MinBane

I write what I like.

Archive for the tag “Health”

Moyo District planned cutbacks for FY 2017/18 to an already tired Local Government Structure!

“”Connecting Uganda, Changing Lives! The Obongi Ferry routes between #Adjumani and #Moyo districts” (UNRA on Twitter)

The Local Government Budget Framework Paper for the Financial Year of 2017/2018 for the Moyo District of the Republic of Uganda is daming. It is tragic, the ways the budget is inadequate and is proving the lack of will of governance. The way the district is being underfunded and not spending needed tax-payers monies. But this is just one district in the Republic, still if this is a proof of the problems in Uganda. This is one out of dozens districts, but the little drops of issues has also been showed in the MPS of the KCCA for the coming financial year. Therefore, the quotes from the Moyo District, proves the lack of care of the local district institutions and their staff. As the lacking structure is evident by the Framework paper. Take a look!

Hampering implementation:

Poor road conditions and inadequate infrastructure limiting community access to productive land, increasing cost of production and access to markets and social services, inadequate and limited supply of electricity that hinders promotion of value addition and food processing, inadequate skilled manpower and under staffing where the current staffing level is at 52%, negative community attitude and cultural practices that impact negatively on health seeking behaviour and access to education, high population” (Vote: 539, 2017).

Cutbacks to Local Government budget:

Total planned revenue for FY 2017/2018 is Uganda Shillings 22,463,673,000 compared to FY 2016-2017 of Uganda Shillings 25,617,772,000 indicating a decline of 12% in revenue budget. The FY 2017//2018 total revenue has reduced by Uganda Shillings 3,154,099,000,000 .The major decline in revenue budget has been witnessed in Donor funding by Uganda Shillings 2,396,897,000 mainly UNICEF, UNFPA and . Secondly Locally Raised Revenue and Conditional Grants have been reduced” Vote: 539, P: 3, 2017).

Planned Revenue for 2017/18:

(i) Locally Raised Revenues

(ii) Central Government Transfers

(iii) Donor Funding

Out of total Local Revenue of Uganda Shillings:

699,937,000, Uganda Shillings 148,794,000 is Taxes and Uganda Shillings 551,142,000 is Non taxes.. The major sources of the taxes include; Land fees of Uganda Shillings 9,060,000, Application fees of Uganda Shillings 8,200,000, Business licenses of Uganda Shillings 33,000,000, and other licenses of Uganda Shillings 24,721,000 Animal and crop related levies of Uganda Shillings 30,521,000, Registration of Businesses of Uganda Shillings 13,222,000,

The Total Central Government Transfers:

Is Uganda Shillings 18,059,155,000. The Conditional Grants amount to Uganda Shillings 13,813,,307,000 (76.5%), Dicretionary Grants amount to Uganda Shillings 3,698,541,000 (20.5%), Other Transfers of Uganda Shillings 547,307,000 (3%) Major source of the Central Government Transfers are; Sector Conditional Grants ( Health, Education, Production and Maketing, Water, and Administration), District Discretionary Development Grants and District Discretionary

The total Donor funds:

To the district is only UGX 3,704,581,000. The low allocation of was because some of the development partners like BAYLOR Uganda and SuSTAIN are no longer receving funds from their Donors outside Uganda” (Vote: 539, P: 6, 2017).

Low Primary and Secondary School completion rates

The Primary School completion rate stands at 26.1% which is far below the national average. Drop out rates at Secondary schools is also high at 35%. The challenge is caused by low parental/ community participation and involvement in schools.

Inadequancy of teachers houses in Schools and poor school sanitation

Only 29.2% of the teachers in Primary Schools are accomodated at school. This causes tardiness and late coming among teachers. Besides effective transfer of staff is a big challenge. The Pupil Stance ratios in schools are still appalling.

Inadequancy of Science and Mathematics teachers in secondary schools:

It is extremely hard to attract and retain science and Mathematics teachers in the secondary schools. The few available once retired or died and never replaced by the Ministry of Education and Sports” (Vote: 539, P: 15, 2017).

