolo Okwongodul Anyacoto HC II 650,000,000 205,217,391 855,217,391 18 Gomba Gomba Kabulasoke Bulwadda HC II 650,000,000 205,217,391 855,217,391 19 Gulu Aswa Omel Omel HCII 650,000,000 205,217,391 855,217,391

20 Kabale Ndorwa Kibuga Karujanga HC II 650,000,000 205,217,391 855,217,391 21 Kabarole Burahya Rwengaju Kidubuli HC II 650,000,000 205,217,391 855,217,391 22 Kabarole Burahya Kicwamba Kicwamba HCII 650,000,000 205,217,391 855,217,391

23 Kapelebyong Kapelebyong Okungur Aeket HC II 650,000,000 205,217,391 855,217,391 24 Kasese Bukonzo East Munkunyu Kabingo HCII 650,000,000 205,217,391 855,217,391 25 Kassanda Kassanda Nalutuntu Kyakatebe HC II 650,000,000 205,217,391 855,217,391

26 Katakwi Usuk Usuk Koritok HC II 650,000,000 205,217,391 855,217,391 27 Kazo Kazo Kazo Kyampangara 650,000,000 205,217,391 855,217,391 28 Kazo Kazo Engari Kyengando HC II 650,000,000 205,217,391 855,217,391

29 Koboko Koboko Western Lasanga HCII 650,000,000 205,217,391 855,217,391 Municipality Division

30 Kyankwanzi Butemba Banda Banda HC II 650,000,000 205,217,391 855,217,391

31 Lamwo Lamwo Lokung Ngomoromo HC II 650,000,000 205,217,391 855,217,391

32 Busia Samia Bugwe Dabani Dabani 650,000,000 205,217,391 855,217,391 South (south)

33 Lwengo Bukoto South Kkingo Kagganda HC II 650,000,000 205,217,391 855,217,391

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No. District County Subcounty / Health Facility Construction Equipment Total TC Allocation 34 Lyantonde Kabula Lyantonde Kabetemere HC II 650,000,000 205,217,391 855,217,391 35 Maracha Maracha East Yivu Loinya HC II 650,000,000 205,217,391 855,217,391 36 Masaka Masaka Kyabakuza Kyabakuza HCII 650,000,000 205,217,391 855,217,391 Municipality

37 Mayuge Bunya East Mpungwe Muggi HC II 650,000,000 205,217,391 855,217,391 38 Moyo West Moyo Metu Gbari 650,000,000 205,217,391 855,217,391 HCII 39 Ntungamo Rushenyi Rwentobo- Kaina HC II 650,000,000 205,217,391 855,217,391 Rwahi TC

40 Ntungamo Ruhama Kafunjo - Kafunjo HC II 650,000,000 205,217,391 855,217,391 Mirama hills

41 Oyam Oyam North Iceme Alira HCII 650,000,000 205,217,391 855,217,391 42 Pader Aruu North Acholibur Okinga HC II 650,000,000 205,217,391 855,217,391 43 Rubirizi Katerera Kyabakara Kyabakara HC II 650,000,000 205,217,391 855,217,391

44 Sironko Budadri West Buyobo Buyobo HC II 650,000,000 205,217,391 855,217,391

45 Wakiso Busiro North Bussi Zinga HC II 650,000,000 205,217,391 855,217,391 46 Zombo Okoro Paidha Otheko HC II 650,000,000 205,217,391 855,217,391

Grand Total 29,900,000,000 9,439,999,986 39,339,999,986

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Annex 20: List of Districts with New Construction in Sub Counties with no HC III

No. District County Subcounty Amount FY 2021/22

1 Kakumiro Bugangaizi West Kakindo 1,800,000,000 2 Yumbe Aringa Kuru 1,800,000,000 3 Oyam Oyam South Minakulu 1,800,000,000 4 Mubende Kasambya Kigando 1,800,000,000 5 Kyegegwa Kyaka Kabweza 1,800,000,000 6 Kyenjojo Mwenge Central Bugaki 1,800,000,000 7 Kibaale Buyanja Nyamuranda 1,800,000,000 8 Lira Lira City Ojwiina Anai (Punuluru) 1,800,000,000 9 Koboko Koboko Municipality Southern Division 1,800,000,000 10 Kyankwanzi Butemba Butemba 1,800,000,000 11 Kassanda Bukuya Kijuna 1,800,000,000 12 Lira Erute North Ngetta (Anyomorem 1,800,000,000 /Akwiaworo) Grand Total 21,600,000,000

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Annex 18: Beneficiary List for Transitional Development Adhoc for FY 2021/22

NO DISTRICT/CITY FACILITY PURPOSE AMOUNT 1. Koboko District Koboko General Hospital General expansion 500,000,000 2. Moyo district Arra HC II Upgrade to HC III 400,000,000 3. Kumi MC Kumi HC IV General ward 400,000,000 construction, expansion, and renovation 4. Lira city Ongicha HC III Upgrade to HC IV 400,000,000 5. Kakumiro district Nkooko HC II Upgrade to HC III 400,000,000 6. Kazo district Kazo HC IV Maternity ward and 500,000,000 general expansion 7. Mukono district Mukono General Hospital Stores construction 220,000,000 8. Kiruhura district Rweshande HC III Staff houses and fencing 480,000,000 9. Luwero district Bowa HC III Staff houses construction 400,000,000 10. Nakaseke district Kinoni HC III 2nd phase maternity 300,000,000 construction and General expansion 11. Arua city Kawuanzeti HC III Upgrade to HC IV 500,000,000 12. Jinja district Buwenge General Hospital Ongoing construction of 500,000,000 hospital 13. Buyende district Bugaya HC III Upgrade to HC IV 400,000,000 14. Kyankwanzi district Muwangi HC III New construction 400,000,000 15. Serere district Apapai HC IV General expansion of the 400,000,000 facility 16. Kisoro district Kisoro General Hospital Renovation and expansion 200,000,000 of theatre Grand total 6,400,000,000

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Annex 17: LG Indicative Planning Figures (IPFs) for FY 2021/22 for PHC AND Development Grants

Vote Local Government Health - Wage Health - Non- o/w Primary o/w Primary o/w Primary o/w Primary o/w Primary Transitional Transitional Health - o/w Health o/w Health Code Conditional Wage Health Care - Health Care - Healthcare - Healthcare - Healthcare - Development Development Development Development - Development - Grant Conditional Non-Wage Non-Wage Hospital Non- Hospital Non- DHO - Health - Health Ad Conditional Facility Formula and Grant Recurrent Recurrent Wage Wage allocation Hoc Grant upgrades performance (Government) (PNFP) Recurrent Recurrent part (Government) (PNFP)

501 Adjumani District 6,652,228,637 1,251,456,012 646,343,844 47,757,318 459,409,537 0 97,945,313 0 0 378,120,427 150,000,014 228,120,413

502 Apac District 4,414,850,107 618,837,953 160,904,279 11,527,851 401,736,952 0 44,668,871 0 0 347,594,477 150,000,000 197,594,477

503 Arua District 1,672,600,941 491,312,488 178,125,879 6,222,363 0 264,679,580 42,284,666 500,000,000 500,000,000 100,794,662 0 100,794,662

504 Bugiri District 4,877,516,764 1,190,430,756 566,862,709 23,742,715 508,569,173 0 91,256,158 0 0 649,515,934 0 649,515,934

505 Bundibugyo District 6,416,031,490 944,259,671 417,725,705 32,732,563 425,216,658 0 68,584,745 0 0 2,599,449,701 2,370,434,782 229,014,919

506 Bushenyi District 2,615,402,757 723,290,141 210,886,460 10,758,340 0 446,433,087 55,212,254 0 0 414,135,965 150,000,000 264,135,965

507 Busia District 4,171,029,326 1,226,415,655 345,586,280 9,810,181 601,389,162 201,819,010 67,811,022 0 0 1,388,527,027 1,155,217,391 233,309,636

508 Gulu District 2,495,818,956 290,225,950 239,364,799 0 0 0 50,861,151 0 0 1,003,110,014 855,217,391 147,892,623

509 Hoima District 3,045,846,899 348,771,895 285,230,058 9,873,250 0 0 53,668,587 0 0 289,420,544 0 289,420,544

510 Iganga District 5,046,760,932 1,035,381,410 397,810,245 41,498,997 522,029,865 0 74,042,303 0 0 221,227,367 0 221,227,367

511 Jinja District 4,397,170,605 877,054,081 335,991,512 27,909,590 0 442,839,492 70,313,486 500,000,000 500,000,000 185,044,993 0 185,044,993

512 Kabale District 4,019,699,485 620,861,552 288,109,380 16,660,053 0 243,317,586 72,774,534 0 0 1,371,988,030 1,185,217,391 186,770,639

513 Kabarole District 2,908,459,631 295,615,462 232,363,153 10,879,865 0 0 52,372,445 0 0 2,535,961,987 2,040,434,782 495,527,205

514 Kaberamaido District 2,350,376,964 531,445,319 126,697,255 16,523,475 350,899,449 0 37,325,141 0 0 116,631,960 0 116,631,960

515 Kalangala District 3,316,495,896 206,076,475 158,826,331 7,101,271 0 0 40,148,873 0 0 274,532,527 180,000,000 94,532,527

517 Kamuli District 6,948,982,659 1,710,155,134 612,530,475 72,883,504 636,778,914 288,034,959 99,927,282 0 0 431,479,171 150,000,000 281,479,171

518 Kamwenge District 4,039,274,792 963,233,102 418,207,771 37,348,533 435,849,089 0 71,827,709 0 0 1,128,649,200 480,000,000 648,649,200

519 Kanungu District 6,624,960,177 1,256,392,167 403,218,938 90,029,036 378,520,568 300,000,000 84,623,626 0 0 553,892,656 330,000,000 223,892,656

520 Kapchorwa District 3,922,541,711 717,727,286 92,766,842 9,736,611 577,514,930 0 37,708,903 0 0 451,821,725 330,000,000 121,821,725

521 Kasese District 10,284,275,440 1,467,602,380 730,203,911 78,058,067 384,885,540 136,804,755 137,650,108 0 0 1,635,385,751 1,335,217,391 300,168,360

522 Katakwi District 3,919,748,568 718,388,586 223,042,447 27,880,019 413,512,915 0 53,953,206 0 0 1,166,935,634 1,005,217,391 161,718,243

523 Kayunga District 5,245,139,841 953,727,223 426,204,200 17,187,678 443,256,744 0 67,078,600 0 0 680,566,751 150,000,000 530,566,751

524 Kibaale District 2,250,342,333 292,274,277 228,952,379 20,952,601 0 0 42,369,297 0 0 2,401,624,973 1,950,000,000 451,624,973

525 Kiboga District 4,459,256,423 762,690,294 231,354,878 10,021,320 468,219,177 0 53,094,920 0 0 583,785,647 330,000,000 253,785,647

526 Kisoro District 7,447,600,102 1,251,056,899 532,120,001 24,393,977 451,469,863 157,597,519 85,475,540 200,000,000 200,000,000 503,464,997 150,000,000 353,464,997

