UGANDA- Annual Analytical Report Financial Year 2014/15
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St Kizito Hospital Matany Moroto Diocese-Karamoja P.O. Box 46, Moroto - UGANDA- Annual Analytical Report Financial Year 2014/15 St Kizito Hospital Matany th 15 December 2015 Endorsement of Report This annual analytical report for St. Kizito Hospital Matany covering the period from 1st July 2014 to 301h June 2015 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. Giinther NAHRIC This is to acknowledge that I have received this annual analytical report for St. Kizito Hospital Matany covering the period from 1st July 2014 to 30th June 2015 . I have read it and endorse its authenticity and representativeness of the position of the Hospital in the year under report . ..___ . -~-- 2 of 100 TABLE OF CONTENTS LIST OF ABBREVIATIONS AND ACRONYMS 4 ACKNOWLEDGMENT / APPRECIATIONS 5 IMPORTANT INDICATORS AND DEFINITIONS 8 EXECUTIVE SUMMARY 9 CHAPTER ONE, INTRODUCTION 11 THE HOSPITAL AND ITS ENVIRONMENT 11 THE COMMUNITY AND HEALTH STATUS 12 CHAPTER TWO, PRIMARY HEATLH CARE DEPARTMENT 16 A) CATCHMENT AREA 16 B) PERSONNEL STAFFING 17 C) ACTIVITIES / ACHIEVEMENTS 18 CHAPTER THREE, GOVERNANCE AND MANAGEMENT 24 ORGANOGRAM 24 THE BOARD OF GOVERNORS 25 MANAGEMENT 28 CHAPTER FOUR, HOSPITAL HUMAN RESOURCES 31 CHAPTER FIVE, HOSPITAL FINANCES 36 INCOME 36 EXPENDITURE 38 CHAPTER SIX, HOSPITAL SERVICES 45 A: OUT PATIENT DEPARTMENT 45 SPECIAL OPD CLINICS 48 HIV AND AIDS SERVICES 49 B: INPATIENT WARDS 56 ORGANISATION AND MANAGEMENT 56 MATERNITY WARD 59 C: OPERATING THEATRE 63 D: DIAGNOSTIC SERVICES 64 LABORATORY 64 IMAGING SERVICES 66 PHARMACY 68 CHAPTER SEVEN, HOSPITAL SUPPORT SERVICES 69 CHAPTER EIGHT, QUALITY AND PATIENT SAFETY 72 CHAPTER NINE, HEALTH TRAINING INSTITUTION 80 CHAPTER TEN, SUMMARY, CONCLUSION, RECOMMENDATION 89 FAITHFULNESS TO THE MISSION 89 ANNEX 1 - NAPAK DISTRICT WITH HEALTH UNITS (Map) 96 ANNEX 2 - MEMEBERS OF BoG, HMT and NMTS STAT. COMMITTEE 97 ANNEX 3 - MATANY HOSPITAL ANNUAL FINANCIAL REPORT 98 Page 3 of 100 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 CVD Cardio Vascular Disorder 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 EMTCT Elimination of Mother To Child Transmission 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 NMTS Nursing and 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 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 Page 4 of 100 ACKNOWLEDGMENT / APPRECIATIONS The Hospital Management Team on behalf of the Board of Governors of St. Kizito Hospital Matany 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 Lowanyang Lucy Reg. Nurse /Midwife Br. Günther Nährich Administrator / CEO Ekobu Joseph Registered Nurse Lokongo Santine Accounts Assistant Amulen Rebecca Registered Nurse Ogwango Samuelle Accountant Nabukwasi Sofia Registered Nurse Zoe Martin Internal Cashier Among Mary Reg. Nurse Ariam Juliana Assist Cashier Br. José Eduardo DN, I/C Pharmacy Ngorok Magdalen Cashier Ameo Jesca Diploma Nurse Otim David A/C Assistant / Cashier Menya Joseph Diploma Nurse Naigaga Lydia Secretary / NMTS Achilla Lilly Diploma Nurse Nakiru Magdalen Secretary Tunyany Jacinta Enrolled Nurse Sr. Palma Bako Pastoral Care Giver Chemmelly Nelly Enrolled Nurse Lokol Thomas ICT Officer Aluko Grace Enrolled Nurse Engelbrecht Einhard Tec. Advisor, ICT Officer Abucho Babrah Enrolled Nurse Akiteng Naome Office Attendant Agan Adam Enrolled Nurse Amei Damiano HMIS/Data Mgt. Assist Tino Peace Enrolled Nurse MEDICAL OFFICERS Ogwang Alex Enrolled Nurse Dr. John Bosco Nsubuga Gynaecologist Loukae Gabriel Enrolled Nurse Dr. Borghi Emanuela Senior Medical Officer Isone Mary Enrolled Nurse Sr. Sebastiano Cipriano Surgeon Okudet Paula Enrolled Nurse Dr. Deusdedit Kateregga Medical Officer Achia Esther Enrolled Nurse Dr. Paul Kasalirwe Medical Officer Apio Rebecca Enrolled Nurse Dr. John Ssembuusi Medical Officer Okot Kennedy Enrolled Nurse Dr. Patrick Sali Medical Officer Asege Sarah