The three biggest challenges faced by the department in improving local government service:

Lack of Transport: Planning Unit has no running vehicle nor motor cycle hence affects programme implementation.

Weak internet connection: The internet installed for Birth registration is weak hence affects data entry and demotivates the Data entrants since payment is according to records entered.

Erratic power supply: The line connecting the Unit has been constanly inturrupted during printing hence leading to loss of records” (Vote: 539, P: 23, 2017).

It isn’t only on the Framework Paper that the troubles of Moyo District comes to surface, as the issues of the District is evident. The Moyo district needs certainly more funds and more direction, as the district is understaffed. This is with the mind of not only having enough people in the needed positions, but also have the equipment and buildings for the state to deliver needed services for the citizens.

Moyo district councilors have protested what they call deliberate refusal to pay their sitting allowances by the office of the Chief Administrative Officer. During a council meeting to pass the 2017/18 budget, the councilors almost paralysed the sitting after putting to task the Chief Administrative Officer to explain why they were not being paid their arrears” (…) “Chaiga Warned the CAO to be serious in handling the matters of the councilors because such delays can embarrass in the eyes of their electorates. “We should not make such things to occur again in the lives of the councilors”, he said” (…) “Grandfield Omonda, the Chief administrative officer however blamed the delay in paying the councilors to low local revenue generation. Omonda said the district performed poorly in terms of local revenue collection leading to delay in clearing the arrears. “We have performed low in collecting the local revenues and money to pay the council sittings comes direct from the collection and the money is generated from lower local government at sub county levels”, Mr Omonda said” (Iceta, 2017).

So the Local Government are blamed by the appointed men of the Central Government, as the Budget Framework Paper is showing how it is lacking. Even the CAO and the Councilors are trading shots of the lack of funds and their salaries, as the representatives in the district isn’t even getting their supposed allowances. But they are not the only who has misgivings, the are on the top and still isn’t getting what they are supposed to. The whole districts lacks the needed manpower and revenue to run. That is a systematic maladministration that is totally normal under the National Resistance Movement. This is their system and their works over decades rule. Therefore, the NRM haven’t had the priority to fix or make sure the districts are running sufficiently. That is why the basics isn’t there and the CAO of Moyo Oryono Grandfield Omonda, who reported this all to the Parliament for the voting. Peace.

Reference:

Iceta, Scovin – ‘Moyo District Councilors Protest Unpaid Arrears’ (25.05.2017) link: http://westnilepress.org/moyo-district-councilors-protest-unpaid-arrears/

Republic of Uganda – ‘Vote: 539 Moyo District’ – Local Government Budget Framework Paper – Financial Year 2017/2018

Advertisements

Seventh Day of Presidential Rallies in Uganda and a letter on illegal fishing and reports of a kidnapping ++

FDC Cranes 15.11.15

There been a slow Sunday. Seems like many of the camps has little to offer today, I am sure it will be more on tally tomorrow. Especially considering the KCCA ruling will happen tomorrow. The others is the continuation this next week of the other candidates. Will be NRM based today, but Go-Forward was dealing with getting venues and their new radio. FDC was silent and celebrating soccer result to the Cranes. Abed Bwainka, nothing? TIC Candidates, not much! And so I can go on. To little meat on the barbeque and little food. But try to enjoy this meager supper.

NRM rally:

The Dream Live Team with Maurice Ochol and Suhail Mugabi was heading to Zombo for the rally.  After Zombo rally he has later had a rally in Nebbi.

Yoweri Kaguta Museveni’s best quote today: “People who live along the border should take you along to campaign for me” and the second best in Madi: “Is there internet here?”

NRM 15.11.15 Nebbi

Only in the NRM:

“President ‪Museveni at Rhino Camp Arua: 242,000 children in primary school in Arua more than the whole population of Zombo”.

NRM Youth League deflects to Go-Forward:

“A section of NRM party youth members from the districts of Mbarara, Isingiro, Ibanda, Sheema and Ntungamo have defected to the Go-Forward camp, declaring to support Mr Amama Mbabazi for presidency in the next general elections” (…)”The Ankole region DP/Go-Forward coordinator, Mr Didas Lukyamuzi, said they are ready and willing to work and support those that show allegiance to Mr Amama Mbabazi in his presidential bid” (Mugume, 2015).