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527 Kitgum District 5,392,836,990 1,115,652,670 339,057,029 0 518,605,984 196,322,118 61,667,539 0 0 129,266,965 0 129,266,965

528 Kotido District 1,579,797,141 346,780,286 293,682,343 0 0 0 53,097,943 0 0 236,810,109 0 236,810,109

529 Kumi District 3,072,610,098 959,590,359 226,223,996 23,122,409 485,506,385 173,409,049 51,328,520 0 0 269,900,456 0 269,900,456

530 Kyenjojo District 5,338,181,489 1,088,115,701 500,817,761 70,317,601 441,198,551 0 75,781,789 0 0 2,580,064,364 2,280,000,000 300,064,364

531 Lira District 2,932,097,222 294,660,189 249,511,391 0 0 0 45,148,798 0 0 2,215,470,013 1,800,000,000 415,470,013

532 Luwero District 7,144,749,481 1,257,373,942 546,915,939 92,380,559 399,272,062 116,799,072 102,006,310 400,000,000 400,000,000 360,650,092 150,000,000 210,650,092

533 Masaka District 1,686,190,095 181,629,075 133,264,119 9,958,687 0 0 38,406,269 0 0 110,101,264 0 110,101,264

534 Masindi District 4,761,736,920 717,717,851 283,835,748 0 376,709,372 0 57,172,731 0 0 161,960,531 0 161,960,531

535 Mayuge District 4,230,775,435 1,379,486,333 802,514,183 14,686,222 0 454,455,704 107,830,224 0 0 1,754,578,957 1,335,217,391 419,361,566

536 Mbale District 3,618,562,525 407,632,854 305,507,283 40,622,421 0 0 61,503,150 0 0 259,235,846 0 259,235,846

537 Mbarara District 2,637,169,826 215,543,242 168,158,202 3,585,847 0 0 43,799,192 0 0 376,740,486 0 376,740,486

538 Moroto District 1,715,841,936 322,694,378 220,550,452 54,557,385 0 0 47,586,540 0 0 86,007,467 0 86,007,467

539 Moyo District 4,552,671,976 565,781,339 180,370,238 16,547,376 314,261,590 0 54,602,135 400,000,000 400,000,000 1,169,526,955 1,035,217,391 134,309,564

540 Mpigi District 3,276,305,885 695,331,771 279,732,639 50,695,110 0 305,566,172 59,337,851 0 0 340,585,536 0 340,585,536

541 Mubende District 2,719,309,651 547,692,168 459,516,796 12,188,591 0 0 75,986,780 0 0 2,804,706,415 2,100,000,000 704,706,415

542 Mukono District 4,260,454,629 1,254,844,094 498,604,092 33,575,919 426,998,468 209,375,987 86,289,628 220,000,000 220,000,000 424,283,404 0 424,283,404

543 Nakapiripirit District 1,509,445,465 332,943,883 254,773,113 32,487,015 0 0 45,683,755 0 0 96,551,166 0 96,551,166

544 Nakasongola District 3,992,736,267 352,934,543 279,663,363 11,219,510 0 0 62,051,670 0 0 279,796,960 150,000,000 129,796,960

545 Nebbi District 4,028,127,089 1,146,977,353 314,641,863 44,407,991 516,590,062 210,442,843 60,894,593 0 0 273,990,962 150,000,000 123,990,962

546 Ntungamo District 7,068,850,223 1,027,681,575 500,133,576 11,289,855 434,051,657 0 82,206,487 0 0 2,765,456,552 2,370,434,782 395,021,770

547 Pader District 3,850,010,584 461,741,014 384,397,708 3,978,245 0 0 73,365,061 0 0 1,279,274,561 1,155,217,391 124,057,170

548 Pallisa District 4,285,434,601 1,015,051,647 402,242,929 14,985,293 534,426,309 0 63,397,116 0 0 296,939,173 0 296,939,173

549 Rakai District 5,594,979,304 844,082,679 321,636,634 30,928,825 417,043,987 0 74,473,233 0 0 382,069,358 150,000,000 232,069,358

550 Rukungiri District 4,675,146,850 1,180,583,013 478,439,703 86,585,362 0 505,967,194 109,590,754 0 0 672,495,099 330,000,000 342,495,099

551 Sembabule District 2,378,096,503 554,147,175 448,220,780 34,056,449 0 0 71,869,946 0 0 406,703,607 150,000,000 256,703,607

552 Sironko District 4,167,977,873 397,008,507 330,613,871 6,734,120 0 0 59,660,515 0 0 1,395,201,573 1,185,217,391 209,984,182

553 Soroti District 2,056,410,703 295,707,855 240,663,350 5,536,697 0 0 49,507,808 0 0 512,974,952 0 512,974,952

554 Tororo District 7,850,332,203 1,398,152,773 662,843,444 27,037,323 497,758,797 101,954,273 108,558,936 0 0 940,937,666 330,000,000 610,937,666

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555 Wakiso District 5,327,179,214 2,070,573,920 1,070,493,184 143,791,988 0 720,051,083 136,237,665 0 0 1,855,157,573 1,185,217,391 669,940,182

556 Yumbe District 7,148,440,111 2,187,782,983 1,351,546,451 78,120,164 605,797,872 0 152,318,496 0 0 2,534,474,611 2,100,000,000 434,474,611

557 Butaleja District 4,174,425,195 957,118,245 379,549,910 10,529,549 502,434,608 0 64,604,177 0 0 214,379,999 0 214,379,999

558 Ibanda District 2,417,916,080 673,380,221 191,248,719 0 0 431,563,042 50,568,461 0 0 662,624,946 150,000,000 512,624,946

559 Kaabong District 3,117,463,008 792,620,638 316,988,350 17,404,408 395,126,092 0 63,101,788 0 0 91,079,266 0 91,079,266

560 Isingiro District 5,761,204,605 799,110,873 666,196,146 24,261,084 0 0 108,653,644 0 0 1,569,330,004 150,000,000 1,419,330,004

561 Kaliro District 2,574,822,508 460,464,263 365,504,632 35,187,156 0 0 59,772,474 0 0 822,878,493 480,000,000 342,878,493

562 Kiruhura District 2,799,958,959 520,783,512 199,496,239 5,610,480 0 268,142,985 47,533,808 480,000,000 480,000,000 831,390,845 480,000,000 351,390,845

563 Koboko District 2,707,559,009 644,077,073 216,389,654 0 381,022,112 0 46,665,306 500,000,000 500,000,000 300,409,405 150,000,000 150,409,405

564 Amolatar District 2,116,969,269 706,248,168 213,523,303 4,785,281 0 443,679,027 44,260,557 0 0 1,497,860,311 1,365,217,391 132,642,920

565 Amuria District 3,328,748,190 722,728,437 233,903,941 35,521,689 399,506,473 0 53,796,334 0 0 2,229,624,772 2,040,434,782 189,189,990

566 Manafwa District 2,703,165,173 264,529,364 204,346,850 19,485,371 0 0 40,697,143 0 0 366,673,914 150,000,000 216,673,914

567 Bukwo District 3,664,466,665 306,694,195 239,930,811 14,895,168 0 0 51,868,217 0 0 3,209,202,854 3,075,652,173 133,550,681

568 Mityana District 6,454,952,991 874,801,169 322,022,355 42,706,702 444,117,540 0 65,954,571 0 0 300,966,966 150,000,000 150,966,966

569 Nakaseke District 5,904,970,164 790,216,896 283,495,894 22,348,507 364,793,083 61,629,973 57,949,440 300,000,000 300,000,000 282,355,253 150,000,000 132,355,253

570 Amuru District 3,109,243,095 496,008,846 399,859,522 24,894,301 0 0 71,255,023 0 0 279,343,969 150,000,000 129,343,969

571 Budaka District 2,547,812,009 379,195,552 315,505,882 9,817,880 0 0 53,871,790 0 0 485,456,660 150,000,000 335,456,660

572 Oyam District 3,092,859,320 902,688,515 435,184,411 22,346,242 0 372,278,134 72,879,728 0 0 3,556,305,175 3,315,217,391 241,087,784

573 Abim District 2,977,762,422 770,471,047 283,585,393 20,304,112 409,881,618 0 56,699,923 0 0 108,452,408 0 108,452,408

574 Namutumba District 2,272,781,752 512,702,239 400,424,814 40,190,937 0 0 72,086,489 0 0 396,512,045 150,000,000 246,512,045

575 Dokolo District 2,684,855,326 285,113,994 232,666,894 4,074,414 0 0 48,372,687 0 0 1,600,821,389 1,335,217,391 265,603,998

576 Buliisa District 3,652,484,010 577,637,754 200,788,877 0 338,052,708 0 38,796,169 0 0 1,507,410,990 1,335,217,391 172,193,599

577 Maracha District 3,397,664,278 597,676,854 276,483,522 8,543,253 0 260,331,524 52,318,555 0 0 1,371,836,916 1,185,217,391 186,619,525

578 Bukedea District 2,107,927,037 384,325,245 303,191,628 30,173,386 0 0 50,960,231 0 0 1,270,907,257 1,005,217,391 265,689,866

579 Bududa District 4,296,029,190 1,078,248,130 424,180,593 9,488,715 581,385,169 0 63,193,654 0 0 720,356,140 330,000,000 390,356,140

580 Lyantonde District 3,618,890,142 672,153,470 123,078,775 10,242,272 494,731,325 0 44,101,097 0 0 1,169,876,161 1,005,217,391 164,658,770

581 Amudat District 968,865,258 660,893,420 293,605,616 0 0 319,182,927 48,104,877 0 0 143,914,649 0 143,914,649

582 Buikwe District 3,458,310,752 1,131,775,514 159,874,515 18,293,505 601,116,890 306,211,608 46,278,997 0 0 154,660,924 0 154,660,924

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583 Buyende District 1,794,315,859 845,065,865 639,467,643 119,761,441 0 0 85,836,781 400,000,000 400,000,000 231,001,732 0 231,001,732

584 Kyegegwa District 2,567,038,204 1,044,259,290 489,948,201 18,855,378 465,044,300 0 70,411,412 0 0 2,300,732,303 1,950,000,000 350,732,303

585 Lamwo District 2,861,919,054 422,584,221 352,042,227 9,447,893 0 0 61,094,101 0 0 1,126,170,077 1,005,217,391 120,952,686

586 Otuke District 1,978,247,708 247,951,011 196,229,876 7,251,594 0 0 44,469,541 0 0 256,512,897 150,000,000 106,512,897

587 Zombo District 2,286,323,471 748,868,809 338,586,649 54,107,926 0 296,325,384 59,848,849 0 0 1,121,489,404 1,005,217,391 116,272,013

588 Alebtong District 2,218,335,124 469,485,547 375,482,140 32,842,243 0 0 61,161,164 0 0 1,465,517,713 1,335,217,391 130,300,322

589 Bulambuli District 3,691,632,430 446,598,528 377,325,599 3,959,677 0 0 65,313,252 0 0 1,672,366,378 1,365,217,391 307,148,987

