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Archive for the tag “Ministry of Health:”

Nairobi City County: Update on Suspected Cholera Outbreak in the Nairobi Hospital (16.04.2019)

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The State of Health service delivery and financing: CSO perspectives (17.03.2019)

WHO Director-General applauds Uganda’s Ebola preparedness response (03.01.2019)

Kampala 3 January 2019:- The Director General of the World Health Organization (WHO DG), Dr Tedros Adhanom Ghebreyesus has lauded Uganda for the Ebola preparedness response mounted, so far, in the high-risk districts of the country.

Dr Tedros said that Uganda’s disease outbreak response system is recognized globally for its effectiveness. He commended the government for the support rendered during the ongoing vaccination exercising, saying, “The vaccination exercise will go a long way in saving the lives of frontline health workers and health care workers and we are really grateful for the government’s commitment and support.”

He made these remarks at a meeting held at the Office of the Prime Minister where he met key government dignitaries including; the Prime Minister- Right Honourable Dr Ruhakana Rugunda; Minister of Foreign Affairs- Hon Sam Kuteesa; Minister of State for Defence and Veteran Affairs- Hon Bright Rwamirama; Ministry of Health Permanent Secretary-Dr Diana Atwiine and other government officials.

He highlighted the appreciation by Democratic Republic of Congo (DRC) of Uganda for the support in the ongoing outbreak response especially regarding capacity building in Infection Prevention and Control and cross-border screening and surveillance.

Dr Tedros emphasized the need to amplify Primary Health Care (PHC) in Uganda in order to prevent diseases among the population. He added that health promotion and prevention of communicable and Non-communicable disease are key to achieving Universal Health Coverage (UHC).

The Prime Minister of Uganda, Right Honorable Dr Ruhakana Rugunda appreciated WHO’s endless support to Uganda, saying, “Whatever Uganda has managed to achieve in public health is because of the general leadership of WHO.”

He noted, with concern, the ongoing Ebola outbreak in DRC, and commended WHO and partners in the response for braving the harsh conditions to save lives. “Your hard work and sacrifice do not go unnoticed”, he said.

Dr Ruhakana also highlighted the importance of PHC to Uganda. “We have no choice but to support PHC. It is the key to tackling many of the afflictions we are getting”, he said. He committed the government to achieve UHC in Uganda.

In the wake of the Ebola outbreak that is affecting the Eastern part of DRC close to the Uganda-DRC border, Uganda is implementing a series of activities to ensure that the country is protected from the Ebola outbreak or able to control the outbreak in case of a confirmed case in Uganda. These include vaccination of frontline health workers, screening of travellers at the points of entry, risk communication and community engagement, enhanced surveillance including community-based disease surveillance and cross-border surveillance. Other activities include the collection and testing of blood samples from alert cases, capacity building for case management, psycho-social care and capacity building for safe and dignified burials.

The meeting was attended by government officials, the media and officials from WHO headquarters and WHO Uganda country office.

Joint Press Release, the Ministry of Health and the World Health Organization: Clarification on alleged Ebola Death in Kabarole District (28.11.2018)

MoFPED Matia Kasaija letter to All Development Partners: “Re: Clarification on the Decision of Cabinet of the Republic of Uganda Concerning the Reorganization of Government Institutions” (26.09.2018)

A new Presidential Initiative: With what budget and other plan than the launch?

We know that President Yoweri Kaguta Museveni and his State House has a free budget, where he can spend the funds as he likes. Because he got in the votes before the 2018/19 on the part of the: “11 Logistical and Administrative – Support to the Presidency” and the parts of “06 Presidential Initiatives”. That is why yesterday is special, when we know that he got 9.957 billion shillings for this budget year alone. While the Ministerial Policy Statement for this budget year wasn’t specific where these funds are going. That is why, what was launched yesterday, might be part of that, but who knows, right?

New launched initiative:

President Yoweri Museveni launched a new Presidential Fast-Tracking Initiative on the Elimination of HIV/AIDS that targets total elimination of the scourge from the Uganda by 2030. He used the occasion to remind Ugandans in general and those devoted to the fight against the scourge that the struggle to eliminate HIV/AIDS from our society should focus more on preventive measures because the pandemic is avoidable. Speaking during the launch of the initiative at Isingiro District headquarters in Isingiro Town Council, the President said that because AIDS has no known cure to-date, Ugandans need to focus on how to avoid contracting the virus which, he said, is the only sure way the virus can be eliminated from the Ugandan society. The ceremony attracted representatives from 28 districts if South Western Uganda” (National Resistance Movement, 20.10.2018).