NRM Membership Cards 15.11,15

NRM Member Cards dumped:

There was certain members who dropped their member cards at Kololo. This former members was from Kassanda South in Mubende District.

Jessica Alupo Independent 15.11.15

Going Independent:

Jessica Alupo has now planes to run as an independent in the race for the ballots and polls in the 18th February. She will try for a Place as Woman MP in Katakwi District.

TDA Logo

NOTICE OF 21ST MEETING OF THE TDA SUMMIT

This if to inform all members of the Summit of The Democratic Alliance that the 21st meeting of the Summit will take place on Tuesday November 17, 2015 starting at exactly 8:00 am. We are conscious of the busy schedule of the campaigns but you are encourage to ensure that all members are represented at the meeting. All the best wishes on the campaign trail to all candidates and campaign teams sponsored by TDA members. – TDA Secretariat

Message from the FDC after Rakai district rally:

“This is Kyotera in Rakai District. They have never let us down. We want to say thank you Abakoki for the love and support you show to the People’s President Dr. Kizza-Besigye and FDC in General. Liberation is soon. We are taking back our power. We shall over come. Kigwa Leero”.

FDC Message on the KCCA Act:

“‪Dr. Kizza Besigye’s Campaign Message is that Ugandans no longer have power/rights in their country, then ‪#Frank Tumwebaze introduces a law to stop People in Kampala from electing their own leaders/Lord Mayor”.

Parliamentary race of Toroma County:

“The new entrant in the race is former Kampala International University (KIU) student, John Moses Odeke. The 27 year old, graduate of Human Resources revealed to the Investigator that the “cries” of the people of Toroma forced him to give a shot at the race” (…)”Odeke says the cries of the people of Toroma basing on poor performance on the part of the incumbent Amodoi Cyrus Imalingat prompted his desire coupled with the love for his people. “I want once in parliament to ensure that issues of Health, security, education and sports, agriculture, religious institutions, youth and women are revamped,” he said. Odeke who is an agriculturalist notes that the infrastructure in Katakwi is so bad. ‘Now with the current rains, roads become impassable, gardens are water logged,” he said” (Jaramogi, 2015).

Unknown kidnappers of Charles Kafeero Mutaasa:

Unknown kidnappers have kidnaped Charles Kafeero Mutaasa who is the Chairperson of the Red Top National Youth Activist in Uganda. He was kidnapped by unknown people, possibly suspected security agents at around Kidnapped Monday at around 11.12pm, at Church road, Kamwokya. However today there has been a new development, he was dumped at Northern bypass strapped up in ropes and saved by boda boda cyclists. At the moment he is at case clinic Buganda Road, under intensive care because he was beaten to pulp. We welcome any information that could help us raise a case against his kidnappers.

Go Forward 15.11.15

Go-Forward change the tour:

“Go-Forward officials said: “a formal letter to the Electoral Commission shall be dispatched on Monday morning” and that “We are working with the teams on ground to book venues for each of these locations” (Aine, 2015).

JinjaRoad Roundabout Kampala

Erias Lukwago comments today:

He said today: “If the program was laid out by Electoral Commission I wonder why the Police came in” (…)“I am doing my civic duty and am not duty bound to respond to police directives” (…)”It is my supporters suggestion the Nakawa plan for their concern of government frustrating me” (…)”I am yet to consider standing in Nakawa, but for now I am preparing for nomination tomorrow”

Cars 051115 Frank Tun.. P2

Hon. Frank Tumwebaze Statement today:

