St Kizito Hospital Matany Moroto Diocese-Karamoja P.O. Box 46, Moroto - UGANDA- Annual Analytical Report Financial Year 2015/16 St Kizito Hospital Matany st 1 November 2016 Endorsement of Report This annual analytical report for St. Kizito Hospital Matany covering the period from 1st July 2015 to 30th June 2016 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: 1st November 2016 This is to acknowledge that I have received this annual analytical report for St. Kizito Hospital Matany covering the period from 1st July 2015 to 30th June 2016. 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: 1st November 2016 Page 2 of 101 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 CHAPTER THREE, GOVERNANCE AND MANAGEMENT 24 ORGANOGRAM 24 THE BOARD OF GOVERNORS 25 MANAGEMENT 31 CHAPTER FOUR, HOSPITAL HUMAN RESOURCES 33 CHAPTER FIVE, HOSPITAL FINANCES 38 INCOME 39 EXPENDITURE 40 CHAPTER SIX, HOSPITAL SERVICES 47 A: OUT PATIENT DEPARTMENT 47 SPECIAL OPD CLINICS 49 HIV AND AIDS SERVICES 51 B: INPATIENT WARDS 57 ORGANISATION AND MANAGEMENT, UTILISATION 57 MATERNITY WARD 60 C: OPERATING THEATRE 64 D: DIAGNOSTIC SERVICES 65 LABORATORY 65 IMAGING SERVICES 67 PHARMACY 68 CHAPTER SEVEN, HOSPITAL SUPPORT SERVICES 70 CHAPTER EIGHT, QUALITY AND PATIENT SAFETY 73 QUALITY IMPROVEMENT ACTIVITIES 73 QUALITY INDICATORS 74 PERFORMANCE INDICATORS 78 CHAPTER NINE, HEALTH TRAINING INSTITUTION 81 CHAPTER TEN, SUMMARY, CONCLUSION, RECOMMENDATION 90 FAITHFULNESS TO THE MISSION 90 ANNEX 1 - NAPAK DISTRICT WITH HEALTH UNITS (Map) 97 ANNEX 2 - MEMBERS OF BoG, HMT and NMTS STAT. COMMITTEE 98 ANNEX 3 - MATANY HOSPITAL ANNUAL FINANCIAL REPORT 99 Page 3 of 101 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 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 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 101 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 Sr. Anita Consept. Tutor Br. Günther Nährich Administrator / CEO Lowanyang Lucy Dipl. Nurse/Midwife Lokongo Santine Internal Auditor Amulen Rebecca Diploma Nurse Ogwango Samuelle Accountant Nabukwasi Sofia Diploma Nurse Lorot John Bosco Kapel Accountant Among Mary Registered Nurse Otim David A/C Assistant Br. José Eduardo DN, I/C Pharmacy Ngorok Magdalen Senior Cashier Achilla Lilly Diploma Nurse Nawot Monica Internal Cashier Adiao Grace Diploma C. Nurse Ariam Juliana Assist Cashier Okello Eunice Diploma Nurse Loyep Stephen HR-Officer Tunyany Jacinta Certificate Nurse Loput Johnson HMIS Officer Aluko Grace Certificate Nurse Olupot Jonathan HMIS/Data Mgt. Assistant Abucho Babrah Certificate Nurse Alany Patricia IT-Assistant Tino Peace Certificate Nurse Nakiru Magdalen Secretary Ogwang Alex Certificate Nurse Sagal Prassedde Secretary, NMTS Loukae Gabriel Certificate Nurse MEDICAL OFFICERS Isone Mary Certificate Nurse Dr John Bosco Nsubuga Gynaecologist / Med.Sup. Okudet Paula Enrolled Nurse Dr Borghi Emanuela Senior Medical Officer Achia Esther Certificate Nurse Dr. George Pellis Surgeon Apio Rebecca Certificate Nurse Dr. Deusdedit Kateregga Medical Officer Okot Kennedy Certificate Nurse Dr. John Ssembuusi Medical Officer Aloyo Agnes Certificate Nurse Dr Patrick Sali Medical Officer Aloyo Scovia Certificate Nurse Dr Longora John Paul Medical Officer Adongo A. Grace Certificate Nurse PARAMEDICALS Amoding Jennifer Certificate Nurse Oyaya Samuel Ochieng Clinical Officer Acom Evalyn Certificate Nurse Maraka Aloysius Clinical Officer Anyakun Hillary Certificate Nurse Otim Tonni Clinical Officer Nagendo Malisa