590 Buvuma District 1,804,265,076 285,745,550 228,811,207 11,503,333 0 0 45,431,011 0 0 2,993,160,378 2,745,652,173 247,508,205

591 Gomba District 1,886,132,600 325,337,636 264,418,534 8,914,778 0 0 52,004,324 0 0 1,305,460,496 1,155,217,391 150,243,105

592 Kiryandongo District 3,553,103,434 878,544,629 388,480,091 45,587,367 377,294,277 0 67,182,893 0 0 251,187,723 0 251,187,723

593 Luuka District 2,467,507,360 457,821,886 357,059,285 30,502,567 0 0 70,260,034 0 0 278,015,227 150,000,000 128,015,227

594 Namayingo District 2,849,757,926 550,458,353 451,970,708 24,459,846 0 0 74,027,799 0 0 661,765,119 510,000,000 151,765,119

595 Ntoroko District 1,937,938,770 178,826,224 141,803,269 3,716,130 0 0 33,306,825 0 0 393,659,349 330,000,000 63,659,349

596 Serere District 3,133,973,147 471,227,828 378,574,690 31,431,510 0 0 61,221,628 400,000,000 400,000,000 850,388,588 480,000,000 370,388,588

597 Kyankwanzi District 2,517,098,416 388,727,245 311,468,109 21,298,300 0 0 55,960,837 400,000,000 400,000,000 3,336,529,829 3,135,217,391 201,312,438

598 Kalungu District 2,221,553,159 709,299,487 185,288,633 43,174,883 0 433,394,426 47,441,544 0 0 280,902,886 150,000,000 130,902,886

599 Lwengo District 2,769,176,034 399,214,929 294,967,395 46,903,218 0 0 57,344,315 0 0 1,197,091,615 1,005,217,391 191,874,224

600 Bukomansimbi District 1,477,325,930 238,460,474 150,108,207 47,773,303 0 0 40,578,963 0 0 64,119,247 0 64,119,247

601 Mitooma District 2,432,264,169 274,160,488 206,510,230 19,621,899 0 0 48,028,359 0 0 662,607,595 510,000,000 152,607,595

602 Rubirizi District 2,098,902,071 200,542,309 153,012,677 5,679,221 0 0 41,850,411 0 0 1,711,596,674 1,335,217,391 376,379,283

603 Ngora District 1,964,166,940 515,633,746 179,339,963 4,300,738 0 290,903,109 41,089,936 0 0 377,624,809 0 377,624,809

604 Napak District 2,148,301,503 656,781,873 341,144,871 18,115,002 0 239,532,597 57,989,403 0 0 92,981,871 0 92,981,871

605 Kibuku District 2,575,419,725 360,915,714 308,865,804 0 0 0 52,049,910 0 0 750,754,457 330,000,000 420,754,457

606 Nwoya District 3,556,693,958 891,580,036 381,331,873 27,342,212 420,048,367 0 62,857,584 0 0 697,553,006 330,000,000 367,553,006

607 Kole District 2,179,654,216 324,005,133 269,576,224 6,523,443 0 0 47,905,467 0 0 341,162,684 150,000,000 191,162,684

608 Butambala District 3,321,662,195 505,515,014 114,030,551 11,624,756 338,660,472 0 41,199,234 0 0 325,151,681 150,000,000 175,151,681

609 Sheema District 4,199,351,024 520,128,380 148,884,061 7,606,522 319,067,071 0 44,570,726 0 0 678,282,942 480,000,000 198,282,942

610 Buhweju District 1,905,469,504 295,570,003 234,353,064 14,375,220 0 0 46,841,719 0 0 1,448,048,723 1,335,217,391 112,831,332

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611 Agago District 3,343,608,686 1,062,631,363 487,993,727 0 0 488,852,489 85,785,147 0 0 648,709,784 510,000,000 138,709,784

612 Kween District 3,228,716,586 275,884,141 215,616,766 8,762,183 0 0 51,505,192 0 0 657,047,240 510,000,000 147,047,240

613 Kagadi District 4,372,720,243 1,097,042,517 465,829,904 57,516,996 501,386,745 0 72,308,871 0 0 880,513,122 480,000,000 400,513,122

614 Kakumiro District 2,695,018,359 683,829,842 561,722,066 45,676,006 0 0 76,431,771 400,000,000 400,000,000 2,693,469,597 2,280,000,000 413,469,597

615 Omoro District 2,911,226,416 294,315,966 234,133,463 7,189,564 0 0 52,992,939 0 0 627,264,592 510,000,000 117,264,592

616 Rubanda District 3,015,410,407 346,866,700 259,334,040 25,429,588 0 0 62,103,072 0 0 675,515,959 150,000,000 525,515,959

617 Namisindwa District 1,995,863,221 430,710,261 333,668,795 38,691,506 0 0 58,349,960 0 0 135,731,397 0 135,731,397

618 Pakwach District 1,858,790,391 319,211,056 249,537,991 18,402,526 0 0 51,270,539 0 0 113,767,468 0 113,767,468

619 Butebo District 1,927,809,392 308,405,654 156,197,576 4,998,713 0 110,000,000 37,209,365 0 0 318,269,979 150,000,000 168,269,979

620 Rukiga District 2,679,466,047 247,813,754 179,112,704 16,955,641 0 0 51,745,410 0 0 71,139,476 0 71,139,476

621 Kyotera District 5,094,426,235 819,669,212 299,396,810 33,547,170 413,013,694 0 73,711,539 0 0 281,732,074 0 281,732,074

622 Bunyangabu District 2,398,202,224 287,288,249 224,241,259 13,187,899 0 0 49,859,091 0 0 328,368,197 150,000,000 178,368,197

623 Nabilatuk District 995,646,239 272,664,141 212,674,313 19,884,889 0 0 40,104,939 0 0 112,933,922 0 112,933,922

624 Bugweri District 2,027,906,462 326,543,137 252,409,056 20,299,376 0 0 53,834,705 0 0 446,214,502 330,000,000 116,214,502

625 Kasanda District 2,588,943,118 446,207,312 339,045,223 42,388,477 0 0 64,773,613 0 0 3,402,851,893 3,135,217,391 267,634,502

626 Kwania District 2,914,648,101 286,977,133 226,626,132 13,589,802 0 0 46,761,199 0 0 154,265,743 0 154,265,743

627 Kapelebyong District 1,282,861,670 179,989,530 134,511,005 6,808,034 0 0 38,670,492 0 0 990,621,377 855,217,391 135,403,986

628 Kikuube District 2,592,763,884 627,969,691 545,188,838 7,039,394 0 0 75,741,459 0 0 232,397,615 0 232,397,615

629 Obongi District 2,440,027,914 259,623,811 212,555,757 0 0 0 47,068,054 0 0 114,761,545 0 114,761,545

630 Kazo District 2,360,180,581 259,859,425 211,285,250 0 0 0 48,574,175 500,000,000 500,000,000 2,235,388,391 1,890,434,782 344,953,609

631 Rwampara District 2,356,036,448 267,577,377 219,464,982 0 0 0 48,112,395 0 0 319,460,927 180,000,000 139,460,927

632 Kitagwenda District 1,692,418,037 237,325,843 185,821,569 10,291,854 0 0 41,212,421 0 0 198,052,450 0 198,052,450

633 Madi-Okollo District 1,875,983,558 412,566,595 326,612,159 27,885,267 0 0 58,069,169 0 0 126,591,200 0 126,591,200

634 Karenga District 1,489,706,167 196,840,336 154,440,756 5,165,396 0 0 37,234,184 0 0 54,643,668 0 54,643,668

635 Kalaki District 1,639,313,140 478,758,767 135,092,780 0 0 307,593,209 36,072,778 0 0 107,994,107 0 107,994,107

636 Terego District 2,520,352,667 630,213,704 355,011,176 37,334,177 0 176,453,053 61,415,298 0 0 231,396,482 0 231,396,482

752 Entebbe Municipal Council 462,704,743 98,481,619 78,811,691 0 0 0 19,669,928 0 0 315,387,154 0 315,387,154

757 Kabale Municipal Council 707,141,020 84,756,403 66,642,695 0 0 0 18,113,707 0 0 148,310,851 0 148,310,851

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762 Moroto Municipal Council 259,809,318 33,526,599 20,427,372 0 0 0 13,099,227 0 0 0 0 0

764 Tororo Municipal Council 720,330,047 69,310,677 51,304,997 0 0 0 18,005,681 0 0 101,434,148 0 101,434,148

770 Kasese Municipal Council 3,306,778,464 534,521,691 116,832,774 23,589,275 0 368,546,414 25,553,228 0 0 308,370,460 180,000,000 128,370,460

772 Mukono Municipal Council 1,756,455,406 219,115,758 142,847,803 50,208,203 0 0 26,059,751 0 0 453,975,717 0 453,975,717

773 Iganga Municipal Council 315,236,205 86,998,352 57,490,323 11,963,265 0 0 17,544,764 0 0 90,639,280 0 90,639,280

774 Masindi Municipal Council 605,010,727 142,695,941 112,014,585 6,717,523 0 0 23,963,833 0 0 911,292,237 0 911,292,237

775 Ntungamo Municipal Council 683,087,050 49,772,555 36,954,099 0 0 0 12,818,456 0 0 50,119,534 0 50,119,534

776 Busia Municipal Council 724,289,447 80,055,594 65,489,106 0 0 0 14,566,488 0 0 374,651,069 0 374,651,069

777 Bushenyi- Ishaka Municipal Council 694,306,375 69,982,792 54,313,134 0 0 0 15,669,658 0 0 204,677,520 0 204,677,520

778 Rukungiri Municipal Council 1,064,587,667 87,112,550 58,895,635 9,121,797 0 0 19,095,118 0 0 71,213,842 0 71,213,842

779 Nansana Municipal Council 1,521,847,040 458,543,509 400,029,889 8,445,008 0 0 50,068,612 0 0 322,106,825 0 322,106,825

780 Makindye-Ssabagabo Municipal Council 885,770,257 345,307,070 297,523,919 11,309,979 0 0 36,473,172 0 0 507,028,695 0 507,028,695

781 Kira Municipal Council 445,166,777 429,117,234 306,358,592 81,135,147 0 0 41,623,495 0 0 1,046,293,453 0 1,046,293,453

782 Kisoro Municipal Council 157,948,321 25,733,116 13,886,186 0 0 0 11,846,930 0 0 0 0 0

783 Mityana Municipal Council 690,181,441 155,522,791 96,250,186 32,481,819 0 0 26,790,785 0 0 52,863,163 0 52,863,163

784 Kitgum Municipal Council 238,629,829 61,028,186 38,406,334 8,067,550 0 0 14,554,303 0 0 271,323,591 0 271,323,591

785 Koboko Municipal Council 1,337,259,800 69,096,624 0 54,081,860 0 0 15,014,764 0 0 2,934,802,443 2,655,217,391 279,585,052

786 Mubende Municipal Council 385,719,278 129,292,989 106,497,715 0 0 0 22,795,273 0 0 742,037,660 0 742,037,660

787 Kumi Municipal Council 840,860,830 64,945,142 51,509,691 0 0 0 13,435,451 400,000,000 400,000,000 324,170,723 0 324,170,723

