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Committee On Health Meets With National and Regional Referral Hospitals

Published 7 months ago -


On the 22nd and 23rd of January 2019, the committee on Health met with the national and Regional referral hospitals to present their position on the national budget framework 2019/20. The meeting was chaired by Hon. Michael Bukenya the chairperson of the committee.

UNFUNDED PRIORITIES AND CHALLENGES FACED BY THE HOSPITALS

Hospital Unfunded Priorities Challenges
Mulago

NRH

·         Medicines and sundries (86.64bn shortfall)

·         Wage (50.344bn shortfall)

·         Gratuity expenses (1.22bn shortfall)

·         Utilities (2.0bn shortfall)

·         Maintenance of infrastructure (1.1919bn shortfall)

·         Hospital management system (3.00bn shortfall)

·         Maintenance of equipment (1.5bn shortfall)

·         Accommodation of Health workers

·         Remodeling of upper Mulago (2.0bn shortfall)

·         Perennial Shortage of drugs and sundries

·         The inadequacy of accommodation for health workers

·         Land encroachment

Butabika Hospital ·         X-ray machine (800m)

·         Hospital perimeter wall (5.0bn)

·         MRI machine (3.5bn)

·         Inadequate human resource and difficulty in their attraction.

·         Inadequate accommodation for human resource.

·         High patient attendance and bed occupancy.

·         High maintenance cost due to the high destruction rate by the patients.

·         Lack of X-ray services.

·         Land encroachment.

Mbarara RRH ·         Phase 2 of hospital expansion (30mUSD)

·         Medical equipment workshop (400m)

·         Upgrading of the oxygen plant (400m)

·         Cancer Unit Construction (10m Euros)

·         Land for expansion (700m)

·         Solar power back up (200m)

·         Power outages due to yaka and high fuel consumption.

·         Old buildings and limited space.

·         Lack of equipment maintenance workshop, tools and staff.

·         Poor staff attraction.

Masaka RRH ·         Purchase of ENT and orthopedics equipment (200m)

·         Construction of medical stores (500m)

·         Spares for equipment maintenance (120m)

·         Construction of intern’s mess (500m)

·         Construction of new administration block (1bn)

·         Fencing of the hospital land (700m)

·         Equipping the new MCH complex (2bn)

·         Medicinal shortages (medicine lasts 6 out of the 8 weeks)

·         High power consumption (Ugx 413,411 daily)

·         Land encroachment

·         Heightened referrals in (Lwengo and Lyantonde)

Naguru RH ·         Specialist support supervision in the central region (0.146bn)

·         New ambulance (0.3bn)

·         Arrears for UTL, water, and electricity (0.338)

·         Electricity back up system (0.0336bn)

·         Oxygen plant maintenance (0.0565bn)

·         Hospital expansion (19.847730bn)

·         Inadequate space for inpatient care, and staff accommodation.

·         High costs of ambulance maintenance.

Mubende RRH ·         Reconstruction of the hospital fence.

·         Completion of stalled construction of wards

·         Construction of a blood bank

·         Staff houses

·         Staff transport

·         Lack of a fence

·         Road construction causing dust and silting of drainage channels.

·         Over delayed completion of construction of wards (5years)

·         Stock-outs of medicines and sundries

·         Blood scarcity

·         Inadequate space in the JICA buildings

FortPortal RRH ·         Underfunding for NWR

·         Inadequate accommodation

·         Infrastructure including wards and offices.

·         Understaffing  for specialists

·         Underfunding of recurrent nonwage

·         Inadequate accommodation

·         Poor referral system

Kabale RRH ·         Ambulance for transporting referred patients (300m)

·         Accommodation for staff (4bn)

·         A dedicated power line to curb frequent cuts.

·         High utility consumption

·         Low staffing levels

·         Inadequate budget

Jinja RRH ·         Concrete wall fence (6bn)

·         Emergency/casualty services (5bn)

·         CT scan (2bn)

·         Need for staff structure review

·         Recurrent failure to absorb the wage bill.

·         The poorly defined relationship between the hospital and other district facilities.

·         Old ambulance and the absence of an ambulance structure.

·         Inadequate casualty services.