“My equally humble appeal goes also to our media partners, who by virtue of their impartial-umpire-role can help their audiences to probe with rigor the substance of the issues from each presidential candidate , ask what they stand for and how realistically their promises translate to the social economic well being of the citizenry” (…)”But what can also be true as I suspect, is that the same camp of the man desperately craving for sympathy could have hired those same goons to do it themselves so as to portray the Museveni camp in bad light. There is much reason to suspect and believe that. Every day in every campaign including this very one, President Museveni’s posters get defaced especially in kampala. We however don’t make a mountain of weird allegations about it. The masaka posters’ story was not the only one. There was the famous ping-pong the lawyers of mbabazi tried to create with the DPP over their own created and headline seeking story that their man was to be arrested for offenses they listed on the eve of his nomination. Fortunately mbabazi was not arrested as they had desperately wanted and the DPP rebuked them to stop playing political gimmicks with his independent office” (…)”The various candidates in this campaign must address how they intend to manage and mitigate certain adverse effects that arise from wrong monetary and fiscal policies ; like inflation. Good Monetary and budgetary policy settings are always aimed at low and stable inflation and sound public finances that are conducive to long-term growth. Sometimes these policies will also help to contain shocks, but there can be trade-offs. Monetary policy that has ensured a firm anchoring of inflation expectations will allow a stronger response to shocks and helps guard against deflationary spirals in the wake of large negative shocks” (Tumwebaze, 2015).

Official: UPC has strike a deal with NRM

There is now official and not a rumor anymore. That means that UPC and Jimmy Akena is parting way with their heritage and selling their soul to the NRM and to  their now Presidential Candidate Yoweri Kaguta Museveni. Somewhere is Milton Obote turning in his grave. 

Read more about it: 

Weird team-up between UPC and NRM; getting crazier by the moment; beating history

Something else: 

Musevenis-letter-on-illegal-fishing1

Musevenis-letter-on-illegal-fishing

Think this mediocre supper is enough. Hope you have patience will pick up more goodies and more juicy stuff on another day. Peace.

Reference:

Aine, Kim – ‘Mbabazi changes campaign programme’ (15.11.2015) link: http://www.chimpreports.com/mbabazi-changes-campaign-programme/

Mugume, Colleb – ‘Youth defect to Mbabazi camp’ (15.11.2015) link: http://www.monitor.co.ug/News/National/Youth-defect-to-Mbabazi-camp/-/688334/2956316/-/vof70a/-/index.html

Jaramogi, Patrick – ‘Former KIU Student John Moses Odeke To Tussle Out With NRM Incumbent For Toroma County In Katakwi’ (15.11.2015) link: http://theinvestigatornews.com/former-kiu-student-john-moses-odeke-to-tussle-out-with-nrm-incumbent-for-toroma-county-in-katakwi/

Tumwebaze, Frank – ‘Let us Probe for issues in this campaign and reject idealistic propaganda’ (15.11.2015)

Press Release: Africa Faces the Challenge of Sustaining Growth amid Weak Global Conditions (05.10.2015)

SAP WB

WASHINGTON, October 5, 2015— Sub-Saharan Africa countries are continuing to grow, albeit at a slower pace, due to a more challenging economic environment. Growth will slow in 2015 to 3.7 percent from 4.6 percent in 2014, reaching the lowest growth rate since 2009, according to new World Bank projections.

These latest figures are outlined in the World Bank’s new Africa’s Pulse, the twice-yearly analysis of economic trends and the latest data on the continent. The 2015 forecast remains below the robust 6.5 percent growth in GDP which the region sustained in 2003-2008, and drags below the 4.5 percent growth following the global financial crisis in 2009-2014. Overall, growth in the region is projected to pick up to 4.4 percent in 2016, and further strengthen to 4.8 percent in 2017.

Sharp drops in the price of oil and other commodities have brought on the recent weakness in growth. Other external factors such as China’s economic slowdown and tightening global financial conditions weigh on Africa’s economic performance, according to Africa’s Pulse. Compounding these factors, bottlenecks in supplying electricity in many African countries hampered economic growth in 2015.

“The end of the commodity super-cycle poses an opportunity for African countries to reinvigorate their reform efforts and thereby transform their economies and diversify sources of growth. Implementing the right policies to boost agricultural productivity, and reduce electricity costs while expanding access, will improve competitiveness and support the growth of light manufacturing,” says Makhtar Diop, World Bank Vice President for Africa.

