Health Sector Semi-Annual Budget Monitoring Report Financial Year 2018/19 April 2019 Ministry of Finance, Planning and Economic Development P.O. Box 8147, Kampala www.finance.go.ug 1 TABLE OF CONTENTS ABBREVIATIONS AND ACRONYMS ..............................................................................................iv FOREWORD ..........................................................................................................................................vi EXECUTIVE SUMMARY .................................................................................................................. vii CHAPTER 1: INTRODUCTION ........................................................................................................ 1 1.1 Background ....................................................................................................................................... 1 1.2 Health Sector Mandate ...................................................................................................................... 1 1.3 Sector Priorities FY2018/19 .............................................................................................................. 2 1.4 Sector Votes ...................................................................................................................................... 2 CHAPTER 2: METHODOLOGY ....................................................................................................... 4 2.1 Scope ................................................................................................................................................. 4 2.2 Methodology ..................................................................................................................................... 4 2.2.1 Sampling ........................................................................................................................................ 4 2.2.2 Data Collection .............................................................................................................................. 4 2.2.3 Data Analysis ................................................................................................................................ 5 2.3 Limitations of the report .................................................................................................................... 5 CHAPTER 3: SECTOR PERFORMANCE ....................................................................................... 6 3.1 Overall Sector Performance .............................................................................................................. 6 3.2 Ministry of Health (Vote 014) ........................................................................................................... 7 3.2.1 Health Infrastructure and Equipment (Programme 02) .................................................................. 7 3.2.1.2 Institutional Support to Ministry of Health (MoH) - Project 1027 ............................................. 8 3.2.1.3 Italian Support to Health Sector Development Plan (HSDP) and Peace Recovery and Development Plan (PRDP)-Sub Programme 1185.................................................................................. 9 3.2.1.4 Renovation and Equipping of Kayunga and Yumbe General Hospitals (Project 1344) ........... 10 3.2.1.5 Rehabilitation and Construction of General Hospitals (Project 1243)-Kawolo and Busolwe Hospitals ................................................................................................................................................ 12 3.2.1.6 The Regional Hospital for Pediatric Surgery (Project 1394) .................................................... 14 3.2.1.7 Specialized Neonatal and Maternal Unit Mulago Hospital (Project 1315) ............................... 15 3.2.1.8 Strengthening Capacity of Regional Referral Hospitals (Project 1519) ................................... 16 3.2.2 Pharmaceutical and other supplies (Programme 05) .................................................................... 21 3.2.2.1 Global fund for AIDS, TB and Malaria (Project 220) .............................................................. 21 3.2.2.2 Global Alliance for Vaccine Initiative (Project 1436) .............................................................. 22 3.2.3 Public Health Services (Programme 06) ...................................................................................... 26 3.2.3.1 National Disease Control (Sub-Programme 8) .......................................................................... 27 3.2.3.2 East Africa Public Health Laboratory Network Project Phase II (Project 1413) ...................... 29 3.2.4 Clinical Health Services (Programme: 08) ................................................................................... 33 3.3.4.1 Shared National Services (Sub-Programme 8) .......................................................................... 33 i 3.2.5 Integrated Curative /Clinical Services (Sub-Programme 15) ....................................................... 34 3.2.5.1 Emergency Medical Services (Sub-Programme 16) ................................................................. 35 3.2.5.2 Health Infrastructure (Sub-programme 17) ............................................................................... 35 3.3: Health Service Commission (Vote 134) ......................................................................................... 38 3.3.1 Human Resource Management (Sub-Programme: 02) ................................................................ 38 3.3.2 Health Service Commission (Project 0365) ................................................................................. 39 3.4 Uganda Cancer Institute (Vote 114) ................................................................................................ 41 3.4.1 Cancer Services (Programme 57) ................................................................................................. 41 3.4.2 Uganda Cancer Institute (Project 1120) ....................................................................................... 42 3.4.3 ADB Support to UCI (Project 1345) ............................................................................................ 43 3.4.4 Institutional Support to Uganda Cancer Institute (Project: 1476) ................................................ 44 3.5 Uganda Heart Institute (Vote 115) .................................................................................................. 47 3.5.1 Medical Services (Sub-progamme 02) ......................................................................................... 47 3.5.2 Uganda Heart Institute Project (Project 1121) ............................................................................. 48 3.6 Vote 151 - Uganda Blood Transfusion Services ............................................................................. 50 3.6.1 Safe Blood Provision (Programme 53) ........................................................................................ 50 3.7 Butabika National Mental Referral Hospital (Vote 162) ............................................................... 54 3.7.1 Management (Sub-Programme 01) .............................................................................................. 55 3.7.2 Butabika Remodeling Project (0911) ........................................................................................... 55 3.7.3 Institutional Support to Butabika National Referral Hospital (1474) .......................................... 56 3.8 Regional Referral Hospitals (Vote 163- 176) .................................................................................. 58 3.9.2 Vote 164 - Fort Portal Regional Referral Hospital ....................................................................... 62 3.8.3 Vote 165: Gulu Regional Referral Hospital ................................................................................. 65 3.8.4 Vote 166 - Hoima Regional Referral Hospital ............................................................................. 67 3.8.5 Vote 167 - Jinja Regional Referral Hospital ................................................................................ 69 3.8.6 Vote 168 - Kabale Regional Referral Hospital............................................................................. 73 3.8.7 Vote 169 - Masaka Regional Referral Hospital ........................................................................... 75 3.8.8 Vote 170 - Mbale Regional Referral Hospital .............................................................................. 78 3.8.9 Vote 171: Soroti Regional Referral Hospital ............................................................................... 81 3.8.10 Vote 172 - Lira Regional Referral Hospital ............................................................................... 83 3.8.11 Vote 173 - Mbarara Regional Referral Hospital ........................................................................ 85 3.8.12 Vote 174 - Mubende Regional Referral Hospital ....................................................................... 88 3.8.13 Vote 175 - Moroto Regional Referral Hospital .......................................................................... 90 3.8.14 Vote 176 - China-Uganda Friendship Referral Hospital (Naguru) ............................................ 93 3.9 Votes 501 – 850 Local Governments: Primary Health Care (PHC) ............................................... 96 3.9.1 Health Development (Sub-Programme 1385) .............................................................................