Certificate Nurse Awas Roseline Clinical Officer Apio Loyce Certificate Nurse Amei Simon Peter Laboratory Technician Lomina Daniel Certificate Nurse Walter Ebong Laboratory Technician Emuat S. Peter CN/Dark Room Att. Bakar Fatuma Laboratory Technician Acom Rita Certificate C. Nurse Iluji Stephen Laboratory Technician Adela J. Florence Certificate C. Nurse Lokawa Paul Laboratory Assistant Opus Stephen Certificate C. Nurse Kodet Christine Laboratory Assistant Akech Martha Certificate Midwife Atirok Abraham Laboratory Assistant Adongo Sarah Certificate Midwife Modo David Laboratory Assistant Atero Lucy Certificate Midwife Locham Augustine Ophthalmic Assistant Alungo Salome Certificate Midwife Awas Patrick Orthopaedic Officer Akello Hellen Certificate Midwife Apono Mark Physiotherapist Aliat Esther Certificate Midwife Ayepa Alfonse Anaesthetic Attendant Lotukei A. Grace Certificate Midwife NURSING STAFF Nakiru Lucy Certificate Midwife Atekit Helen Ag PNO Akiriat Betty Certificate Midwife Sr Nataline Mowo Principal Tutor Napeyok Paulina Certificate Midwife Sr Gladys Licoru A. Ag. Principal Tutor Aleper Esther Certificate Midwife Page 5 of 101 Awoyo Immaculate Certificate Midwife Akung Betty Cleaner Ayoo Teddy Certificate Midwife Longoli Maria Cleaner Okuvuru Victoria Certificate Midwife Kodet Magdalen Cleaner Lomilo Paul Dental Attendant Achilla Lucy Cleaner Otyang Charles N. Dark Room Att. Pedo Agnes Cleaner Lotukei Anjello Dark Room Att. Achia Giovanna Cook Adiaka Rosemary Nursing Assistant Alinga Amalia Cook Agaro Sylvia Nursing Assistant Akello Beatrice Cook Akinyi Jennifer Nursing Assistant Logiel Agnes Cook Akol Lucy Nursing Assistant Apuun Lucy Cook Awas Mary Goretti Nursing Assistant Ngole Jacinta Cook Jaka Valentine Nursing Assistant Amuron Hellen Cook Karane Josephine Nursing Assistant Angella Magdalen Cook / Caterer Lochoro Hellen Nursing Assistant Lokoel Agnes Cook Sagal Florence Nursing Assistant Nake Cecilia Cook Keem John Senior Nursing Aid Aleper Dina Cook Akumu Lucy Senior Nursing Aid Nauga Cecilia Cook Nachuwa Mary Senior Nursing Aid Longok Valentine Cook Yeno Maria Senior Nursing Aid Ojao Angelline Cook Angella Molly Nurse/Aid, SW Lotukei Agnes A. Pastoral Care Giver Nawal Jane Nurse/Aid, ChW Pulkol John Laundry Attendant Anero Betty Nurse/Aid, TB Ward Lokiru Raphael Laundry Attendant Achuka Angelina Nurse/Aid TB Ward Aleper Emanuel Incinerator Attendant Kodet Jenifer Nurse/Aid, OPD Abura Alice Watchwoman Namoe Margaret Nurse/Aid, TB Ward Angolere Mario Watchman Amodoi Josephine Nurse/Aid, CHW Losur Stephen Watchman Epur Scholastica Nurse/Aid Koryang Isaac Watchman Logiel Rose Nurse/Aid Omuke Stephen Watchman Aleper Agnes Theatre Attendant Elasu Stephen Watchman Lokwi Florence Theatre Attendant Lomeri John Compound Zoe Martin Theatre Attendant Teko Peter Compound SUPPORT STAFF Lochan Matteo Compound Sr. Ruaro Giovanna RN, Domestic Officer Lokol Enok Compound Atim Magdalen Assist Store Keeper, GS Lokut Marko Compound Namoe Rose Assist Store Keeper, GS Longoli Simon Compound Alumo Luigina Assist Store Keeper, GS Lodungokol Marco Compound Santina Yeno Assist Store Keeper, GS Keem Marco Compound Adupa Janet Cleaner Lomilo Simon Compound Aboka Agnes Cleaner Ichumar Peter Mortuary Attendant Aisu Anna Cleaner Lobur Joseph Mortuary Attendant Chero Anna Cleaner Achia Anna Tailor Ngorok Scola Cleaner Lolem Lucy Tailor Kiyonga Agnes Cleaner Nakong Lucy Assist Tailor Koryang Angellina Cleaner Loma Alice Tailor Lokoryo Dorothy Cleaner PUBLIC