According to Africa’s Pulse, several countries are continuing to post robust growth. Cote d’Ivoire, Ethiopia, Mozambique, Rwanda and Tanzania are expected to sustain growth at around 7 percent or more per year in 2015-17, spurred by investments in energy and transport, consumer spending and investment in the natural resources sector.

Gains in Poverty Reduction

Africa’s Pulse found that progress in reducing income poverty in Sub-Saharan Africa has been occurring faster than previously thought. According to World Bank estimates poverty in Africa declined from 56 percent in 1990 to 43 percent in 2012. At the same time, Africa’s population saw progress in all dimensions of well-being, particularly in health (maternal mortality, under-5 mortality) and primary school enrollment, where the gender gap shrank.

Yet African countries continue to face a stubbornly high birth rate, which has limited the impact of the past two decades of sustained economic growth on reducing the overall number of poor. Countries still lag behind those in other regions in making progress on the Millennium Development Goals (MDG). For example, Africa will not meet the MDG of halving the share of population living in poverty between 1990 and 2015.

Weaker Commodity Prices

Sub-Saharan Africa’s rich natural resources have made it a net exporter of fuel, minerals and metals, and agricultural commodities. These commodities account for nearly three-fourths of the region’s goods exports. Robust supplies and lower global demand have accounted for the decline of commodity prices across the board. For instance, the drop in the prices of natural gas, iron ore, and coffee exceeded 25 percent since June 2014, according to the report.

Africa’s Pulse notes that overall decline in growth in the region is nuanced and the factors hampering growth vary among countries. In the region’s commodity exporters—especially oil-producers such as Angola, Republic of Congo, Equatorial Guinea, and Nigeria, as well as producers of minerals and metals such as Botswana and Mauritania, the drop in prices is negatively affecting growth. In Ghana, South Africa, and Zambia, domestic factors such as electricity supply constraints are further stemming growth. In Burundi and South Sudan threats from political instability and social tensions are taking an economic and social toll.

Fiscal deficits across the region are now larger than they were at the onset of the global financial crisis, the report finds. Rising wage bills and lower revenues, especially among oil-producers, led to a widening of fiscal deficits. In some countries, the deficit was driven by large infrastructure expenditures. Reflecting the widening fiscal deficits in the region, government debt continued to rise in many countries. While debt-to-GDP ratios appear to be manageable in most countries, a few countries are seeing a worrisome jump in this ratio.

The dramatic, ongoing drop in commodity prices has put pressure on rising fiscal deficits, adding to the challenge in countries with depleted policy buffers,” says Punam Chuhan-Pole, Acting Chief Economist, World Bank Africa and the report’s author. “To withstand new shocks, governments in the region should improve the efficiency of public expenditures, such as prioritizing key investments, and strengthen tax administration to create fiscal space in their budgets.”

Moving Forward

Growth in Sub-Saharan Africa will be repeatedly tested as new shocks occur in the global economic environment, underscoring the need for Governments to embark on structural reforms to alleviate domestic impediments to growth, the report notes. Investments in new energy capacity, attention to drought and its effects on hydropower, reform of state-owned distribution companies, and renewed focus on encouraging private investment will help build resiliency in the power sector. Governments can boost revenues through taxes and improved tax compliance. Complementing these efforts, governments can improve the efficiency of public expenditures to create fiscal space in their budget.

UNHCR Tanzania – Update 25.05.2015 – Burundi Situation

BurUNHCRBurUNHCRP2BurUNHCRP3

 

Uganda – The Annual Report Audit General for FY ended 2014 – Value for Money Audit Volum 5: Quotes and Outtakes from this.

This blog here will be focused on the ‘Office of the Auditor General’ who released ‘Annual report of the Auditor General for the Financial Year ended 30th June 2014 – Volume 5 Value for Money Audit’. What you will read is actual quotes from the paper or report. Here you get a vivid picture of how the financial year (FY 2013-2014) was in reality.

I haven’t taken everything from the piece. It would be too long and you might end up bored. Here is what should get your mind boggling and wonder. How could this be this way? Why is it like this? How did it end up like this? What does this tell me about the economic practices in Uganda? And so on. If you start to think like that, then it was worth using my time. Enjoy the quotes from the report. Hope you catch some wisdom.

