By-Elections Preliminary Updates: From Bugiri, Sheema, Apac, Kotido and Nebbi!

I have collected various sources the preliminary reports from Bugiri, Sheema, Apac, Kotido and Nebbi. This are not the official results, the are first released, when the Electoral Commission is releasing them Return Form for Transmission of Results, which is verified ballots from each polling station combined in the district. Therefore, until those are released, the numbers are jumping.

Bugiri have most likely gone to JEEMA, Sheema might swing between FDC and NRM, Apac could become a UPC MP, Kotido could go to either FDC or NRM, Nebbi are expected FDC, but might get rigged for NRM. However, this is just the preliminary results and the reality will be different when the EC and the machine have used their time. That is the longer the time for the results, the more worry is the for securing it in hands of the regime and not for opposition candidates.

Bugiri:

Asuman Basalirwa and the Justice Forum won the MP contest for Bugiri Muncipality, that after a knocking campaign together with Robert Kyagulanyi aka Bobi Wine. Therefore, the opposition got this post and carved this newly created municipality out of the map of the President. They should not expect any development there, if the words of the President is sincere. Forum for Democratic Change candidate and the National Resistance Movement (NRM) lost here, they didn’t have the capacity or the ability to gain popularity, like JEEMA and Bobi Wine. No one had that moxy to do so.

Sheema:

There is a tight race between the National Resistance Movement candidate Virgina Plan Mugyenyi and Forum for Democratic Change candidate Dr. Elioda Tumwesigye. All reports through the day have been tight and swinging. But with time the FDC candidate had better numbers, but the final tally will really tell.

Apac:

Patrick Ocan of the Uganda People’s Congress are expected to win the municipality over the National Resistance Candidate Akai Ayumu. The other independent candidates are trailing behind the NRM and UPC. This here seems like the stronghold of UPC get their votes, just like they have done in this area and the NRM are losing here too.

Here in the district, there been dozens of arrests of UPC members, the official number is 18 individuals on election day. Also, there are reports of ferrying voters and also open bribery.

Kotido:

Peter Abrahams Lokii was the National Resistance Movement (NRM) candidate here, while Moses Oryono Okot Mabeno are the Forum for Democratic Change (FDC) candidate. While the preliminary results in the newly created district have put the NRM in front, but only added independent candidates, therefore, you can wonder if the Electoral Commission have dismissed the FDC Candidate in spite before the election. Since, the reports was that FDC was gazetting a candidate.

Nebbi:

Robert Onega are the Forum for Democratic Change candidate, the National Resistance Movement fielded Hashim Sulaima, than you have Patrick Aloysius Okumu Ringa, running as an Independent, but leaning towards NRM. Three more key Independent Candidates are Betty Udongo, Berocan Okurulal and Enrico Opio. However, how all of this will work out.

In this district there been reports of low-voter turn-out. During the evening, local radio station and New Vision said Sulaima have won the district. However, that wouldn’t be surprising, as the election rigging that have been reported was massive, as even open boxed with pre-ticked ballots was coming to the district last night.

We just have to see how this goes. But there is a lot in the air and see how this falls to ground. Let see them forms and get these results verified. Don’t postpone that, but deliver credible results, even as the observers from CCEDU are suspended for these elections too. Which is concerning, because than the CSO of volunteers are not able to report and make sure the rights of the voters are taken care off.

By-Election done in darkness, deliberately done by regime. Remember that, so that they can come with other reports, if that fit their paradigm since the CCEDU and Opposition will just fight with arguments. While CCEDU could have come with issues on the ground and also filed reports for the future. That should worry every citizen, that the NRM does this. Peace.

Opinion: Why does every By-Election these days look like a War-Zone?

Let us be honest for a minute, the recent By-Elections under President Yoweri Kaguta Museveni, have become more hostile and more militarized, where the big guns, the soldiers and the mambas are all over the place. That is happening today in Sheema Muncipality in Ibanda and in Bugiri Muncipality in Busoga sub-region. Both National Resistance Movement (NRM) candidates and opposition contest in both of them.

What is striking today is the efforts of the police and the army to intimidate in both places. In Sheema Muncipality and in Bugiri Muncipality, the Army and Soldiers are armed to their teeth. Like there is a war going on, and not a democratic exercise on who gets to represent the people in the newly created districts. No, no, it looks like a war story and someone is going to die!

Seriously, who brings the war machine to an election, if they are not fearing for losing it? Who isn’t bringing the police to arrest opposition activist on the day of the poll and not afraid of losing it?

If the NRM was so steady and had a message, had a mandate and trust in the community, would they need the UPDF and the Police Force to settle intimidation into their eyes. Seriously? I beg to ask!

You can say what you want about elections and about campaigning, but when the ruling regime and the orders from above, is to send a brigades of soldiers to the polls. You know something is wrong, you know that these elections are no good. That is just a common knowledge. Maybe not for Ofwono Opondo or Frank Tumwebaze, but for the rest of us it is.

This isn’t a sign of strength, but more of weakness, of a justification of harassing and intimidating the public. Just because you can and because you have the army. This isn’t there to secure democratic values or secure the public. Than, the soldiers would have bases there and await a sudden strike from an enemy. Not suddenly come out of their barracks and post up in the middle of towns and poll stations in the early mist of morning. No, that isn’t it.

Maybe, just maybe, the NRM thinks so, but than they are gallantly, stupid and I cannot blame them anymore. They are just the National Rwakitura Movement, where all citizens are his cows and he is just waiting to spoil their milk. That is just what is up.

