By Goodluck Musinguzi
President Yoweri Kaguta Museveni directed Ministry of Health to improve health facility infrastructure as a priority after taking oath in 2016. He said in the medium term, the health sector should focus its efforts towards establishing a functional Health Center III per sub county across Uganda.
Dr Diana Atwine, Permanent Secretary Ministry of Health provided a Health development Grant worth Uganda Shillings 69.36 billion under Inter-Government Fiscal Transfers(IGFTs) to Ministry of Local Government.
She said a total of 393-400 Health Center IIIs will have been built while others are upgraded.
“So far, 191 Health Center IIs were upgraded to Health Center IIIs in Financial Year 2019/20, while 105 Health Center IIs are being upgraded in FY 2020/21 and the last 35 Health Centers IIs will be upgraded in FY 2021/22. This will bring total number of HCIIs upgraded to HCIIIs to 331”, said Dr Diana.
Dr Diana said Additionally, 62 new Health Center IIIs are being constructed most especially in newly created sub counties. This will bring the total number of Health Center IIIs upgraded from HCIIs, and those newly established in the country btn FY 2019 to FY 2021 to 393-400.
This comes after the government received a loan from the World Bank to fund the Uganda Intergovernmental Fiscal Transfer (UgIFT) Program for Results (P4R).
The Intergovernmental Fiscal Transfers Program
The Uganda Intergovernmental Fiscal Transfers (UgIFT) Program is a platform established back in 2017 with an objective to improve the adequacy and equity of fiscal transfers, and improve fiscal management of resources by Local Governments for health and education services at local levels.
It addresses three constraints that have a major adverse impact on service delivery:
(a) the large-scale horizontal inequities in the per capita amounts of transfers received by the Local Governments;
(b) the inadequate level of per capita social expenditures in poorer Local Governments; and
(c) the poor fiscal management of resources by Local Governments.
Tender for the project
The Ministry of Health publicized a tender notice welcoming bids from eligible bidders for the project.
Interested parties were supposed to place their bids starting from the end of this month and before 29th day of October after which the bids shall be evaluated within 40 working days and the best evaluated bidder announced within 5 working days from Contracts Committee award.
Bidding will be conducted in accordance with the open domestic bidding procedures contained in the Government of Uganda Public Procurement and Disposal of Public Assets Act, 2003, and is open to all bidders from Uganda.
Scope of work
The project consists of construction of a General Ward, Improvement of Out-Patient Department, building of two twin Staff houses, construction of Lined VIP latrine, Placenta Pit, Medical Waste Pit, and General External works in all the 62 health centers.
As part of Government’s move to increase access to health services, every subcounty must have a Health Centre 3s. To achieve this, a decision was taken to gradually upgrade all HCIIs to HCIIIs, and construct new ones where there isn’t any.
Many communities are happy with President Yoweri Museveni for fulfilling his promise that has been delivered by Ministry of Health.