Mbale RRH ·         CT scan (1m USD)

·         Mortuary (0.5bn)

·         Administration block (1.5bn)

·         Staff Accommodation (3.0bn)

·         High utility costs

·         Staff accommodation

·         Understaffing

·         Working space

·         Old infrastructure

·         Supplies

Hoima RRH ·         Old structures facelifts (0.2bn)

·         IT equipment (CCTV,  Vehicle trackers) (0.3bn)

·         Medical Equipment purchase (0.7bn)

·         Construction of intern’s mess & staff quarters (0.5bn)

·         Patients food and nutrition support (0.2bn)

·         Unethical/ unprofessional staff behaviors.

·         Understaffing for specialists and consultants.

·         High Utility consumption.

·         Insufficient staff accommodation

·         Low functionality of lower level units.

·         Frequent stock-outs of medicine and blood.

·         Low funds for refugees and other activities.

Soroti RRH ·         An incinerator (300m)

·         Maternal/ surgical complex (20bn)

·         New medical and pediatrics wards

·         High electricity bills under yaka system.

·         Lack of waste management facilities.

·         Low staffing levels.

·         Lack of workspace.

·         Limited funds for capital development.

Gulu RRH ·         Construction of a perimeter wall (1.0bn)

·         Procurement of a CT scan (2.5bn)

·         Renovation of old buildings

·         Inadequate staffing

·         High attrition of Health workers

·         Lack of accommodation for staff

·         Lack of funding for community services.

·         Hospital premises still occupied by the School of Clinical Med.

·         Hospital land still occupied by UPDF.

Lira RRH ·         Reconstruction of the Therapeutic Feeding Center (condemned)  (500m)

·         Construction of the private wing (2bn)

·         Construction of staff houses

·         Training and research (0.050bn)

·         Arrears of rent to the municipality (0.200bn)

·         High staff turnover

·         Dilapidated buildings requiring high capital inputs.

·         Unsecured hospital premises.

·         Heavy workload.

Arua RRH ·         Transformer (0.300bn 2020/21)

·         Completion of the hospital staff house (2.900bn)

·         Fencing of hospital land (0.500bn)

·         Utility arrears (0.086bn)

·         Construction of laundry  (0.200bn 2020/21)

·         Construction of the administrative block 1.400bn 2020/2021.

·         Water harvesting systems  (0.150bn)

·         Staff accommodation

·         Understaffing of critical staff

·         Reduction of the nonwage recurrent budget by 100m.

 

·         Moroto RRH ·         Construction of new wards and administration block. (14.00)

·         Construction of phase 3 of the staff accommodation. (2.400bn)

·         Mortuary (0.500 bn)

·         Construction of the intern’s mess (2.500bn)

·         Installation of a backup solar system (0.200bn)

·         Failure to attract and retain critical cadres like specialists

·         Old, inadequate and dilapidated infrastructure

·         High fuel consumption for transportation of dead bodies to their burial grounds.

·         Rampant outage of power, fuel, and generator repair expenses.

·         The high cost of utilities.

 COMMITTEE OBSERVATIONS, REACTIONS, AND RECOMMENDATIONS

  • The committee observed a dilemma of dotted construction amongst the referral hospitals. They thus urged the Ministry of Health (MoH) to adopt a system of constructing a staff house for one hospital annually with a uniform structure of construction to curb this plight.
  • The committee recommended equipping of district hospitals by MoH to minimize on the referrals to the RRH.
  • The committee observed non-existence of an active board in some hospitals like Arua RRH for more than a year and thus recommended appointment of board members.
  • The committee challenged hospital directors and other officials to lay suggestions on curbing the predicament of staff attraction and retainment especially specialists and consultants.
  • The committee recommended Arua Hospital to rely on the Rural Electrification Agency for the restoration of the hospital transformer.
  • The committee recommended to MoH to transfer all hospitals to three-phase electricity and drop the yaka electrification system.
  • The committee resolved to visit some hospitals like Mulago hospital to acquire adequate information on land encroachment and staffing structure.
  • The committee asked Mubende RRH to organize and send to the committee clerk copies of UNRA assessment for the compensation of the demolished hospital perimeter wall.
  • The committee mentioned unethical/ unprofessional behavior as a common vice in almost all hospitals most especially in Naguru RH.
  • The committee requested MoH to respond to the predicament of undersupply of diagnostic equipment. Hon. Jane Ruth Aceng elucidated to the committee of a drive project through which the Ministry in collaboration with the Netherlands is to receive a 50% loan and 50% grant for procurement of diagnostic equipment such as CT scans, MRI scans, and x-rays.

 

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