This proves that some of the money goes somewhere. However, in the statement from the President and the NRM. There are no statements on how much is spent on the initiative, how many who will work with it or even the organization behind it. The President has budgeted funds fro the Presidential Initiatives, however, there are no allocations to where that goes. Especially not in the Ministerial Policy Statement and in the documents proving the voting.

It would have been good knowing to what extent this is or if its just a public stunt? Because it is noble fight to eliminate HIV/AIDS. We should still wonder where and how the funding for this are. Since it is public spending and supposed to do something. If it is printing pamphlets, posters and TV-ads. We don’t know, if this is a public campaign or something to inform the Ministry of Health and ensure less people get the HIV/AIDS. Who knows right?

That is what we should wonder about and how the monies is spent. It is a good idea, but good to know the reality of the initiative itself. Peace.

To All Stakeholders: UNRA remains committed to its mandate (15.09.2018)

Solicitor General letter to UNRA: Sector Support Project v RSSVP Lot 1 – Civil Works for Upgrading of Rukungiri Kihihi-Ishasha / Kanungu Road (78,5km) to Bituminous Standard (14.09.2018)

The sorry state of Soroti Referral Hospital: A proof of prolonged mismanagement from the state!

That suddenly the Members of Parliament (MPs) was visiting the Easter Region and the Referral Hospital of Soroti. Yesterday, on the 7th September 2018. This happens suddenly, maybe, because of the added pressure, as they want to prove that the Hospitals and Medical staff in great shape. They need to show the President that his lack-luster work on the Health Care has been worth it. However, the MPs was disappointed, as the public should be too. This is something that has been in the works for ages!

MPs on the Parliamentary health committee visited Soroti hospital yesterday Friday 7th. The committee expressed disappointed on discovering that the hospital disposes infectious waste into toilets and that a number of medical equipments are broken down” (Parliament, 08.09.2018).

Because if they are surprised and about the state of how the hospital operates. This sort of activity has gone of for years at Soroti Hospital, as the lack of medicine was even stated in the performance of the hospital until September 2015. As the NMS had only delivered 63 % of the needed medicine in that given calendar year. In that given budget year, one of the smallest posts was for maintenance, meaning the reason for the sorry facilities at the Hospital has been going for years as well.

As the budgets for 2014/15 and 2015/16 shows alone is that the Parliament didn’t put in any money for rehabilitation or any significant construction in the Hospital. Except for the wards or the housing of staff. Which means, that is deliberate acts of not offering needed funds for the upkeep of the hospital itself. The MPs should be able to look into the back-log before walking on a field-trip to Soroti.

The Auditor General wrote an report in 2017 called: “REPORT OF THE AUDITOR GENERAL ON THE FINANCIAL STATEMENTS OF SOROTI REGIONAL REFERRAL HOSPITAL FOR THE YEAR ENDED 30TH JUNE 2017”, Auditor General Muwanga published this on the 11th December 2017, where it states this about the hospital:

Medicines and medical supplies worth UGX.11,211,866 were not accounted for at the main store and user departments as shown in appendices i & ii. In addition, 8000 kits of determine were issued without supporting documentation as shown in appendix iii. These shortcomings may be a result of mismanagement or poor record keeping. This may have led to rampant medicine stock outs which hamper service delivery and occasion widespread public outcry” (Muwanga, 2017).

Therefore, what the MPs found in September 2018, was well known if they just looked a hot-minute into the paper-trail left behind. I didn’t even have to put in work to find these factors and mismanagement. Not even a field-trip to Eastern Region to figure that out. The MPs who has access and ability to gain the documentation before voting budgets. Could go into the paper-trail and configure the need for maintenance and general support of the buildings. Not only support funds for staff quarters/wards. Which is important in itself, but the hospital needed proper facilities to heal the sick.