788 Lugazi Municipal Council 413,640,530 146,708,611 106,070,178 18,439,045 0 0 22,199,388 0 0 381,250,868 0 381,250,868

789 Kamuli Municipal Council 361,208,432 92,741,440 65,540,223 9,727,676 0 0 17,473,540 0 0 389,153,171 0 389,153,171

790 Kapchorwa Municipal Council 534,554,644 69,566,165 52,210,018 0 0 0 17,356,147 0 0 56,071,167 0 56,071,167

791 Ibanda Municipal Council 1,328,744,831 145,877,829 112,566,287 4,972,267 0 0 28,339,275 0 0 140,883,304 0 140,883,304

792 Njeru Municipal Council 778,836,453 213,567,688 164,630,731 16,374,707 0 0 32,562,250 0 0 214,695,908 0 214,695,908

793 Apac Municipal Council 188,247,120 65,051,580 50,260,924 0 0 0 14,790,656 0 0 0 0 0

794 Nebbi Municipal Council 714,436,245 12,915,095 0 0 0 0 12,915,095 0 0 0 0 0

795 Bugiri Municipal Council 235,223,648 46,486,098 33,235,320 0 0 0 13,250,778 0 0 125,607,502 0 125,607,502

796 Sheema Municipal Council 1,407,947,154 126,673,407 97,567,006 5,035,677 0 0 24,070,724 0 0 268,347,487 180,000,000 88,347,487

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797 Kotido Municipal Council 777,405,571 544,093,367 108,084,810 30,534,482 382,625,250 0 22,848,826 0 0 90,178,004 0 90,178,004

851 Arua city 2,151,239,562 448,740,295 369,550,936 24,889,451 0 0 54,299,908 0 0 302,113,701 0 302,113,701

852 Mbarara city 1,326,768,180 710,431,222 189,443,009 101,069,700 0 373,026,614 46,891,898 0 0 219,047,204 0 219,047,204

853 Gulu city 1,061,548,459 489,854,414 188,167,071 15,865,934 0 242,801,190 43,020,220 0 0 302,180,841 0 302,180,841

854 Jinja city 5,026,882,237 412,589,694 334,863,902 20,144,624 0 0 57,581,169 0 0 231,167,536 0 231,167,536

855 Fort-Portal city 1,812,170,633 463,839,781 144,424,923 3,626,622 0 278,497,915 37,290,321 0 0 136,188,838 0 136,188,838

856 Mbale city 3,144,905,385 435,540,620 291,553,074 3,587,123 0 89,678,074 50,722,349 0 0 289,495,162 0 289,495,162

857 Masaka city 1,400,460,924 489,458,091 199,820,845 13,278,249 0 232,243,213 44,115,785 0 0 1,080,692,470 855,217,391 225,475,079

858 Lira city 726,814,186 343,738,510 204,152,817 35,843,152 0 60,000,000 43,742,540 400,000,000 400,000,000 1,998,215,538 1,800,000,000 198,215,538

859 Soroti city 1,291,507,672 164,286,759 125,807,804 4,853,247 0 0 33,625,708 0 0 239,459,249 0 239,459,249

860 Hoima city 646,397,094 177,155,819 124,740,552 16,698,601 0 0 35,716,666 0 0 154,366,821 0 154,366,821

Total 500,134,610,333 95,926,570,380 49,270,812,189 3,805,777,392 21,556,787,426 11,926,736,388 9,366,456,985 6,400,000,000 6,400,000,000 132,410,957,739 88,600,000,000 43,810,957,739

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Annex 16: URMCHIP RBF Incentives FY 2021/22 O/w - DHMT O/w - District IPFs _ RBF Hospital IPFs _ O/w - Health Vote Total RBF IPFs _ FY Grants RBF Grants Center IPFs _ RBF s/n District No. 2021/22 FY2021/22 FY2021/22 Grants FY2021/22 A+B+C A B C

1 Abim District 573 450,261,469 27,520,000 179,030,421 243,711,048

2 Adjumani District 501 1,473,334,718 40,000,000 172,790,623 1,260,544,095

3 Agago District 611 1,068,699,785 34,600,000 291,195,760 742,904,025

4 Alebtong District 588 972,323,568 33,800,000 938,523,568

5 Amolatar District 564 712,628,793 27,400,000 106,522,113 578,706,680

6 Amudat District 581 352,249,509 22,000,000 110,665,634 219,583,875

7 Amuria District 565 1,258,184,631 38,200,000 100,336,006 1,119,648,625

8 Apac District 502 712,024,404 29,200,000 172,790,204 510,034,200

9 Arua District 503 3,697,049,341 45,400,000 743,347,929 2,908,301,413

10 Budaka District 571 1,348,896,688 42,800,000 1,306,096,688

11 Bududa District 579 1,407,998,457 32,800,000 174,121,667 1,201,076,790

12 Bugiri District 504 1,579,207,633 38,200,000 266,111,308 1,274,896,325

13 Bugweri District 624 536,353,775 32,000,000 504,353,775

14 Buhweju District 610 670,742,583 30,200,000 640,542,583

15 Buikwe District 582 2,307,296,033 42,400,000 485,203,471 1,779,692,563

16 Bukedea District 578 1,474,484,023 30,200,000 1,444,284,023 Bukomansimbi 17 District 600 491,245,238 35,600,000 455,645,238

18 Bukwo District 567 517,868,526 29,200,000 149,549,913 339,118,613

19 Bulambuli District 589 1,300,008,673 41,000,000 1,259,008,673

20 Buliisa District 576 871,008,153 25,600,000 220,435,421 624,972,733

21 Bundibugyo District 505 1,532,264,108 40,000,000 184,334,608 1,307,929,500

22 Bunyangabu District 622 1,131,065,200 39,200,000 1,091,865,200

23 Bushenyi District 506 1,326,648,115 40,800,000 291,974,703 993,873,413

24 Busia District 507 2,428,597,141 37,200,000 368,725,103 2,022,672,038

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O/w - DHMT O/w - District IPFs _ RBF Hospital IPFs _ O/w - Health Vote Total RBF IPFs _ FY Grants RBF Grants Center IPFs _ RBF s/n District No. 2021/22 FY2021/22 FY2021/22 Grants FY2021/22 A+B+C A B C

25 Butaleja District 557 1,973,600,497 40,000,000 199,254,160 1,734,346,338

26 Butambala District 608 591,831,538 31,000,000 172,790,201 388,041,338

27 Butebo District 619 569,590,325 26,600,000 542,990,325

28 Buvuma District 590 656,362,376 24,800,000 631,562,376

29 Buyende District 583 1,952,057,538 32,000,000 1,920,057,538

30 Dokolo District 575 780,633,075 30,200,000 750,433,075

31 Gomba District 591 857,831,293 33,800,000 824,031,293

32 Hoima District 509 1,133,200,043 42,800,000 1,090,400,043

33 Ibanda District 558 1,099,072,000 36,400,000 116,547,737 946,124,263

34 Iganga District 510 1,838,705,999 38,200,000 351,981,524 1,448,524,475

35 Isingiro District 560 2,700,405,063 60,800,000 2,639,605,063

36 Jinja District 511 2,235,795,276 56,200,000 211,870,526 1,967,724,750

37 Kaabong District 559 600,669,556 27,400,000 172,730,421 400,539,135

38 Kabale District 512 1,174,146,290 42,600,000 259,483,465 872,062,825

39 Kabarole District 513 2,003,965,673 46,200,000 343,008,411 1,614,757,263

40 Kaberamaido District 514 625,062,095 27,400,000 62,990,870 534,671,225

41 Kagadi District 613 1,659,240,650 45,400,000 259,134,612 1,354,706,038

42 Kakumiro District 614 2,046,782,313 39,200,000 2,007,582,313

43 Kalaki District 635 816,383,175 27,400,000 65,244,187 723,738,988

44 Kalangala District 515 611,938,551 33,800,000 578,138,551

45 Kaliro District 561 1,094,539,625 32,000,000 1,062,539,625

46 Kalungu District 598 1,017,862,053 40,000,000 122,594,116 855,267,938

47 Kampala District 800 2,584,696,402 62,800,000 612,361,364 1,909,535,038

48 Kamuli District 517 2,517,929,358 53,400,000 618,424,296 1,846,105,063

49 Kamwenge District 518 2,273,045,331 38,200,000 150,303,868 2,084,541,463

50 Kanungu District 519 1,764,126,616 44,400,000 533,467,346 1,186,259,270

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51 Kapchorwa District 520 650,191,084 36,400,000 179,030,421 434,760,663

52 Kapelebyong District 627 578,483,025 24,800,000 553,683,025

53 Karenga District 634 196,174,820 23,000,000 173,174,820

54 Kasese District 521 4,968,997,747 38,000,000 1,158,268,532 3,772,729,215

55 Kasanda District 625 937,249,125 78,800,000 858,449,125

56 Katakwi District 522 877,106,013 32,800,000 149,287,413 695,018,600

57 Kayunga District 523 1,938,442,472 38,200,000 240,058,485 1,660,183,988

58 Kazo District 630 378,548,013 26,600,000 351,948,013

59 Kibaale District 524 650,177,650 30,200,000 619,977,650

60 Kiboga District 525 920,436,546 34,600,000 172,790,201 713,046,345

61 Kibuku District 605 1,495,727,150 33,800,000 1,461,927,150

62 Kikuube District 628 1,501,093,938 46,400,000 1,454,693,938

63 Kiruhura District 562 1,200,814,474 38,200,000 169,981,394 992,633,080

64 Kiryandongo District 592 1,566,233,509 32,800,000 324,058,146 1,209,375,363

65 Kisoro District 526 2,048,333,432 57,000,000 391,889,742 1,599,443,690

66 Kitagwenda District 632 710,305,590 26,600,000 683,705,590

67 Kitgum District 527 1,681,139,942 37,200,000 518,928,407 1,125,011,535

68 Koboko District 563 1,327,399,974 35,400,000 124,966,461 1,167,033,513

69 Kole District 607 1,227,462,663 32,000,000 1,195,462,663

70 Kotido District 528 989,379,830 32,000,000 957,379,830

71 Kumi District 529 1,505,768,563 31,800,000 337,227,200 1,136,741,363

72 Kwania District 626 1,119,812,563 33,800,000 1,086,012,563

73 Kween District 612 996,896,595 33,800,000 963,096,595

74 Kyankwanzi District 597 986,834,613 33,800,000 953,034,613

75 Kyegegwa District 584 1,900,127,525 33,800,000 1,866,327,525

76 Kyenjojo District 530 2,583,098,811 41,800,000 277,540,486 2,263,758,325

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77 Kyotera District 621 1,039,386,544 43,600,000 163,148,824 832,637,720

