Annual Work Plan 201516

THE REPUBLIC OF UGANDA
NWOYA DISTRICT LOCAL GOVERNMENT
THE DRAFT ANNUAL WORK PLAN

HEALTH DEPARTMENT
FY 2016/17
MISSION STATEMENT
To provide quality, accessible, affordable and equitably distributed health services, focusing on
National and Local priorities, in order to improve the health status of the people of Nwoya District.
GOAL
To attain a good standard of health for all people, in order to promote healthy and productive
lives.
FEBRUARY 2016
ANNUAL WORK PLAN FY 2016/17
Map 1: Map of the District and Map of Uganda Showing District Location
Table 1: Achievements (Summary of Projects Implementation in FY 2015/16)

Sector
Project Description
Location
Capital
Cost
(UGX)
49,107,975/=
Recurrent Cost
(UGX)
4,910,798
Source of Funding
Achievements
Lower Health Units
Construction of perimeter fence at

Lulyango HC II
Construction of perimeter fence at
Aparanga HC II
Installation of a complete solar set in
OPD and staff Houses in Paraa HCII
Alero Sub-county
PRDP
Ongoing
Purongo Sub-county
55,763,316
5,576,331
PRDP
Ongoing
Purongo Sub-county
30,000,000/=
3,000,000
PRDP
To be initiated
Lower Health Units
Rehabilitation of OPD and PHC block

at Lator0 HCII
Lungulu Sub-county
45,301,709/=
4,530,171
PRDP
To be initiated
Lower Health Units
Construction o 5 stances drainable

latrine with urinal and bath shelter at
Latoro HCII staff quarters
Lungulu Sub-county
26,000,000/=
2,600,000
PRDP
To be initiated
Lower Health Units
Construction of 1 placenta pit at Koch

Lii HCII
Koch Lii Sub-county
30,000,000/=
3,000,000
PRDP
To be initiated
Lower Health Units
Construction of 1 waste pit at Alero

HCIII
Alero Sub-county
15,000,000/=
1,500,000
PRDP
To be initiated
Lower Health Units

Lower Health Units
Actual Cost
to Date (UShs)
Remarks
Table 2: Priority Projects for FY 2016/17

FY 2016/17
Lower Health Units
Construction of perimeter fence at Koch

Lii HC III
Koch-Goma
county (Lii)
Sub-
50,000,000
4,000,000
GOU (PHC Devt)
Unfunded Priorities for FY 2016/17

Due to resource constraints, some priority projects remain unfunded over the plan period. Table 2 provides the list of these unfunded priorities for financial
year 2016/17.
Table 3: Unfunded Priorities for FY 2016/17
FY 2016/17
District Health Office
General Hospital (Govt)
General Hospital (Govt)
Lower Health Units
Lower Health Units
Construction of DHOs office

Construction of 1 block of 5 stances of drainable latrine at
Anaka Hospital
Repair of 1 ambulance and 2 other vehicles (1 Toyota Land
Cruiser and 1 Nissan double cabin truck)
Construction of a general ward at Koch Lii HCII
Construction of 1 incinerator at Koch-Goma HC III
Upgrade of solar system at Vaccine store
500,000,000
20,000,000
120,000,000
102,000,000
4,000,000
15,000,000
Health
Interventions by Sector
LG ANNUAL PERFORMANCE
Remarks
FY 2015/16
Target
Achieved
Submit the vacant posts to CAOs office

Motivate staff (%age of staff retained)
134
100
2
2 of the 3 doctors still working
Only permitted to recruit 2

1 doctor went immediately for
further studies
Construct office block
Inadequate funds
Procure IEC equipment (video, projector, recorder, generator, radio)
5 videos
1 projector
1 recorder
5 generators 18 radios
1 Office sofa set, 1 set coffee table, 50 chairs, 3
office desks
0
18
4
0
None bought
Funds were not availed
Got 1 office desk and 800 plastic chairs/tent
Funds were not available
Received one from GAVI

Not done
4 visits conducted
Not done
No funds allocated
No funds allocated
All facilities were visited
No funds allocated
4
0
4 quarters
Renovated 1 staff quarters
Done by private individuals
1
1
6
Rehabilitate Anaka Hospital-old OPD,expand
ward, new OPD, 4 blocks of staff houses,
laundry, kitchen, placenta pit
8
6
12
40
4
8
12
6
3
17
15
Paraa HCII was opened

LQAS done
Not done
Completed
Paraa HCII is currently functional

Supported by SDS/ASSIST
No staff required this
Funds from the UHSSP enabled this
Done quarterly
Done quarterly
Done quarterly
Done with donor support
Done quarterly
Done quarterly
Done monthly
Done quarterly
Not required
Not done
Not done
From PHC funds

From PHC funds
From PHC funds
Procure office furniture, equipment and supplies (name them)

Procure one vehicle
Procure 18 motorcycles
Carry out quarterly support supervision
Procure beds, mattresses, bed sheets, pillows & cases, and blankets
for lower level health facilities
Procure stationery (frequency)
Construct staff houses in health centres with inadequate
accommodation
Open closed health units
Carry out baseline survey on specific health indicators (frequency)
Pay medical expenses to staff
Maintenance civil works (frequency)
Maintenance vehicles (frequency of service)
Maintenance machinery, equipment and furniture
Maintenance others (compound) monthly
Train staff in specialized courses and on identified performance gaps
Provide welfare to staff (frequency)
Hire of venues for planning activities (frequency)
Pay bank charges and bank related costs monthly
Provide general supplies of goods and services (clarify)
Pay incapacity, death benefits and funeral costs for staff
Construct 17 waste pits in all the 17 health facilities
Construct 15 incinerators in 15 health facilities
From PHC funds

From PHC funds
From PHC funds/donors
From PHC funds
Not funded
Not funded
Remarks
FY 2015/16
Target
Achieved
Fence health facilities

Install solar lighting in health units
Pay motivation allowances to all health workers
Procure medicines, equipment and supplies for all HCs (clarify)
Rehabilitate Koch Goma HC III facility (clarify)
Production and distribution of IEC materials (copies)
3
0
100%
6
1
3000
Not done
Done in all
Paid as hard-to-reach to all eligible
Not done
Not done
Done
Not funded
Support from MoH
Health Education
Conduct radio talk show (number) and spot messages (clarify)
Hold quarterly meetings with stake holders
Form and train and support drama clubs (number)
Train peer educators
Conduct school health program (frequency)
Organize essay writing and debate competition (frequency)
Orient health workers on IRS/ITN (clarify)
Train and supervise condom distributors
Produce quarterly news letters
Conduct video shows monthly
12
4
2
100
33
5
2
50
4
12
Conducted on radio Mega/Ruupiny

4 meetings held
Drama groups supported
Not done
Not done
Not done
Oriented on IMAM
Done
Not done
Not done
Funded by PHC and donors
150
2
2845
Done through community dialogue meetings

Conduced
Done
supported by AVSI/AGHA/HAG
Supplied by NMS
12
12
50
4
Done quarterly
Done quarterly
Done
Done
Supported by AVSI/AGHA/HAG
By PHC
100
12
60
30
15
12
8
2
12
60
100
24
Done
Done
Not done
Done
Done
Done
Done
Done twice
Done by health Assistants
Not done
Done by linkage facilitators
Done
supported by AVSI
By PHC
Maternal and Child Health

Sensitize 150 local leaders on reproductive health
Hold bi- annual review meeting on reproductive health issues
Distribute reproductive health equipment (mama kits) in the health
facility
Conduct monthly support supervision
Carry out monthly maternal and neonatal audit
Conduct community dialogues on safe mother hood meetings
Assess quarterly cold chain requirements in all the health units and
equip district vaccine stores
Conduct immunization outreaches in hard to reach places
Carry out monthly support supervision to the lower unit on EPI
Train 60 newly recruited health workers on EPI
Train midwives on the new PMTCT policy
Train midwives on EMOC
Carry out monthly mentoring on safe mother hood to the lower units.
Establish maternity services in health facilities
Conduct bi-annual child health days
Conduct health visiting to areas with common health problems
Conduct community dialogue meetings on diseases of life style
Follow HIV exposed babies
Conduct visits to public health places including markets, schools and
farms.
Health Inspectorate
Not funded
PHC/donors
Not funded
Not funded
Not funded
Not funded
Not funded
Remarks
FY 2015/16
Target
Achieved
Inspection and regulation of lodging and eating houses

Inspection of foods /meat
Sensitization of food handlers
Medical examination of food handlers
Supervision of construction
Environmental Health
Train teachers in implementation of school health programme
Form and train school health clubs in primary and secondary schools
Supervise maintenance of sanitation facilities in schools
School inspection and health education in all the 44 primary schools
quarterly
Hygiene and sanitation competition among schools
Sensitization of school management committees in all the 44 primary
schools
Distribution of hand washing facilities in schools
Develop and produce IEC material on sanitation
Sensitize community on sanitation
Train VHTs on sanitation once a year
Conduct sanitation survey in the district once a year
Procure and distribute sanitation kits
Construct demonstration latrines in public places
Hold quarterly review meeting with VHTs
Conduct hygiene education in a year in all the households/ community
Conduct hand washing campaigns once a year
Conduct home /latrine improvement campaigns and competition
Participate in sanitation week activities once a year
Commemorate world water day
Curative Services
Provide medicines equipment and supplies at all levels (clarify)
12
8
4
4
4
12 times
8 times
4 times
4 times
4 times
154
154
77
231
Not done
Done by partners(IIRR/Straight Talk)
Done
Not done
Not funded
4
77
Not done
Not done
Not funded
Not funded
77
4
21
20
1
4
2
4
10
21
21
1
1
Not done
Not done
Not done
Trained 20
Done once
Done 4 times
Done twice
Done
Done in 7 sub counties
Not done
Done once
Done once
Done
Not funded
No funded
Not funded
Train health workers on mental health twice a year

Organize OJTs and CPDs on mental health
Organize exchange visits on health related activities
Form mental health support groups and carry out regular meetings
(groups or frequency of meetings)
Supply laboratory equipment and reagents (clarify)
2
12
1
0
Essential supplies delivered 6 times in the

year
Not done
Not done
Not done
Done in Alero Sub county
Done bimonthly
1
30
17
100%
Done at district level

Done
Done in all facilities
Provided drugs and reagents to facilities
Disease Control
Form a district epidemic response team
Train health workers on epidemic preparedness and response
Distribute national guidelines on epidemic preparedness (copies)
Provide equipment, reagents, drugs and protective wears to all health
units
Not funded
Not funded
Not funded
Not funded
This was in response to the epidemic

Supported by WHO
Remarks
FY 2015/16
Establish communication and disease notification system (village

phones)
Hold quarterly review meetings of stakeholders on epidemic
preparedness at district level
Carry out routine reporting on disease occurrences weekly
Carry out active case search for diseases of epidemic potential monthly
Carry out quarterly cross border meeting on epidemic out break with
neighbouring district
Distribute IEC materials (copies, varieties, frequency,)
Support district rapid response/district task force team (clarify)
Vector Control
Provide prompt treatment of malaria
.Supply free ITN to all children under 5 years and pregnant mothers
Carry out ITNs hang-up campaigns once a year
Carry out IRS in all settlements twice a year
Carry out larviciding of mosquito breeding sites once a year
Provide annual mass drug administration twice a year
Health education
Radio talk shows
Training of HWs, VHTs and community leaders twice a year
Community registration and sensitization twice a year
Mapping, surveys and research once a year
Tsetse fly traps deployment once a year
Fumigation of health facilities (HFs) and primary schools (SCHs)
Carry out assessment of ITNs and IRS for eligibility twice a year
General Hospitals (Anaka)
Make submission to DHO on key staff gaps once a year
Motivate staff
Rehabilitate the administrative office
Rehabilitate the wards
Rehabilitate the major theatre
Rehabilitate the OPD
Rehabilitate the dental unit
Rehabilitate the kitchen
Rehabilitate the laundry
Rehabilitate the sewage system
Rehabilitation of mortuary
Rehabilitate the piped water system
Rehabilitate the units in staff quarters
Construct an incinerator
Construct a physiotherapy unit
Construct a nutrition unit
Target
Achieved
150
Not done
Done in response to the malaria epidemic
52
192
4
Done weekly
Done
Not done
200
4
Done for malaria in all sub counties

Supported for the malaria response
100%
100%
1
0
1
2
439
10
2
2
2
1
17 HFs
77SCHs
2
100%
100%
Not done
Not done
Not done
Done in 3 sub counties(including 3 new ones)
Done
Done on malaria vector management
VHTs and HWs were trained twice
Sensitisation done
Done twice
Don once
Not done
1
100%
1
2
1
1
1
1
0
1
1
1
28
0
0
1
Not done
2 doctors given top up allowance
Not done
Done
Done
Done and another casualty ward constructed
Not done
Done
Done
Done
Done
Done
Rehabilitated 12 units
Done
Done
Not done
Not funded
Not funded
Not funded
Not funded
Not done
Not funded
Remarks
FY 2015/16
Construct an orthopaedic unit

Construct an eye unit
Construct a community health department block
Construction of a mental, occupational therapy and 6 medical social
works unit
Construct the perimeter wall fence
Construct latrines (stances or blocks of a certain number of stances)
Procure dental equipment (specify)
Procure orthopaedic equipment (specify)
Procure eye equipment (specify)
Procure small office equipment (specify)
Procure communication facilities once a year
Procure fuel, oil and lubricants monthly
Procure computer supplies and IT service quarterly
Procure office utilities quarterly
Procure books, periodicals and newspapers monthly
Provision of office consumables monthly
Pay subscription for the hospital internet services quarterly
Pay postage and courier monthly
Consultancy services (short and long term) quarterly
Printing stationery binding and photo-coping monthly
Carry out adverts and public relations monthly
Procure fuel, oil and lubricants monthly
Procure computer supplies and IT service quarterly
Procure office utilities quarterly
Train staff in specialized courses and on identified performance gap
Pay bank charges and bank related costs
Hold quarterly review meetings
Pay for insurances once a year
Maintenance vehicles (quarterly)
Maintenance others (compound and hospital premises) monthly
Maintenance civil works monthly
Maintenance equipment (frequency or number of equipment)
Provide welfare and entertainment to staff (frequency or number of
staff)
Workshops and seminars (frequency or number of staff)
Pay medical expense
Pay incapacity, death benefits and funeral costs to staff
Travel inland (within district
Travel inland (outside district)
Travel abroad once a year
Pay committee and board expenses quarterly
Monthly records management
Target
Achieved
0
1
0
1
Done
Not done
Not done
Constructed an occupational therapy unit
0
3
1
1
1
1
1
12
4
4
12
12
4
12
4
52
12
12
4
4
10
12
4
1
4
12
12
4
60%
Perimeter wall fence constructed

Not done
Not done
Not done
Not done
Done
Not done
Done 12 times
Done 4 times
Done 4 times
Done 12 times
Done 12 times
Not done
Not done
Not done
Done 52 times
Not done
Done 12 times
Done 4 times
Done 4 times
Not done
Done 12 times
Done 4 times
Not done
Done 4 times
Done monthly
Done monthly
Done monthly
Not done
4
10
4
100%
40%
1
4
12
Not funded
Not funded
Not funded
Not funded
Not funded
1
100%
40%
0
4 meetings
12 times
Remarks
FY 2015/16
Hold monthly sector meetings s