Are the NRM so afraid of losing, that they have to order soldiers in the street to prove they exists and that they can hurt you, if you don’t obey every command made by Museveni? Is that it, is that the magic potion to get people on board. If so, than the President have forgotten Franz Fanon and his wisdom.

As the war-zones of Sheema and Bugiri have smiled to us today and God knows how the tallies will be. Let me end with the words of Fanon.

“The state, which by its strength and discretion ought to inspire confidence and disarm and lull everybody to sleep, on the contrary seeks to impose itself in spectacular fashion. It makes a display, it jostles people and bullies them, thus intimating to the citizen that he is in continual danger. The single party is the modern form of the dictatorship of the bourgeoisie, unmasked, unpainted, unscrupulous, and cynical” (Frantz Fanon – ‘The Wretched of the Earth, P: 164, 1961).

That is enough of the nonsense. Peace.

Opinion: If the Sheema Rally is how you feel Mzee, please reinstate the Resistance Councils and abolish Multi-Party Democracy!

That is why it is important to elect representatives who sit in the NRM caucus where decisions are made and who can lobby for projects for you”Yoweri Kaguta Museveni on the 20th July 2018.

I think the time is up for fooling everyone. I am tired of the old man and his wisdom. Yesterday, he proven again, that the Multi-Democracy of Uganda isn’t important to the President. The act of putting it into law in 2005. Was just to make the donors happy, because he really shows disregard for the people’s will to pick the candidates and not the ones he has prepared for them. He wants loyal tin-soldiers to follow his whims from the State House when he calls in the NRM Caucus, which means all elected majority of Parliament at his place. That is why he shields the opposition out and silence them.

Stop playing with politics. I have told you that in 1962, people though politics was a joke. The resultant was loss of lives; we suffered.” (…) “That woman [opposition Forum for Democratic Change (FDC) candidate Virginia Plan Mugyenyi] will not help you at all,” said Museveni. Also the NRM chairman, Museveni said Mugyenyi, like Mwijukye, would have no access to the party’s caucus meetings which discuss development projects. He reminded the voters that NRM had the numbers in parliament and it would be safe for them to vote for Tumwesigye if they wanted to see Sheema Municipality develop” (Samuel Kamugisha – ‘Museveni: Mwijukye Is A Useless MP; I Struck Buhweju Off Uganda’s Map’ 20.07.2018).

Let’s be clear, if you feels this way Mr. President, stop the charades, be the real self and reinstate the Resistance Councils of 1986-87. So that the Local Councils and Local Government can be all in-house and controlled from the State House and through the Office of the President. Just the way you want it.

While you at it, since the Members of Parliament from other parties have no value. Pleas, just Please, make the state a ONE-PARTY State. That will be real you and the sincere judgment of what you are Mr. President. Museveni, you are already showing disregard for Mwijukye and his time as an MP. Therefore, why do you even bother with elections and doesn’t just ask for having direct elections of MPs through the NRM Primaries and internally. There isn’t any reason to have Multi-Party in Parliament if they are not existing to you.

You are directly diminishing the districts and sub-counties that has voted in favor of the opposition. You are showing what sort of disgrace of a man you are. Mr. President if you represent that other than your own narrow mind, you would be there for all communities, no matter who represents them to in Parliament. However, that is not the case and is shown with your meager display in Sheema Municipality.

Be real, be honest Mr. President. You are not representing the whole country, just the NRM. If you want it all NRM, abolish Multi-Party Democracy and also reinstate the Resistance Councils of the 1980s. Than, you would be honest with yourself and your dictating ways, also the public would know the real you. Not the fake forgery of a man you really are.

President Museveni, we are tired of lies and deception. Just show the real you, as you are directing everyone of your tin-soldiers from the State House, through your decrees and decisions. Instead of having several other parties within the Parliament. Just let the people decide who they think is the best within NRM and not have others. If you are for this.

Upon capturing power, the NRM introduced the Movement political system, under which all Ugandans belonged. The Movement united Ugandans under one political system and partly cured the deep-seated sectarianism that has been sowed by the political parties. Political party activities were formally suspended in 1992” (Pascal Kwesiga – ‘NRM’s political achievements’ NEW VISION, Tuesday, January 26, 2016).

So, please Mr. President, just go back to the real you. Suspend political party activities and make sure all are under the umbrella of the NRM. If you have the feeling that opposition MPs are useless and their areas doesn’t exists anymore. Than, you might just abolish it and stop the faking it to the Republic. You might have done this to please foreign donors, but those you don’t care about anymore. We know this and they know it too.

Stop playing and show the real self. Your already President for Life. Show the reality and stop playing. It is getting real old. Peace.

Mzee complains today about waste, however he haven’t rehabilitated sugar industry or revamped pharmaceutical industry either!

“In this regard, we need to learn and apply lessons from emerging economies such as India, whose total healthcare industry revenue is expected to increase from US$ 110 billion in 2016 to US$ 372 billion in 2022 in response to deliberate investments in telemedicine, manufacturing of medicines and health technologies, medical tourism, health workforce training and risk pooling/health insurance, among others. In order to achieve this, we need to plan in a harmonized way. In Uganda, for instance, we, indeed, have a nascent pharmaceutical industry producing Aids/HIV, Malaria, Hepatitis-B, pharmaceuticals, etc. drugs. These are, however, still using imported pharmaceutical grade starch and imported pharmaceutical grade sugar. The pharmaceutical grade starch and sugar are crucial for making tablets and syrups for children’s medicines. Yet, the starch is from maize and cassava and the pharmaceutical grade sugar is from sugar. I am told the drugs would be 20% cheaper. Moreover, apart from helping in the pharmaceutical industry, more refined sugar is also needed in the soft drinks industry. Uganda is squandering US$34 million per year importing refined sugar for the soft drinks, about US$ 20 million for importing the pharmaceutical grade starches not including the other raw materials, US$ 77million for taking patients to India etc. Africa is incredibly rich but wasteful” (Yoweri Kaguta Museveni at THE OFFICIAL OPENING OF THE JOINT EAC HEADS OF STATE RETREAT ON INFRASTRUCTURE AND HEALTH FINANCING AND DEVELOPMENT, 22.02.2018).