Even a HURINET report from 2012 explains this:

The lack of space in most hospital wards was evidently the main cause of overcrowding. In the female surgical ward in Soroti for example, the in-charge said patients are admitted up to the verandas and the equipment sterilization room is not spared either. The records department head expressed similar concerns when he said: “because of lack of space, I have scattered documents which should have been in one place so if I need a file I have to create time in my busy schedule to move around to look for it” (HURINET-U; the state of Regional Hospitals in Uganda; November 2012 The report was produced under Economic, Social and Cultural Rights projects with the generous support of Democracy Governance Facility (DFG) Uganda and DIAKONI).

When, we can back in time and finds this lack of issues and with the near past lack of financing, the state of the hospital has to bad. As the Referral Hospital of Soroti haven’t been an priority and the NRM only comes for a PR Stunt. Not for deliberate change. Then would have done it already, as they have had the years to do so, if they really cared. Alas, that is not the case. The OAG, the Budgets proves the lack of care for maintenance and upkeep.

If the NRM had cared about the state of Health Care, maybe they had cared before, not only sending VIPs and MPs abroad for medical services themselves. Peace.

Opinion: If the Cabinet scraps NMS and UNRA, what about the weird expenditures at the Presidential Affairs?

As the giant Cabinet of the Republic are planning to scrap Uganda National Roads Authority (UNRA) and National Medical Stores (NMS), that these are going back into their ministries. Because of how these two organizations has supposed wasted government funds and spending. The National Resistance Movement (NRM) knows the ordeal and the reasons for that, but they are instead scrapping the organizations, to keep the deals in-house and not as sole organization doing the operations as expert organizations for the government. That is why this will go back to Ministry of Works and Transport for UNRA and Ministry of Health for NMS. I have one more vital idea for the Cabinet members, but don’t expect them to so.

Today’s news:

The Cabinet has taken a decision to scrap Uganda National Roads Authority (UNRA) and National Medical Stores and transfer their mandate to the mother ministries to reduce wastage of resources. According to a source, the decision was taken in two meetings with the first held on August 20 and the last one on Monday last week. The source said President Museveni was unhappy with the UNRA performance, especially in the rural areas where roads are impassable yet it is where majority of votes for his NRM party are” (Andrew Bagala – ‘UNRA to be scrapped in merger of government agencies’ 03.09.2018 link: http://www.monitor.co.ug/News/National/UNRA-to-be-scrapped-merger-government-agencies/688334-4740804-qvrsbnz/index.html?utm_medium=social&utm_source=twitter_DailyMonitor).

As these ideas are noble, but we know the reasons in itself. More direct control and cannot use the organizations as faults for the corrupt, graft and embezzlement anymore. The Cabinet are thinking this will stop this, but they are just making sure the deals and agreements made with tenders and buying, will be happening in-house and not by experts in the same regard as today. That is the real reaction to what is happening with this.

My advise would be find ways to merger and move responsibility from the Office of the President, State House and Office of the Prime Minister. As these could be moved to their representative ministries, as the Youth Livelihood Programme should end elsewhere. The budgets for the Residential District Commissioners are put under the President, this should be put Minister of Local Government and not under the President.

Like what does the budget of Internal Security Organization and External Security Organization lay under neath Office of the President, as this should be under the Ministry of Internal Affairs or Ministry of Foreign Affairs.

As well as all the development expenditure that is parts of the Office of the President and Office of the Prime Minister. Both of these should have been put under fitting expertise of certain ministries, as the Ministry of Agriculture, Ministry of Education and Sports, Ministry of Works and Transport and so on. As well, as the ones fitting Ministry of Internal Affairs and Ministry of Internal Affairs. All these ministries could have connected these projects under the State House, Office of the President and Office of the Prime Minister.

Like what does the Uganda AIDS Commission does under the Office of the President, shouldn’t this be under the Ministry of Health? Why does the Office of the Prime Minister have the Disaster Preparedness and not the Ministry of Internal Affairs or the Ministry of Local Government?

This is just what I wonder about, because, if the Cabinet is serious about scrapping UNRA and NMS, why are not the government looking into the weird expenditures at the Office of the Prime Minister, State House or even the Office of the President?

They should really ask and wonder. If they are not doing this as a political stunt, as we know how corrupt these enterprises are, but will it make a difference to cut out the middle-man? Peace.

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