78 Lamwo District 585 1,241,931,468 39,200,000 1,202,731,468

79 Lira District 531 2,122,706,638 44,600,000 2,078,106,638

80 Luuka District 593 665,038,413 35,600,000 629,438,413

81 Luwero District 532 3,277,246,134 71,400,000 506,108,434 2,699,737,700

82 Lwengo District 599 1,711,555,263 41,000,000 1,670,555,263

83 Lyantonde District 580 680,090,287 31,000,000 170,294,112 478,796,175

84 Madi-Okollo District 633 740,861,650 35,600,000 705,261,650

85 Manafwa District 566 1,134,692,775 30,200,000 1,104,492,775

86 Maracha District 577 1,275,448,105 40,000,000 149,683,368 1,085,764,738

87 Masaka District 533 1,095,764,948 40,000,000 177,950,398 877,814,550

88 Masindi District 534 971,383,194 36,400,000 189,164,206 745,818,988

89 Mayuge District 535 1,584,872,911 36,400,000 285,623,411 1,262,849,500

90 Mbale District 536 3,409,592,088 63,400,000 3,346,192,088

91 Mbarara District 537 1,583,614,881 44,400,000 187,361,131 1,351,853,750

92 Mitooma District 601 997,460,058 35,600,000 961,860,058

93 Mityana District 568 2,023,718,646 67,000,000 331,130,971 1,625,587,675

94 Moroto District 538 385,522,130 26,600,000 358,922,130

95 Moyo District 539 841,719,032 36,400,000 314,054,442 491,264,590

96 Mpigi District 540 1,468,209,483 49,000,000 161,885,733 1,257,323,750

97 Mubende District 541 1,162,306,770 37,400,000 1,124,906,770

98 Mukono District 542 3,885,666,206 51,600,000 245,267,934 3,588,798,273

99 Nabilatuk District 623 423,534,650 23,000,000 400,534,650

100 Nakapiripirit District 543 965,964,505 26,600,000 939,364,505

101 Nakaseke District 569 1,026,006,224 37,200,000 393,819,512 594,986,713

102 Nakasongola District 544 845,124,120 37,400,000 807,724,120

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103 Namayingo District 594 1,057,794,288 30,200,000 1,027,594,288

104 Namisindwa District 617 2,472,691,098 35,600,000 2,437,091,098

105 Namutumba District 574 919,470,275 30,200,000 889,270,275

106 Napak District 604 1,002,126,872 29,200,000 309,860,390 663,066,483

107 Nebbi District 545 1,620,596,902 39,000,000 497,318,539 1,084,278,363

108 Ngora District 603 3,036,183,678 31,000,000 238,109,453 2,767,074,225

109 Ntoroko District 595 324,897,848 24,800,000 300,097,848

110 Ntungamo District 546 2,167,227,564 50,800,000 284,933,251 1,831,494,313

111 Obongi District 629 443,565,600 24,800,000 418,765,600

112 Otuke District 586 683,816,800 33,800,000 650,016,800

113 Oyam District 572 1,250,157,330 32,800,000 255,896,668 961,460,663

114 Pader District 547 933,812,790 35,600,000 898,212,790

115 Pakwach District 618 906,984,688 32,000,000 874,984,688

116 Pallisa District 548 2,224,679,588 40,000,000 217,420,013 1,967,259,575

117 Rakai District 549 1,208,113,132 41,800,000 185,741,195 980,571,938

118 Rubanda District 616 773,766,658 35,600,000 738,166,658

119 Rubirizi District 602 420,913,725 26,600,000 394,313,725

120 Rukiga District 620 389,848,375 32,000,000 357,848,375

121 Rukungiri District 550 2,183,723,236 60,600,000 267,327,411 1,855,795,825

122 Rwampara District 631 433,348,368 24,800,000 408,548,368

123 Sembabule District 551 1,382,761,578 35,600,000 1,347,161,578

124 Serere District 596 1,462,329,600 39,200,000 1,423,129,600

125 Sheema District 609 1,383,638,175 36,400,000 172,790,612 1,174,447,563

126 Sironko District 552 1,306,346,325 46,400,000 1,259,946,325

127 Soroti District 553 1,490,901,388 37,400,000 1,453,501,388

128 Tororo District 554 2,044,118,593 62,600,000 673,147,493 1,308,371,100

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129 Wakiso District 555 3,980,219,678 100,400,000 1,399,838,928 2,479,980,750

130 Yumbe District 556 1,554,792,078 44,600,000 346,107,223 1,164,084,855

131 Zombo District 587 927,420,198 37,400,000 174,719,623 715,300,575

Grand Total 178,281,812,479 4,983,720,000 20,612,052,152 152,686,040,328

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Annex 16: Enhancing Health in Acholi (EHA) Incentives FY 2021/22 District FY21/22Q1 FY21/22Q2 FY21/22Q3 FY21/22Q4 Grand Total Amuru 226,366,189 241,899,616 257,433,043 272,941,470 998,640,318 Atiak 55,485,307 59,386,420 63,287,534 67,163,647 245,322,908 Bibia 7,300,379 7,798,192 8,296,005 8,793,819 32,188,395 Kaladima 11,095,235 11,857,545 12,619,855 13,382,165 48,954,798 Labongogali 11,555,617 12,358,991 13,162,364 13,965,738 51,042,710 Lacor Amuru 42,393,261 45,163,096 47,932,932 50,702,767 186,192,056 Lacor Pabo 34,675,573 36,999,107 39,322,640 41,646,173 152,643,492 Olwal 12,686,197 13,559,918 14,433,638 15,307,359 55,987,112 Otwee 17,828,128 19,085,274 20,342,420 21,599,567 78,855,389 Pabo 11,628,368 12,394,283 13,160,199 13,926,114 51,108,965 Pawel 8,575,067 9,173,286 9,771,505 10,369,725 37,889,583 Pogo HC III 13,143,057 14,123,504 15,103,951 16,084,398 58,454,910 Gulu 184,747,214 197,435,687 210,124,160 222,812,633 815,119,693 Angaya 12,484,103 13,389,203 14,294,304 15,199,404 55,367,014 Awach 88,290,989 94,236,571 100,182,152 106,127,734 388,837,446 Cwero 13,398,975 14,350,200 15,301,425 16,252,650 59,303,252 Labworomor HC III 37,043,753 39,478,586 41,913,420 44,348,254 162,784,013 Pabwo 14,667,024 15,732,736 16,798,448 17,864,160 65,062,368 Patiko 18,862,370 20,248,390 21,634,410 23,020,430 83,765,601 Gulu City Council 62,583,492 67,079,241 71,574,989 76,070,738 277,308,459 Aywee 14,051,537 15,073,210 16,094,883 17,116,556 62,336,186 Bardege 14,269,713 15,297,561 16,325,409 17,353,256 63,245,938 Laroo 5,508,748 5,887,518 6,266,288 6,645,059 24,307,613 Layibi Techo 28,753,494 30,820,952 32,888,409 34,955,867 127,418,722 Nwoya 256,899,863 274,145,444 291,391,026 308,636,607 1,131,072,940 Alero 29,261,839 31,294,749 33,327,660 35,360,570 129,244,818 Anaka 161,165,856 171,776,832 182,387,808 192,998,784 708,329,281 Koch Goma 29,627,253 31,620,796 33,614,338 35,607,880 130,470,267 Koch Lii 16,101,594 17,270,985 18,440,376 19,609,767 71,422,722 Purongo 20,743,320 22,182,082 23,620,844 25,059,606 91,605,852 Omoro 214,609,368 230,809,388 247,447,907 264,550,677 957,417,339 Bobi 28,242,981 30,201,978 32,160,975 34,119,972 124,725,906 Lacor Opit 28,468,119 30,344,909 32,221,700 34,098,490 125,133,218 Lalogi 83,267,646 88,961,692 94,655,737 100,349,782 367,234,857 Lanenober 3,390,462 3,614,893 3,839,324 4,063,755 14,908,434 Lapainat 9,776,973 10,449,239 11,121,506 11,793,772 43,141,490 Loyoajonga 13,466,168 14,469,279 15,472,391 16,475,502 59,883,340 Odek 13,779,876 14,728,813 15,677,751 16,626,689 60,813,129 Ongako 14,814,143 15,889,334 16,964,524 18,039,715 65,707,715

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District FY21/22Q1 FY21/22Q2 FY21/22Q3 FY21/22Q4 Grand Total Acet 14,576,250 16,625,000 18,960,750 21,645,000 120,487,000 Lakwatomer 4,826,750 5,524,250 6,373,250 7,338,000 40,348,250 Grand Total 882,622,633 944,290,134 1,006,396,136 1,068,941,387 3,902,250,291

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Annex 16: GAVI Grants FY 2021/22

1 ABIM 114,666,000 14,700,000 8,640,000 3,348,000 2,760,000 1,134,000 145,248,000 2,140,000 4,908,000 20,320,000 492,000 27,860,000 173,108,000

2 ADJUMANI 30,810,000 9,900,000 7,680,000 3,348,000 2,760,000 1,512,000 56,010,000 3,520,000 4,908,000 11,240,000 492,000 20,160,000 76,170,000

3 AGAGO 62,628,000 14,940,000 10,740,000 3,348,000 2,760,000 2,646,000 97,062,000 4,120,000 4,908,000 16,400,000 492,000 25,920,000 122,982,000

4 ALEBTONG 44,820,000 9,300,000 5,940,000 3,348,000 2,760,000 1,890,000 68,058,000 2,140,000 4,908,000 9,160,000 492,000 16,700,000 84,758,000

5 AMOLATAR 71,880,000 11,580,000 6,900,000 3,348,000 2,760,000 2,268,000 98,736,000 1,960,000 4,908,000 12,240,000 492,000 19,600,000 118,336,000

6 AMUDAT 42,468,000 7,740,000 4,740,000 3,348,000 2,760,000 1,512,000 62,568,000 1,720,000 4,908,000 8,000,000 492,000 15,120,000 77,688,000

7 AMURIA 104,964,000 15,660,000 9,660,000 3,348,000 2,760,000 1,890,000 138,282,000 2,620,000 4,908,000 19,400,000 492,000 27,420,000 165,702,000

8 AMURU 14,430,000 7,860,000 5,700,000 3,348,000 2,760,000 1,890,000 35,988,000 2,620,000 4,908,000 7,120,000 492,000 15,140,000 51,128,000

9 APAC 94,410,000 13,980,000 8,760,000 3,348,000 2,760,000 1,512,000 124,770,000 2,500,000 4,908,000 17,680,000 492,000 25,580,000 150,350,000

10 ARUA 116,904,000 15,660,000 9,300,000 3,348,000 2,760,000 1,512,000 149,484,000 2,200,000 4,908,000 20,480,000 492,000 28,080,000 177,564,000

11 Terego 33,126,000 6,900,000 4,500,000 3,348,000 2,760,000 756,000 51,390,000 1,960,000 4,908,000 8,040,000 492,000 15,400,000 66,790,000

12 Madi Okollo 56,376,000 11,100,000 7,680,000 3,348,000 2,760,000 1,512,000 82,776,000 2,920,000 4,908,000 13,600,000 492,000 21,920,000 104,696,000

13 BUDAKA 54,090,000 12,300,000 8,280,000 3,348,000 2,760,000 2,646,000 83,424,000 2,980,000 4,908,000 12,000,000 492,000 20,380,000 103,804,000

14 BUDUDA 195,306,000 25,860,000 15,120,000 3,348,000 2,760,000 3,402,000 245,796,000 2,980,000 4,908,000 32,080,000 492,000 40,460,000 286,256,000

15 BUGIRI 104,718,000 16,620,000 10,500,000 3,348,000 2,760,000 2,268,000 140,214,000 2,980,000 4,908,000 19,920,000 492,000 28,300,000 168,514,000

16 BUGWERI 36,258,000 7,380,000 4,860,000 3,348,000 2,760,000 756,000 55,362,000 2,080,000 4,908,000 8,840,000 492,000 16,320,000 71,682,000

17 BUHWEJU 34,692,000 8,580,000 5,640,000 3,348,000 2,760,000 1,890,000 56,910,000 2,260,000 4,908,000 9,960,000 492,000 17,620,000 74,530,000

18 BUIKWE 45,516,000 11,460,000 8,580,000 3,348,000 2,760,000 1,512,000 73,176,000 3,580,000 4,908,000 13,480,000 492,000 22,460,000 95,636,000

19 BUKEDEA 189,594,000 22,860,000 12,840,000 3,348,000 2,760,000 2,268,000 233,670,000 2,260,000 4,908,000 31,040,000 492,000 38,700,000 272,370,000

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20 BUKOMANSIMBI 24,210,000 5,700,000 3,660,000 3,348,000 2,760,000 756,000 40,434,000 1,720,000 4,908,000 8,040,000 492,000 15,160,000 55,594,000

21 BUKWO 71,820,000 11,580,000 7,140,000 3,348,000 2,760,000 1,512,000 98,160,000 2,200,000 4,908,000 13,680,000 492,000 21,280,000 119,440,000

22 BULAMBULI 136,656,000 21,540,000 13,440,000 3,348,000 2,760,000 3,402,000 181,146,000 3,580,000 4,908,000 27,240,000 492,000 36,220,000 217,366,000

23 BULIISA 39,936,000 7,380,000 4,560,000 3,348,000 2,760,000 1,134,000 59,118,000 1,720,000 4,908,000 7,760,000 492,000 14,880,000 73,998,000

24 BUNDIBUGYO 143,286,000 22,140,000 13,860,000 3,348,000 2,760,000 3,402,000 188,796,000 3,580,000 4,908,000 26,240,000 492,000 35,220,000 224,016,000

25 BUNYANGABU 42,408,000 8,820,000 5,640,000 3,348,000 2,760,000 1,512,000 64,488,000 2,140,000 4,908,000 9,080,000 492,000 16,620,000 81,108,000

26 BUSHENYI 60,468,000 13,140,000 9,300,000 3,348,000 2,760,000 2,268,000 91,284,000 3,460,000 4,908,000 14,840,000 492,000 23,700,000 114,984,000

27 BUSIA 67,704,000 14,220,000 9,780,000 3,348,000 2,760,000 2,646,000 100,458,000 3,400,000 4,908,000 15,200,000 492,000 24,000,000 124,458,000

28 BUTALEJA 73,014,000 13,260,000 8,700,000 3,348,000 2,760,000 1,890,000 102,972,000 2,920,000 4,908,000 15,400,000 492,000 23,720,000 126,692,000

29 BUTAMBALA 17,820,000 5,220,000 3,540,000 3,348,000 2,760,000 756,000 33,444,000 1,780,000 4,908,000 5,240,000 492,000 12,420,000 45,864,000

30 BUTEBO 33,978,000 6,420,000 3,840,000 3,348,000 2,760,000 1,134,000 51,480,000 1,540,000 4,908,000 6,880,000 492,000 13,820,000 65,300,000

31 BUVUMA 55,590,000 7,500,000 4,740,000 3,348,000 2,760,000 1,134,000 75,072,000 1,840,000 4,908,000 17,960,000 492,000 25,200,000 100,272,000

32 BUYENDE 73,020,000 12,540,000 7,980,000 3,348,000 2,760,000 1,890,000 101,538,000 2,560,000 4,908,000 14,560,000 492,000 22,520,000 124,058,000

33 DOKOLO 84,120,000 12,660,000 7,500,000 3,348,000 2,760,000 1,890,000 112,278,000 2,020,000 4,908,000 14,760,000 492,000 22,180,000 134,458,000

34 GOMBA 46,146,000 8,340,000 5,220,000 3,348,000 2,760,000 1,134,000 66,948,000 1,960,000 4,908,000 9,720,000 492,000 17,080,000 84,028,000

35 GULU 65,052,000 13,260,000 9,120,000 3,348,000 2,760,000 2,268,000 95,808,000 3,280,000 4,908,000 15,040,000 492,000 23,720,000 119,528,000

36 HOIMA 51,312,000 11,460,000 8,100,000 3,348,000 2,760,000 1,890,000 78,870,000 3,100,000 4,908,000 12,760,000 492,000 21,260,000 100,130,000

37 IBANDA 35,988,000 11,580,000 8,940,000 3,348,000 2,760,000 1,890,000 64,506,000 3,940,000 4,908,000 12,600,000 492,000 21,940,000 86,446,000

38 IGANGA 33,828,000 9,780,000 7,440,000 3,348,000 2,760,000 1,512,000 58,668,000 3,280,000 4,908,000 11,040,000 492,000 19,720,000 78,388,000

39 ISINGIRO 124,224,000 22,020,000 14,760,000 3,348,000 2,760,000 3,402,000 170,514,000 4,480,000 4,908,000 25,680,000 492,000 35,560,000 206,074,000

40 JINJA 35,460,000 10,620,000 10,320,000 3,348,000 2,760,000 1,512,000 64,020,000 5,620,000 4,908,000 17,080,000 492,000 28,100,000 92,120,000

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41 KAABONG 67,122,000 10,860,000 6,540,000 3,348,000 2,760,000 1,512,000 92,142,000 2,020,000 4,908,000 12,480,000 492,000 19,900,000 112,042,000

42 Karenga 53,622,000 9,180,000 5,640,000 3,348,000 2,760,000 1,512,000 76,062,000 1,900,000 4,908,000 10,400,000 492,000 17,700,000 93,762,000

43 KABALE 51,546,000 11,940,000 8,700,000 3,348,000 2,760,000 1,890,000 80,184,000 3,460,000 4,908,000 18,920,000 492,000 27,780,000 107,964,000

44 KABAROLE 66,858,000 14,340,000 9,900,000 3,348,000 2,760,000 2,646,000 99,852,000 3,520,000 4,908,000 15,400,000 492,000 24,320,000 124,172,000

45 KABERAMAIDO 24,444,000 7,980,000 5,520,000 3,348,000 2,760,000 1,890,000 45,942,000 2,380,000 4,908,000 6,600,000 492,000 14,380,000 60,322,000

46 Kalaki 23,844,000 7,140,000 4,860,000 3,348,000 2,760,000 1,512,000 43,464,000 2,140,000 4,908,000 6,280,000 492,000 13,820,000 57,284,000

47 KAGADI 117,492,000 19,380,000 12,240,000 3,348,000 2,760,000 3,402,000 158,622,000 3,400,000 4,908,000 22,000,000 492,000 30,800,000 189,422,000

48 KAKUMIRO 98,094,000 15,660,000 9,660,000 3,348,000 2,760,000 2,646,000 132,168,000 2,680,000 4,908,000 17,960,000 492,000 26,040,000 158,208,000

49 KALANGALA 28,830,000 4,620,000 3,240,000 3,348,000 2,760,000 1,134,000 43,932,000 1,720,000 4,908,000 13,880,000 492,000 21,000,000 64,932,000

50 KALIRO 88,572,000 13,980,000 8,640,000 3,348,000 2,760,000 1,890,000 119,190,000 2,500,000 4,908,000 16,600,000 492,000 24,500,000 143,690,000

51 KALUNGU 29,988,000 7,140,000 4,860,000 3,348,000 2,760,000 1,134,000 49,230,000 2,200,000 4,908,000 8,080,000 492,000 15,680,000 64,910,000

52 KAMPALA-Central 24,960,000 7,980,000 6,540,000 3,348,000 2,760,000 2,646,000 48,234,000 3,400,000 4,908,000 5,800,000 492,000 14,600,000 62,834,000 KAMPALA- 53 Kawempe 27,600,000 8,700,000 8,100,000 3,348,000 2,760,000 3,024,000 53,532,000 4,600,000 4,908,000 6,280,000 492,000 16,280,000 69,812,000 KAMPALA- 54 Makindye 26,760,000 8,340,000 7,560,000 3,348,000 2,760,000 2,646,000 51,414,000 4,240,000 4,908,000 6,040,000 492,000 15,680,000 67,094,000 KAMPALA- 55 Nakawa 27,600,000 9,060,000 8,220,000 3,348,000 2,760,000 3,024,000 54,012,000 4,540,000 4,908,000 6,520,000 492,000 16,460,000 70,472,000

56 KAMPALA-Lubaga 24,360,000 5,460,000 5,400,000 3,348,000 2,760,000 1,890,000 43,218,000 3,520,000 4,908,000 4,120,000 492,000 13,040,000 56,258,000

57 KAMULI 60,558,000 16,980,000 13,140,000 3,348,000 2,760,000 3,024,000 99,810,000 5,320,000 4,908,000 19,080,000 492,000 29,800,000 129,610,000

58 KAMWENGE 38,544,000 8,700,000 5,880,000 3,348,000 2,760,000 1,512,000 60,744,000 2,440,000 4,908,000 9,600,000 492,000 17,440,000 78,184,000

59 Kitagwenda 41,328,000 7,740,000 4,740,000 3,348,000 2,760,000 1,134,000 61,050,000 1,780,000 4,908,000 8,360,000 492,000 15,540,000 76,590,000

60 KANUNGU 73,014,000 13,620,000 9,000,000 3,348,000 2,760,000 2,268,000 104,010,000 2,980,000 4,908,000 15,280,000 492,000 23,660,000 127,670,000

61 KAPCHORWA 90,858,000 14,580,000 9,240,000 3,348,000 2,760,000 1,890,000 122,676,000 2,740,000 4,908,000 17,600,000 492,000 25,740,000 148,416,000

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62 KAPELEBYONG 39,282,000 6,900,000 4,080,000 3,348,000 2,760,000 1,134,000 57,504,000 1,540,000 4,908,000 7,680,000 492,000 14,620,000 72,124,000

63 KASESE 178,788,000 32,820,000 22,980,000 3,348,000 2,760,000 4,914,000 245,610,000 7,180,000 4,908,000 39,720,000 492,000 52,300,000 297,910,000

64 KASSANDA 75,180,000 12,900,000 8,520,000 3,348,000 2,760,000 1,512,000 104,220,000 2,980,000 4,908,000 16,600,000 492,000 24,980,000 129,200,000

65 KATAKWI 131,970,000 18,660,000 11,040,000 3,348,000 2,760,000 2,646,000 170,424,000 2,560,000 4,908,000 22,600,000 492,000 30,560,000 200,984,000

66 KAYUNGA 66,624,000 12,420,000 8,400,000 3,348,000 2,760,000 1,890,000 95,442,000 2,920,000 4,908,000 14,720,000 492,000 23,040,000 118,482,000

67 KIBAALE 53,622,000 9,540,000 5,880,000 3,348,000 2,760,000 1,512,000 76,662,000 1,960,000 4,908,000 10,280,000 492,000 17,640,000 94,302,000

68 KIBOGA 50,592,000 11,100,000 7,620,000 3,348,000 2,760,000 1,890,000 77,310,000 2,920,000 4,908,000 12,160,000 492,000 20,480,000 97,790,000

69 KIBUKU 108,582,000 17,100,000 10,440,000 3,348,000 2,760,000 3,024,000 145,254,000 2,740,000 4,908,000 19,280,000 492,000 27,420,000 172,674,000

70 KIKUUBE 8,046,000 5,220,000 4,020,000 3,348,000 2,760,000 756,000 24,150,000 2,320,000 4,908,000 5,240,000 492,000 12,960,000 37,110,000

71 KIRUHURA 48,180,000 10,620,000 7,380,000 3,348,000 2,760,000 1,512,000 73,800,000 2,920,000 4,908,000 12,080,000 492,000 20,400,000 94,200,000

72 Kazo 51,450,000 9,180,000 5,760,000 3,348,000 2,760,000 1,512,000 74,010,000 2,020,000 4,908,000 10,400,000 492,000 17,820,000 91,830,000

73 KIRYANDONGO 32,274,000 8,820,000 6,240,000 3,348,000 2,760,000 1,890,000 55,332,000 2,620,000 4,908,000 8,720,000 492,000 16,740,000 72,072,000

74 KISORO 36,480,000 11,460,000 8,520,000 3,348,000 2,760,000 2,646,000 65,214,000 3,520,000 4,908,000 12,960,000 492,000 21,880,000 87,094,000

75 KITGUM 84,702,000 16,020,000 10,680,000 3,348,000 2,760,000 3,024,000 120,534,000 3,400,000 4,908,000 17,480,000 492,000 26,280,000 146,814,000

76 KOBOKO 51,570,000 9,060,000 5,700,000 3,348,000 2,760,000 1,134,000 73,572,000 2,020,000 4,908,000 10,560,000 492,000 17,980,000 91,552,000

77 KOLE 56,394,000 9,660,000 5,880,000 3,348,000 2,760,000 1,512,000 79,554,000 1,960,000 4,908,000 10,840,000 492,000 18,200,000 97,754,000

78 KOTIDO 95,736,000 15,540,000 9,720,000 3,348,000 2,760,000 2,646,000 129,750,000 2,740,000 4,908,000 17,400,000 492,000 25,540,000 155,290,000

79 KUMI 160,296,000 20,340,000 11,820,000 3,348,000 2,760,000 1,890,000 200,454,000 2,500,000 4,908,000 27,560,000 492,000 35,460,000 235,914,000

80 KWANIA 51,330,000 9,300,000 5,760,000 3,348,000 2,760,000 1,512,000 74,010,000 2,020,000 4,908,000 10,240,000 492,000 17,660,000 91,670,000

81 KWEEN 110,388,000 16,740,000 10,200,000 3,348,000 2,760,000 2,268,000 145,704,000 2,740,000 4,908,000 20,120,000 492,000 28,260,000 173,964,000

82 KYANKWANZI 123,162,000 18,420,000 11,340,000 3,348,000 2,760,000 2,646,000 161,676,000 2,980,000 4,908,000 22,560,000 492,000 30,940,000 192,616,000

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83 KYEGEGWA 87,126,000 14,340,000 8,880,000 3,348,000 2,760,000 2,268,000 118,722,000 2,560,000 4,908,000 16,120,000 492,000 24,080,000 142,802,000

84 KYENJOJO 177,156,000 25,500,000 15,660,000 3,348,000 2,760,000 3,402,000 227,826,000 3,760,000 4,908,000 31,840,000 492,000 41,000,000 268,826,000

85 KYOTERA 55,770,000 12,060,000 8,340,000 3,348,000 2,760,000 1,890,000 84,168,000 3,220,000 4,908,000 13,760,000 492,000 22,380,000 106,548,000

86 LAMWO 69,036,000 13,260,000 8,760,000 3,348,000 2,760,000 2,268,000 99,432,000 2,980,000 4,908,000 14,680,000 492,000 23,060,000 122,492,000

87 LIRA 116,046,000 17,940,000 11,400,000 3,348,000 2,760,000 2,268,000 153,762,000 3,160,000 4,908,000 22,120,000 492,000 30,680,000 184,442,000

88 LUUKA 20,928,000 8,220,000 6,480,000 3,348,000 2,760,000 1,134,000 42,870,000 3,280,000 4,908,000 9,520,000 492,000 18,200,000 61,070,000

89 LUWEERO 60,564,000 14,820,000 11,400,000 3,348,000 2,760,000 1,890,000 94,782,000 4,720,000 4,908,000 18,720,000 492,000 28,840,000 123,622,000

90 LWENGO 40,956,000 8,820,000 6,060,000 3,348,000 2,760,000 1,512,000 63,456,000 2,380,000 4,908,000 9,800,000 492,000 17,580,000 81,036,000

91 LYANTONDE 20,346,000 6,300,000 4,440,000 3,348,000 2,760,000 1,134,000 38,328,000 2,140,000 4,908,000 6,320,000 492,000 13,860,000 52,188,000

92 MANAFWA 144,750,000 20,340,000 11,880,000 3,348,000 2,760,000 3,024,000 186,102,000 2,560,000 4,908,000 23,960,000 492,000 31,920,000 218,022,000

93 MARACHA 100,386,000 15,180,000 9,300,000 3,348,000 2,760,000 2,268,000 133,242,000 2,500,000 4,908,000 18,240,000 492,000 26,140,000 159,382,000

94 MASAKA 33,588,000 9,300,000 7,080,000 3,348,000 2,760,000 1,134,000 57,210,000 3,160,000 4,908,000 10,960,000 492,000 19,520,000 76,730,000

95 MASINDI 36,120,000 10,740,000 7,980,000 3,348,000 2,760,000 2,268,000 63,216,000 3,340,000 4,908,000 10,840,000 492,000 19,580,000 82,796,000

96 MAYUGE 73,932,000 14,700,000 10,620,000 3,348,000 2,760,000 2,268,000 107,628,000 4,000,000 4,908,000 22,440,000 492,000 31,840,000 139,468,000

97 MBALE 149,412,000 25,020,000 16,620,000 3,348,000 2,760,000 3,780,000 200,940,000 4,840,000 4,908,000 30,320,000 492,000 40,560,000 241,500,000

98 MBARARA 32,622,000 9,900,000 7,500,000 3,348,000 2,760,000 1,512,000 57,642,000 3,340,000 4,908,000 10,880,000 492,000 19,620,000 77,262,000

99 Rwampara 43,620,000 7,980,000 4,860,000 3,348,000 2,760,000 1,512,000 64,080,000 1,720,000 4,908,000 8,400,000 492,000 15,520,000 79,600,000 10 0 MITOOMA 65,670,000 11,580,000 7,320,000 3,348,000 2,760,000 1,890,000 92,568,000 2,380,000 4,908,000 12,960,000 492,000 20,740,000 113,308,000 10 1 MITYANA 59,124,000 14,820,000 11,160,000 3,348,000 2,760,000 2,268,000 93,480,000 4,480,000 4,908,000 17,280,000 492,000 27,160,000 120,640,000 10 2 MOROTO 33,420,000 6,660,000 4,500,000 3,348,000 2,760,000 756,000 51,444,000 1,960,000 4,908,000 8,000,000 492,000 15,360,000 66,804,000 10 3 MOYO 24,924,000 6,780,000 4,800,000 3,348,000 2,760,000 1,134,000 43,746,000 2,260,000 4,908,000 7,480,000 492,000 15,140,000 58,886,000

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Routine Immunisation ICHDs April & October Support Data Improvement Teams (DITs) to conduct Follow –up Mentorships of Health Hold quarterly Hold Workers in one day HSD/Sub data quality district county improvement Vaccine stakeholders Quarterly (of EPI/HMIS and District District District Support to performance Performance programs) at Support supplies level level level routine review review all levels in Supervisio distributio coordinatio mobilisatio Facility supervisio Ref Districts Outreaches meeting on EPI meetings districts n for DHT n Sub Total n n Outreaches n Sub Total Grand Total 10 4 Obongi 17,700,000 4,380,000 3,360,000 3,348,000 2,760,000 756,000 32,304,000 2,020,000 4,908,000 4,200,000 492,000 11,620,000 43,924,000 10 5 MPIGI 40,824,000 9,660,000 7,020,000 3,348,000 2,760,000 1,134,000 64,746,000 2,980,000 4,908,000 11,560,000 492,000 19,940,000 84,686,000 10 6 MUBENDE 94,704,000 16,500,000 11,040,000 3,348,000 2,760,000 2,268,000 130,620,000 3,460,000 4,908,000 19,720,000 492,000 28,580,000 159,200,000 10 7 MUKONO 52,704,000 14,220,000 11,160,000 3,348,000 2,760,000 2,268,000 86,460,000 4,720,000 4,908,000 20,920,000 492,000 31,040,000 117,500,000 10 8 NABILATUK 19,638,000 4,140,000 2,340,000 3,348,000 2,760,000 756,000 32,982,000 1,180,000 4,908,000 4,160,000 492,000 10,740,000 43,722,000 10 9 NAKAPIRIPIRIT 35,784,000 6,780,000 4,140,000 3,348,000 2,760,000 1,134,000 53,946,000 1,660,000 4,908,000 7,480,000 492,000 14,540,000 68,486,000 11 0 NAKASEKE 70,122,000 12,900,000 8,520,000 3,348,000 2,760,000 1,890,000 99,540,000 2,860,000 4,908,000 14,800,000 492,000 23,060,000 122,600,000 11 1 NAKASONGOLA 43,044,000 10,380,000 7,620,000 3,348,000 2,760,000 1,512,000 68,664,000 3,220,000 4,908,000 12,040,000 492,000 20,660,000 89,324,000 11 2 NAMAYINGO 35,622,000 8,220,000 5,820,000 3,348,000 2,760,000 1,512,000 57,282,000 2,560,000 4,908,000 13,440,000 492,000 21,400,000 78,682,000 11 3 NAMISINDWA 155,838,000 21,180,000 12,300,000 3,348,000 2,760,000 3,024,000 198,450,000 2,620,000 4,908,000 26,080,000 492,000 34,100,000 232,550,000 11 4 NAMUTUMBA 15,384,000 9,060,000 7,140,000 3,348,000 2,760,000 2,268,000 39,960,000 3,460,000 4,908,000 8,040,000 492,000 16,900,000 56,860,000 11 5 NAPAK 29,754,000 7,740,000 4,980,000 3,348,000 2,760,000 1,890,000 50,472,000 2,020,000 4,908,000 6,560,000 492,000 13,980,000 64,452,000 11 6 NEBBI 50,238,000 10,740,000 7,140,000 3,348,000 2,760,000 2,268,000 76,494,000 2,560,000 4,908,000 10,840,000 492,000 18,800,000 95,294,000 11 7 NGORA 77,130,000 11,340,000 6,660,000 3,348,000 2,760,000 1,512,000 102,750,000 1,840,000 4,908,000 13,640,000 492,000 20,880,000 123,630,000 11 8 NTOROKO 40,008,000 7,260,000 4,200,000 3,348,000 2,760,000 1,512,000 59,088,000 1,480,000 4,908,000 7,200,000 492,000 14,080,000 73,168,000 11 9 NTUNGAMO 87,216,000 19,620,000 13,740,000 3,348,000 2,760,000 4,158,000 130,842,000 4,660,000 4,908,000 19,880,000 492,000 29,940,000 160,782,000 12 0 NWOYA 17,940,000 6,180,000 4,200,000 3,348,000 2,760,000 1,512,000 35,940,000 1,960,000 4,908,000 5,040,000 492,000 12,400,000 48,340,000 12 1 OMORO 21,300,000 8,580,000 6,360,000 3,348,000 2,760,000 1,890,000 44,238,000 2,920,000 4,908,000 7,600,000 492,000 15,920,000 60,158,000 12 2 OTUKE 31,086,000 6,420,000 3,900,000 3,348,000 2,760,000 1,134,000 48,648,000 1,540,000 4,908,000 6,160,000 492,000 13,100,000 61,748,000 12 3 OYAM 57,828,000 11,820,000 7,920,000 3,348,000 2,760,000 2,268,000 85,944,000 2,800,000 4,908,000 12,640,000 492,000 20,840,000 106,784,000 12 4 PADER 42,030,000 11,340,000 8,040,000 3,348,000 2,760,000 2,268,000 69,786,000 3,220,000 4,908,000 11,120,000 492,000 19,740,000 89,526,000

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Routine Immunisation ICHDs April & October Support Data Improvement Teams (DITs) to conduct Follow –up Mentorships of Health Hold quarterly Hold Workers in one day HSD/Sub data quality district county improvement Vaccine stakeholders Quarterly (of EPI/HMIS and District District District Support to performance Performance programs) at Support supplies level level level routine review review all levels in Supervisio distributio coordinatio mobilisatio Facility supervisio Ref Districts Outreaches meeting on EPI meetings districts n for DHT n Sub Total n n Outreaches n Sub Total Grand Total 12 5 PAKWACH 29,274,000 6,780,000 4,260,000 3,348,000 2,760,000 1,512,000 47,934,000 1,780,000 4,908,000 6,400,000 492,000 13,580,000 61,514,000 12 6 PALLISA 47,820,000 12,060,000 8,340,000 3,348,000 2,760,000 2,646,000 76,974,000 3,100,000 4,908,000 11,240,000 492,000 19,740,000 96,714,000 12 7 RAKAI 39,624,000 9,420,000 6,600,000 3,348,000 2,760,000 1,512,000 63,264,000 2,740,000 4,908,000 10,440,000 492,000 18,580,000 81,844,000 12 8 RUBANDA 27,564,000 8,460,000 6,420,000 3,348,000 2,760,000 1,134,000 49,686,000 2,980,000 4,908,000 9,560,000 492,000 17,940,000 67,626,000 12 9 RUBIRIZI 46,746,000 9,180,000 6,000,000 3,348,000 2,760,000 1,512,000 69,546,000 2,200,000 4,908,000 10,040,000 492,000 17,640,000 87,186,000 13 0 RUKIGA 17,934,000 5,820,000 4,260,000 3,348,000 2,760,000 756,000 34,878,000 2,140,000 4,908,000 6,240,000 492,000 13,780,000 48,658,000 13 1 RUKUNGIRI 72,162,000 14,100,000 9,840,000 3,348,000 2,760,000 2,268,000 104,478,000 3,400,000 4,908,000 16,440,000 492,000 25,240,000 129,718,000 13 2 SERERE 19,308,000 7,380,000 5,520,000 3,348,000 2,760,000 1,512,000 39,828,000 2,620,000 4,908,000 6,680,000 492,000 14,700,000 54,528,000 13 3 SHEEMA 49,992,000 10,980,000 7,380,000 3,348,000 2,760,000 1,890,000 76,350,000 2,800,000 4,908,000 11,600,000 492,000 19,800,000 96,150,000 13 4 SIRONKO 149,970,000 23,460,000 14,640,000 3,348,000 2,760,000 4,158,000 198,336,000 3,700,000 4,908,000 26,640,000 492,000 35,740,000 234,076,000 13 5 SOROTI 44,568,000 10,980,000 7,620,000 3,348,000 2,760,000 2,268,000 71,544,000 2,860,000 4,908,000 10,520,000 492,000 18,780,000 90,324,000 13 6 SSEMBABULE 25,884,000 9,060,000 6,540,000 3,348,000 2,760,000 2,268,000 49,860,000 2,800,000 4,908,000 7,680,000 492,000 15,880,000 65,740,000 13 7 TORORO 73,950,000 18,780,000 13,680,000 3,348,000 2,760,000 4,158,000 116,676,000 4,960,000 4,908,000 18,840,000 492,000 29,200,000 145,876,000 13 8 WAKISO 106,398,000 26,940,000 21,780,000 3,348,000 2,760,000 3,402,000 164,628,000 8,800,000 5,228,000 33,880,000 1,476,000 49,384,000 214,012,000 13 9 YUMBE 106,158,000 17,700,000 11,400,000 3,348,000 2,760,000 2,646,000 144,012,000 3,400,000 4,908,000 21,000,000 492,000 29,800,000 173,812,000 14 0 ZOMBO 60,372,000 10,380,000 6,420,000 3,348,000 2,760,000 1,890,000 85,170,000 2,020,000 4,908,000 11,320,000 492,000 18,740,000 103,910,000

########### 386,400,00 277,452,00 12,825,564,00 404,480,00 687,440,00 3,116,344,00 15,941,908,00 # 1,692,960,000 1,136,580,000 468,720,000 0 0 0 0 0 1,954,560,000 69,864,000 0 0

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Annex 16: GFTAM Grant FY 2021/22

Indoor Residual District Malaria Epidemic Trainining in Malaria Mentorships and Training Vector Control Districts MIP Training EQA Spraying(IRS) and Seasonal review and response Total Case Maangement Supervision Officers Malaria Chemoprophylaxis coordination meetings

1. Abim 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 236,504,288 4,080,000 331,611,867.86

2. Adjumani 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 442,022,423 4,080,000 537,130,002.79

3. Agago 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

4. Alebtong 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

5. Amolatar 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

6. Amudat 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 211,643,533 4,080,000 306,751,112.84

7. Amuria 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

8. Amuru 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

9. Apac 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

10. Arua 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 1,407,201,524.00 4,080,000 1,502,309,104.00

11. Budaka 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

12. Bududa 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

13. Bugiri 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

14. Bugweri 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

15. Buhweju 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

16. Buikwe 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

17. Bukedea 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

18. Bukomansimbi 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

19. Bukwo 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

20. Bulambuli 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

21. Buliisa 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

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22. Bundibugyo 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

23. Bunyangabu 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

24. Bushenyi 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

25. Busia 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

26. Butaleja 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

27. Butambala 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

28. Butebo 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

29. Buvuma 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

30. Buyende 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

31. Dokolo 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

32. Gomba 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

33. Gulu 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

34. Hoima 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

35. Ibanda 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

36. Iganga 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

37. Isingiro 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

38. Jinja 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

39. Kaabong 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 172,062,594 4,080,000 267,170,173.94

40. Kabale 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

41. Kabarole 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

42. Kaberamaido 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

43. Kagadi 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

44. Kakumiro 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

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45. Kalaki 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

46. Kalangala 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

47. Kaliro 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

48. Kalungu 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

49. Kampala 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

50. Kamuli 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

51. Kamwenge 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

52. Kanungu 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

53. Kapchorwa 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

54. Kapelebyong 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

55. Karenga 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 137,551,941 4,080,000 232,659,520.59

56. Kasese 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

57. Kassanda 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

58. Katakwi 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

59. Kayunga 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

60. Kazo 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

61. Kibaale 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

62. Kiboga 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

63. Kibuku 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

64. Kikuube 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

65. Kiruhura 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

66. Kiryandongo 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

67. Kisoro 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

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68. Kitagwenda 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

69. Kitgum 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

70. Koboko 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 483,432,747 4,080,000 578,540,327.26

71. Kole 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

72. Kotido 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 330,549,907 4,080,000 425,657,487.17

73. Kumi 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

74. Kwania 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

75. Kween 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

76. Kyankwanzi 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

77. Kyegegwa 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

78. Kyenjojo 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

79. Kyotera 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

80. Lamwo 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

81. Lira 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

82. Luuka 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

83. Luwero 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

84. Lwengo 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

85. Lyantonde 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

86. Madi-Okollo 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 307,673,090 4,080,000 402,780,669.53

87. Manafwa 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

88. Maracha 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 390,306,361 4,080,000 485,413,941.45

89. Masaka 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

90. Masindi 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

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91. Mayuge 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

92. Mbale 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

93. Mbarara 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

94. Mitooma 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

95. Mityana 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

96. Moroto 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 189,399,699 4,080,000 284,507,279.41

97. Moyo 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 205,177,852 4,080,000 300,285,432.03

98. Mpigi 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

99. Mubende 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

100. Mukono 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

101. Nabilatuk 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 140,168,862 4,080,000 235,276,442.17

102. Nakapiripirit 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 177,787,110 4,080,000 272,894,689.89

103. Nakaseke 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

104. Nakasongola 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

105. Namayingo 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

106. Namisindwa 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

107. Namutumba 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

108. Napak 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 254,332,066 4,080,000 349,439,646.13

109. Nebbi 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 529,527,498 4,080,000 624,635,077.58

110. Ngora 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

111. Ntoroko 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

112. Ntungamo 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

113. Nwoya 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

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114. Obongi 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 92,002,124 4,080,000 187,109,703.61

115. Omoro 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

116. Otuke 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

117. Oyam 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

118. Pader 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

119. Pakwach 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 368,758,003 4,080,000 463,865,582.56

120. Pallisa 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

121. Rakai 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

122. Rubanda 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

123. Rubirizi 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

124. Rukiga 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

125. Rukungiri 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

126. Rwampara 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

127. Sembabule 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

128. Serere 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

129. Sheema 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

130. Sironko 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

131. Soroti 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

132. Terego 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

133. Tororo 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

134. Wakiso 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 4,080,000 95,107,580.00

135. Yumbe 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 1,243,433,996 4,080,000 1,338,541,576.44

136. Zombo 38,500,000 41,500,000 2,220,000 4,162,500 4,645,080 530,464,383 4,080,000 625,571,962.75

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TOTAL 5,236,000,000 5,644,000,000 301,920,000 566,100,000 631,730,880 7,850,000,000 554,880,000 20,784,630,880

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