When it comes to managing Public Debt:

Public debt is incurred primarily for financing budget deficits, development of domestic financial markets, supporting the country’s Balance of Payment (BOP) position/foreign reserves and monetary policy objectives. In Uganda, public debt is managed by the Ministry of Finance, Planning and Economic Development (MoFPED) in liaison with Bank of Uganda (BoU). Government borrows internally from domestic markets through issuance of Treasury bills and Bonds by the BoU and externally through Bilateral and multilateral borrowings. Currently, over 60% of the public debt is external debt and 40% is domestic debt. GoU borrowing has been rising over the years from USD 5.7 billion in Financial Year (FY) 2011/12 to USD 7 billion in FY 2013/14. The growing National debt, if not properly managed, could revert to unsustainable levels as was the case in the past”.

“Interest rates on domestic debt have overall stabilised in recent years relative to their peak in 2011/12. However, they remain a cause for concern due to their high contribution to overall debt service costs and the relatively high yields which they attract stand in stark contrast to those achieved by comparator nations with similar credit ratings”.

When it comes to roads:

“The Uganda Road Fund invested a total of UGX 914 billion in road maintenance activities during the three years under review (2011/2012, 2012/2013 and 2013/2014),4 with a total of 4,565km of roads maintained. Despite the increasing investment, there are reports and persistent public outcry about the poor state of roads and the deteriorating quality of works being executed. The physical and financial performance reports of designated agencies in FY 2011/12 revealed the following issues: budget indiscipline, poor absorption of road maintenance funds, inaccuracies in reporting, lethargy of Designated Agencies (DAs) in complying with reporting requirements, widely varying unit costs, risk of loss of funds through end of year procedures, and grave underperformance of periodic maintenance works” (…) ”The road maintenance needs in Uganda cannot be met due to limited resources, for example for FY 2011/2012, the total maintenance needs from the agencies was UGX 413.95bn, and the budget provided by the Ministry of Finance, Planning and Economic Development (MoFPED) was UGX 280.95bn, indicating a 32% deficit” (…) “The road maintenance equipment inventory maintained by the URF is incomplete; the inventory is only for 12 (55%) of the municipalities and it is outdated as it was submitted in January 2011”.

When it comes to Gas and Oil:

“Through a review of reports on procurement submitted by the oil companies to PEPD, it was noted that from 2010-2013, the oil companies spent a total of USD 1,171.8 million on purchase of goods and services. Of this, USD 329.9 million was paid to Ugandan service providers, representing 28% of the total spend for all the companies in the period under review” (…) “The Ugandan service providers comprised about 73% of the approved suppliers which implies that the total value of the procurements from them was less than their relative number” (…) “Ugandans employed in the oil and gas sector by the oil companies overall rose from 69% in 2012 to 80% in 2014, absolute numbers of employees decreased from 546 to 432 between 2013 and 2014; in particular, the nationals dropped from 370 to 347 over the same period” (…) “For all the 27 jobs advertised in the newspapers, attracting over 700 local applicants, none was appointed, citing lack of experience in the oil and gas sector. Instead, the recruitment report submitted by the CNOOC to PEPD recommended recruitment of expatriates” (…) “According to the Industrial baseline survey done by the Joint Venture partners (CNOOC, TEP and TUOP), 60% of the workforce required for the next phases will be technicians and craftsmen, which translates to a demand of 7,800 and 1,800 technicians and craftsmen at the peak and plateau phases, respectively, of development and production. With the current total of only 86 UPIK graduates, there is doubt that the projected demand will be met by the time production starts (2018)” (…) “There are still several areas with clear potential for enhancing national content, such as: establishment of a clear regulatory framework, performance targets and indicators for national content; determining the level of state participation; local supplier development; employment and training of Nationals by the oil companies and government; ensuring gender parity and involving host communities”.

