Health SECtor ANNUAL BUDGET MONITORING REPORT FINANCIAL YEAR 2019/20 NOVEMBER 2020 Ministry of Finance, Planning and Economic Development P.O. Box 8147, Kampala www.finance.go.ug Health Sector : Annual Budget Monitoring Report - FY 2019/20 A HEALTH SECtor ANNUAL BUDGET MONITORING REPORT FINANCIAL YEAR 2019/20 NOVEMBER 2020 Ministry of Finance, Planning and Economic Development TABLE OF CONTENTS ABBREVIATIONS AND ACRONYMS ............................................................................................... iii FOREWORD ...................................................................................................................................... iv EXECUTIVE SUMMARY ..................................................................................................................... v CHAPTER 1: INTRODUCTION ........................................................................................................ 1 1.1 Background .................................................................................................................................. 1 CHAPTER 2: METHODOLOGY ....................................................................................................... 2 2.1 Scope ....................................................................................................................................... 2 2.2 Methodology ................................................................................................................................ 3 2.2.1 Sampling ...................................................................................................................................... 3 2.2.2 Data Collection ............................................................................................................................ 3 2.2.3 Data Analysis ............................................................................................................................... 4 2.3 Limitations of the report .............................................................................................................. 4 2.4 Structure of the Report ................................................................................................................ 4 CHAPTER 3: HEALTH SECTOR PERFORMANCE ..................................................................... 5 3.1 Introduction ................................................................................................................................. 5 3.1.1 Sector Priorities FY2019/20 ........................................................................................................ 5 3.1.2 Sector Votes ................................................................................................................................. 5 3.2 Overall Sector Financial Performance ......................................................................................... 6 3.3 Ministry of Health (Vote 014) ...................................................................................................... 6 3.3.1 Health Infrastructure and Equipment (Programme 02) ............................................................... 7 3.3.2 Pharmaceutical and other supplies (Programme 05) ................................................................. 28 3.3.2.1 Global Alliance for Vaccine Initiative (Project 1436) ............................................................... 28 3.3.3 Public Health Services (Programme 06).................................................................................... 31 3.3.3.5 East Africa Public Health Laboratory Network Project Phase II (Project 1413) ...................... 35 3.4 Health Service Commission (Vote 134) .................................................................................... 38 3.4.1 Human Resource Management (Sub-Programme 02) ............................................................... 39 3.4.2 Health Service Commission (Project 0365) .............................................................................. 40 3.5 Uganda Cancer Institute (Vote 114) ........................................................................................... 43 3.5.1 Cancer Services (Programme 57) .............................................................................................. 44 3.5.2 Uganda Cancer Institute (Project 1120) ..................................................................................... 45 3.5.3 ADB Support to UCI (Project 1345) ......................................................................................... 47 3.5.4 Institutional Support to Uganda Cancer Institute (Project 1476) .............................................. 49 3.6 Uganda Heart Institute (Vote 115) ............................................................................................. 54 3.6.1 Medical Services (Sub-programme 02) ..................................................................................... 55 3.6.2 Uganda Heart Institute Project (Project 1121) ........................................................................... 56 3.6.3 Uganda Heart Institute Infrastructure Development Project (Project 1526) ............................. 56 3.7 Uganda Blood Transfusion Services (UBTS)-Vote 151 ............................................................ 58 3.7.1 Safe Blood Provision (Programme 53) ...................................................................................... 58 3.7.2 Regional Blood Banks (Sub-programme two) .......................................................................... 59 3.7.3 Uganda Blood Transfusion Service (Project 0242) ................................................................... 61 3.8 Mulago National Referral Hospital (MNRH) - Vote 161 .......................................................... 62 3.8.1 National Referral Hospital Services .......................................................................................... 63 3.8.1.1 Medical Services (Sub-programme 02) .................................................................................... 63 Health Sector : Annual Budget Monitoring Report - FY 2019/20 i Ministry of Finance, Planning and Economic Development 3.8.2 Mulago Hospital Complex Programme (Project 0392) ............................................................. 64 3.9 Butabika National Mental Referral Hospital (Vote 162) ........................................................... 66 3.9.1 Provision of Specialised Mental Health Services Blood Provision (Programme 55) ............... 67 3.9.2 Butabika Remodeling Project (0911) ........................................................................................ 67 3.10 Referral Hospitals (Vote 163-180) ............................................................................................. 70 3.10.1 Vote 163: Arua Regional Referral Hospital ............................................................................... 71 3.10.2 Vote: 164- Fort Portal Regional Referral Hospital ..................................................................... 73 3.10.3 Vote165: Gulu Regional Referral Hospital ................................................................................ 76 3.10.4 Vote: 166: Hoima Regional Referral Hospital ........................................................................... 78 3.10.5 Vote 167: Jinja Regional Referral Hospital ................................................................................ 81 3.10.6 Vote 168: Kabale Regional Referral Hospital ............................................................................ 83 3.10.7 Vote: 169- Masaka Regional Referral Hospital ......................................................................... 86 3.10.8: Vote 170 - Mbale Regional Referral Hospital ........................................................................... 87 3.10.9: Vote 171: Soroti Regional Referral Hospital ............................................................................ 90 3.10.10: Vote 172: Lira Regional Referral Hospital ............................................................................. 93 3.10.11 Vote: 173- Mbarara Regional Referral Hospital ...................................................................... 95 3.10.12 Vote: 174-Mubende Regional Referral Hospital ...................................................................... 97 3.11.13: Vote 176: China-Uganda Friendship Referral Hospital (Naguru Hospital) .......................... 100 3.11.14: Vote 177: Kiruddu Regional Referral Hospital ..................................................................... 102 3.12: Vote: 180- Mulago Specialised Women and Neonatal Hospital .............................................. 104 3.13: Vote 304: Uganda Virus Research Institute (UVRI) ................................................................ 106 3.14 Primary Health Care at Local Government level .................................................................... 109 3.14.1 Health Development- Construction and Rehabilitation (Sub-Programme 1385) .................... 109 CHAPTER 4: CORONA VIRUS DISEASE (COVID-19) PREPAREDNESS AND RESPONSE .............................................................................................................................115 4.1 Introduction ..............................................................................................................................115 4.2 Financial Performance ..............................................................................................................115