Seems like the 1980s World Bank loans to restart Kakira Sugar Works hasn’t done enough, since the Ugandan state did right after the National Resistance Army takeover of the state. They went into an arrangement with the World Bank getting loans for the company, to restart. That deal was done 8th March 1988. As the documents said back in 198:

“Uganda currently imports US$15-20 million worth of sugar annually, which ranks second only to petroleum imports. Import substitution through restoration of domestic production capacity is therefore a high priority and eminently justified given the considerable comparative advantage Uganda enjoys as a result of its landlocked situation. Conditions for sugar production at Kakira are highly favorable. Cane growing benefits from excellent soils, good rainfall distribution (requiring only limited sunplementary irrigation) and relatively low levels of inputs of fertilizers and pesticides. The project brings back to the Kakira complex the original owners who have a demonstrated ability to manage sugar operations at Kakira and elsewhere” (SUGAR REHABILITATION PROJECT, 08.03.1988).

Therefore, what the President said today, the Sugar Rehabilitation Project, which was done to stop the heavy imports of sugar and for consumption, has clearly not worked as projected. Since his own state is squandering their resources and not even following the loans to make the project work. That is my take on it. The president of 32 years has clearly mismanaged this and not finished his job. Since he hasn’t been able to rehabilitate the industry.

When it comes to pharmaceutical industry there massive challenges, not just the sugar starch for medicine coverage of the pills. Nevertheless, the whole arrangement, since the technology to operate these machines are imported, as well is the parts. Not only the sugar starch, but also the ingredients are imported too, than you have few companies who has automated manufactures, which makes hard to make medicine on a larger scale. It is also high operation cost, because of use of back-up generators because of blackouts and shortfall of electricity. Because of this, it is expensive to have cold storage of the medicine and have a storage for the final products.

So the Idea from Museveni that it is simple, it is the whole system around it, that makes it more profitable to import ready made medicine, than actually produce it. Even if the added value of production would be there, but with the circumstances put by United Nations Industrial Development Organization, seemingly it is from 2009. However, the state of affairs hasn’t changed that much.

We can really estimate, that the adjustment and the needed organization to pull forward both industries during the years of NRM hasn’t been totally fruitful. If so, why would he complain about the imports of sugar and medicine, when he hasn’t been able to make it function with his 32 years of reign? Someone who has 3 decades, should have the ability and time to find the information, finalize plans and execute as seen fit. That is if he cared about the industries in question and their possible engines for growth and riches of Africa. Nevertheless, he hasn’t cared and haven’t used the time wisely. He has used the time bitching and not acting. That is just the way things is and it isn’t becoming better either.

He could have made sure that the pharmaceutical industry had energy, had the sufficient organization behind it to make the medicine, not only import and assemble certain medicine, he could have made sure the sugar industry was profitable and had the equipment to make the refined sugar used in the pharmaceutical industry. However, both is a lost cause, because it takes money and time. Both, is something he doesn’t have, since the narrative isn’t making him wealthy.

Alas, he we are at the status quo, with a President running for life and complaining about waste. When he has wasted 32 years and not made effort to change it. It is all talk and no fire. Peace.

The Saga of the New Cancer Machine of Mulago was not a two-year scheme!

Let’s be honest and clear, the story of the Cobalt 60 Teletherapy Machine from the mid-90s, who was not sufficient and had not been changed within time. Was not a two-year long waiting period of nostalgia, it was mismanagement with the cost of lives and devastation. Any government caring about lives, would have planned and made sure of funding for a new one, long ahead, especially considering the last one was bought in the mid-1990s. This is the true acts of maladministration and misuse of state reserves. That is evident, and also that the Ministry of Health, who only had one these, couldn’t make sure the procurement went softly and made sure the facilities could be fixed in time to put in a new machine. Even if it matters of lives and people’s serious treatment.

Only two year?

“After almost two agonising years of waiting, cancer patients will breathe a sigh of relief after the new radiotherapy machine arrived into the country this week. It was shipped from Czech Republic through Mombasa port with guidance of the International Atomic Energy Agency (IAEA), a United Nations body that regulates use of nuclear and atomic energy. Purchased at 642,000 euros (more than Shs2.7b) by both government and IAEA, the machine replaces the old cobalt 60 radiotherapy machine, which broke down beyond repair on March 27, 2016, leaving about 2,000 patients without proper treatment and some people died in the process” (Ainebyoona, 2017).

What about 2013:

Because I have a letter dated back to IAEA from Dr. Byahagaba from 28th May 2013, where the funding of 325,297 Euros was deposited to the UniCredit Bank, Austria, Vienna on the 22nd May 2013. This was funding for the purchase of Cobalt 60 Teletheraphy Machine. Therefore, the Daily Monitor or the Mulago Health Care Complex has given som wrong information.

If not the final instalment for the purchase of the machine has come in the aftermath, which is a significant sum of monies, since it is 315,000 Euros that has appeared and made sure the buying of the machine finally appeared.

This sort of acts should not let it go easily, that a state with millions of lives, that are in-charge of making sure their citizens are healthy. Only has one Cancer Machine and that one has been out of function for two years, and it took about at-least 4 years, since 2013 to be able to purchase the equipment and use it for the public benefit. Clearly, the National Resistance Movement (NRM). Isn’t worried about losing their citizens or making sure the health is in check. Surely, the do not worry, since the President sends his own kin abroad to give birth. He knows the meagre state of the facilities of where he has resided and run. He eats the reserves and leaves scraps behind. The evidence in the 4 years in the making of the Cancer Machine. It is good it is there, but the time and effort is mediocre at best. Nearly depleted and destructive, as the concern of the cancer wasn’t even there. Peace.

Reference:

Ainebyoona, Mmanuel – ‘New Cancer Machine finally arrives into the Country’ (12.08.2017) link: http://www.monitor.co.ug/News/National/Sigh-of-relief-as-Shs2-7b-cancer-machine-arrives/688334-4054904-vf8309/index.html

Opinion: Who is really the “Empty Suit”? Who might it be the Empty Suit in the Ministry of Health Care or KCCA? As the recent unfolded operations of maladministration in the public view… henceforth somebody who is just nodding to the Executive for the brown envelope.

The Wire Jimmy McNulty

McNULTY: “West Baltimore is dying and you empty suits are running around to pin some politician’s pelt to the wall. Thought you was real police, brother” (The Wire Season 2, Episode 13).

There is in this day and age lots of appointed government officials, they work supposed to be diligent and with honour of the codes of their work, not work directly for the ones that appointed them. That cannot always be easy as the station and the position would not been opened or given to the person if the appointee didn’t give that extended hand or blessing for the job. When you have that situation you need a strong state and strict regulatory regime that counter the possible backhand and kickbacks to the ones that appointed them.

Why do I discuss this at this point? Because it is a vital part of our government regimes and is a question that can be asked in nearly all parts of the globe. As all jobs in the branches of government does not automatically goes to the most educated, relied on or the one person who has the most integrity in the position. Instead the man or woman who gets appointed is an “empty suit”.

Krugman Boardroom

What some of them might do?

“What typically saves the empty suit is the tenuous relation between what he or she does and any actual business results. This may be a function of the job he’s in: a staff post, with lots of power to nix others’ initiatives but no responsibility to make or sell anything. Or a pocket of avoirdupois in a still-too-fat corporate bureaucracy, the kind of position that causes underlings to scratch their heads and wonder, ”Gee, do we really need all these vice presidents?” Or the empty suit may have come up through a system that rotates fast- trackers through a new job every 18 months, even though the effects of his tenure don’t become evident for two to three years. He hardly had time to get any grounding in the work his people do, and he may have royally screwed up the few decisions he was compelled to make, but when the chickens come home to roost, he has flown. If somebody has the bad taste to try to assign responsibility, the suit can easily fuzz the matter over by suggesting that the blame rests with his successor or former subordinates” (Kiechel, 1989).

There certainly similar like the ones described in our time in every department, every corporation and every single institution we know of. This might be the Electoral Commission of Uganda and the Independent Electoral and Boundaries Commission of Kenya. As much as the regulatory chairs of the banking industry of Kenya must feel like empty suits these days as the confidence at that is low-key as well. The Chase Bank, The Imperial Bank and National Bank of Kenya have fallen from grace. The most likely selling of the Barclays Bank African Group might also make the fragile banking sector into more disarray as the leading regulators seems like the extra board-members instead of people who uses their position and chair with care and uses the mandate to make a difference and even square.

Soroti Hospital April 2016

The situations are different when the appointed is not hired for their knowledge of their field, but the loyalty of the regime or government that is running in the country. The likes of Ministry of Health in Uganda for the moment where the hospitals are creaking and the machines are criss-crossing between life and death. Electricity and other cases of depleted. As the missing extra blood for surgery, the copy-medication and the loss of necessary equipment; that shows the lack of management and reasons for empty suits. The highest empty suit for the moment must be State Minister for Health Hon. Dr. Chris Baryomunsi who seems to be more concern with catching checks then doing his job at this point. This point comes with the correlation of Minster of Health Hon. Elioda Tumwesige and the State Minister for Primary Health Hon. Sarah Opendi Ochieng. One of the three must generate a valued pay-check and makes sure that the NMS delivers the Global Funded projects and the other government funded health care, but either Chris, Elioda or Sarah, one of them or more must be a hired “empty suit” as the three of them are put into ministerial position working for initially the same thing.

lukwago-musisi

It is just like the same mess with the KCCA where you have KCCA Executive Director of Jennifer Musisi. You have Frank Tumbewaze who is both Minister of the Presidency and Kampala Affairs. Then you have the third person who got a mandate the Presidential Advisor for Kampala affairs Mr. Singh Katongole what he does is surely only him and the Executive of Uganda who knows, since his appointment in December 2015 his silence must mean a envelope and letting Hon. Tumbewaze and Hon. Musisi does what they like. To make it more hectic you have the actual people’s elected through the ballot who supposed to run the Kampala Capital City Lord Mayor Erias Lukwago. So you have hon. Musisi, Hon. Tumbewazi, Hon. Katongole and Lord Mayor Lukwago. All of them are supposed to central people in the running of administration and regulate the divisions of Kampala politically and create policies that builds and secure the functions of KCCA. That must be hectic one of these men and woman must be a empty suit. Unless Hon. Katongole who I haven’t heard a word from since appointment is an ear-to-the ground and talking or addressing letters directly to the Executive or Head of State as his role has still not been served. As the accountability of the NRM-Regime is not strong they prefer keeping people in the dark.  Hon. Tumbewaze seems more to be the ones who was appointed to turn opposition Lord Mayor on his knees and therefore also gotten a permanent Executive Director in Musisi to shut down the elected person. But the end-game is that one of them must be an “Empty Suit” as the basic needs cannot be that big, and one of them is catching the brown envelopes without doing anything.

There are certainly more empty suits in the system as I started with the appointed men who is not educated for the position, but are there for the loyalty not because of the office is needed or there for a general purpose. That is the same as extra board-members in a corporation who is hired to vote for the general consensus in the board, but not to generate profits in some sense. They are there because the Corporation and LLC need useful idiots to be paid to follow the remarks of the stakeholders and shareholders, not the common-sense of their position.

Appointment of Nat. Gov. Spokesmen Kenya

We can all question the value of these leaders and honourable men-or-woman in a representative or appointed position by the President for instance. The level of credible men and woman and the need for expertise in the government organisations, into the department and the civic care from the road-development to the health care facilities need men and woman who knows the trade. As long the men does what is needed for the President or for the Stakeholders. The ones that lose are the ordinary person, employee or civil servants as they will either work under them or have to pay them tax-money to keep them. As they have to be paid an envelope to be the empty-dress. The person who is an empty dress doesn’t become that for free. Somebody has to be charge to keep him there. Most likely it is me or you. We can just ask ourselves. Who of the appointed leaders in government is an empty suit? Who in the corporate world are the extras?

Byandala

Lastly, why does the Minister Without Portfolio. Hon. Abraham Byandala gets away and is not questioned by the opposition or anybody else. Why is this man the free-man the invisible creature in the parliament that does not have scruples? This since this position is the epitome of a Empty Suit. He is a MINISTER, but does not have an OFFICE, Department or a MINISTRY to run. Hon. Byandala can do as he pleases and still get paid. You cannot check his ministry or running government portfolio as it is non-existence from the get-go. The Government Official without any oversight and anything to initial control or say in other words the official Minister of Nothing (MoN). Hon. Byandala is running the Ministry of Nothing. The Minister of Hot-Air and the checking the chapattis’ in parliament is fresh enough for Hon. Oulanyah’s taste.

Well, what do you think? Are the somebody you feels are an Empty suit? Somebody you question or wonder if really have anything more than pay-check from the Tax-Payers money, but does not use it’s office or even delivers anything. Then that person might be an empty suit who just nods the head to the Executive and the general leadership without exercising power or determine the future of the government institution, department or ministry. Even if the person is really doing anything in the boardroom or a needed voter for the stakeholders; if it is only the needed majority to follow procedure then the scheme need a check or reform.

River Okikolo FDC 13.01.2016

There will certainly be more stories and the existence of similar men and woman who can be described as “Empty Suits” and be stooges needed by any administration and corporations as they viciously need structure to control the citizens and the policies without questions from the inner-circle. Even if that means not procurement of needed medicines, fuel, transformers or building bridges to easier access the missing Okor Bridge in Kumi District: “This project was intended to connect Nyero and Mukongoro sub-counties in Kumi district” (MoFED, March 2015). A bridge that does not exist or is built by now so the sub-counties is not yet connect because of the altered situation and have to run long roads around the area than crossing straight over the river. So a project like this says there some empty suits as in 2009 as company was hired to build the river, by December 2012 the works by the river had stopped. Even if the departments to UNRA gave reports of progress of the project was last monitored in 2014 and by 2016 there not been done more to build the bridge since the monopoly of the Chinese Contractor have stifled the progression and in the end wasted government funds into a building a bridge who does not exist. Just like the Ministry of Nothing Hon. Byandala.

Think that is enough for today! Peace.

Reference:

Kiechel, Walter – ‘HOW TO SPOT AN EMPTY SUIT This breed of modern manager looks good and gets along splendidly with the brass. But is he contributing anything?’ (20.11.1989) link: http://archive.fortune.com/magazines/fortune/fortune_archive/1989/11/20/72761/index.htm

Ministry of Finance, Planning and Economic Development – ‘NATIONAL BUDGET FRAMEWORK PAPER FY 2015/16’ (March 2015).

More on the Mulago Cancer Institute issues; the racketeering has new excuses!

Cobalt-Machine

This here would be spin-doctors spinning the doctors and showing the surface to the world and the expenditure of not procuring the necessary tools for the Health Care workers on the Kings Hospital of Mulago. That story seems to have legs and straight after the general election, so steady regress it is.

First Update:

Fellow Ugandans, let’s try to get facts right. The Cobalt-60 machine was bought. It is awaiting construction of the bunker(the room to house it). Earlier statements that there are no funds to purchase the machine did not come from us. What is at stake now is the construction of the bunker. You may wonder why this machine cannot be housed in the current space. This space was assessed by IAEA and found that it is not suitable to house the machine. However fundraising for another machine is a good idea. The procurement process for the bunker construction has already started. In the meantime, other machines such as HDR bracytherapy machine are under use and other services are still on going” (Uganda Cancer Institute, 10.04.2016).

Second Update:

Dr. Orem the director of Uganda Cancer Institute (UCI) has assured Ugandans that cancer treatment has not stopped but just one of the machines used in treatment of Cancer has stopped. Cancer treatment is done in combination. Cancer can be treated comprehensively. Our capacity has been deminished by a small percentage. Minister Tumwesigye says that the dead machine will only slow down treatment by 20 percent but cancer institute will be getting shs 41.billion next financial year from shs. 17bn. You dont just walk and buy the machine like a scanning machine” (Daily Monitor, 10.04.2016).

That alters the information from two days ago from the same doctor:

Cancer patients receiving radiotherapy treatment at Mulago hospital may have to wait until next year when the new cobalt 60 radiation machine will be installed, after the old one broke down three weeks ago. According to Dr Jackson Orem, the director of Cancer Institute at Mulago hospital, it may be difficult to repair the radiotherapy machine, procured in 1995, to render efficient results” (EA BIZ INFO, 08.04.2016).

From the MPS Ministry of Health Report 2013/2014:

“The Committee noted the tremendous work registered by the Uganda Cancer Institute. However, the Committee learnt that the genuine cost of cancer treatment – chemotherapy was not known to the majority of the people, including the patients, thereby creating space for unscrupulous people to cheat patients. The Committee was informed by the Director Uganda Cancer Institute that chemotherapy treatment was free of cost, except that patients were charged 30,000 for the bed per night” (MPS P: 52, August 2013).

In the Annual Health Sector Performance Report of 2012/2013 stated this:

“Remodeling existing facilities and completion of the construction and operationalization of the new cancer ward” (…)”The remodeling of TB was finalized to accommodate patients originally from the Lymphome Treatment Centre ward. Relocated and remodeling the Laboratory, the Solid Tumor Centre ward and set up a temporally kitchen. Continued with the construction of the six floors Cancer Ward and during this FY, Plumbing Electrical installation and fitting were completed” (Annual Health Sector Performance Report of 2012/2013 P: 49).

IAEA Mulago Receipt

So somebody is not telling the whole story, if not they did and then they changed to fit with the Racket of Don Museveni, which leads the Government and appoint the Health Ministry. This here saga is not over. Certainly somebody has not done their duty and their job since the machinery at Mulago Hospital Complex is not yet there, and they are using broken down machinery from 1995. 20 Years of steady service and not much upgrades takes its toll on the equipment. The worst thing is the see the spin-doctors and the words coming out; how the Doctor Jackson Orem is changing his words within 60 hours. That says something about the power of the Ministry of Health, not about his character as a doctor and a civil servant. Peace.

Even when the Ugandan Gov. have the funds for health care and medicine; they still mismanage the funds or does not procure the necessary kits, staff or proof of use of the Global Funds; findings from the Audit Report of February of 2016 from The Global Funds!

Sickness Cartoon

There been reported how the Global Fund has gone through and report how the donor funds to Government of Uganda (GoU) and the Ministry of Health. As the Value for Money way of auditing and describing the state of the programs that has been funded by this donor funding; this is especially against the diseases like Tuberculosis, HIV/AIDS and Malaria. This is the situation of the funds and how it was used. This is interesting to see how the Government of Uganda has been coming to accountability and responsibility toward the procurement and accessing the monies, as they was not using the allocated funds or unaccounted for. There is questions for why certain projects are so slow in procurement and why there is too little of specialized kits in the National Medicine Stores (NMS) as they had budget for a dozen more than; when the audit was happening. That is a worrying sign. But look at the quotes from the Global Fund report from February 2016, and see what the important pieces from it are!

Aids Support

“The Global Fund support in Uganda:

Since its inception in Uganda in 2002, the Global Fund has signed a total of 20 grants amounting to USD 1 billion, USD 623 million of which had been disbursed to the country at the time of the audit” (…)”The grants are implemented by two Principal Recipients, The Ministry of Finance Planning and Economic Development and The AIDS Support Organization (TASO). The Ministry of Finance has delegated responsibilities with respect to implementation of the grants to the Ministry of Health” (…)”Approximately 90% of Global Fund grants to Uganda are spent on the procurement of medicines and health products. The Secretariat’s Pooled Procurement Mechanism procures all health commodities with the exception of tuberculosis drugs which are procured by the Global Drug Facility” (P: 4, 2016).

Ratings of the work:

The rating of the operations tells a story on how the services are delivered in the country. As the Programmatic and Performance where you can see the accuracy and support decision making to check the quality service, second part is the Financial and Fiduciary how to use the actual grants and check them in an effective manner, this two both the Programmatic and Performance, and the Financial and Fiduciary is handled in a Partial Plan to become Effective (P: 5, 2016).

The Health service and Products which is the ability of the supply chain, deliver services, account the quality assured medicines and health manners in timely manner; the second rated work is the Governance, Oversight and Management it is the quadrate and the effectiveness of the grants and implementations of the arrangements. These two parts is not run effective by the government (P: 5, 2016).

Kitgum NMS

Executive Summary:

“The Global Fund has signed a total of 20 grants amounting to USD 1 billion, USD 623 million of which has been disbursed to the Republic of Uganda since 2002” (…) ”Approximately 90% of grant funds are spent on the procurement, storage and distribution of health commodities. The Global Fund’s Pooled Procurement Mechanism buys the majority of the medicines and health products on behalf of the country, which has significantly improved procurement timelines and reduced commodity prices” (…)”Uganda has made progress in the control and treatment of HIV, tuberculosis and malaria with a reduction in new infections and/or incidence. However, if unaddressed, pervasive stock-outs of key medicines at all levels will result in treatment disruption for patients. Seventy per cent of the 50 health facilities visited during the audit reported stock-outs of at least one critical medicine, with HIV drugs being the most affected of the three diseases” (…) ”Differences of USD 21.4 million were noted between book and actual stocks at the National Medical Stores for 15 commodity types procured by the government and the Global Fund. The audit could not apportion the variance between the government and the Global Fund since the stores’ inventory system does not segregate physical stocks by source” (…) ”16.5 million condoms that should have been distributed for free were sold through social marketing. The funds generated from the sales (USD 0.2 million) remain unaccounted for” (P: 6, 2016).

Executive Summary Part II:

“The country’s change of HIV treatment policy and scale up plans have increased the number of patients eligible for treatment without a corresponding increase in government funding. This will result in a treatment funding gap of at least USD 90 million in 2016 if not addressed.

Consequently, the Global Fund is ‘front-loading’ commodities planned for 2016/17 to 2015 to address medicine shortages” (…)”Twelve per cent out of the 50 facilities visited were performing HIV tests with expired test kits and, contrary to national guidelines, 14% of facilities visited did not perform confirmatory tests on clients diagnosed as HIV positive. This raises the risk of clients getting false HIV results” (…)”The Secretariat, in collaboration with the Ministry of Health, has introduced data quality assessments. Vacant positions are to be filled to address the data related issues. However, funding for tools, training and supervision remains a challenge” (…)”There was also weak management of advances with some remaining outstanding for over 20 months. Value added taxes amounting to USD 0.3 million had also not been refunded to the programs. The audit identified expenses for which there was not adequate supporting documentation, amounting to USD 3.9 million” (…)”While the country lacks adequate funding to cover key activities, it has a low absorption of the limited grant funds that are sent to the country. The OIG noted that only 46% of funds disbursed to the Ministry of Finance between January 2013 and June 2015 had been spent at the time of the audit” (P: 7, 2016).

NMS Amuria

Pervasive stock-outs:

“70% of the health facilities reported stock-outs of anti-retroviral medicines and HIV test kits of between three weeks and four months” (…)”68% of facilities reported stock outs of anti-malaria medicines and test kits in the previous six-month period” (…)”64% of the facilities reported stock-outs of TB medicines of between one week and three months” (P: 9, 2016).

Use of medicines to treat other diseases: The audit noted that 32% of the 50 facilities visited treated 1,254 Hepatitis B patients with anti-retroviral medicines. The quantification of anti-retroviral medicines does not take into consideration their use for the treatment for Hepatitis B patients. This has contributed to stock-outs of anti-retroviral medicines for HIV patients who are the primary target of these medicines” (P: 9, 2016).

Gaps in HIV counselling and testing practices:

“Twelve per cent out of the 50 facilities visited were performing HIV tests with expired test kits” (…)”Contrary to national guidelines, 14% of the facilities visited did not perform confirmatory tests on clients diagnosed as HIV positive” (P: 11, 2016).

Inadequate and ineffective condom procurement and distribution processes:

“Condoms that should have been received in country in 2011 were only received in late 2013 due to a protracted procurement processes” (…)”Contrary to the grant agreement, 16.5 million condoms that should have been distributed to users for free were provided to Marie Stopes Uganda, a contractor, by the Ministry of Health and sold through a social marketing mechanism” (P: 12, 2016).

Abim Hospital 2014 P3

Subsidized anti-malarial medicines not accessible and affordable:

“Consequently, medicines are sold above the recommended price that is UGX 5,000 and not UGX 3,500” (…)”there is no instituted mechanism to ensure that the subsidized medicines are distributed outside the big cities to malaria endemic areas” (P: 12, 2016). “Key positions budgeted for under the Global Fund grants also remained vacant: for example, 17 out of the 43 pharmacists and HIV, TB and malaria focal points for the regional performance monitoring teams were not at post during the audit” (P: 13, 2016).

Difference between what they have funded to get and what they had at NMS:

Between Global Fund commodities issued by national Medical Stores and received by health facilities: The National Medical Stores inventory system indicated that 3.7 million test kits had been issued to a facility, but the facility recorded a receipt of only 3,000 kits. While the National Medical Stores indicated that the variance amounting to USD 2.41 million may be due to errors in the inventory management system, this could not be verified by the OIG auditors. The variance also affects the closing quantities based on the inventory management system and actual stock at the national medical stores” (P: 14, 2016).

“In-country quality assurance of medicines: The National Drug Authority charges 2% (amounting to USD 3.8 million from January 2013 to June 2015)39 of the “free on board” value of medicines and pharmaceutical products for in-country quality assurance. While bed nets and condoms had been tested, there was no evidence that medicines (including anti-malaria and anti-retroviral) supplied by the Global Fund were tested by the Authority” (P: 15, 2016).

Questionable value for money: Charges of USD 3.8 million (from January 2013 to June 2015) by the National Drug Authority for testing of medicines, for which there is no evidence that testing actually happened” (…)”Cancellation of an order for the purchase of HIV test kits under the Pooled Procurement Mechanism which has resulted in a loss of USD 427,500. The manufacturer has indicated that the commodities have already been manufactured and cannot be supplied to any other country due to level of customization requested by the Ministry of Health” (…)”Payments amounting to USD 254,921 related to value added taxes that has not been refunded by government” (…)”The implementers incurred ineligible payments amounting to USD 93,400. These related to payments for activities not included in the approved grant budget, or excess payments to service providers” (P: 19, 2016).

Mengo Hospital needs funds

Afterthought:

This here shows worrying signs as the Health Care and Global Funds is either not utilized or misused, understocked even when the NMS is supposed to have dozen of kits for instance. The amount of monies not allocated even when budget for. That is a normal issue for the Government of Uganda under the NRM-Regime.

Just like the condoms that was supposed to enter Uganda in 2011, arrived in 2013. That proves the ability of the government to stall the procurement even when they have donor-funding to get the necessities. One key issue is that health facilities are lacking the necessary medicines for the treatment of Tuberculosis, HIV/AIDS and Malaria. The planning for securing the allocations is also lacking, therefore the planning and allocations is missing even when the funding from Global Funds is there, showing that the transactions between the Government of Uganda, National Medical Stores(NMS) and the International Companies who make the kits and medicine. Another factor is the longstanding time the health facilities are without needed medications and that should be worrying for the Ministry of Health.

The worst thing about this is that people who need the treatment have to wait for it or not get it in time as the health care facilities do not have it. That is the thing that worries me while reading through it, seeing the person who needs the care and medicine not getting it. So the Government of Uganda, Ministry of Health and National Medical Store (NMS) has a decent job to do. Especially since the matter of making procurement procedure and facilitate together with the different parts of governments organizations to deliver to the patient at a facility or the pharmacy. Peace.

Reference:

The Global Fund – ‘Audit Report Global Fund Grants to the Republic of Uganda’ (26.02.2016) – Geneva, Switzerland.

The Thirteen Day of Presidential Rallies in Uganda + New Pledges from the Government..

Janet M7 in Mbarara 21.11.15

Today has been a good day a Saturday with quotes and actions from the trails. There been some serious hazard of actions from the ruling party of NRM. But hat is understandable, that is the only thing they know. That’s why the others have to campaign with defiance and strength to overcome the ruling party. There is heavy campaigning. Though not reports from them all. Like the smaller candidates.

I got the most notable from the trio of Yoweri Kaguta Museveni, Dr. Kizza Besigye and Amama Mbabazi. Not squat on the rest today.  

Erias Lukwago: “It’s now interesting that 95% of KCCA NRM councilors have not returned at the primaries”.

NRM vice chairperson eastern region Capt. Micheal Mukula said this recently: “Jinja town will never be granted a city status while still in the hands of the opposition”.

Ibrahim Nganda Ssemujju – “I have a feeling that if Kayihura doesn’t like you; you may not be announced winner”.

Dr. Kizza Besigye on the trail: “We spent $760m to buy 6 fighter jets. We can get $360m to buy laptop for secondary students”.

Gen. Mugisha Muntu: “I don’t understand why the most marginalized districts overwhelmingly vote for NRM”.

Olara Otunu: “Museveni has used the dived and rule policy”.

Amama Mbarara 21.11.15

In Mbarara where Go-Forward and Amama Mbabazi are having an rally later today on this Saturday. The Police wasn’t happy about that so they has jailed two hundred (200) boda-boda drives, motorcycle taxis, so that there would be less transport from town to the venue where the former PM where holding his Presidential Rally later today. Also the day before the Campaign rally of Amama Mbabazi their posters was taken down and changed for the NRM-Posters. Surely this is clean business as usual for the NRM-Regime. After the rally and little or no pay from the promised chiefs to shun the Go-Forward Rally; they have no been running and chasing the local RDC Office “demanding payment for their service”.

M7 21.11.15

While in Kakyeka at the Total there the ones who was travelling and refueling their motorcycles was paid by the NRM for fuel, but many just entered the Total with NRM-posters, but when they left the Gas-Station they just threw the NRM-Poster away.

In Bushenyi there been groups and teams who has had their duty to take down campaign material and posters of Go-Forward and Amama Mbabazi posters in the town. They have even been caught on tape explaining the plans on how to do so. And that is fair game?

In Mitooma District NRM Supporters was disrupting the event and venue for the Go-Forward and Amama Mbabazi. That was because this district was a Museveni District.

Next weeks planned Presidential Rally for the Go-Forward team at the Lira Golf Grounds. They have now been sealed down with Iron sheets. So that when the other candidates will have a venue in town they have to arrange it at smaller spots like Mayors Ground.

Bududa Manafwa KB 21.11.15

In Bududa there were 104 NRM members who deflected after the rally to the FDC camp.

Letter from Go-Forward to ICC:

ICC Amama P1ICC Amama P2

UPC Drama:

UPC leaders in Acholi have shunned the Jimmy Akena over the NRM agreement and alliance.

Bududa/Manafwa (Mwanyaala Naabi):

The health services system under FDC led Government will consider the citizen as the central focus and include a complete package: treatment, diagnosis, prevention, education, research and outreach. It must take into account the unique roles of women and the burden they shoulder in caring for the sick in our households and community. ‪#‎WesigeBesigye

Dr. Kizza Besigye Quote Outspend

Some Government letters: 

Security Requirements 201115 P1Security Requirements 201115 P2

One More:

Provision Hoes 20.11.15

A little more:

Hepatitis Ug 2015 P1Hepatitis Ug 2015 P2

Aftermath:

So there we go; another day done and the trail continue at high speed. The Police is very active still and showing its face yet again. For those who wondered if the police would be a part of this election? They are and the one interesting are the reactions to the deal between NRM and UPC. How the leaders of UPC respond. Hope you enjoyed. There will be more to follow. We have the rest of November, December, January and parts of February. There will be more and more actions from the ones involved. It is just a matter of time before the Public Order Management Act gets into action! Peace.