Health

Health Sector Mandate

  • Focus: achievement of equity through increased access to Minimum Health Care Package (MHCP), quality care, efficiency, accountability and transparency
  • Overall goal: To provide good quality services to people so as to make them attain good standards of health in order to live a healthy and productive life

Sector main objective:

“To reduce morbidity and mortality from major causes of ill health and premature death and the disparities therein”.. Strategic Focus of Health Sector in Mbale Improve Maternal and Child Health services through:

  • Improved maternal deliveries at health centers
  • Construction of maternity wards
  • Construction of staff houses
  • Equipping the health centers
  • Improving physical access to health centers (construction of new health centers)
  • Strengthening implementation and monitoring of EPI activities Level Norm Filled Gap % Filled DHO’s Office

MBALE DLG HEALTH STAFFING LEVELS-SEPTEMBER 2023

Level

Norm

Filled

Gap

% Filled

DHO’s Office

11

13

-2

118

HC4

49

52

-3

106

HC3

340

314

26

92

HC2

32

29

3

91

Total

433

408

24

94.2%

 Financial Performance FY 22/23 Department planned to receive UGX 10,061,236,999, By the end of the Financial Year the department received UGX 8,974,248,356 and spent UGX 8,300,988,961

Item

Approved Budget

Released

Spent

%  Spent

A. Central Govt Grant (CGG)

8,547,717,498

8,547,717,497

7,893,904,353

92

B. Local Revenues (LR)

10,000,000

5,500,000

3,890,000

39

C. Other Govt Transfers (OGT)

150,000,000

16,755,000

16,755,000

11

D. Donors

1,353,519,501

404,275,859

386,439,608

29

 Financial Performance FY 23/24 Department planned to receive UGX 8,623,418,760, by the end of Quarter one the department had received UGX 1,769,006,214 and spent UGX 1,748,685,406

Item

Approved Budget

Released

Spent

%  Spent

A. Central Gov’t Grant (CGG)

7,266,562,827

1,750,183,314

1,745,145,406

100

B. Local Revenues (LR)

3,336,432

0

0

0

D. Donors

1,353,519,501

18,823,000

3,540,000

19

 Summary of Financial Performance for FY 2020/21, 2022/23, 2023/24 and Resource Envelope for FY 24/25

FUNDING

AMOUNT FY 2020/21 UGX

AMOUNT FY 2022/23 UGX

AMOUNT FY 2023/24 UGX

AMOUNT FY 2024/25 UGX

PHC Wage

5,284,054,273

3,618,562,525

6,299,474,926

6,299,474,926

PHC NW

554,377,000

407,754,385

340,597,016

339,949,992

PHC RB NW

-

-

265,549,597

265,549,597

DDEG

312,302,00

241,518,356

128,500,000

52,000,000

DHO NW

    

56,566,826

56,413,678

DHO RB NW

-

-

12,270,790

12,270,790

PHC DEVT

224,596,028

283,309,663

137,329,575

136,429,939

PNFP NW

26,274,097

26,274,097

26,274,097

26,274,097

LR

10,000,000

10,000,000

3,336,432

3,336,432

Donors/OGTS

803,519,501

883,519,501

 1,503,519,501

1,503,519,501

Total

7,273,939,000

5,448,664,429

8,623,418,760

8,545,218,953

 Key Planned Activities for FY 24/25

1. Payment of retention costs for construction of OPD at Kama HC3-UGX 25,000,000

2. Completion of construction of OPD at Bunambutye HC3-UGX 136,429,939

3. Operations and maintenance of 15 Ambulance motorcycles-UGX 12,000,000

4. Servicing, repair and replacement of solar systems at Health Facilities and District Health Office-UGX 15,000,000

5. Quarterly Supportive Supervision & monitoring of health activities (PHC/RB NW)

6. Quarterly Performance Review Meetings (Facility and Community) (PHC/RB NW)

7. Partner Mapping and Engagement (PHC/RB NW)

Off-budget Support To Health Sector FY 24/25

Technical assistance by USAID UGANDA HEALTH ACTIVITY (UHA) project:

  • Demand creation for uptake of services
  • Strengthening community referral linkages
  • Maternal, Neonatal, Child and Adolescent Health
  • Quality Improvement in all service areas
  • Nutrition
  • FP (especially uptake of long lasting reversible FP methods)
  • Malaria prevention and treatment (special focus on community component)

Technical assistance by BAYLOR project:

  • Comprehensive HIV/AIDS care, support and treatment (for diagnosis of children and adults) will be supported
  • TB Prevention, screening, testing and management
  • Demand creation for uptake of services
  • Strengthening community referral linkages/follow up of TB/ART patients
  • Support to the Elimination of Mother to Child Transmission for HIV (EMTCT) activities Sector Unfunded Priorities
  • Construction of 6 Maternity Wards at already existing HC3’s at

 Siira,
 Bunapongo
 Jewa,
 Makhonje,
 Lwangoli,
 Bumasikye

  • Construction of staff quarters in Jeewa, Bukiende, Bumasikye HC3s
  • Construction of Modern Theatre, expansion of admission wards (especially labor ward ) and additional staff quarters at Busiu HC4
  • Upgrade of Busiu HC4 to a District Hospital for Mbale District
  • Creation of Health Center 4s/HSDs for Bungokho North and Central
  • Upgrade of Muruba HC2 to HC3 in Nyondo Sub County

Health department Challenges-Internal 

  • Inadequate staff housing (only 14% are housed)
  • Hard to reach areas visa avi poor road network 
  • Inadequate leadership and supervision at Health Sub District level for Bungokho Central and North 
  • Stock outs of medicines and other health supplies (drug availability of 80 %) 
  • Unfenced and untitled health facilities

Key Partners of Health Sector 

USAID/UHA

 BAYLOR

 Wise Choices for life Uganda

 Mbale CAP/PONT

 Food for Hungry (FH) Uganda

 The Aids Support Organization (TASO)

 Living goods

 Jenga

 UNYPA

 PSI

 Child fund

 Marie Stopes

 PACE

 Reproductive Health Uganda

 Salem Brotherhood

 AMREF AFRICA

 JPHIEGO

 AIC

 Women with a mission