Certificate Nurse PARAMEDICALS Irusi Daniel Cert.Compr.Nurse Oyaya Samuel Ochieng Clinical Officer Lochoro Hellen J. Enrolled Midwife Opio Moses Clinical Officer Akech Martha Enrolled Midwife Otim Tonny Clinical Officer Aguti Victoria Enrolled Midwife Maraka Aloysius Clinical Officer Asekenye Peace Enrolled Midwife Amei Simon Peter Laboratory Technician Amongin Celine Enrolled Midwife Lopuwa Albino Laboratory Assistant Napeyok Mary Enrolled Midwife Lokawa Paul Laboratory Assistant Adongo Sarah Enrolled Midwife Kodet Christine Laboratory Assistant Atero Lucy Enrolled Midwife Egwapu Anthony Laboratory Assistant Achia Agatha Enrolled Midwife Locham Augustine Ophthalm. Assistant Loilik Benardette Enrolled Midwife Awas Patrick Othopedic Officer Alungo Salome Enrolled Midwife Apono Mark Physiotherapist Akello Hellen Enrolled Midwife Keem Jackson Anaesthetic Officer Aliat Esther Enrolled Midwife Ayepa Alfonse Anaesthetic Attendant Lotukei Anna Grace Enrolled Midwife NURSING STAFF Loteng Veronica Enrolled Midwife Sr Rosario Marinho Principal Nursing Officer Logwee James ECN Atekit Helen Deputy PNO Lomilo Paul Dental Attendant Sr Nataline Mowo Principal Tutor Adiaka Rosemary Nursing Assistant Sr Gladys Licoru A. Deputy Principal Tutor Agaro Sylvia Nursing Assistant Sr. Anita Conception Tutor Akinyi Jennifer Nursing Assistant Page 5 of 100 Akol Lucy Nursing Assistant Napeyok Lucy Cleaner Akumu Lucy Senior Nursing Aid Neno Betty Cleaner Awas Mary Goretti Nursing Assistant Ngole Jacinta Cook Chila Agnes Nursing Assistant Pulkol John Laundry Attendant Jaka Valentine Nursing Assistant Santina Yeno Cleaner Karane Josephine Nursing Assistant Apuun Lucy Cook Keem John Senior Nursing Aid Abura Alice Watchwoman Lochoro Hellen Nursing Assistant Angolere Mario Watchman Lotukei Anjello Dark Room Att. Lochoro Daniel Watchman Nachuwa Mary Senior Nursing Aid Losur Stephen Watchman Namoe Rachel Nursing Assistant Koryang Isaac Watchman Otyang Charles Nangiro Dark Room Att. Omuke Stephen Watchman Sagal Florence Nursing Assistant Lomeri John Compound Yeno Maria Senior Nursing Aid Ichumar Peter Mortury Attendant Angella Molly Nurse/Aid, SW Teko Peter Compound Anero Betty Nurse/Aid, TB Ward Akol Alice Cleaner Achuka Angelina Nurse/Aid TB Ward Lomongin Clement. Cleaner Kodet Jenifer Nurse/Aid, OPD Agilu Evalyn Cleaner Namoe Margaret Nurse/Aid, TB Ward Akung Betty Cleaner Amodoi Josephine Nurse/Aid, CHW Longoli Maria Cleaner Sagal Anna Theatre Attendant Amuron Hellen Cook Aleper Agnes Theatre Attendant Angella Magdalen Cook / Caterer Lokwi Florence Theatre Attendant Lochoro Rose Cook Dengel Margret Nurse/Aid, Mat Lokoel Agnes Cook Ikiror Rose Nurse/Aid, TBW Nake Cecilia Cook SUPPORT STAFF Aleper Dina Cook Sr. Ruaro Giovanna Domestic Officer Nauga Cecilia Cook Atim Magdalen Assist Store Keeper, GS Longok Valentine Cook Aisu Anna Assist Store Keeper, GS Ojao Angelline Cook Namoe Rose Assist Store Keeper, GS Lodungokol Marco Compound Alumo Luigina Assist Store Keeper, GS Achia Anna Tailor Adupa Janet Cleaner Lolem Lucy Tailor Aboka Agnes Cleaner Nakong Lucy Assist Tailor Lomongin Hellen Cook Loma Alice Tailor Achia Giovanna Cook Aleper Emanuel Incinerator Attendant Chero Anna Cleaner PUBLIC HEALTH DEPARTMENT Ngorok Scola Cleaner Longole Mary Diploma Midwife Kiyonga Agnes Cleaner Lokwang Anthony Health Inspector Alinga Amalia Cook Imalany Ambrose H’Information Assist. Koryang Angellina Cleaner TECHNICAL DEPARTMENT Lobur Joseph Mortury Attendant Gruska Peter Incharge, TD Akello Beatrice Cook Achilla Matthias Carpenter Logiel Agnes Cook Lokwii Joseph Carpenter Lochan Matteo Compound Sagal Michael Carpenter Lokol Enok Compound Eliau Julius Electrician / Driver Lokiru Raphael Laundry Attendant Maruk Augustine A. Electrician Lokoryo Dorothy Cleaner Otyang Paul Electr./Metal Worker Lokut Marko Compound Logiel Thomas Mason Longole Theresia Cleaner Lokiru Mark Mason Longoli Simon Compound Mubakye Patrick W Mason Lopwanya Veronica Cleaner Lajul Robert