Creation of post- test clubs quarterly
Support drama amongst PLWAs once a year
Quarterly meetings with family support groups
Provision of home based care kits to PHAs monthly
Train condom distributors
Carry out VCT outreaches monthly
Hold mass media campaigns quarterly
Hold advocacy meetings quarterly
Conduct monthly meeting on maternal audit
Conduct community dialogue meetings quarterly
Sensitization of male partners to actively participate in RH services
Train HWs on life saving skills
Train clinical officers and mid wives on post abortion care
Train health workers on EMOC
Train health units staff on SGBV
Train midwives on new EMTCT policy
Train midwives and nurses on malaria management in pregnancy and
children under 5 years
Monitoring of freezer temperature (in what unit)
Quarterly meeting with vaccinators
Sensitize the community on immunizable diseases quarterly
Conduct immunization outreaches in hard to reach places quarterly
Hold radio talk shows, on nutrition programs quarterly
Develop and disseminate IEC materials (copies)
Monthly support supervision to VHTs
Procure malaria drugs and RDT kits quarterly
Carry out quarterly review meetings with VHTs on HBMF and IPT
administration
Carry out quarterly support supervision to all functional laboratories
Hold refresher training on treatment of malaria quarterly
Provide LLINs to all ANC new attendees and all children less than 5
years
License clinics and drug shops
Nutrition
Procure RUTF, Resomal, equipment and medical sundries monthly
UNICEF 1 Expand OTC from 8 to 16 centres (HCs) and 1 to 2 ITC
across the
district
Establish BFHI in 1 hospital, 3 HC IIIs, and 7 HC IIs in the district
Provide nutrition services in emergencies weekly
integrate nutrition into the treatment and management of HIV/AIDS
Target
Achieved
12
4
1
4
1
300
12
4
200
4
12
4
52
20
30
20
20
30
30
12 meetings
4 clubs
0
4 meetings
Done once
Not done
Done quarterly-4 times
Not done
Not done
Not done
Done monthly-12 times
Done twice
Not done
Not done
Not done
Done-3 trained
Not done
Not done
Done
365
4
4
4
4
5000
12
6
4
365 days
4 times
4 times
Done 4 times
Not done
Not done
Done 12 times
Done 6 times
Done 4 times
6
4
100%
Done 4 times
Done once
Done 100%
50%
Done 100%
4
14
Supplied
Available in 14 facilities
17
52
4
Done 100%
52 times
Done quarterly
10
Remarks
FY 2015/16
yearly
Hold radio talk shows, on nutrition programs monthly
Train and supervise 150 VHTs on rapid SMS reporting
Develop and disseminate IEC materials on nutrition (copies)
Conduct operational research in nutrition related issues twice a year
Hold bi-annual regional nutrition meetings
Hold quarterly review meetings with stakeholders
Lower Health Units (Govt)
Attend to OPD cases
Admit and treat the severely sick patients
Carry out health education
Carry out ANC services
Deliver all pregnant mothers
Immunize children with Pentavalent
Provide PMTCT services to all HIV positive mothers
Conduct quarterly support supervision
Conduct quarterly HUMC meetings
Conduct monthly staff meeting
Provide monthly reports
Conduct monthly school health programme
Conduct monthly home visits
Carry out monthly immunization outreaches
Maintain fridge daily
Follow up TB cases in the community
Carry out monthly VCT outreaches
Lower Health Units (NGOs)
Attend to OPD Cases
Admit and treat the severely sick patients
Deliver all pregnant mothers
Immunize children with Pentavalent
Provide PMTCT services to all HIV positive mothers
Conduct quarterly support supervision
Conduct quarterly HUMC meetings
Provide monthly reports
Conduct monthly school health programme
Conduct monthly home visits
Carry out monthly immunization outreaches
Follow up TB cases in the community
Carry out monthly VCT outreaches
Target
Achieved
12
300
4000
2
2
4
Not done
Not done
Not done
Not done
Not done
Not done
58652
8656
498
2933
2845
2522
272
48
48
144
144
520
520
582
84
520
466
137949
14000
8
192
882
178
1184
17000
20
960
950
37
2500
4
4
12
12
204
204
204
365
100%
204
4
4
12
12
204
204
68-done quarterly
365 days
100%
204 times-
Not funded
Not funded
Not funded
Not funded
Not funded
Not funded
1205
5279
3026
7355
376
80
48
216
240
216
216
864
1260
960
960
11
Remarks
FY 2015/16
Maintain motor cycles and bicycles (frequency or number of vehicles)

Maintain equipment and machineries (frequency or number of
equipment)
Maintain others compound (frequency)
Facilitate staff to perform their roles and responsibilities
Provide welfare to staff (or events)
Pay bank charges and related cost monthly
Provide general supplies of goods and services (specify them)
Target
Achieved
2
100%
2
100%
100%
100%
100%
12
100%
100%
100%
Not done
12 times
100%
2.1.1.3.5 Health
Sector
Constraint
Inadequate work space for the officers in the department
Inadequate staff at the district health office.
Inadequate transport
Facilities especially for field extension workers.
No power supply for the DHOs office
Primary Health Care (PHC)
Low adoption rate of healthy behavior and practices for

appropriate care seeking and hygienic practices
Few health facilities in existence and thus leaving the population
grossly underserved.
Health Education
No transport means available
Inadequate office equipment

Health Visitation
Inadequate transport means available
Inadequate work force
FY 2015/16
Discussion of Constraint
Some of the officers share office space and some of the space is sparse. This is not a very
conducive work environment and does not promote effective work.
The office structure is only filled to 22% as almost all the positions in the DHOs office are not
yet filled and this compromises the capacity and quality of work produced in the DHOs
office.
The Officers require transport means to enable them move to carry out field work. They most
often hire from available means and this is costly. Their own transport means would be
easier to handle.
The available power supply in the vaccine store is compromised and cannot power the office
and its equipment at the moment. This makes work difficult and the office cannot continue
depending on a power source from another department.
Poor health seeking behavior is affecting the utilization of services and leads to community
deaths. Poor hygienic practices promotes prevention of the noted sanitation-related diseases
that are currently contributing almost 40% of the conditions seen in the Out Patient
Departments.
The long distances that the population have to move to access health services is cause for
concern. There are many herd-to-reach areas in the district and thus the need to adduce
evidence to this effect so that we may construct more facilities in these locales.
There is only one motorcycle for the department and it is currently down This is the
department hat is charged with influencing behavior change and is a very crucial
department. There is need to provide the two Health Educators means of transport to
facilitate their movement and work.
The sector does not have ICT equipment to facilitate their work and yet there is need to
produce their reports when required.
There is thus reduced mobility for the staff and this compromises their effectiveness. This
department is charged with enforcing the Public health Act and most of their work should be
in the homes of community members. There is need to provide all the Health Assistants and
Health Inspectors means of transport to facilitate their movement and work.
Not all the Health Center IIs have Health Assistants to perform this duty and thus the
12
Sector
Constraint
Health Inspection
FY 2015/16
available ones are overwhelmed.
There is thus reduced mobility for the staff and this compromises their effectiveness. This
department is charged with enforcing the Public health Act and most of their work should be
in the homes of community members. There is need to provide all the Health Assistants and
Health Inspectors means of transport to facilitate their movement and work.
Not all the Health Center IIs have Health Assistants to perform this duty and thus the
available ones are overwhelmed.
Disease Control
Emerging epidemics that overwhelm the staff by increasing the
workload.
Curative Services
Inadequate health workers in the facilities
Inadequate equipment in the facilities

Environmental Sanitation
Poor hygiene and sanitation practices by the community
Maternity and Child Health
Late attendance of ANC and poor adherence to the fourth ANC

visit
Inadequate midwives in the facilities and the hospital
Inadequate equipment
Inadequate facilities that can provide maternity services
The malaria epidemic currently being experienced in the district has increased the work load
both at the district and the lower facilities. The numbers seen in the facilities and the need to
effectively supervise the response to the epidemic is extra work for all in the department and
has even led to deaths among community members.
The facilities have few clinicians, more so the hospital and thus the diagnosis and
prescription exercise is overwhelming to the few available. The staffing structure is also rigid
and does not allow for recruitment above the norm but this affects services I the Out Patient
Department.
Effective diagnosis, treatment and cure is grossly affected by inadequate availability of
diagnostic equipment and admission beds as well as equipment to facilitate patient care by
nurses and midwives.
Low adoption of hand washing practices, maintenance of personal and household hygiene is
a hindrance to the promotion of health and prevention of diseases.
There is a silence that surrounds the conception of pregnancy and a woman is not supposed
to reveal this incident. This affects the timely first ANC visit and also leads to poor adherence
to the fourth ANC visit.
The Hospital still needs 18 midwives and a number of the midwives in the lower facilities are
studying
The scarcity of equipment affects child and maternal survival. This include equipment to
resuscitate and also for delivery and care of the mother while admitted I the hospital with
complications or after a C/S.
The long distances that the population have to move to access health services is cause for
concern. There are many herd-to-reach areas in the district and thus the need to adduce
evidence to this effect so that we may construct more facilities in these locales.
Vector Control
There is an increase in the population of disease vectors like
Tsetse flies and Black flies
Medical Supplies
Inadequate supply of drugs and other essential health supplies.

There is a huge stock of expired drugs in the district
This is posing as not only a source of disease transmission but also as a nuisance due to the
numerous fly bites and can compromise efforts gained in the control of Trypanosomiasis and
River Blindness respectively.
The supplies are calculated based on estimates and not on the disease prevalence and
utilization in the facilities. This leads to insufficient supplies
The supplies are calculated based on estimates and not on the disease prevalence and
utilization in the facilities. This leads to insufficient supplies in some and overstocking in
others. Even after redistribution within and without the district ends up with expired drugs.
General Hospitals
Inadequate human resource
In adequate power supply
The filled staffing norms I the Hospital stands at 54%. The most glaring gaps is for midwives
and nurses. This leads to staff being overloaded with work and compromises service delivery
both in quantity and quality.
It has proved quite expensive to run the generator to power the various equipment and
sockets to light the Hospital as well as un the various equipment. The Hospital thus can only
13
Sector
Constraint
Lack of staff accommodation
Lower Health Units (Govt.)
Lack of transport
Inadequate staff accommodation
NGO Hospitals
NGO Lower Health Units
No NGO Hospitals in the district

Inadequate nutrition and medical supplies to lower level health
facilities
Inadequate diagnostic equipment and supplies
In adequate supply of drugs and essential supplies for the
facilities
Lack of transport
FY 2015/16
run the generator for short durations and this affects service delivery.
The staff quarters are in very deplorable states and is a source of de-motivated staff due to
poor living environs. These are all attributes that promote staff motivation and can be to the
contrary when lacking.
Limited movement
The staff houses in the facilities are not enough for all the staff In some facilities and yet
some have more than enough. The construction of staff houses needs to be prioritized in the
future as a source of staff motivation.
Heavy workload
Inefficiency
50% of the staffing norms in HCIIs is filled while that of HCIIIs is 96%. Moreover, the staffing
structure needs revision to accommodate the heavy disease burden. This leads to heavy
workload
De motivated staff
Inadequate service delivery
Inadequate quality of services rendered to the populace.
This causes reduced trust by the population in services provided due to insufficiencies.
Limited movement
Nutrition
Inadequate storage facilities for the nutrition supplies
This causes poor storage and poor monitoring of supplies that leads to supplies expiring.
2.1.1.4 Actions Taken to Remedy the Situation during Implementation

2.1.1.4.5 Health
Sector
Action Taken to Remedy Situation

Inadequate work space for the officers in the department
Inadequate staff at the district health office.
Inadequate transport
Facilities especially for field extension workers.
No power supply for the DHOs office
Low adoption rate of healthy behavior and practices for

appropriate care seeking and hygienic practices
Few health facilities in existence and thus leaving the population
grossly underserved.
FY 2015/16
Discussion of Action Taken
Staff currently occupying space in the Town Clerks office and the DHO is occupying the cold
chain assistants office. Some officers are sharing limited office space.
Staff from the health Sub-District are currently assisting with work in the DHOs office.
Motorcycles are shared when available to ease work of staff.
Power is tapped from the education office nearby.
Continuous health education is carried out with the aim that there will be eventual adoption
of the right practices.
The facilities provide integrated outreaches to the underserved population in a bid to enable
them access the necessary services. Partners like AVSI, HAG/AGHA and Here is Life
Ministries are also supporting us conduct such clinical outreaches.
14
Sector
Health Education
Health Visitation
Health Inspection

No transport means available
Inadequate office equipment
FY 2015/16
Staff use transport means availed by other staff members.
There is healthy sharing of ICT equipment to facilitate work.

Transport is shared among staff to ease work.

VHTs are used to assist the available staff conduct their activities.
Transport is shared among staff to ease work.
VHTs are used to assist the available staff conduct their activities.
Emerging epidemics that overwhelm the staff by increasing the

workload.
Mobilised more staff supported by Global Funds to assist in service delivery.
Inadequate health workers in the facilities

Inadequate equipment in the facilities
VHTs assist in service delivery.

There is improvising which is ideally not recommended. In some cases, nothing can be
done.
Expansion of the Community Led Total Sanitation initiative to promote proper practices.
Disease Control
Curative Services
Poor hygiene and sanitation practices by the community
Late attendance of ANC and poor adherence to the fourth ANC

visit
Inadequate midwives in the facilities and the hospital
Inadequate equipment
Inadequate facilities that can provide maternity services
Registration of women and using VHTs to promote timely referral of mothers. SACCOs are
being formed by mothers to reduce shocks due to high costs of care.
Continued to lobby for more recruitment by the district.
There is improvising which is ideally not recommended. In some cases, nothing can be
done.
Two facilities of Todora and Koch Lii are to be equipped to conduct deliveries.
There is an increase in the population of disease vectors like

Tsetse flies and Black flies
Inadequate supply of drugs and other essential health supplies.
There is a huge stock of expired drugs in the district
IRS is to be done while larviciding is being conducted in Rive Ayago. Studies are still
ongoing to identify Simulium vector breeding sites.
NMS notified on the dilemma.
Requested the Cao to fund the destruction of expired drugs.

Continued to lobby for more recruitment by the district.

Power is rationed so that it can run major equipment during the day and the Hospital is
lighted for some hours during the night to enable patient work.
Sharing of staff accommodation.
Transport is shared by staff.
There is sharing of staff accommodation in some facilities and some are accommodated in
houses meant for the sub county staff.
-
Vector Control
Medical Supplies
General Hospitals

Lack of transport
Inadequate staff accommodation
NGO Hospitals

Inadequate medical supplies to lower level health facilities
Inadequate diagnostic equipment and supplies
Lack of transport
Some do not admit patients and others like Wii Anaka had solar power installed for them by
MoH.
VHTs are used to facilitate work.
Sharing of staff accommodation in some facilities.
Redistribution of supplies from government to private facilities Is done to assist the patients.
Some supplies are shared with them.
Hiring of available local transport means.
Inadequate storage facilities for the nutrition supplies
Most are distributed to lower facilities when they arrive so as to avail storage space.
Nutrition
15
Sector
FY 2015/16
2.1.1.4.6 Education and Sports
2.1.1.5 Lessons Learnt Which Have Implications for the LG Development Plan (Next 5-Years)
2.1.1.5.5 Health
Health Visitation
Utilisation of their own chosen VHTs to provide health education promoted

positive attitudes towards good health practices.
Frequent health visitation helps to enforce the required standards.
Health Inspection
Disease Control
Political support improved adherence to public health Act

Disease can be controlled if facilitation is adequate
Curative Services
Vector Control
Adequate supplies of essential medicines improves care

Political support improved sanitation situation and adherence to public act
Conducting integrated outreaches improved service delivery
Comprehensive nurses can help provide maternal services
Cessation of routine IRS has triggered an epidemic of malaria.
Medical Supplies
District Hospitals
Adequate supplies of essential medicines improves patient care

Adequate ambulance system improves timely interventions
FY2015/16
Discussion of Lesson Learnt
Meeting timelines and achieving the outputs/deliverables improved due to the availability of 2 cars in the
district office-1 for the DHO and 1 from GAVI.
Frequent supervision and monitoring of service delivery helps to implement timely corrective measures
that helps to steer activities on course for effective service delivery.
Creation of spaces improved the output of the staff of the district office.
Reaching the underserved can best be done by conducting integrated outreaches to the same
communities. All services are provided as a one stop center and this improves access to services.
Providing continuous health education messages enables behavior change of the population over time
and improves utilization of services as well as empowers the population to demand for services that they
are entitled to.
Using the very people the community deem as role models to provide health education messages helps to
promote the embracing of health concepts and influences behavior change positively.
Most people only adopt change when frequently reminded. The visitations help to identify homesteads
that are falling back on agreed upon ideals and makes them change.
High political involvement is key for the success of enforcement activities.
Effective supervision and monitoring of disease control activities ensures everyone is adhering to
standards and reduces the burden of diseases.
Effective management of disease cases is enabled when supplies are adequate.
High political involvement is essential for enforcement.
Outreaches ensure we take services nearer to the community.
Posting comprehensive nurses to HCIIs has improved in conducting ANC and deliveries
There is need to sustain interventions like IRS that have been proven to reduce the population of
mosquito and reduce malaria prevalence.
Effective management of disease cases is enabled by adequate amounts of supplies.
The ambulance provided by the MoH improved transportation of emergencies for timely management.

NGO Hospitals
Use of VHTs aided in providing outreach services
The VHTs trained in certain aspects of care helped in providing services to the population.
Support to PNFP in form of funds and supplies redistributed to them from

government facilities improved service delivery
NGO facilities have a minimal budget for purchase of drugs and essential commodities and the
redistribution from our facilities to them acts a stop gap to them.
Lesson Learnt
Improved transport means enables timely and effective delivery of outputs
Frequent support supervision and monitoring of services helps improve

service delivery
Improved office space improves service delivery
Conducting integrated outreaches improved access to care/services
Health Education
Community sensitisation led to high demand and utilization of health

services.
16
Nutrition
Adequate supplies reduced cases of malnutrition
The timely identification of malnourished cases, coupled with an adequate supply of RUTF reduced the
prevalence of cases of malnutrition in the community.
2.2 Achievements on Investments and Other Capital Developments (Including Those Achieved under Off-Budget or Project
Support) for FY 2015/16
Sector
Projects for the Five Years
Achievements
Factors that Contributed to the Achievements
Constraints
Health
Construction of the District

Health Office block at the
District Headquarters
Installation of a full set of
solar system for the District
Health Office block at the
Construction of 1 incinerator
at Purongo HC III in Purongo
Sub-county
Not yet achieved
Not yet achieved
Not yet achieved
Not yet achieved
PRDP GUIDELINES FOR NEXT FY WILL NOT CATER

FOR UNCOMPLETED PROJECTS AND THUS THIS
WAS SHELVED
Dito
Not yet achieved
Not yet achieved
Dito
2.3
Unfinished Activities FY 2015/16
2.3.5 Health
Sector
Discussion of Unfinished Interventions

The funds availed for the construction works was quite inadequate and there are
budget cuts that has affected the initiation of the projects.
dito
General Hospitals (Public)
Unfinished Interventions by Sector

Construction of the District Health Office block at the District
Headquarters
Construction of a generator house for the District Health Office at
the District Headquarters
Installation of a full set of solar system for the District Health
Office block at the District Headquarters
Rehabilitation of staff Quarters and Administration block
Health Sub-District
NGO General Hospitals
Health Education
Conduct monthly support supervision of the facilities

Orientation of HUMC for all the facilities
The funds were not adequate for monthly support supervision.

The funds were inadequate and this activity was not carried out.
Health Visitation
NA
NA
Health Inspection
This was not done due to inadequate funds.
Disease Control
Carry out IRS for mosquitoes
This should have been done to curb the malaria epidemic but the funds were not
availed as required.
dito
The funding was not adequate for this and will be considered in the next phase.
17
Sector
Curative Services
Unfinished Interventions by Sector

NA
NA
Sensitize local leaders on reproductive health
Discussion of Unfinished Interventions

NA
NA
The funds were not availed.
Vector Control
Larviciding of rivers Aswa, Adibuk not conducted
The assessment was not completed and the larviciding could not be carried out.
Medical Supplies
Form and train therapeutic committees
No funds were availed for this.
Lower Health Units (Government)
Construction of 1 incinerator at Purongo HC III in Purongo Subcounty

Construction of perimeter fence at Lulyango HC II in Lungulu
Sub-county
Construction of perimeter fence at Aparanga HC II in Purongo
Sub-county
Construction of OPD
Delayed procurement due to uncertainties of the funds for development as a result

of budget cuts.
of budget cuts.
of budget cuts.
No funds were availed for this.
Nutrition
Form nutrition committees
This was not funded.
Emerging Needs
Unfilled positions like that of ADHO-MCH and ADHO_EH need
to be filled urgently given the need for an effective supervisor of
the SMGL project.
Recruitment of a driver for the GAVI vehicle.
Renovation and construction of more staff houses
Discussion of Emerging Needs

The SMGL project has been introduced to improve maternal and child health
situation in the district.
2.4
Emerging Needs FY 2015/16
2.4.5 Health
Sector
General Hospitals (Public)
High costs of running the generator to power the hospital.
Health Sub-District
Increased utilization and larger spaces for service delivery

dictates the recruitment of staff for the hospital.
The community department should be made functional to fulfill
their roles and responsibilities.

Health Education
NA
Need to procure 2 motorcycles for this sector
Procure loudspeakers for the VHts.
Health Visitation
Task forces be formed.
Health Inspection
Recruit Health Assistants for the HCIIs.
The office has been given one more vehicle but we lack a driver for the vehicle.
With the impending mass recruitment, there is need to not only renovate staff
houses but also construct more to accommodate health workers.
The running costs for the generator for lighting, powering equipment and lighting the
hospital has become too expensive. There is need for funds from the locally raised
revenue to support this in the hospital.
The recruitment exercise for the hospital is an urgent need.
The health sub-district is mandated to oversee the implementation of all activities in
the health department, but this is not yet taking place. There is need to functionalise
this department for effective service delivery supervision and monitoring.
NA
There is no means of transport for this sector.
This will facilitate community mobilization as the ones bought some years back are
no longer functional.
These should comprise community leaders to help enforce bye-laws and ordinances
and the public health act.
These positions need to be filled to support the activity.
18
Sector
Disease Control
Emerging Needs
IRS needs to be re-instituted to curb the malaria epidemic
Curative Services
New sub counties are grossly underserved and construction of

OPDs is necessary.
Recruit Health Assistants for the HCIIs.
Form woman SACCOs to prevent catastrophic expenditures
due to MCH emergencies
Form action groups to promote maternal health issues.
Vector Control
IRS needs to be re-instituted to curb the malaria epidemic
Medical Supplies
The huge stock of expired drugs need disposal.
Need for equipping the facilities.

Need to recruit health workers.
Construct staff houses
Need for equipping the facilities.

Need to recruit health workers.
Construct staff houses
Nutrition
Form nutrition committees in sub counties.
Discussion of Emerging Needs

Three is currently a malaria epidemic which is proving adamant to other control
methods and may require another round of IRS.
Accessibility to services in the district is 54%. This means the population are
underserved and we need to construct new facilities.
These positions need to be filled to support the activity.
MCH emergencies require funds and usually there are delays to access funds as
decision makers in the home are rarely available.
There is little attention to maternal health issues that needs action groups led by
men and local leaders.
There is currently a malaria epidemic which is proving adamant to other control
methods and may require another round of IRS.
The expired drugs have piled up for some years and not all were disposed of by
NMS. The stock is now filling space and at risk of being pilfered by people who may
misuse them.
The facilities lack adequate equipment, staff and staff houses for effective service
delivery.
delivery.
delivery.
delivery.
delivery.
delivery.
This will promote the farming of the right food crop that provide adequate nutrients
as well as promote food security for the families.
19
Health Infrastructure
General
Hospital
HC IV
HC III
HC II
Health services General

per centre
Hospital)
HC IV
HC III
HC II
Health facilities General
per centre
Hospital)
Health centre population ratio (MNSSD is 1:500,000 or

1 per district)
Health centre population ratio (MNSSD is
1:100,000 or 1 per county)
Health centre population ratio
(MNSSD is 1:20,000 or 1 per sub-county)
Health centre population ratio
(MNSSD is
1:5,000 or 1 per parish)
1 per district
1 per district
0 (No HC IV )
0 (No HC IV )
1 per sub-county
1 per sub-county
1 per parish in 9
parishes out of the 21
parishes
in
the
district
Provision of preventive, promotive, outpatient curative, 100%
maternity, inpatient health services, emergency
surgery, blood transfusion, laboratory and other
general services
Basic preventive, curative and rehabilitative services, 0
medical, surgical, and obstetric emergency care such
as blood transfusion, caesarean section, and other
medical and surgical emergency interventions
Continuous basic preventive, promotive and curative 100%
care, laboratory services for diagnosis, maternity care
and first referral cover for the sub-county
Continuous basic preventive, promotive and curative 90%
care, emergency deliveries, ANC and first point of care
for community members
OPD, maternity, general ward, mortuary and blood 1
bank
Basic accommodation for all core staff
50%
Running water in maternity, laboratory and theatre
100%
At least 1 pit latrine
2
1 incinerator
2
Modern energy for lighting and operation of basic 100%
medical equipment
Adequate vaccine refrigeration
3 fridges
1 per parish in 11
parishes out of the 21
parishes in the district
100%
100%
100%
1
70%
100%
3
2
100%
4 fridges
20
HC IV
HC III
Improved energy efficient stoves for sterilization and 0%

cooking
At least 1 communication facility and email services
Mobie
phones
available
Adequate transport services
3 vehicles available,
Ambulance services
No ambulance
OPD, maternity, general ward, mortuary and blood NA
bank
NA
Running water in maternity, laboratory and theatre
NA
NA
1 incinerator
NA
Modern energy for lighting and operation of basic NA
medical equipment
NA
Improved energy efficient stoves for sterilization and NA
cooking
At least 1 form of communication facility and email NA
services
Adequate transport services
NA
Ambulance services
NA
10 stoves for cooking
OPD, maternity and general ward

3
3
Water source
3
3
Access to modern energy lighting for maternity and 3
laboratory
3
Improved energy efficient stoves for sterilization and 0
cooking
At least 1 form of communication facility
3
A motorcycle
3
4
4
3
3
3
Intercom available
3 vehicles
1 ambulance
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
3
2
3
3
21
HC II
OPD and outreach services

Basic accommodation for core staff
Water source
At least 1 functional and accessible pit latrine
Access to modern lighting
Improved energy efficient stoves for sterilization and
cooking
A bicycle
Staffing norms per centre (General Hospital) is 191
staff
Staffing norms per centre (HC IV) is 48 staff
Staffing norms per centre (HC III) is 19 staff
Staffing norms per centre (HC II) is 9 staff
Percentage of population residing within 5 km of a
health facility MNSSD is 85 (access)
Number of stock outs of essential medicines and
health supplies (EMHS) per health centre
(MNSSD is 0)
15
15
15
15
15
0
16
16
16
16
16
2
0
191
12
98
NA
96%
50%
54%
NA
100%
65%
60%
40%
CHAPTER FIVE
5.0 ANNUALIZED WORK PLAN
5.1 Annual Work Plan FY 2016/17
5.5 Health
Developm Planned Activities (Projects)
ent
Output
Sector: Health
Sub-Sector: District Health Office
HUMAN
RESOUR
CES FOR
HEALTH
2016
/17
Responsible
Parties
Planned Budget
Source of Fund
Amount 000 UGX
22
Developm
ent
Output
To
increase
the filled
staffing
norm to
80%
Human
Resources
for Health
(HRH)
productivit
y improved
and
accountabi
lity
increased
Strengthe
ned
PublicPrivatePartnershi
p in use
and
managem
ent of the
health
workforce
HEALTH
INFRAST
RUCTURE
An
equitable,
accessible
network of
spacious
and
attractive,
well
maintaine
d health
facilities
constructe
d
Planned Activities (Projects)
2016
/17
Responsible
Parties
Recruitment,
deployment,
placement and training of critical
human resources for health
Attract and retain health workers
by
improving
housing,
remuneration and equipment
Scale up in-service training
Promote HRH productivity and
accountability by implementing
the performance management
strategy
and
enforcing
mechanisms for compliance to
ethics,
standards,
good
professional practices and their
rights and protection for the
health professionals, enhancing
patients/clients
rights
and
grievance handling at health
facilities
Implement the PPPH policy for
enhanced management of the
health work force
Conduct barazas with community
members
94
CAO
Source of Fund
MOFPED
Amount 000 UGX

475,000
4
doct
ors
5
192
CAO
NDLG
9,600
DHO
DHO/PHRO
Private
PHC
30,000
3,000
DHO
PHC
3,000
DHO
PHC
6,000
Renovate and consolidate the

existing health infrastructure for
effective service delivery
DHO
PRDP/PHC
Upgrade
DHO
PRDP/PHC
the
existing
health
Planned Budget
23
Developm
ent
Output

infrastructure for effective service
delivery with consideration for
construction in underserved areas
Obtain, distribute and maintain
medical equipment at all levels of
health service delivery
Build capacity for operation and
maintenance
of
medical
equipment
INTEGRA
TED
DISEASE
SURVEIL
LANCE
AND
RESPON
SE
Health
workers
trained in
epidemiolo
gy
Diagnostic
capacity
for
surveillanc
e
detection
and
control
strengthen
ed
Implement the strategy for

enhanced capacity for integrated
disease surveillance, detection
and control; and emergencies
management
Implement activities to build
capacity of the HRH in the field of
epidemiology
Establish and operationalize
emergency preparedness and
response committees at all levels
Strengthen diagnostic capacity for
surveillance, detection and control
Make use of the National Institute

of Public Health for capacity
building and collaborations
Strengthen the district health
laboratory services
Implement and promote disaster
risk reduction and management
strategies
2016
/17
Responsible
Parties
Planned Budget
Source of Fund
Amount 000 UGX
16
DHO
MoH
DHO
PHC
2,000
DHO
WHO
3,500
DHO
WHO
2,500
7
sub
coun
ties
3
DHO
PHC
3,000
DHO
PHC
2,000
DHO
PHC
2,000
DHO
PHC
2,000
DHO
PHC
2,000
24
Developm
ent
Output
Communit
y
resilience
built
to
manage
disasters
and
epidemics
HEALTH
FINANCI
NG
Social
insurance
schemes
including
communit
y based
insurance
in place
Copayment
schemes
introduced
Local
governme
nt
contributio
n to health
increased
QUALITY
OF CARE
AND
PATIENT
SAFETY
Health
facility
assessme
nt program
institutiona
2016
/17
Responsible
Parties
Planned Budget
Community sensitization and

involvement
in
containing
disasters and epidemics
7
sub
coun
ties
SFP
Source of Fund
PHC
Amount 000 UGX

1,500
Introduce community health

insurance initiatives as a safety
net for increasing health costs
and expenditures
3
sub
coun
ties
for
moth
ers
DHO
SDS/ASSIST
2,000
Implement the system for prepayments

and
voluntary
contributions for paying for health
Adopt and implement a National
Health Insurance scheme (Social
Health Insurance, private
health insurance and community
based health insurance schemes)
Adopt and implement a Copayment system for health care
DHO
Unfunded
Unfunded
DHO
Unfunded
Unfunded
DHO
Unfunded
Unfunded
Adopt innovative purchasing and

payment mechanisms for efficient
use of health resources
DHO
Unfunded
Unfunded
Implement and strengthen the

supervision, monitoring and
inspection strategy
4
quart
ers
DHO
PHC
8,000
25
Developm
ent
Output
lized
Implement the health facility

assessment program
Dynamic
interaction
s
and
feedback
mechanis
m in place
District
strengthen
ed
to
implement
Quality
Improvem
ent
interventio
ns
DETERMI
NANTS
OF
HEALTH
Gender
sensitive,
human
rights and
disability
responsive
policies
designed
and
implement
ed
Inter-
2016
/17
Responsible
Parties
Planned Budget
Source of Fund
Amount 000 UGX
4
quart
ers
4
quart
ers
DHO
PHC
2,000
DHO
PHC
2,000
Implement
and
strengthen
capacity to implement quality
improvement interventions
4
quart
ers
DHO
PHC
2,000
Implement a gender sensitive

health strategy and innovative
programs to address specific
womens and mens, boys and
girls health needs
4
quart
ers
DHO
PHC
1,500
Implement
strategies
and
programs addressing the social
and economic conditions that
make people ill(Sexual and
Gender Based Violence (SGBV),
Nutrition, Water, Sanitation and
Hygiene, attitudes,
practices,
behavior and mindsets, and
appropriate shelter/housing)
Implement and follow up the
integration of human rights and
disability responsive policies
Adopt a Health in all Policies
4
quart
ers
DHE
PHC
2,700
4
quart
ers
4
DHO
NDLG
1,200
DHO
PHC
1,200
Ensure dynamic interactions and

feedback mechanism between
health care providers and
consumers
26
Developm
ent
Output
sectoral
collaborati
on
reactivated
and
institutiona
lized
2016
/17
approach, which ensures the

Health Sector, interacts with, and
influences design implementation
and monitoring processes of
programs in all health-related
sectors. This will include
reactivating and institutionalizing
inter-sectoral collaboration fora to
address the key determinants of
health Education, Agriculture,
Gender, Water, Housing, Trade,
Tourism etc.)
Ensure and integrate health
concerns to facilitate safe food
production
systems,
manufacturing, marketing and
distribution
Strengthen community structures
for identification and participation
in addressing social determinants
of health
Refer patients and support staff
training in accredited regional
training centers
Adopt attractive compensation
and motivation plan for specialists
Support the attraction or
importation of specialized skills
not available in the country
Support collaboration to expand
research and adoption of modern
medical technology
Conduct research in line with the
research agenda
training in research organizations
training in sustainable centres
and institutions for super
specialized
health care
training in centers of excellence
(heart, oncology (cancer), renal
care and diagnostics among
others)
Harness the investments in health
care services
quart
ers
Responsible
Parties
Planned Budget
Source of Fund
Amount 000 UGX
4
quart
ers
DHI
PHC
2,700
4
quart
ers
DHE
PHC
2,700
12
DHO
PHC
5,000
DHO
NDLG
6,000
DHO
Unfunded
Unfunded
DHO
Unfunded
Unfunded
1adopted DHO
Unfunded
Unfunded
DHO
Unfunded
Unfunded
DHO
Unfunded
Unfunded
DHO
Unfunded
Unfunded
DHO
Unfunded
Unfunded
27
Developm
ent
Output
2016
/17
Responsible
Parties
Submit for assessment to national

centers, locally produced medical
products and services
Adopt and implement the
communication and advocacy
strategy
to
address
key
determinants of health
DHO
Source of Fund
Unfunded
Amount 000 UGX

Unfunded
4
quart
ers
DHE
Unfunded
Unfunded
DHO
NDLG
5,000
Biostatistician
PHC
8,000
1
amb
ulanc
e
Annu
ally
DHO
PHC
5,000
DHO
Unfunded
Unfunded
4
quart
ers
As
DHO
Unfunded
Unfunded
Communic
ation and
advocacy
to address
the
key
determina
nts
of
health
implement
ed
Total
Sub-Sector: Primary Health Care Services
Leadershi
Strengthen
leadership,
p
governance, management and
governanc accountability at all levels of the
e,
health sector through training of
arrangeme sector heads in management
nt
and skills and results oriented
accountabi management
lity at all
levels of
the health
sector
strengthen
ed.
HMIS
Implement and strengthen a
strengthen robust health information system
ed
and and research for evidence
data used generation to inform policy and
for
decision making
decision
making
Referral
Implement
a
strengthened
system
referral system to ensure
strengthen continuity of care
ed
Make use of available regulatory
bodies and the legal frameworks
to support the provision of a safe
health system
Adopt the reviewed and realigned health package
Health
Develop
health
infrastructure,
Planned Budget
28
Developm
ent
Output
facilities
constructe
d,
rehabilitat
ed,
equipped,
upgraded
and well
maintaine
d
2016
/17
provide equipment and maintain

them
abov
e
Consolidate, rehabilitate and

upgrade health infrastructure,
while constructing new ones in
hard-to-reach areas
Provide for an ICT network for a
reliable health information and
referral system
Strengthen sector planning,
management and coordination of
sector activities
Scale
up
public
private
partnership in health
As
abov
e
Introduce community health

insurance initiatives as a safety
net for increasing health costs
Develop a district client charter

for the health department
Sub-Sector : General Hospitals (Government)
ANAKA
HOSPITA
L
Output 1
Rehabilitate the administration
block
Rehabilitate the dental unit
Rehabilitate the staff quarters
Procure dental equipment
Procure reproductive health
equipment
Procure orthopaedic equipment
Construct latrines
Responsible
Parties
Planned Budget
Source of Fund
Amount 000 UGX
20
Biostatistician
GF
30,000
4
quart
ers
6
facilit
ies
As in
SAC
COs
for
moth
ers
1
DHO
SDS/ASSIST
1,200
DHO
PHC
21,151
Planner
NDLG
2,000
DHO
UHSSP
1
15
Once
Once
DHO
DHO
DHO
DHO
UHSSP
UHSSP
UHSSP
UHSSP
Once
2
block
s
DHO
DHO
UHSSP
PRDP
15,000
29
Developm
ent
Output
Output 2
2016
/17
Responsible
Parties
Planned Budget
Source of Fund
Procure small office equipment

Maintenance
vehicles
Procure communication facilities
(and airtime)
Computer supplies and IT
services
Facilitate staff to perform their
roles
and
responsibilities
(quarterly review meetings)
Train staff in specialized courses
and on identified performance
gaps
Provide
welfare
and
entertainment to staff
Pay medical expenses
Pay incapacity, death benefits
and funeral costs
Travel inland
Travel abroad
Consultancy services (short term)
Consultancy services (long term)
Records management
Workshops and seminars
Procure office consumables
Procure utilities
Pay water
Pay electricity
Adverts and public relations
Procure books, periodicals and
newspapers
Printing stationery binding and
photocopying
Pay subscription for the Hospital
internet services
Pay postage and courier
Procure fuel, oil and lubricants
Pay committee and board
expenses
Pay bank charges and bank
related costs
Pay for insurances
Pay licenses
General supplies of goods and
service
Maintenance others (compound
Amount 000 UGX
MS
MS
MS
MS
MS
MS
PHC
MS
MS
PHC
PHC
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
MS
PHC
PHC
PHC
PHC
PHC
PHC
PHC
PHC
PHC
PHC
PHC
PHC
MS
PHC
MS
PHC
MS
MS
MS
PHC
PHC
PHC
MS
PHC
MS
MS
MS
PHC
PHC
PHC
MS
PHC
30
Developm
ent
Output
and hospital premises)

Maintenance civil works
Maintenance equipment
Sub-Sector: Health Sub-District
N/A
No Health Sub-District in the
district
Sub-Sector: NGO General Hospitals
N/A
No NGO General Hospitals in the
district
Sub-Sector: Health Education
COMMUNI
TY
EMPOWE
RMENT
Communit
Adopt and develop the community
y
structures for improved health
structures
education, promotion and disease
for
prevention
improved
health
education,
promotion
and
disease
prevention
developed
Communit
Strengthen the primary health
y
care system through village
members
volunteers and health extension
demand
workers
for
services
and
accountabi
lity from
health
workers
and
leaders
Communit
Involve communities in order to
ies
engage them in maintaining good
engaged
health and adopt positive health
to actively practices
participate
in
maintainin
g
good
2016
/17
Responsible
Parties
Planned Budget
Source of Fund
Amount 000 UGX
MS
MS
PHC
PHC
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
63
villag
es
DHE
PHC
2,700
63
villag
es
DHE
PHC
2,700
400
VHTs
DHE
SDS/ASSIST/MoH
7,000
31
Developm
ent
Output
health and
adopt
positive
health
practices
Male
involveme
nt
in
family
health
promoted
2016
/17
Responsible
Parties
Planned Budget
Source of Fund
Amount 000 UGX
Implement strategies to improve

male involvement in family health
7
sub
coun
ties
DHE
SDS?ASSIST
2,000
Conduct community sensitization

using various channels and
community
dialogue
and
disseminate community health
newsletters
Hold advocacy meetings
12
mont
hs
DHE
PHC/SDS/ASSIST
3,000
4
quart
ers
4
quart
ers
4
quart
ers
4
quart
ers
4
quart
ers
DHE
Unfunded
3,000
DHE
Unfunded
3,000
DHE
Unfunded
3,000
DHE
Unfunded
6,000
DHE
Unfunded
3,000
7
sub
coun
ties
7
sub
coun
ties
7
sub
coun
ties
DHI
PHC
2,700
HIVFP
PHC
2,700
DHI
PHC
2,700
DHI
PHC
2,700
Hold mass media campaigns

Develop IEC materials
Procure IEC equipment
Sub-Sector: Health Visitation
Improve
Conduct home visiting to areas
adoption
with common health problems
of health
practices
Follow up HIV positive mother for
PMTCT services in their villages
Conduct community dialogue on
diseases of life style
Follow up HIV exposed babies.
Conduct visits to public health
32
Developm
ent
Output
2016
/17
places including markets, schools

and farms
sub
coun
ties
7
sub
coun
ties
Follow up TB defaulters
Sub-Sector: Health Inspection

Promote
Inspection and regulation of
enforceme lodging and eating houses
nt of the
Public
Health Act
Procure public health Act books
Inspection of foods and meat
Medical examination of food

handlers
Supervision of construction
Sub-Sector: Disease Control

BURDEN
OF
DISEASE:
MALARIA
Communit
Adopt and implement: (a)
y capacity coordinated
and
targeted
to manage behavior change communication;
Malaria
(b) mass treatment; (c) mass
enhanced/ distribution of long lasting
built
insecticide-treated nets (LLINs);
(d) insecticide residual spraying
to high transmission districts; (e)
larviciding (killing
mosquito
Responsible
Parties
Planned Budget
Source of Fund
Amount 000 UGX
DTLS
PHC
2,700
7
sub
coun
ties
DHI
PHC
2,700
7
sub
coun
ties
7
sub
coun
ties
7
sub
coun
ties
7
sub
coun
ties
7
sub
coun
ties
DHI
PHC
2,700
DHI
PHC
2,700
DHI
PHC
2,700
DHI
PHC
2,700
DHI
PHC
2,700
7
sub
coun
ties
DHI
PHC
2,700
33
Developm
ent
Output
Facility
based
Malaria
case
managem
ent
improved
HIV/AIDS
AntiRetro
Viral
Treatment
access
scaled up
for
all
eligible
population
s
Children(<
15 years),
pregnant
women
and serodiscordant
couples,
and
people
with
TB/HIV coinfection
tested and
treated
All
HIV
positive
clients
screened
and
treated for
TB

larvae)
Implement a scaled up of the
integrated community case
management of malaria and
other childhood illnesses
Improve facility based malaria
case management
2016
/17
Responsible
Parties
Planned Budget
Source of Fund
Amount 000 UGX
7
sub
coun
ties
7
sub
coun
ties
DHI
PHC
2,700
DHI
PHC
2,700
Adopt a scaled up access to

antiretroviral therapy
7
sub
coun
ties
HIVFP
PHC
2,700
Ensure that the health workers

test and treat children (<15 yrs)
and pregnant women, serodiscordant couples, and people
with TB/HIV co-infection
7
sub
coun
ties
HIVFP
PHC
2,700
Strengthen routine screening and

treating of TB in all HIV positive
clients
7
sub
coun
ties
HIVFP
PHC
2,700
Ensure a scaled up of HIV

prevention interventions
7
sub
coun
ties
HIVFP
PHC
2,700
34

ent
Output
TUBERCULOSIS
Detection
Improve detection, management
and
of drug-susceptible TB cases to
managem
ensure 90 percent treatment
ent of drug success
susceptibl
e cases of
TB
improved
Improve capacity to diagnose and
manage childhood tuberculosis
Detection
Increase
detection
and
and
management of multi-drugmanagem
resistant Tuberculosis
ent
of
multi drug
resistant
cases of
TB
improved
Strengthen contact investigation
and infection control including
congregate settings
Increase management of TB/HIV
co-infection including enrollment
on Antiretroviral therapy
Intensify
advocacy,
communication
and
social
mobilization for increased funding
and responsive awareness for
Tuberculosis
NEGLECT
ED
TROPICA
L
DISEASE
S (NTDS)
The one Adopt the One Health Approach
health
to prevent and control of
approach
emerging and endemic Zoonotic
to prevent diseases
and
control
emerging
and
endemic
zoonotic
2016
/17
Responsible
Parties
Planned Budget
Source of Fund
Amount 000 UGX
20
HCs
DTLS
PHC
2,700
20
HCs
20
HCs
DTLS
PHC
2,700
DTLS
PHC
2,700
20
HCs
DTLS
PHC
2,700
20
HCs
DTLS
PHC
2,700
20
HCs
DTLS
PHC
2,700
7
sub
coun
ties
DHI
Unfunded
2,700
35
Developm
ent
Output
diseases
promoted
Surveillan
ce
and
diagnostic
capacity
for
zoonotic
diseases
for early
detection
and
managem
ent
strengthen
ed
District
capacity
for vector
control
including
Neglected
Tropical
Diseases
strengthen
ed
NONCOMMUN
ICABLE
DISEASE
S
Healthy
lifestyles
of
communit
y
members
promoted
to prevent
communic
able
diseases
Improved
health
worker
capacity
Improved
2016
/17
Responsible
Parties
Planned Budget
Source of Fund
Amount 000 UGX
Strengthen surveillance and

diagnostic capacity for Zoonotic
diseases for early detection and
management
7
sub
coun
ties
Surveillance FP
Unfunded
2,700
Strengthen district capacity for

vector
control
including
Neglected Tropical Diseases
(NTDs)
7
sub
coun
ties
DHI
PHC
2,700
Promote healthy lifestyles that

contribute to prevention or delay
of occurrence of NCDs
7
sub
coun
ties
DHE
Unfunded
2,700
Improve health workers capacity

to manage NCDs at all levels of
care
7
sub
coun
ties
7
DHE
Unfunded
2,700
DHE
Unfunded
2,700
Implement
surveillance,
36

ent
Output
surveillanc monitoring and research to
e,
support the prevention and
monitoring control of NCDs
and
research
for
prevention
and
control of
NCDs
ORAL HEALTH
A
Implement mass screening for
functional
and treatment of oral diseases
surveillanc particularly among primary school
e,
children
monitoring Conduct research in oral health
and
research
system
establishe
d
Infrastruct
Improve
infrastructure
and
ure and staffing to strengthen dental
staffing for services
the
managem
ent of oral
diseases
improved
MENTAL HEALTH
Access to Scale up implementation of
services
mental,
neurological
and
for mental, substance abuse services
neurologic
al
and
substance
use
related
disorders
increased
Demand
Implement demand reduction
reduction
measures for tobacco, alcohol
measures
and drug use
for
Tobacco
and other
substance
2016
/17
Responsible
Parties
Planned Budget
Source of Fund
Amount 000 UGX
sub
coun
ties
7
sub
coun
ties
7
sub
coun
ties
MS
Unfunded
2,700
MS
Unfunded
2,700
7
sub
coun
ties
MS
Unfunded
2,700
7
sub
coun
ties
Mental Health FP
Unfunded
2,700
7
sub
coun
ties
Mental Health FP
Unfunded
2,700
37

ent
Output
abuse
strengthen
ed
Sub-Sector: Curative Services
CLINICAL
SERVICE
S
An
Ensure quality and affordable
essential
services that are consistent with
health
the Uganda National Minimum
care
Health Care Package (UNMHCP)
package
in place
Ensure standards for safe health
service delivery in both public
and private sector
Sub-Sector: Environmental Sanitation
Open
Conduct health programs in both
Defecatio
primary and secondary schools
n reduced
and
hygiene
and
sanitation
practices
enhanced
in
institutions
and
homes
Train teachers in school health
program implementation
Form and train schools health
clubs in primary and secondary
schools
Maintain sanitation facilities in
schools
School inspection and health
education
Hygiene
and
sanitation
2016
/17
Responsible
Parties
Planned Budget
Source of Fund
Amount 000 UGX
20
HCs
DHO
PHC
8,000
20
HCs
DHO
PHC
8,000
7
sub
coun
ties
7
sub
coun
ties
7
sub
coun
ties
7
sub
coun
ties
7
DHI
Sanitation fund
2,700
DHI
Sanitation fund
2,700
DHI
Sanitation fund
2,700
DHI
Sanitation fund
2,700
DHI
Sanitation fund
2,700
38
Developm
ent
Output
2016
/17
competition among schools
sub
coun
ties
7
sub
coun
ties
7
sub
coun
ties
7
sub
coun
ties
7
sub
coun
ties
7
sub
coun
ties
7
sub
coun
ties
7
sub
coun
ties
7
sub
coun
ties
7
sub
coun
ties
7
sub
coun
ties
7
sub
coun
ties
Sensitization
of
school
management committees
Distribution of hand washing
facilities in schools
Develop, produce and distribute
IEC materials on sanitation
Sensitize community leaders on
sanitation
Train VHTs on sanitation
Conduct survey on sanitation

situation in the district
Procure and distribute sanitation
kits
Construct demonstration latrines
in public places
Hold quarterly meetings with
VHTs
Conduct hygiene education in all
the households in community
regularly
Conduct
campaigns
hand
washing
Responsible
Parties
Planned Budget
Source of Fund
Amount 000 UGX
DHI
Sanitation fund
2,700
DHI
Sanitation fund
2,700
DHI
Sanitation fund
2,700
DHI
Sanitation fund
2,700
DHI
Sanitation fund
2,700
DHI
Sanitation fund
2,700
DHI
Sanitation fund
2,700
DHI
Sanitation fund
2,700
DHI
Sanitation fund
2,700
DHI
Sanitation fund
2,700
DHI
Sanitation fund
2,700
39
Developm
ent
Output
2016
/17
Responsible
Parties
Conduct home and latrine

improvement campaigns and
competitions
7
sub
coun
ties
7
sub
coun
ties
7
sub
coun
ties
7
sub
coun
ties
7
sub
coun
ties
7
sub
coun
ties
7
sub
coun
ties
7
sub
coun
ties
7
sub
coun
ties
7
sub
coun
ties
7
sub
coun
ties
DHI
Source of Fund
Sanitation fund
Amount 000 UGX

2,700
DHI
Sanitation fund
2,700
DHI
Sanitation fund
2,700
DHI
Sanitation fund
2,700
DHI
Sanitation fund
2,700
DHI
Sanitation fund
2,700
DHI
Sanitation fund
2,700
DHI
Sanitation fund
2,700
DHI
Sanitation fund
2,700
DHI
Sanitation fund
2,700
DHI
Sanitation fund
2,700
Participate in sanitation week

activities and commemorate word
water day
Drill boreholes and shallow wells
Protect spring wells
Mobilize, form and train water

user committees
Conduct
surveillance
Inspect and
sources
water
quality
maintain
water
Conduct radio talk shows and

spot messages on environmental
health issues
Conduct drama shows
hygiene and sanitation
on
Hold
community
dialogue
meetings on hygiene and
sanitation
Train newly elected leaders
on hygiene and sanitation
Planned Budget
Sub-Sector: Maternal and Child Health

MATERN
AL,
40
Developm
ent
Output
NEONATA
L
AND
CHILD
HEALTH
Priority
package
of
costeffective
child
survival
interventio
ns scaled
up
Improved
supply
and
distribute
Family
Planning
commoditi
es
Increased
access to
and
utilization
of
reproducti
ve health
services
including
adolescen
t sexual
reproducti
ve health
services
2016
/17
Responsible
Parties
Planned Budget
Source of Fund
Amount 000 UGX
Implement a scaled up of
effective
and
sustainable
coverage of a priority package of
cost-effective
child
survival
interventions
20
facilit
ies
DHO
SD/ASSIST
2,000
Adopt and implement the family

planning costed implementation
plan (FP CIP 2015-2020)
20
facilit
ies
DHO
SD/ASSIST
2,000
Provide universal access to family

planning services
20
facilit
ies
20
facilit
ies
20
facilit
ies
DHO
SD/ASSIST
2,000
DHO
SD/ASSIST
2,000
DHO
SD/ASSIST
2,000
20
facilit
ies
20
facilit
ies
DHO
SD/ASSIST
2,000
DHO
SD/ASSIST
2,000
Increase access to Skilled Birth

Attendants (SBA) and Emergency
Obstetric Care (EmOC).
Strengthen public awareness and
empowerment
to
enhance
consumption and utilization of
Sexual and Reproductive Health
(SRH) services
Expand the provision of ANC to

improve access to Antenatal Care
(ANC)
Implement Adolescent Sexual and
Reproductive Health. Services
41
Developm
ent
Output
Non
health
sector
interventio
ns
that
impact on
maternal,
newborn
and child
health
harmonize
d.
IMMUNIZ
ATION
SERVICE
S
The
immunizati
on policy
and
immunizati
on bill in
place
Immunizat
ion
coverage
increased
and new
vaccines
introduced
Communit
y
2016
/17
Responsible
Parties
Implement the school health

services and standards
20
facilit
ies
20
facilit
ies
DHO
Source of Fund
SD/ASSIST
Amount 000 UGX

2,000
DHO
SD/ASSIST
2,000
20
facilit
ies
DHO
SD/ASSIST
2,000
Ensure implementation of the

immunization
policy
and
immunization bill
20
facilit
ies
DHO
GAVI
2,000
Develop strategies to improve

immunization coverage
20
facilit
ies
DHO
GAVI
2,000
Ensure the implementation and

introduction of new vaccines into
the routine immunization services
(Rotavirus, Human Papilloma
Virus, Inactivated Polio vaccine
and Meningitis A vaccines)
Strengthen
community
participation in immunization
20
facilit
ies
DHO
GAVI
2,000
20
facilit
DHO
GAVI
2,000
Ensure collective and sustainable

action and mutual accountability
for ending preventable maternal,
new born and child deaths;
Maternal and Perinatal Deaths,
Surveillance and Response\
Support and harness non health
sector interventions that impact
on maternal, new born and child
health
Planned Budget
42
Developm
ent
Output
participatio
n
enhanced
for
improving
immunizati
on
services in
the district
2016
/17
services
ies
Implement
the
national
immunization
communication
strategy in the district
Sub-Sector: Vector Control
Vector
Carry out sensitization of
borne
communities and their leaders
disease
prevalenc
e reduced
Carry out radio talk shows
Map out breeding places
Train health workers, CMDs and

VHTs
Carry out mass drug distribution
Carry out post MDA monitoring
Carry out assessment for ITN

and IRS eligibility
Distribute ITNs and implement
IRS
Responsible
Parties
Planned Budget
Source of Fund
Amount 000 UGX
20
facilit
ies
DHO
GAVI
2,000
7
sub
coun
ties
DHI
PHC
2,700
7
sub
coun
ties
7
sub
coun
ties
7
sub
coun
ties
7
sub
coun
ties
7
sub
coun
ties
7
sub
coun
ties
7
sub
coun
ties
DHI
PHC
2,700
DHI
PHC
2,700
DHI
PHC
2,700
DHI
PHC
2,700
DHI
PHC
2,700
DHI
PHC
2,700
DHI
PHC
2,700
Sub-Sector: Medical Supplies
43
Developm
ent
Output
Reduced
drug and
medical
supplies
stock out
rates
2016
/17
Responsible
Parties
Quantify and order medicines
16
HCs
DADI
Source of Fund
NDA/PHC
Amount 000 UGX

2,700
Monitor use of medicines
16
HCs
16
HCs
16
HCs
16
HCs
DADI
NDA/PHC
2,700
DADI
NDA/PHC
2,700
DADI
NDA/PHC
2,700
DADI
NDA/PHC
2,700
14
HCs
In-charges
PHC
2,000
14
HCs
14
HCs
14
HCs
14
HCs
In-charges
PHC
2,000
In-charges
PHC
2,000
In-charges
PHC
2,000
In-charges
PHC
2,000
14
HCs
14
HCs
14
HCs
14
HCs
14
HCs
14
HCs
14
HCs
14
In-charges
PHC
2,000
In-charges
PHC
2,000
In-charges
PHC
2,000
In-charges
PHC
2,000
In-charges
PHC
2,000
In-charges
PHC
2,000
In-charges
PHC
2,000
In-charges
PHC
2,000
Form and train therapeutic

committees
Registration of clinics and drug
shops
License clinics and drug
shops
Sub-Sector: Lower Health Units (Govt.)
Improved
Attend to the entire outpatient
quality of cases
care and
managem
ent
of
facilities
Admit and treat the severely sick
patient
Conduct deliveries to all the
pregnant mothers in the health
facilities
Provide PMTCT services to all
the HIV positive mothers
Immunize all the children with the
pentavalent vaccine
Conduct
quarterly
support
supervision
Conduct
quarterly
HUMC
meeting
Provide routine reports
Conduct monthly school health
program
Conduct monthly home visiting
Planned Budget
44
Developm
ent
Output
Carry out monthly immunization

outreaches
Follow up TB and leprosy cases
in the community
Carry
out
monthly
VCT
outreaches
Maintenance vehicles (motor
cycle)
Maintenance
machinery,
equipment and furniture
(buildings)
Maintenance
others
(compound)
Pay bank charges and bank
related cost
Pay PHC allowances
Provide modern family planning
services
Provide laboratory services
Conduct
mental
health
outreaches
Sub-Sector: NGO Lower Health Units (Govt.)
Improved
Attend to the entire outpatient
quality of cases
care and
managem
ent
of
facilities
Admit and treat the severely sick
patient
Conduct deliveries to all the
pregnant mothers in the health
facilities
Provide PMTCT services to all
the HIV positive mothers
Immunize all the children with the
pentavalent vaccine
Conduct
quarterly
support
2016
/17
Responsible
Parties
Planned Budget
Source of Fund
Amount 000 UGX
In-charges
PHC
2,000
In-charges
PHC
2,000
In-charges
PHC
2,000
In-charges
PHC
2,000
In-charges
PHC
2,000
In-charges
PHC
2,000
In-charges
PHC
2,000
In-charges
PHC
2,000
In-charges
PHC
2,000
In-charges
PHC
2,000
In-charges
PHC
2,000
In-charges
PHC
2,000
In-charges
PHC
2,000
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
HCs
13
HCs
14
HCs
14
HCs
14
HCs
14
HCs
14
HCs
14
HCs
14
HCs
14
HCs
14
HCs
14
HCs
14
HCs
14
HCs
45
Developm
ent
Output

supervision
Conduct
quarterly
HUMC
meeting
Conduct monthly school health
program
Conduct monthly home visiting
Carry out monthly immunization
outreaches
Maintain freeze daily
Follow up TB and leprosy cases
in the community
Carry
out
monthly
VCT
outreaches
Provide modern family planning
services
Provide laboratory services
Conduct
mental
health
outreaches
Sub-Sector: Nutrition
Essential
Implement essential nutrition
nutrition
actions using life cycle approach
actions
approach
designed
and
implement
ed
Strengthen the capacity to
effectively plan, implement,
monitor and evaluate nutrition
programs
Strengthe
Implement
strengthened
ned
advocacy, social mobilization,
advocacy,
and communication for good
social
nutrition for all age groups
mobilizatio
n
and
communic
ation for
good
nutrition
2016
/17
Responsible
Parties
Planned Budget
Source of Fund
Amount 000 UGX
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
20
HCs
Nutrition FP
UNICEF
3,000
20
HCs
Nutrition FP
UNICEF
5,000
20
HCs
Nutrition FP
UNICEF
5,000
NA
NA
NA
NA
46
Developm
ent
Output
Cost
effective
micronutri
ent
ad
communit
y based
initiative
that
emphasiz
e
prevention
and
control of
malnutritio
n scaled
up
2016
/17
Responsible
Parties
Planned Budget
Implement
cost-effective
micronutrient and community
based initiatives
20
HCs
Nutrition FP
Source of Fund
UNICEF
Amount 000 UGX

10,000
Conduct operational research for

nutrition
20
HCs
Nutrition FP
UNICEF
20,000
CHAPTER SIX
6.0 LOCAL GOVERNMENT DEVELOPMENT PLAN MONITORING AND EVALUATION STRATEGY
6.1 Local Government Development Plan Monitoring and Evaluation (Results) Matrix
6.1.5 Health
Specific Objective
Strategy
Sector: Health
Sub-Sector: District Health Office
HUMAN
RESOURCES FOR
HEALTH
To invest in human Ensure availability of
Intervention
Output
Indication
Baseline
2012/13
Data
Collection
Method
Frequency
Resources
Reporting and
Feedback
Responsibility
Centre
Recruitment, deployment,
Increased filled
% of Staffing
54%
Staff
Stationery
Annual report
DHO
47
Specific Objective
Strategy
Intervention
Output
Indication
capital so as to
contribute to the
production of a
healthy
human
capital
through
provision
of
equitable, safe and
sustainable health
services
adequate,
skilled,
motivated
and
appropriately
distributed human
resources for health
placement and training of

critical human resources
for health
staffing norm to
80%
norms filled
Human Resources
for Health (HRH)
productivity
improved
and
accountability
increased
Strengthened
Public-PrivatePartnership in use
and management
of the health
workforce
Implement the inservice

training
protocol
Strengthen
productivity
and
management
of
health workers using
best practices of the
private sector
Baseline
2012/13
Data
Collection
Method
audit/HRIS
Frequency
Resources
Reporting and
Feedback
Responsibility
Centre
Rate of
absenteeism
NA
Observation
Assessment
of attendance
registers
Monthly
Fuel Allowances
Stationery
Monthly reports
DHO
Study visits to
PP facilities
Rate of
absenteeism
Observation
Assessment
of attendance
registers
Quarterly
Fuel Allowances
Stationery
Quarterly reports
DHO
Attract and retain health

workers by improving
housing, remuneration
and equipment
Scale up in-service
training
Implement the strategy of
attraction and retention
for health workers
Promote
HRH
productivity
and
accountability
by
implementing
the
performance
management
strategy
and
enforcing
mechanisms
for
compliance to ethics,
standards,
good
professional
practices
and their rights and
protection for the health
professionals, enhancing
patients/clients
rights
and grievance handling at
health facilities
Implement the PPPH
policy for enhanced
management of the
health work force
Conduct barazas with

community members
48
Specific Objective
HEALTH
INFRASTRUCTURE
To invest in human
capital so as to
contribute to the
production of a
healthy
human
capital
through
provision
of
equitable, safe and
sustainable health
services
Strategy
Intervention
Output
Indication
Baseline
2012/13
Data
Collection
Method
Frequency
Resources
Reporting and
Feedback
Responsibility
Centre
Develop
and
maintain functional,
efficient
safe,
environmentally
friendly
and
sustainable health
infrastructure
for
effective
service
delivery.
Renovate
and
consolidate the existing
health infrastructure for
An equitable,
accessible network
of accessible,
spacious and
attractive well
maintained health
facilities
constructed and
maintained
% of facilities
with
recommended
structures for
their level of
care
10
Observation
Once
Fuel
Allowances
Stationery
Reports
DHO
Health
workers
trained
in
epidemiology
% of health
workers
knowledgeable
on basics of
epidemiology
20
Training and
mentoring
Quarterly
Fuel
Allowances
Stationery
Activity reports
DHO
Upgrade the existing

health infrastructure for
with consideration for
construction
in
underserved areas
Obtain, distribute and
maintain
medical
equipment at all levels of
health service delivery
Build
capacity
for
operation
and
maintenance of medical
equipment
INTEGRATED
DISEASE
SURVEILLANCE
AND RESPONSE
To invest in human
capital so as to
contribute to the
production of a
healthy
human
capital
through
provision
of
equitable, safe and
sustainable health
services
Skilling, mentoring
and coaching health
workers to enhance
capacities for early
disease surveillance,
detection and control
and management of
emergencies
and
epidemics.
Implement the strategy

for enhanced capacity for
integrated
disease
surveillance,
detection
and
control;
and
emergencies
management
Implement activities to
build capacity of the HRH
in
the
field
of
epidemiology
Establish
and
operationalize emergency
49
Specific Objective
Strategy
Intervention
preparedness
and
response committees at
all levels
Strengthen
diagnostic
capacity for surveillance,
detection and control
Make use of the National

Institute of Public Health
for capacity building and
collaborations
Strengthen the district
health laboratory services
Implement and promote
disaster risk reduction
and
management
strategies
Community sensitization
and
involvement
in
containing disasters and
epidemics
HEALTH
FINANCING
To increase the
community
safety
nets for increasing
health costs and
expenditures.
Introduce
and
promote systems for
pooling resources
and
other
mechanisms
of
financial
risk
protection.
Introduce
community
health
insurance
initiatives as a safety net
for increasing health
costs and expenditures
Implement the system for

pre-payments
and
voluntary contributions for
paying for health
Adopt and implement a
National
Health
Insurance
scheme
(Social Health Insurance,
private
health insurance and
community based health
insurance schemes)
Adopt and implement a
Co-payment system for
Output
Indication
Baseline
2012/13
Data
Collection
Method
Frequency
Resources
Reporting and
Feedback
Responsibility
Centre
Diagnostic capacity
for
surveillance
detection
and
control
strengthened
% of health
workers
knowledgeable
on basics of
disease
surveillance
NA
Interviews
Assessments
Once
Fuel Allowances
Stationery
Reports
DHO
Community
resilience built to
manage disasters
and epidemics
% of
communities
with epidemic
task forces
Interviews
Once
Fuel
Allowances
Stationery
Report
DHO
Social insurance
schemes including
community based
insurance in place
% of mothers of
child bearing
age involved in
SACCOs
NA
Interviews
Once
Fuel
Allowances
Stationery
Report
DHO
Co-payment
schemes
% of mothers of
child bearing
NA
Interviews
Once
Fuel
Allowances
Report
DHO
50
Specific Objective
Strategy
Intervention
Output
Indication
health care
introduced
Adopt
innovative
purchasing and payment
mechanisms for efficient
use of health resources
Local government
contribution
to
health increased
age involved in
SACCOs
% of local
revenue
allocated to the
health sector
Implement
and
strengthen
the
supervision, monitoring
and inspection strategy
Implement the health
facility
assessment
program
Ensure
dynamic
interactions
and
feedback
mechanism
between health care
providers and consumers
Implement
and
strengthen capacity to
implement
quality
improvement
interventions
Health
facility
assessment
program
institutionalized
Implement a gender
sensitive health strategy
and innovative programs
to
address
specific
womens and mens,
boys and girls health
needs
Baseline
2012/13
Data
Collection
Method
Frequency
Resources
Reporting and
Feedback
Responsibility
Centre
Stationery
1%
Review of
accounts
books
Quarterly
Stationery
Reports
DHO
No. of facilities
scoring at least
70%
Assessments
Quarterly
Fuel
Allowances
Stationery
Report
DHO
Dynamic
interactions
and
feedback
mechanism
in
place
District
strengthened
to
implement Quality
Improvement
interventions
No. of barazas
conducted
Observations
Quarterly
Fuel
Allowances
Stationery
Report
DHO
No. of quality
improvement
teams formed
and trained
Assessments
Quarterly
Fuel
Allowances
Stationery
Report
DHO
Gender sensitive,
human rights and
disability
responsive policies
designed
and
implemented
% of plans that
are Gender
sensitive,
human rights
and disability
responsive
Review of
plans
Once
Stationery
Report
DHO
QUALITY OF CARE
AND
PATIENT
SAFETY
Promote quality of
care and patient
safety
DETERMINANTS
OF HEALTH
To strengthen sector
planning,
management
and
coordination of intersectoral activities to
address the key
determinants
of
health
Strengthen
community
structures
for
identification
and
participation
in
addressing
social
determinants
of
health
Implement strategies and

programs addressing the
social and economic
conditions that make
people ill(Sexual and
Gender Based Violence
(SGBV), Nutrition, Water,
Sanitation and Hygiene,
attitudes,
practices,
behavior and mindsets,
and
appropriate
51
Specific Objective
To contribute to the
health
sector
competitiveness in
the region, including
establishing
centers of excellence
in heart, cancer,
renal care domains;
and
diagnostic
services
Strategy
Train specialists in
fields
of
diagnostics,anaesthe
sia and management
Intervention
shelter/housing)
Implement and follow up
the integration of human
rights and disability
responsive policies
Adopt a Health in all
Policies approach, which
ensures
the Health
Sector, interacts with, and
influences
design
implementation
and
monitoring processes of
programs in all healthrelated sectors. This will
include reactivating and
institutionalizing
intersectoral collaboration fora
to address the key
Education, Agriculture,
Gender, Water, Housing,
Trade, Tourism etc.)
Ensure and integrate
health
concerns
to
facilitate
safe
food
production
systems,
manufacturing, marketing
and distribution
Strengthen community
structures
for
identification
and
participation
in
addressing
social
Support Gulu Referral
Hospital
and
its
catchment hospitals to
become
centers
of
excellence
Output
Indication
Baseline
2012/13
Data
Collection
Method
Frequency
Resources
Reporting and
Feedback
Responsibility
Centre
Inter-sectoral
collaboration
reactivated
and
institutionalized
% of activities
done in
collaboration
with other
sectors
NA
Review of
reports
Interviews
Once
Fuel
Allowances
Stationery
Report
DHO
Improved capacity
to offer specialized
services.
No. of
specialists
trained
Review of
reports
Once
Unfunded
Reports
DHO
Refer
patients
and
support staff training in
accredited
regional
52
Specific Objective
Strategy
Promote research
and adoption of
modern
medical
technology
Primary Health Care Services

To invest in human Strengthen
the
capital so as to health system for
Intervention
training centers
Adopt
attractive
compensation
and
motivation
plan
for
specialists
Support the attraction or
importation of specialized
skills not available in the
country
Support collaboration to
expand research and
adoption of modern
medical technology
Conduct research in line
with
the
adopted
research agenda
Refer
patients
and
research organizations
Refer
patients
and
sustainable centres and
institutions for super
specialized
health
care
Refer
patients
and
centers of excellence
(heart,
oncology
(cancer), renal care and
diagnostics
among
others)
Harness the investments
in health care services
Submit for assessment to
national centers, locally
produced
medical
products and services
communication
and
advocacy strategy to
address key determinants
of health
Strengthen leadership,
governance,
Output
Indication
Baseline
2012/13
Data
Collection
Method
Frequency
Resources
Reporting and
Feedback
Responsibility
Centre
Communication
and advocacy to
address the key
determinants
of
health
implemented
% of reports
indicating
involvement of
other
departments
Review of
reports
Interviews
Once
Fuel
Allowances
Stationery
Reports
DHO
Leadership
governance,
No. of incharges trained
Review of
reports
Once
Stationery
Review reports
DHO
53
Specific Objective
Strategy
Intervention
Output
Indication
contribute to the
production of a
healthy
human
capital
through
provision
of
equitable, safe and
sustainable health
services
optimal delivery and

access
management
and
accountability at all levels
of the health sector
through training of sector
heads in management
skills and results oriented
management
arrangement and
accountability at all
levels of the health
sector
strengthened.
in Management
Improvement
Skills
Implement
and
strengthen a robust
health
information
system and research for
evidence generation to
inform
policy
and
decision making
Implement
a
strengthened
referral
system
to
ensure
continuity of care
Make use of available
regulatory bodies and the
legal frameworks to
support the provision of a
safe health system
HMIS strengthened
and data used for
decision making
Improve productivity
of HRH through
supportive
supervision
and
performance
management
for
health workers
Adopt the reviewed and

re-aligned
health
package
Develop
health
infrastructure,
provide
equipment and maintain
them
Strengthen Health
Unit Management
Baseline
2012/13
Data
Collection
Method
Interviews
Frequency
Resources
Reporting and
Feedback
Responsibility
Centre
% of facilities
reporting timely
85%
Review of
reporting
records
Monthly
Stationery
Reports
DHO
Referral
system
strengthened
% of referred
cases actually
transported
90%
Assessment
of referral
forms
Monthly
Stationery
Reports
DHO
Health
facilities
constructed,
rehabilitated,
equipped,
upgraded and well
maintained
No. of facilities
with all
infrastructure as
recommended
10
Observation
Once
Fuel
Allowances
Stationery
Report
DHO
Consolidate, rehabilitate
and upgrade health
infrastructure,
while
constructing new ones in
hard-to-reach areas
Provide for an ICT
network for a reliable
health information and
referral system
Strengthen
sector
planning, management
54
Specific Objective
Strategy
Intervention
Committees for all

levels of the health
service delivery
system
and coordination
sector activities
Output
Indication
Baseline
2012/13
Data
Collection
Method
Frequency
Resources
Reporting and
Feedback
Responsibility
Centre
Motivated workers
with increased
productivity
% of
departments
rehabilitated
and equipped
85%
Observation
Quarterly
Stationery
Reports
DHO
of
Scale up public private

partnership in health
Introduce
community
health
insurance
initiatives as a safety net
for increasing health
costs
Develop a district client
charter for the health
department
General Hospitals (Govt)
ANAKA HOSPITAL
Conducive working
environment
Rehabilitation
of
existing
physical
infrastructure,
construction of new
physical
infrastructure,
procurement
of
medical equipment
and maintenance of
physical
infrastructure and
medical equipment
Rehabilitate
the
administration block
Rehabilitate the dental

unit
Rehabilitate the staff
quarters
Construct nutrition unit
Construct eye unit
Construct the perimeter
wall fence
Procure dental equipment
Procure
reproductive
health equipment
Procure
orthopaedic
equipment
Procure eye equipment
55
Specific Objective
Strategy
Members of staff of
Anaka Hospital have
the capacity to
implement
their
mandates
Provision
and
maintenance of
office equipment
and
other
facilities, building
capacity of staff
in critical areas
and facilitation to
staff
Intervention
Output
Indication
Baseline
2012/13
Data
Collection
Method
Frequency
Resources
Reporting and
Feedback
Responsibility
Centre
Motivated staff with

increased
productivity
% of
departments
rehabilitated
and equipped
85%
Observation
Quarterly
Stationery
Reports
DHO
Construct latrines
Procure small
equipment
office
Maintenance
vehicles
Procure communication
facilities (and airtime)
Computer supplies and IT
services
Facilitate staff to perform
their
roles
and
responsibilities (quarterly
review meetings)
Train staff in specialized
courses and on identified
performance gaps
Provide welfare and
entertainment to staff
Pay medical expenses
Pay incapacity, death
benefits and funeral
costs
Travel inland
Travel abroad
Consultancy
services
(short term)
Consultancy
services
(long term)
Records management
Workshops and seminars
Procure
consumables
Procure utilities
office
Pay water
Pay electricity
56
Specific Objective
Strategy
Intervention
Output
Indication
Baseline
2012/13
Data
Collection
Method
Frequency
Resources
Reporting and
Feedback
Responsibility
Centre
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Community
structures
for
improved
health
education,
promotion
and
disease prevention
developed
% of villages
with VHTs and
HEWs
90% with
VHTs
0% with
HEWs
Observation
and review of
reports
Annually
Fuel
Allowances
Stationery
Review reports
DHO
Adverts
and
public
relations
Procure
books,
periodicals
and
newspapers
Printing
stationery
binding and photocopying
Pay subscription for the
Hospital internet services
Pay postage and courier
Procure fuel, oil and
lubricants
Pay committee and board
expenses
Pay bank charges and
bank related costs
Pay for insurances
Pay licenses
General supplies of
goods and service
Maintenance others
(compound and hospital
premises)
Maintenance
equipment
Health Sub-District
N/A
No Health SubDistrict in the district
N/A

N/A
No NGO General
N/A
Hospitals in the
district
Health Education
COMMUNITY
EMPOWERMENT
To invest in human Empower communities Adopt
to takeand develop the
capital so as to responsibility for improving
community
their structures for
contribute to the own and their communitys
improved
health
production of a health
education, promotion and
healthy
human
disease prevention
capital
through
provision
of
equitable, safe and
57
Specific Objective
sustainable
services
Strategy
Intervention
Output
Indication
Baseline
2012/13
Data
Collection
Method
Frequency
Resources
Reporting and
Feedback
Responsibility
Centre
Strengthen the primary

health care system
through village volunteers
and health extension
workers
Involve communities in
order to engage them in
maintaining good health
and adopt positive health
practices
Increased
accessibility and
linkage
of
communities
to
services
Communities
engaged
to
actively participate
in
maintaining
good health and
adopt
positive
health practices
Male involvement
in family health
promoted
% of villages
with VHTs and
HEWs
90% with
VHTs
0% with
HEWs
Observation
and review of
reports
Annually
Fuel
Allowances
Stationery
Review reports
DHO
% of villages
with VHTs and
HEWs
90% with
VHTs
0% with
HEWs
Observation
and review of
reports
Annually
Fuel
Allowances
Stationery
Review reports
DHO
% of villages
with male action
groups
0%
Observation
and review of
reports
Annually
Fuel
Allowances
Stationery
Review reports
DHO
Improved health
and
reduced
incidence
of
diseases
% of homes
visited by VHTs
50%
Observation
and review of
reports
Annually
Fuel
Allowances
Stationery
Review reports
DHO
health
Implement strategies to
improve
male
involvement in family
health
Conduct
community
sensitization
using
various channels and
community dialogue and
disseminate community
health newsletters
Promote male
involvement in family
health
Hold advocacy meetings
Hold
mass
media
campaigns
Develop IEC materials
Health Visitation
To
promote
healthy behavior
and
prevent
morbidity
and
mortality due to
preventable
diseases
Increase awareness
on health literacy on
disease prevention
and
promotion
of healthy lifestyle
Conduct home visiting to

areas with common
health problems
Follow up HIV positive

mother for PMTCT
58
Specific Objective
Strategy
Intervention
Output
Indication
Baseline
2012/13
Data
Collection
Method
Frequency
Resources
Reporting and
Feedback
Responsibility
Centre
Increased
adherence to
public health
standards
% of institutions
adhering to
public health
standards
NA
Observation
Interviews
Quarterly
Fuel
Allowances
Stationery
Report
DHO
Community
capacity
to
manage Malaria
enhanced/built
% of sub
counties and
villages with
epidemic
preparedness
task forces
5
subcounties,0
villages
Observation
Interviews
Quarterly
Fuel
Allowances
Stationery
Report
DHO
services in their villages

Conduct
community
dialogue on diseases of
life style
Follow up HIV exposed
babies.
Conduct visits to public
health places including
markets, schools and
farms
Follow up TB defaulters
Health Inspection
To reduce public
health nuisances
Enforcement
regulations
of
Inspection and regulation

of lodging and eating
houses
Procure public health Act
books
Inspection of foods and
meat
Sensitization of food
handlers
Medical examination of
food handlers
Supervision
of
construction
Disease Control
BURDEN
OF
DISEASE:
MALARIA
To invest in human
capital so as to
contribute to the
production of a
healthy
human
capital
through
provision
of
equitable, safe and
sustainable health
services
Skilling, mentoring
and coaching of
health workers
Vector control of the

malaria parasite
Adopt and implement: (a)

coordinated and targeted
behavior
change
communication; (b) mass
treatment; (c) mass
distribution of long lasting
insecticide-treated nets
(LLINs); (d) insecticide
residual spraying to high
transmission districts; (e)
larviciding
(killing
mosquito larvae)
the integrated community
case management of
malaria
and
other
59
Specific Objective
Strategy
Provision
of
adequate supplies of
commodities
for
disease
management
Intervention
childhood illnesses
Improve facility based
malaria
case
management
Output
Indication
Baseline
2012/13
Data
Collection
Method
Frequency
Resources
Reporting and
Feedback
Responsibility
Centre
Facility
based
Malaria
case
management
improved
All diagnosed
cases receive
the
recommended
treatment
85%
Observation
and review of
treatment
registers
Monthly
Fuel
Allowances
Stationery
Report
DHO
HIV/AIDS
To invest in human
capital so as to
contribute to the
production of a
healthy
human
capital
through
provision
of
equitable, safe and
sustainable health
services
Skilling, mentoring
and coaching of
health workers
Adopt a scaled up
access to antiretroviral
therapy
Antiretroviral
Treatment access
scaled up for all
eligible populations
All diagnosed
cases receive
the
recommended
treatment
70%
Observation
and review of
treatment
registers
Monthly
Fuel
Allowances
Stationery
Report
DHO
Provision
of
commodities
for
disease
management
Ensure that the health

workers test and treat
children (<15 yrs.) and
pregnant women, serodiscordant couples, and
people with TB/HIV coinfection
Strengthen
routine
screening and treating of
TB in all HIV positive
clients
Children(<15
years), pregnant
women and serodiscordant couples,
and people with
TB/HIV co-infection
tested and treated
All HIV positive
clients screened
and treated for TB
All diagnosed
cases receive
the
recommended
treatment
85% for
adults,
30% for
children
Observation
and review of
treatment
registers
Monthly
Fuel
Allowances
Stationery
Report
DHO
All diagnosed
cases receive
the
recommended
treatment
85%
Observation
and review of
treatment
registers
Monthly
Fuel
Allowances
Stationery
Report
DHO
Detection
and
management
of
drug susceptible
cases
of
TB
improved
All diagnosed
cases receive
the
recommended
treatment
90%
Observation
and review of
treatment
registers
Monthly
Fuel
Allowances
Stationery
Report
DHO
Ensure a scaled up of
HIV
prevention
interventions
TUBERCULOSIS
To invest in human
capital so as to
contribute to the
production of a
healthy
human
capital
through
provision
of
equitable, safe and
sustainable health
services
Skilling, mentoring
and coaching of
health workers
Improve
detection,
management of drugsusceptible TB cases to
ensure
90
percent
treatment success
Improve capacity to
diagnose and manage
childhood tuberculosis
60
Specific Objective
Strategy
Intervention
Output
Indication
Baseline
2012/13
Provision
of
commodities
for
disease
management
Increase detection and

management of multidrug-resistant
Tuberculosis
Detection
and
management
of
multi drug resistant
cases
of
TB
improved
All diagnosed
cases receive
the
recommended
treatment
Data
Collection
Method
Observation
and review of
treatment
registers
Frequency
Resources
Reporting and
Feedback
Responsibility
Centre
Monthly
Fuel
Allowances
Stationery
Report
DHO
Strengthen
contact
investigation
and
infection control including
congregate settings
Increase management of
TB/HIV
co-infection
including enrollment on
Antiretroviral therapy
Intensify
advocacy,
communication
and
social mobilization for
increased funding and
responsive awareness
for Tuberculosis
NEGLECTED
TROPICAL
DISEASES (NTDS)
To invest in human
capital so as to
contribute to the
production of a
healthy
human
capital
through
provision
of
equitable, safe and
sustainable health
services
Skilling, mentoring
and coaching of
health workers
Adopt the One Health

Approach to prevent and
control of emerging and
endemic
Zoonotic
diseases
The one health

approach
to
prevent and control
emerging
and
endemic zoonotic
diseases promoted
% of
involvement of
other
departments
NA
Observation
Interviews
Review of
reports
Quarterly
Stationery
Reports
DHO
Provision
of
commodities
for
disease
management
Strengthen surveillance
and diagnostic capacity
for Zoonotic diseases for
early detection and
management
Surveillance and
diagnostic capacity
for
zoonotic
diseases for early
detection
and
management
strengthened
District capacity for
vector
control
including
Neglected Tropical
Diseases
strengthened
% of health
workers trained
in surveillance
for NTDs
NA
Observation
Interviews
Review of
reports
Quarterly
Stationery
Reports
DHO
% of health
workers trained
in vector control
for NTDs
NA
Observation
Interviews
Review of
reports
Quarterly
Stationery
Reports
DHO
Strengthen
district
capacity
for
vector
control
including
Neglected
Tropical
Diseases (NTDs)
NONCOMMUNICABLE
61
Specific Objective
DISEASES
To invest in human
capital so as to
contribute to the
production of a
healthy
human
capital
through
provision
of
equitable, safe and
sustainable health
services
Strategy
Intervention
Output
Indication
Baseline
2012/13
Data
Collection
Method
Frequency
Resources
Reporting and
Feedback
Responsibility
Centre
Skilling, mentoring
and coaching of
health workers
Promote
healthy
lifestyles that contribute
to prevention or delay of
occurrence of NCDs
Healthy lifestyles
of
community
members
promoted
to
prevent
communicable
diseases
% of community
members
adopting
changed
lifestyles that
reduce
incidence of
communicable
diseases
NA
Observation
Interviews
Annually
Fuel
Allowances
Stationery
Reports
DHO
Provision
of
commodities
for
disease
management
Improve health workers

capacity to manage
NCDs at all levels of care
Improved
health
worker capacity
% of cases
diagnosed and
effectively
managed
NA
Observation
Interviews
Annually
Fuel
Allowances
Stationery
Reports
DHO
Implement surveillance,
monitoring and research
to support the prevention
and control of NCDs
Improved
surveillance,
monitoring
and
research
for
prevention
and
control of NCDs
% of facilities
with records of
cases of NCDs
NA
Observation
Interviews
Annually
Fuel
Allowances
Stationery
Reports
DHO
Implement
mass
screening
for
and
treatment
of
oral
diseases
particularly
among primary school
children
A
functional
surveillance,
monitoring
and
research system
established
% of facilities
with records of
oral cases
NA
Observation
Interviews
Annually
Fuel
Allowances
Stationery
Reports
DHO
Infrastructure and
staffing for the
management
of
oral
diseases
improved
No. of dental
staff: population
1:128094
Observation,
review of
records
Annually
Stationery
Report
DHO
Access to services
for
mental,
neurological and
substance
use
No. of mental
staff: against
staffing norms
Observation,
review of
records
Annually
Stationery
Report
DHO
ORAL HEALTH
To invest in human
capital so as to
contribute to the
production of a
healthy
human
capital
through
provision
of
equitable, safe and
sustainable health
services
Skilling, mentoring
and coaching of
health workers
Provision
of
commodities
for
disease
management
Conduct research in oral

health
Improve
infrastructure
and staffing to strengthen
dental services
MENTAL HEALTH
To invest in human
capital so as to
contribute to the
production of a
Skilling, mentoring
and coaching of
health workers
Scale up implementation
of mental, neurological
and substance abuse
services
62
Specific Objective
Strategy
Intervention
healthy
human
capital
through
provision
of
equitable, safe and
sustainable health
services
Curative Services
CLINICAL
SERVICES
To invest in human
capital so as to
contribute to the
production of a
healthy
human
capital
through
provision
of
equitable, safe and
sustainable health
services
Output
Indication
Baseline
2012/13
Data
Collection
Method
Frequency
Resources
Reporting and
Feedback
Responsibility
Centre
related disorders
increased
Provision
of
commodities
for
disease
management
Implement
demand
reduction measures for
tobacco, alcohol and
drug use
Demand reduction
measures
for
Tobacco and other
substance abuse
strengthened
No. of health
education
messages
airing dangers
of tobacco,
alcohol and
drug use
Review of
reports,
Interviews
Quarterly
Fuel
Allowances
Stationery
Report
DHO
Strengthen
the
health system for
optimal health care
provision
Ensure quality and

affordable services that
are consistent with the
Uganda
National
Minimum Health Care
Package (UNMHCP)
An essential health
care package in
place
No. of facilities
offering the
revised
package
Review of
reports,
Interviews
Quarterly
Fuel
Allowances
Stationery
Report
DHO
Increased
awareness
of
school children on
sanitation-related
diseases and their
prevention
% of children
aware of
prevention
measures for
sanitationrelated
diseases
NA
Interviews
Observation
Quarterly
Fuel
Allowances
Stationery
Report
DHO
Ensure standards for

safe health service
delivery in both public
and private sector
To
prevent Implementation of
school health policy
disease
and
health
transmission
promotion activities
among
pupil through
school
through
visitation and health
increased pupils education
awareness
on
sanitation
Conduct health programs

in both primary and
secondary schools
Train teachers in school

health
program
implementation
Form and train schools
health clubs in primary
and secondary schools
63
Specific Objective
Strategy
Intervention
Output
Indication
Baseline
2012/13
Data
Collection
Method
Frequency
Resources
Reporting and
Feedback
Responsibility
Centre
Maintain
sanitation
facilities in schools
School inspection and
health education
Hygiene and sanitation
competition
among
schools
Sensitization of school
management committees
Distribution of hand
washing facilities in
schools
Develop, produce and
distribute IEC materials
on sanitation
Sensitize
community
leaders on sanitation
Train VHTs on sanitation
Conduct survey on
sanitation situation in the
district
Procure and distribute
sanitation kits
Construct demonstration
latrines in public places
Hold quarterly meetings
with VHTs
Conduct
hygiene
education in all the
households in community
regularly
Conduct hand washing
campaigns
Conduct home and
latrine
improvement
campaigns
and
competitions
Participate in sanitation
week activities and
commemorate
word
water day
Drill boreholes and
shallow wells
Protect spring wells
Mobilize, form and train
64
Specific Objective
Strategy
Intervention
Output
Indication
Baseline
2012/13
Data
Collection
Method
Frequency
Resources
Reporting and
Feedback
Responsibility
Centre
effective and sustainable
coverage of a priority
package of cost-effective
child
survival
interventions
Priority package of
cost-effective child
survival
interventions
scaled up
% of facilities
offering the
entire package
16
Observation
Interviews
Review of
reports
Quarterly
Fuel
Allowances
Stationery
Report
DHO

family planning costed
implementation plan (FP
CIP 2015-2020)
Provide universal access
to
family
planning
services
Increase
access
to
Skilled Birth Attendants
(SBA) and Emergency
Obstetric Care (EmOC).
Strengthen
public
awareness
and
Improved supply
and distribute
Family Planning
commodities
% of facilities
with no stock
out
16
Observation
Interviews
Review of
reports
Quarterly
Fuel
Allowances
Stationery
Report
DHO
Increased access
to and utilization of
% of facilities
offering the
16
Observation
Interviews
Quarterly
Fuel
Allowances
Report
DHO
water user committees