When it comes to the Healthcare:

“The Uganda Health Systems Strengthening Project (UHSSP) is a project administered under the Ministry of Health (MoH)” (…) “UHSSP, is a five year project, which was established in 2010, commenced operations in February 2011 and is due to end on 31st July 2015. The UHSSP project is jointly funded by the Government of Uganda (GoU) and the World Bank to a tune of USD 14.31 million and USD 130 million, respectively” (…) “UHSSP was set up to bridge the existing gap of supply and maintenance of medical equipment in 46 selected health facilities in order to improve the quality of health care delivered to patients. The project has spent USD 24 million (UGX 60.480 billion) on procurement and supply of these medical equipment, yet some of the equipment remains unused in the facilities where it was supplied” (…) “For instance, at the time of audit field visit in September 2014, the project had supplied anesthetics machines to 165 HCIVs at a cost of USD 2,063,085.75, however, all the HCIVs visited were not utilising this equipment because they lacked the technical expertise to effectively utilise the equipment. In a related instance, 2 auto strainers valued at USD 25,345.68, which were issued to Mubende and Moroto Regional Referral Hospitals, are not operational because of lack of qualified staff” (…) “observations conducted during field visits to the seventeen selected beneficiary health facilities, it was noted that some of the equipment supplied, worth Euros 3,954.67 and USD 1,209,879.09, was not being used at all while other equipment was not optimally utilized” (…) “Through field inspections, it was observed that health facilities namely Mwizi had no power supply while others such as: Moyo, Aduku, Aboke Pakwach had unreliable solar power supply, and therefore, were not providing emergency obstetric care services when needed” (…) “that various equipment supplied by the project, worth USD 319,676.35 and Euros 347.24, required additional logistical supplies to be effectively put to use. Such equipment included anesthesia units which required regulators, oxygen cylinders and other reagents while incubator cultures, incubator baby, defribrators, counting chamber, colorimeter required Medias, distilled water, thermometers, tubes and batteries”.

When it comes to handling Public Debt Part 2:

“Uganda benefited from the various Debt relief initiatives like the Heavily Indebted Poor Country (HIPC) Initiative in 1998, the Enhanced HIPC in 2000 and the Multilateral Debt Relief Initiative (MDRI) in 2006. Despite these initiatives, GoU borrowing has been rising over the years from USD 5.7 billion in Financial Year (FY) 2011/12 to USD 7 billion in FY 2013/14. The growing National debt, if not properly managed, could revert to unsustainable levels as was the case in the past” (…) “In the FY 2013/14 Public debt increased to USD 7 billion up from USD 6.4 billion in F/Y 2012/13, reflecting a 9.38% increment in one year alone, the increment was way above the GDP growth of 6.2% in the FY 2013/14. Domestic debt accounted for 9.55% (UGX 1,437 billion) of the National budget, 2014/15 an increase of 1.65% (UGX 397 billion) from 7.9% (UGX 1,040 billion) in financialyear 2013/14. External financing on the other hand increased from UGX 2,660 billion in F/Y 2013/14 to UGX 2,733 billion of the National budget, 2014/15 an increase of UGX 73 billion. As non-concessional borrowing increases, the need for proper debt management becomes even much greater” (…) “On average, 60% of public debt is external loans of which Multilateral loans constitute over 80%. The domestic debt is largely derived from the sale of bonds which constituted an average of about 60% over the period FY2011/12 – 2013/14 “ (…) “In evaluating whether the debt, acquisition process facilitates debt sustainability, the audit mainly focussed on the acquisition of external debt since it constitutes over 60% of the National debt portfolio” (…) “The 2012 corruption scandal involving the Prime Minister’s office resulted in a changed relationship between multilateral lenders to the Ugandan government and a consequent reduction in the amount of aid in the form of direct budget support. Budget support in 2011/12 amounted to 168m USD, but reduced to 24.1m USD in 2013/14. The shortfall has in part been filled through domestic financing” (…) “The lack of coordination between debt and cash management functions contributed to inaccurate forecasting of cash needs. This exacerbated the problem of unplanned cuts to government programmes and led to the needless issuance of short-term debt, with the associated debt service costs” (…) “it was noted that local government authorities still held significant cash balances accrued from non-tax revenues and unutilised balances which were not remitted to the Consolidated Fund regularly, and that some accounts containing cash lay dormant, risking embezzlement” (…) “the current economic conditions characterised by reduced exports and a depreciating Ugandan Shilling against the dollar (30% for the last 4 months) there is a risk of stress which can affect future sustainability. Interest rates on domestic debt remain a cause for concern due to their high contribution to overall debt service costs (78%)”

