Support Mulago Hospital and Improvement of Kampala Health Services


Overview

  • Reference: P-UG-IB0-006
  • Approval date: 06/07/2011
  • Start date: 02/07/2012
  • Appraisal Date: 25/03/2011
  • Status: OngoingOnGo
  • Implementing Agency: MINISTRY OF HEALTH
  • Location: KAMPALA

Description

The objective of the project is to improve access to quality and affordable health care services for the population of the Kampala Metropolitan Area. The project is proposed for implementation over 54 months, and will be realized through the execution of the following components:

"Component I: Expanded and improved public health services in Kampala: through this component, the project will contribute to the expansion and improvement of overall health services, resulting in decreased mortality and morbidity rates, particularly in women and children. "Component II: Revitalized Referral and Counter-referral Systems; through this component the project will support improvement of the referral system, including patient transportation, is identified as one of the priority interventions under the HSSIP III that this project will address; and "Component III: Capacity Development and Systems Strengthening: this component seeks to improve management and administration of health services with particular attention to the serious human resources crisis in the health sector which are priority interventions identified the HSSIP III.


Objectives

To improve access to quality of health care services for the population of the Kampala Metropolitan Area


Rationale

Uganda is making significant progress to reduce poverty and to reach the health MDGs, however, there is a need for a paradigm shift in service delivery to meet the demands arising from a rapidly growing urban population in the Kampala metropolitan area. The country requires investments from development partners to address the requirements of modernizing and expanding its health services, infrastructure and systems to sustain the MDG gains. Uganda is expected to achieve some of the MDGs targets related to poverty reduction, HIV/AIDS, universal primary school enrollment and gender inequality. However, Uganda will not reach health related targets set for child and maternal mortality reduction. Capital City Authority (KCCA), responsible to provide primary health care services, need to be reinforced to adequately respond to the demand for these services in Kampala. Kampala health systems are challenged by the competing needs for effective delivery of essential health care services including reproductive and neonatal health care. As a result Mulago Hospitals tertiary care and referral support is neither being resourced nor managed in line with its national mandate. Furthermore Uganda needs to respond and better manage new challenges posed by the epidemiological transition challenges posed by the rising prevalence of chronic diseases such as cardiovascular diseases, diabetes and cancer. More effective, but also more expensive, service delivery standards and health technologies are required to assure attainment of better health outcomes. The lack of a functioning referral system, with an integrated ambulance service, in the City of Kampala is also impacting the Governments commitment to guarantee an effective continuum of health care services.


Benefits

The project will have significant health and socio-economic impacts, as a result of improved access to quality health care for an estimated 3 million persons of whom an estimated 39% lives in poverty as the majority of this population is not economically active. Health indicators of concern in the country pertain to women and children. While child mortality is on the decline in Uganda, the maternal mortality rate is still high and estimated at 435 deaths per 100,000 live births. Improving and sustaining maternal and child health, as well as will require a continuum of services, including in particular, referral capacity for the management of complications. About 30% of households in Kampala are headed by women. Hence, the project is expected to benefit and empower women to a large extent, particularly in their role as heads of households, by addressing disparities in access to specialized health services.


Key contacts

JEHU-APPIAH Caroline - OSHD3


Costs

Finance source Amount
ADFUAC 46,000,000
NTFUAC 10,000,000
GovernmentUAC 5,000,000
TotalUAC 61,000,000