store http://challengeidee.fr/wp-includes/wp-db.php geneva;”>According to a statement from the Ministry of Health seen by Chimpreports on Wednesday, the new plan is part of efforts by government to develop infrastructure in the country to deliver the Minimum Health Care Package.
In the new Plan, Mulago National Referral Hospital is to be renovated into a State of the Art Hospital offering tertiary and super specialized health services with a credit worth US$88m from the African Development Bank.
“With funding worth US$33m from the Islamic Development Bank, a new specialized maternal and neo-natal health unit will be constructed at Mulago Hospital to offer specialized services for women,” explained the statement from the ministry.
Government is also set to renovate forty seven health facilities under the Uganda Health Systems Strengthening Project (UHSSP) with funding from the World Bank with Moroto Referral hospital, Mityana, Nakaseke, Entebbe, Iganga and Nebbi among the hospitals to benefit.
Mubende Referral Hospital and eight other hospitals plus twenty seven health centres are also set to be renovated in the second phase of the UHSS Project.
Government of Uganda has also received funds from the Global Alliance for Vaccination Initiative (GAVI) to construct a new State of the Art vaccine store at Kajansi to act as a national store for vaccines in the country on top of the eight regional cold storage hubs to be constructed all over the country.
Government with support from the US Centre for Disease Control and Prevention is set to construct the National Health Laboratory worth Shs 19bn.
The announcement comes at a time when the country is grappling with poor health services and dilapidated health structures especially referral hospitals.
The Uganda Health System report for the year 2011 showed that Uganda spends US$33 per capita on health, about the same as its low income country peers but much lower than the regional average.
In contrast to the region, public financing of health in Uganda is low at 22.6 percent of total health expenditures (THE) and there is consensus that the health sector is underfinanced and cannot deliver the Uganda National Minimum Health Care Package (UNMHCP) to all, highlighting the need to use limited resources for pro-poor and essential services.
Uganda has significantly improved access to maternal and child health care as well as the country’s response to HIV/AIDS.
Further, the Global Fund to Fight AIDS, Tuberculosis, and Malaria (Global Fund), USAID, and other donor programming has led to increased availability of HIV prevention, outreach, and treatment services.
Most Ugandans now live within five kilometers of a health center.
Researchers say despite this progress in service availability, significant challenges remain to improve the quality of service delivery and address continuing health status issues such as high infant and maternal mortality.
Primary health care remains difficult for some to access, and quality of care is inconsistent. The referral system is not functional, and patients often ignore secondary or tertiary care due to the high costs involved.
Stockouts of drugs and supplies and inadequate HRH availability impact service delivery. Lack of financial and human resources adversely impacts regulation and quality control. Many services, including those related to HIV and tuberculosis (TB), are not well integrated into the general health delivery system and continue to be provided vertically.
Evidence-based medicine is also not consistently followed and facility-based quality improvement initiatives, while they exist, have not been institutionalized uniformly.
The system also does not invest sufficiently in prevention and public health services to minimize unhealthy behaviors that lead to increases in both non-communicable and infectious diseases.