Conduct water quality
surveillance
Inspect and maintain
water sources
Conduct radio talk shows
and spot messages on
environmental
health
issues
Conduct drama shows
on
hygiene
and
sanitation
Hold community dialogue
meetings on hygiene and
sanitation
Train newly elected
leaders on hygiene
and sanitation
MATERNAL,
NEONATAL
AND
CHILD HEALTH
To invest in human Skill
staff
to
capital so as to effectively provide
contribute to the services to reduce
production of a preventable
healthy
human maternal, newborn
capital
through and child mortality
provision
of
equitable, safe and
sustainable health
services
65
Specific Objective
IMMUNIZATION
SERVICES
To invest in human
capital so as to
contribute to the
production of a
healthy
human
capital
through
provision
of
equitable, safe and
sustainable health
services
Strategy
Intervention
Output
Indication
empowerment
to
enhance consumption
and utilization of Sexual
and Reproductive Health
(SRH) services
Expand the provision of
ANC to improve access
to Antenatal Care (ANC)
Implement
Adolescent
Sexual and Reproductive
Health. Services
Implement the school
health services and
standards
Ensure collective and
sustainable action and
mutual accountability for
ending
preventable
maternal, new born and
child deaths; Maternal
and Perinatal Deaths,
Surveillance
and
Response
Support and harness non
health
sector
interventions that impact
on maternal, new born
and child health
reproductive health
services including
adolescent sexual
reproductive health
services
entire package
Non-health sector
interventions that
impact
on
maternal, newborn
and child health
harmonized.
% of facilities
involving other
departments in
implementation
of maternal,
newborn and
child health
services
Skilling, mentoring
and coaching of
health workers
Ensure implementation of
the immunization policy
and immunization bill
The immunization
policy
and
immunization bill in
place
Provision
of
commodities
for
immunization
Develop strategies to
improve
immunization
coverage
Immunization
coverage
increased and new
vaccines
Baseline
2012/13
Data
Collection
Method
Review of
reports
Frequency
16
Observation
Interviews
Review of
reports
Quarterly
% of facilities
with copies of
the policy and
bill
20
Observation
Interviews
Review of
reports
% of children
fully immunized
against the
target
100%
Observation
Interviews
Resources
Reporting and
Feedback
Responsibility
Centre
Fuel
Allowances
Stationery
Report
DHO
Quarterly
Fuel
Allowances
Stationery
Report
DHO
Annually
Fuel
Allowances
Stationery
Reports
DHO
Stationery
66
Specific Objective
Strategy
Intervention
Output
Indication
Baseline
2012/13
Data
Collection
Method
Frequency
Resources
Reporting and
Feedback
Responsibility
Centre
% of children
fully immunized
against the
target
100%
Observation
Interviews
Annually
Fuel
Allowances
Stationery
Reports
DHO
Reduced
prevalence
of
vector
borne
diseases
New cases of
vector borne
diseases
8817 malaria
cases
Observation
Interviews
Annually
Fuel
Allowances
Stationery
Reports
DHO
Reduced drug and

medical supplies
stock out rates
% of facilities
reporting stock
outs
10%
Interviews
Review of
records
Annually
Fuel
Allowances
Stationery
Reports
DHO
introduced
Ensure
the
implementation
and
introduction of new
vaccines into the routine
immunization
services
(Rotavirus,
Human
Papilloma
Virus,
Inactivated Polio vaccine
and
Meningitis
A
vaccines)
Strengthen community
participation
in
immunization services
Community
participation
enhanced
improving
immunization
services in
district
for
the
Implement the national

immunization
communication strategy
in the district
Vector Control
Reduction
in
morbidity
and
mortality due to
Neglected Tropical
Diseases
Awareness creation,
mapping and mass
drug distribution
Carry out sensitization of

communities and their
leaders
Carry out radio talk
shows
Map out breeding places
Train health workers,
CMDs and VHTs
Carry out mass drug
distribution
Carry out post MDA
monitoring
Carry out assessment for
ITN and IRS eligibility
Distribute ITNs and
implement IRS
Medical Supplies
Logistic
management
Improve
curative
services
through
provision
of
essential medicine
Quantify and
medicines
order
67
Specific Objective
Strategy
Intervention
Output
Indication
Baseline
2012/13
Data
Collection
Method
Frequency
Resources
Reporting and
Feedback
Responsibility
Centre
Improved health of
community
members
Outpatient
attendance per
capita
1.2
Interviews
Review of
records
Annually
Fuel
Allowances
Stationery
Reports
DHO
Monitor use of medicines

Form
and
train
therapeutic committees
Registration of clinics
and drug shops
License clinics and
drug shops
Lower Health Units (Govt)
Improved health care Prevent
all
delivery system at all preventable
the existing 13 diseases
and
health centers
provide friendly and
hospitable
health
facilities
Attend to the
outpatient cases
entire
Admit and treat the

severely sick patient
Carry
out
health
education
Conduct deliveries to all
the pregnant mothers in
the health facilities
Provide PMTCT services
to all the HIV positive
mothers
Immunize all the children
with the pentavalent
vaccine
Conduct
quarterly
support supervision
Conduct quarterly HUMC
meeting
Conduct monthly staff
meeting
Conduct monthly school
health program
Conduct monthly home
visiting
Carry
out
monthly
immunization outreaches
Follow up TB and leprosy
68
Specific Objective
Strategy
Intervention
Output
Indication
Baseline
2012/13
Data
Collection
Method
Frequency
Resources
Reporting and
Feedback
Responsibility
Centre
Improved health of
community
members
Outpatient
attendance per
capita
1.2
Interviews
Review of
records
Annually
Fuel
Allowances
Stationery
Reports
DHO
cases in the community

Carry out monthly VCT
outreaches
Maintenance vehicles
(motor cycle)
Maintenance
machinery,
equipment
and furniture
Maintenance civil
works (buildings)
Maintenance others
(compound)
Pay bank charges and
bank related cost
Construct waste pits in
all the 14 health facilities
Pay PHC allowances
Provide modern family
planning services
Provide
laboratory
services
Conduct mental health
outreaches
Improved health care Prevent
all
delivery system at all preventable
the existing 4 health diseases
and
centers
provide friendly
and hospitable
health facilities
Attend to the
outpatient cases
entire
Admit and treat the

severely sick patient
Carry
out
health
education
Conduct deliveries to all
the pregnant mothers in
the health facilities
Provide PMTCT services
to all the HIV positive
mothers
Immunize all the children
with the pentavalent
vaccine
69
Specific Objective
Strategy
Intervention
Output
Indication
Baseline
2012/13
Data
Collection
Method
Frequency
Resources
Reporting and
Feedback
Responsibility
Centre
Essential nutrition
actions approach
designed
and
implemented
Malnutrition
cases reduce
SMA-NA
GAM-NA
Interviews
Review of
records
Annually
Fuel
Allowances
Stationery
Reports
DHO
Strengthened
advocacy, social
mobilization and
communication for
Malnutrition
cases reduce
SMA-NA
GAM-NA
Interviews
Review of
records
Annually
Fuel
Allowances
Stationery
Reports
DHO
Conduct
quarterly
support supervision
Conduct quarterly HUMC
meeting
Conduct monthly staff
meeting
Conduct monthly school
health program
Conduct monthly home
visiting
Carry
out
monthly
immunization outreaches
Follow up TB and leprosy
cases in the community
Carry out monthly VCT
outreaches
Provide modern family
planning services
Provide
laboratory
services
Conduct mental health
outreaches
Nutrition
To invest in human
capital so as to
contribute to the
production of a
healthy
human
capital
through
provision
of
equitable, safe and
sustainable health
services
Skilling, mentoring
and coaching of
health workers
Implement
essential
nutrition actions using life
cycle approach
Provision
of
commodities
for
disease
Strengthen the capacity

to
effectively
plan,
implement, monitor and
evaluate
nutrition
programs
Implement strengthened
advocacy,
social
mobilization,
and
communication for good
70
Specific Objective
Strategy
Intervention
Output
management
nutrition for all age

groups
Implement cost-effective
micronutrient
and
community
based
initiatives
good nutrition
Cost
effective
micronutrient ad
community based
initiative
that
emphasize
prevention
and
control
of
malnutrition scaled
up
Indication
Baseline
2012/13
Data
Collection
Method
Frequency
Resources
Reporting and
Feedback
Responsibility
Centre
Malnutrition
cases reduce
SMA-NA
GAM-NA
Interviews
Review of
records
Annually
Fuel
Allowances
Stationery
Reports
DHO
Conduct
operational
research for nutrition
CHAPTER SEVEN
7.0 PROJECT PROFILES (FY 2016/17)
7.3 Health Projects FY2016/17

Lower Health Units
Completion of the construction of the

District Health Office block
Construction of perimeter fence at Koch
Lii HC III
Koch-Goma
county (Lii)
Sub-
153,178,000
15,317,800
GOU (PHC Devt)
40,000,000
4,000,000
GOU (PHC Devt)
71
Department:
Sector:
Health
Code:
3-2-1-4-8
Title of Project:
Construction of a perimeter fence at Koch Lii HCII
Implementing Agency:
Nwoya District Local Government
Location:
Koch Lii Sub-county
Total Planned Expenditure:
54,000,000
Funds Secured:
Funding Gap:
Recurrent Expenditure:
18,816,000
35,184,000
1,881,600
Start Date:
01/09/2016
Completion Date:
30/06/2017
Project Objectives:
To promote the security of the facility
Targeted Beneficiaries:
Health Workers
Project Background and Justification: The facility has no fencing and this puts it at risk of theft/burglary
Technical Description: The fencing will include bull bars with chain link fencing secured onto the bull bars. The lower level of the fence will be
cemented.
Source of Funding: PRDP
72
Project Work Plan and Budget:

Activity
Quarter 1
Budget (UGX)
Quarter 2
Quarter 3
Quarter 4
Total (UGX)
Operation and
Recurrent Items
Feasibility study, design

and BOQ
Initiation of procurement
and award of contrct
Supply of materials
Fuel,
allowances,
stationery
PDU
7,000,000
7,000,000
Mobilization of labour
force, equipment and tools
3,000,000
3,000,000
Actual Construction work

Total
0
0
0
0
8,816,000
18,816,000
0
0
8,816,000
18,816,000
Cement, hard core,

aggregate, iron bars,
timber, nails
Wheelbarrows,
spades,
hoes,
mattocks, hammers,
etc.
Wages
Operation and
Recurrent
Costs (UGX)
0
0
700,000
300,000
881,600
1,881,600
Monitoring and Evaluation Strategy:

What is Monitored
Functionality of PMCs
Progress of project (on schedule or not)
Project budget performance (within budget or not)
Reasons for delays and cost deviation
Certification by technical person
Outputs (number of facilities being implemented or completed and their
expenditure)
Funds absorption capacity
Lessons and communication of lessons learnt to stakeholders (e.g.
beneficiaries, implementers, policy makers, etc.)
Use of lessons learnt to refine policies, laws, regulations, procedures
Who
Monitors
When to Monitor
DTPC/DEC
Quarterly
(September,
December, March, June)
When
Submit
Report
Quarterly
to
Submit to Who
District Council
MOFPED (OBT)
MOLG (JARD)
MOH
Operation and Maintenance Plan:

Operation and Maintenance Activity
Servicing
Repair of worn out and damaged parts
Spares
Cost
500,000
1,000,000
500,000
Remarks
73
Total
2,000,000
Environment Impact Assessment and Mitigation Plan:

Environmental Concern
Heaping of soils and other materials
Removal of vegetation
Total
Mitigation Measure
Levelling the ground
Replanting of vegetation
Cost
250,000
250,000
500,000
Source of Funding
APPENDICES
O&M Plan for Facilities FY 2016/17
5. Health
1 Ford double cabin vehicle

2. Toyota double cabin
3 printers
1 Photocopier
11 desks
120,000,000
130,000,000
1,200,000
1,500,000
3,000,000
FY 2013/2014
FY2015/1016
FY2013/14
FY2013/14
FY2000-2015
2,400,000
2,600,000
240,000
300,000
600,000
Brand new
Brand new
Routine maintenance
Routine maintenance
Routine maintenance
74
General Hospitals (Government)
4 computers
1 book shelf
3 Freezers
1 Fridge
17 motorcycles
6,000,000
250,000
40,000,000
700,000
91,000,000
OPDs
Wards
ANC Equipment
Vehicles
Motor cycles
Anaka hospital
Anaka hospital
Anaka hospital
Anaka hospital
Anaka hospital
Computers
Anaka hospital
2008
Furniture and fittings
Anaka hospital
2001
X- Rays
Microscopes
Ultra sound Machines
Anaka hospital
Anaka hospital
Anaka hospital
2009
Beds
Theatre
Incinerators
Refrigerators (Cold Chain)
Total
17 Solar systems
Anaka hospital
Anaka hospital
Anaka hospital
Anaka hospital
1979
1979
1979
1979
Sub counties
255,000,000
17 OPDs
2 Incinerators
30 units of staff houses
7 Motorcycles
17 blocks of Latrine stances
Total
Sub counties
Sub counties
Sub counties
Sub counties
Sub counties
1,440,000,000
20,000,000
2,550,000,000
51,000,000
255,000,000
250bn
FY2012/13
FY2014
FY2012-2015
FY2012/13
FY2010-2015
1979
1979
1979
2002
2007
1,240,000
50,000
8,000,000
140,000
16,000,000
50bn
2009
FY2011/12
FY2002-2015
FY2002-2015
FY2002-2015
FY2002-2015
FY2002-2015
51,000,000
289,000,000
4,000,000
50,000,000
10,000,000
51,000,000
Routine maintenance
Routine maintenance
Routine maintenance
Routine maintenance
Routine seviing and some
for major repair
Needs major repairs
Needs major repairs
Needs major repairs
Needs major repairs
Needs
routine
maintenance and repairs
Needs
routine
Needs
routine
Needs major repairs
Needs major repairs
Needs
routine
Needs major repairs
Needs major repairs
Needs major repairs
Needs major repairs
Some need servicing and
replacement of batteries
Some need renovations
Some need major repairs
Routine servicing
New construction
75
76

Annual Work Plan 201516

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Annual Work Plan 201516

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THE REPUBLIC OF UGANDA

NWOYA DISTRICT LOCAL GOVERNMENT

THE DRAFT ANNUAL WORK PLAN

Table 1: Achievements (Summary of Projects Implementation in FY 2015/16)

Lower Health Units

Construction of perimeter fence at

Lower Health Units

Rehabilitation of OPD and PHC block

Lower Health Units

Construction o 5 stances drainable

Lower Health Units

Construction of 1 placenta pit at Koch

Koch Lii Sub-county

Lower Health Units

Construction of 1 waste pit at Alero

Lower Health Units

Table 2: Priority Projects for FY 2016/17

Construction of perimeter fence at Koch

GOU (PHC Devt)

Unfunded Priorities for FY 2016/17

Construction of DHOs office

Submit the vacant posts to CAOs office

Only permitted to recruit 2

Construct office block

Procure IEC equipment (video, projector, recorder, generator, radio)

Funds were not availed

Got 1 office desk and 800 plastic chairs/tent

Funds were not available

Received one from GAVI

Done by private individuals

Paraa HCII was opened

Paraa HCII is currently functional

From PHC funds

District Health Office

Procure office furniture, equipment and supplies (name them)

From PHC funds

Fence health facilities

Conducted on radio Mega/Ruupiny

Funded by PHC and donors

Done through community dialogue meetings

Maternal and Child Health

Inspection and regulation of lodging and eating houses

Train health workers on mental health twice a year

Essential supplies delivered 6 times in the

Done at district level

This was in response to the epidemic

Establish communication and disease notification system (village

Done in response to the malaria epidemic

Done for malaria in all sub counties

Construct an orthopaedic unit

Perimeter wall fence constructed

Hold monthly sector meetings s

Maintain motor cycles and bicycles (frequency or number of vehicles)

Primary Health Care (PHC)

Low adoption rate of healthy behavior and practices for

No transport means available

Inadequate office equipment

Inadequate transport means available

Inadequate work force

Inadequate transport means available

Inadequate work force

Inadequate health workers in the facilities

Inadequate equipment in the facilities

Poor hygiene and sanitation practices by the community