When it comes to Health Care Part 2:

“Over the past three financial years 2011/12, 2012/13 and 2013/14, there has been an 18% increment in the funding of RRHs from UGX 53.86 billion to UGX 63.56 billion” (…) “Jinja nd Lira RRHs revealed that Jinja RRH which ran a 13-bed Intensive Care unit only used 6 of the beds, leaving 7 beds idle in the unit while Lira RRH had not utilized its 16-bed ICU since FY 2012/13. The Hospital Directors of Jinja and Lira RRHs explained that more nurses wouldhave to be deployed as each bed required at least 2 full time nurses to the unit to ensure full utilisation of the unit without compromising the quality of care. The unit would also require full time doctors and an anaesthesiologist. In Lira RRH, management explained that the ICU had not been commissioned and that its underutilisation was also due to the absence of an oxygen plant” (…) “With the current ICU bed capacity in Uganda of 61 in all public and private hospitals, 23 unutilized ICU beds in Jinja and Lira represents a wasted resource. It is estimated that about 10 critically ill patients were deprived of ICU admission daily and as a result succumbed to their illnesses” (…) “Hospital managers in response attributed this to the lack of bio medical engineers and high costs of repairing the equipment, for instance, according to Jinja RRH, the maintenance of the En-Visor ultra sound machine and the repairs of the Duo-Diagnostic big x-ray machine requires not less than UGX 15 million, and without a medical equipment maintenance fund, it is a challenge to maintain and repair the radiology and imaging machines. Management of Fort Portal RRH attributed the low usage of the x-ray and ultrasound machines to stock-outs of the supplies, such as reagents and films required for the operation of this diagnostic equipment” (…) “The average doctor-patient ratio per year in RRHs was 12440:1 implying one doctor for 34 patients per day while clinician- patient ratio was 10652:1 annually implying one clinician for 29 patients” (…) “For example; Kabale, Fort Portal, Masaka and Mbale Regional Hospitals referred some special cases to Mbarara RRH for services like CT scan, renal dialysis, neurosurgeon, paediatric surgery. In addition, lack of adequate staff has led to referrals to the National Referral Hospital and this has further resulted in the congestion and handling of cases at National Referral Hospital which cases could be handled by the RRHs. The process of referrals is costly and in some cases patients lose their lives in the process of reaching the health facility to which they have been referred”.

 When it comes to Management of Sewage in Urban areas:

“Poor sanitation costs Uganda 389 billion shillings annually, equivalent to 1.1% of the national GDP” (…) “Fifty six percent (56%) of the pipes in Kampala were built in the 1940s and 86% of these have been operational for 35 years or more” (…) “National Water and Sewerage Corporation (NWSC)” (…) “NWSC had spent UGX 10.9billion towards sewage management activities in the areas under its jurisdiction over the last three years” (…) “the volume of sewage generated in the different towns and the volume of sewage collected and treated by NWSC, a study conducted by Mott Macdonald on behalf of NWSC in December 2012 estimated that by 2014, a total of 238.9 ML of wastewater would be generated of which, only 8.38ML would be collected and treated. This leaves approximately 230.52 ML of generated sewage uncollected and therefore not treated”.

Short ending:

I hope this was worth your time and also giving you an indication on the matters on the ground. This is just a fragment on the matters and what got told in the report. This just comes as gift to you. Especially to all of you who don’t use time reading the report on your free will or are lucky enough to get the report in your mailbox. Never the less, hope you got enlighten and also got a picture on how the monies is spent in last FY. Peace.

#OpenToSyria – Amnesty International’s Chart of World Action towards the refugees of the conflict in Syria

Amnesty

Post Navigation

%d bloggers like this: