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UGANDA- Annual Analytical Report Financial Year 2011/12

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UGANDA- Annual Analytical Report Financial Year 2011/12 St Kizito Hospital Matany Moroto Diocese-Karamoja P.O. Box 46, Moroto - UGANDA- Annual Analytical Report Financial Year 2011/12 St Kizito Hospital Matany 31st December 2012 Endorsement of Report This annual analytical report for St. Kizito Hospital Matany covering the period from 1st July 2011 to 30th June 2012 has been prepared by the management of St. Kizito Hospital Matany. I endorse that it represents management’s views on the position of the Hospital in the period under report. Br. Günther NÄHRICH __________________________ Chief Executive Officer of St. Kizito Hospital Matany Date: 31st December 2012 This is to acknowledge that I have received this annual analytical report for St. Kizito Hospital Matany covering the period from 1st July 2011 to 30th June 2012. I have read it and endorse its authenticity and representativeness of the position of the Hospital in the year under report Paul ABUL _____________________ Chairperson of the Board of Governors Date: 31st December 2012 2 Table of contents CHAPTER Table of content …………………………………………….….… Page 3 List of Abbreviations and Acronyms ………………………….… Page 4 ACKNOWLEDGMENT / APPRECIATIONS ……...…………... Page 5 IMPORTANT INDICATORS AND DEFINITIONS ….………. Page 8 EXECUTIVE SUMMARY …………....…………..…………..… Page 9 1 INTRODUCTION …………………………...………………….. Page 11 The Hospital and its environment ……………….…….…..… Page 11 The community and health status ……………………...……. Page 12 2 HEALTH POLICY AND DISTRICT HEALTH SERVICES …... Page 17 3 GOVERNANCE AND MANAGEMENT ……………………… Page 25 4 HOSPITAL HUMAN RESOURCE …………….……………….. Page 30 5 HOSPITAL FINANCES ……………….…...…………………… Page 35 6 HOSPITAL SERVICES ………………….……….…….……….. Page 44 A. Curative – OPD ………...………………..…………………. Page 44 Dental / Orthopaedic and Physiotherapy Unit …….. Page 47 HIV and AIDS Services …………………………….. Page 48 Mental Health ………………………………………. Page 52 Ophthalmology ……………………………………... Page 53 Palliative Care ………………………………………. Page 53 B. Inpatients – Wards …………………...………….………….. Page 54 Utilisation Indicators Page 55 Maternal Health / Maternity Ward Page 57 C. Operating Theatre ……………………....….……...……….. Page 61 D. Diagnostic Services – Laboratory …………………...…...… Page 62 E. Imaging Services …………………………………………... Page 64 F. Pharmacy …………………………………………………… Page 65 7 HOSPITAL SUPPORT SERVICES …………………………...... Page 67 8 QUALITY AND PATIENT SAFETY IMPROVEMENT ….…… Page 70 9 HEALTH TRAINING INSTITUTION ……………………….…. Page 78 10 SUMMARY, CONCLUSION AND RECOMMENDATION ….. Page 87 ANNEXES ...……………..…………………………...…………. Page 93 Annex 1 - Napak District with Health Units Page 93 Annex 2 - Members of BoG, HMT and HTI Statutory Committee Page 94 Annex 3 - Fin Report Page 95 3 LIST OF ABBREVIATIONS AND ACRONYMS AIDS Acquired Immunodeficiency Syndrome ALOS Average Length of Stay ANC Antenatal Care ARV Anti Retroviral ART Anti Retro Viral Therapy BoG Board of Governor BOR Bed Occupancy rate CBOs Community Based Organisations DHC District Health Committee DHO District Health Officer DHMT District Health Management Team DHT District Health Team DOTs Directly Observed Therapy EMOC Emergency Obstetric care ENT Ear Nose and Throat EPI Expanded Programme on Immunization FHW Field Health Worker FY Financial Year (July of previous year to June of the current year) GoU Government of Uganda GSM General Staff Meeting HBC Home Based Care HC Health Centre HCT HIV Counselling and Testing HIV Human Immunodeficiency Virus HMIS Health Management Information System HR Human Resources HSD Health Sub-District ICT Information and Communication Technology IGAs Income Generating Activities IMCI Integrated Management of Childhood Illnesses MCH/FP Maternal and Child Health Care/ Family Planning MDG Millennium Development Goal MH Matany Hospital MoU Memorandum of understanding MS Medical Superintendent NGO Non-Governmental Organisation N / MTS Nursing / Midwifery Training School NSSF National Social Security Fund OPD Out Patient Department PEAP Poverty Eradication Action Plan PHC Primary Health Care PLWA People Living with HIV and AIDS PMTCT Prevention of Mother to Child Transmission SUO Standard Unit of Output SWOT Strengthen Weakness Opportunities and Threats TASO The AIDS Support Organization TB Tuberculosis UCMB Uganda Catholic Medical Bureau UDHS Uganda Demographic Health Survey UHSSP Uganda Health Sector Support Programme UNICEF United Nation Children Education Fund UNMHCP Uganda National Minimum Health Care Package VCT Voluntary Counselling and Testing VHT Village Health Team 4 of 97 ACKNOWLEDGMENT / APPRECIATIONS The Hospital Management Team on behalf of the Board of Governors of Matany Hospital wishes first of all to thank all the Hospital employees for the demanding and often unrewarding work without which all what was achieved and described in this report would have not been possible. ADMINISTRATION Anyait Beatrice Enrolled Nurse Br. Günther Nährich Administrator/CEO Apio Paska Enrolled Nurse Olee Alphonse Internal Auditor Asio Winnie Enrolled Nurse Ogwango Samuelle Accountant Atim Grace Olanya Enrolled Nurse Lorot J. B. Kapel Accounts Assistant Gimono Juliet Enrolled Nurse Otim David Acc. Assistant/Cashier Icuro Harriet Enrolled Nurse Musika Herbert Records Assistant Ijula Immaculate Enrolled Nurse Ngorok Magdalen Cashier Isuka Agnes Enrolled Nurse Sr. Mwendwa Fredah K. NTS Secretary Lomala Sarah Enrolled Nurse Ajilo Agnes NTS Secr. / Librarian Lomuria Lilly Enrolled Nurse Nakiru Magdalen Secretary / Gen. Office Mugena Everline Dorothy Enrolled Nurse Sr. Palma Bako Pastoral Care Giver Okello Eunice Enrolled Nurse MEDICAL OFFICERS Ongole Peter Owen Enrolled Nurse Dr Lemukol James Med. Director Ongom Patrick Enrolled Nurse Dr Okao Patrick Surgeon Onyang Stella Enrolled Nurse Dr Balsemin Franco Senor Medical Officer Akech Jennifer Enrolled Midwife Dr Kiyimba Daniel Medical Officer Anam Semmy Enrolled Midwife Dr Luwemba Mathias Senior Medical Officer Anyait Christine Enrolled Midwife Dr Borghi Emanuela Senior Medical Officer Apolot Harriet Faith Enrolled Midwife Dr. Arwinyo Baifa Medical Officer Ayeto Salome Enrolled Midwife Dr. Mukasa Wilson Medical Officer Lochoro Lucy Enrolled Midwife PARAMEDICALS Lomilo Paul Dental Attendant Oryema Simon Peter Clinical Officer Adiaka Rosemary Nursing Assistant Oyaya Samuel Oryema Clinical Officer Agaro Sylvia Nursing Assistant Ocaya Denis Clinical Officer Akido Dinah Nursing Assistant Toolit Given Raymond Clinical Officer Akiyi Jennifer Nursing Assistant Logono Zachary Pharmac. Assitant Akol Lucy Nursing Assistant Awas Patrick Orthopaedic Officer Akumu Lucy Sr. Nursing Aid Locham Augustine Ophthalmic Assistant Angolere Agnes Nursing Assistant Ayepa Alfonse Anaesthetic Attendant Apeyo Eunice Nursing Assistant Omoding Joshua Laboratory Technician Asio Betty Sr. Nursing Aid Ochan James Laboratory Assistant Awas Mary Goretti Nursing Assistant Auda Caroline Laboratory Assistant Chila Agnes Nursing Assistant Ogira Luke Laboratory Assistant Jaka Valentine Nursing Assistant Ebong Walter Laboratory Assistant Karane Josephine Nursing Assistant Lopuwa Albino Laboratory Assistant Keem John Sr. Nursing Aid NURSING STAFF Liakori Rose Mary Nursing Assistant Sr Rosario Marinho PNO Lochoro Hellen Nursing Assistant Atekit Helen Deputy PNO Lokubal Loyce Nursing Assistant Sr Gladys Licoru Anguasia Ag. Principal Tutor Lotukei Anjello Dark Room Att. Lowanyang Lucy Reg. Nurse/Midwife Nachuwa Mary Sr. Nursing Aid Nayolo Lucy Reg. Midwife / Tutor Namoe Rachel Nursing Assistant Longole Mary Diploma Midwife Otyang Charles Nangiro Dark Room Att. Longoli Lucy Registered Nurse Sagal Florence Nursing Assistant Okiring Silas Dipl. Nurse / Sonographer Yeno Maria Senior Nursing Aid Adyaka Victor Dipl. Comp. Nurse Angella Molly Nurse/Aid Lomonyang Victor Diploma Nurse Anero Betty Nurse/Aid 5 of 97 Lomuria Rosario Registered Nurse Abura Betty Nurse/Aid Adiochi Sikola Registered Psy. Nurse Nakut Agnes Nurse/Aid Among Mary Registered Nurse Ajulong Rebecca Nurse/Aid Okuda Matthew Dipl. Comp. Nurse Iiko Simon Peter Nurse/Aid Ajwang Clementina Enrolled Nurse Ngiro Goretti Nurse/Aid Acau Florence Enrolled Nurse Losike Sarah Nurse/Aid Achan Christine Achilla Enrolled Nurse Kodet Jenifer Nurse/Aid Achilla Lilly Enrolled Nurse Lolem Gabriella Nurse/Aid Akello Josephine Enrolled Nurse Namoe Margaret Nurse/Aid Akiding Juliet Enrolled Nurse Amodoi Josephine Theatre Assistant Akol Deborah Enrolled Nurse Putuk Mary Theatre Assistant Alio Rachel Enrolled Nurse Sagal Anna Theatre Assistant SUPPORT STAFF Nauga Cecilia Cook Sr. Ruaro Giovanna Domestic Officer Longok Valentina Cook Atim Magdalen Assist Store Keeper Ojao Angelline Cook Aisu Anna Assist Store Keeper Angella Magdalen Cook / Caterer Namoe Rose Assist Store Keeper Ichumar Peter Mortury Attendant Aboka Agnese Cleaner Teko Peter Mortury Attendant Aboka Angello Compound Anyakun Beatric incinerator Att. Lomongin Hellen Cook Lokiru Raphael Laundry Attendant Achia Giovanna Cook Pulkol John Laundry Attendant Chero Anna Cleaner Abura Alice Watchman Kiyonga Agnes Cleaner Angolere Mario Watchman Longoli Cecilia Cleaner Lochoro Daniel Watchman Alinga Amalia Cleaner Lokodos Joseph Watchman Koryang Angellina Cleaner Losur Stephen Watchman Napeyok Lucy Cleaner Achia Anna Tailor Neno Betty Cleaner Alumo Luigina Tailor Santina Yeno Cleaner Lolem Lucy Tailor Apuun Lucia Cleaner Loma Alice Tailor Lokoryo Dorothy Cleaner Olupot Moses Casual Worker Longole Theresia Cleaner PUBLIC HEALTH DEPARTMENT Lopwanya Veronica Cleaner Achia Deborah Incharge PHD / SNO Lotukei Agnes Angole Cleaner Ngiro Martin Health Educator Lomeri John Cleaner Lokwang Anthony
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