UGANDAN HOSPITALS HAVE 22 ACCOUNTING OFFICERS, DR OREM JACKSON VOTE 114 UGANDA CANCER INSTITUTE

By Goodluck Musinguzi

The ministry of finance, Planning and Economic Development appointed Accounting Officers for the financial year 2019/2020, its yet to name a new team for 2020/2021.

In a letter addressed to the clerk to Parliament, the secretary to the treasury Mr. Keith Muhakanizi listed the appointed officers.

Muhakanizi said Dr Jackson Orem who is Executive Director of Uganda Cancer Institute is named as the accounting officer responsible for vote 114.

Dr Jackson Orem can be contacted on twitter handle @jacksonOrem and Uganda Cancer Institute handle @UgandaCancerIns. Orem is accountable to Parliament and answerable for anything at Uganda Cancer Institute.

Vote 114 has its Strategic Objective which is why it attracts funding from government.

“To offer super specialized services in areas of cancer treatment, research and prevention through conducting research into all aspects of common
cancers in Uganda, provision of optimal evidence based clinical care, and provision of training for health care professionals using endemic cancers
as model disease training”.

CANCER RESEARCH SERVICES

  1. The Uganda Cancer Institute research policy was developed
  2. The UCI regulatory office (IRB) is reviewing all studies conducted at UCI including providing administrative clearance.
  3. 13 established fellowship training programs were undergoing accreditation by the Uganda Medical and Dental Practitioners Council
  4. The Mayuge Community Cancer Registry is operational. Three monitoring visits were conducted in Mayuge

Standardized forms for five (5) major cancers were developed, they are currently under piloting by the clinicians

Scientific Review Committee was established and is now functional,

Community Advisory Board was established.

17 publications from UCI were internationally peer reviewed.

183 oncology scholarships were awarded throughout the year.

Uganda Cancer Institute training Plan was developed, and approved by the training committee

100% electronic data intake for all patients from 2016 – 2018 entered into clinic master. HMIS data entry ongoing

17 investigators with active projects, conference abstracts or published manuscripts were supported


CANCER CARE SERVICES

Four offsite support visits to peripheral cancer centers were conducted

3,376 counseling sessions were conducted throughout the year

1,699 patient social support assessments carried out and appropriate social support provided

18,249 imaging investigations were carried out

1,747 physiotherapy session were conducted

4,621 new patients were attended to and initiated on appropriate treatment throughout the year

Four sessions of sorting and archiving of inactive patient files were conducted

91 dispatches of Cytotoxic waste were made

12 drug reconciliation reports prepared and submitted to the Director for onward presentation

59,753 infusions were prepared throughout the year.

31,493 patient files were retrieved and availed to the clinical team for patient care documentation throughout the year

  1. 339,262 laboratory investigations were dispatched
  2. 4,621 new patient files were opened
  3. 53,430 out-patient days of comprehensive cancer clinical care were provided throughout the year
  4. 1,687 specialized procedures were carried out
  5. 219 major and 608 minor surgical and gynecological operations carried out
  6. 78,280 prescriptions were dispensed throughout the year
  7. 145 prostheses were fitted 4 surgical camp was conducted were conducted throughout the year
  8. 50,256 in-patient days of clinical care were provided throughout the year
    CANCER OUTREACH SERVICES
  9. 35 short distance outreaches conducted throughout the year. 3668 clients were screened;
  10. 18 long distance outreaches were conducted throughout the year. Number examined during long distance outreaches: 6770 clients; Males = 1906
    and Females = 4864
  11. 34 TV talk shows and 20 radio talk shows on cancer risk factors, early detection and access to treatment shows were conducted throughout the
    year
  12. 257 static cancer awareness and screening clinics days conducted at UCI throughout the year;
  13. 6612, clients screened; Males = 1079, and Females = 5515
  14. 2000 copies of Referral Guidelines for suspected cancers were produced, launched and distributed to health workers in 50 districts.
  15. 1,500 copies of National Guidelines for cancer health education and risk reduction for health educators were produced, launched and distributed
    to health workers in 50 districts.
  16. The draft Uganda National guidelines for Cancer survivorship was developed
  17. 118 District health teams were oriented on the national cancer health education and risk reduction, cancer screening and early detection and
    cancer referral guidelines
  18. 3500 Fliers/Leaflets/Brochures were produced and distributed to the public (eg Martyrs’ day namugongo)
  19. 20 Newspaper supplements/articles were published.
    RADIOTHERAPY
  20. TLDs were read once in the year
  21. 185 radiation therapy education sessions provided to patients throughout the year.
  22. 1,408 in-care patients reviewed throughout the year
  23. 4,371 patients who completed treatment were followed up throughout the year
  24. Radiation leakage monitoring around the bunker was conducted once in the year
  25. No immobilization or compensators were constructed. The devices that came along with the new machine were still in use.
  26. No treatment sessions were conducted on the LINAC Machine.
  27. 27,091 treatment sessions were conducted on cobalt 60 machine
  28. 286 brachytherapy insertions were conducted.
  29. 510 patients treated using CT-Simulator
  30. 1,420 new patients were attended to in the year.
  31. One maintenance on HDR machine was done.
  32. Servicing on the High Dose rate Brachytherapy machine was done. One machine was out of order.
    UCI PROJECT
  33. The construction of the radiotherapy bunkers was at 97% of the civil works, left with electrical installations, and the false wall.
  34. The basement store was repaired and is now ready to house medical supplies
  35. Structural designs and the artistic impressions for the service support building were developed Construction of support areas for the radiotherapy
    bunkers was initiated and construction was at 35% of civil works
  36. UCI water meters were separated from Mulago hospital meters. Water pipes for UCI were laid and the OPD water tank was stationed. Water
    pipeline channeling, streamlining and plumbing for UCI carried was out.
  37. OPD ward was rehabilitated and remodeled. It can now accommodate more clinical rooms
    ADB SUPPORT TO UCI
  38. Recruited staff and support staff for the project i.e. Project Administrative Assistant and two Drivers.
  39. Procured two vehicles (a station wagon and a high Roof Van) procured equipment for Arua and Mayuge centers.
  40. Contract for procurement of a Linear Accelerator (LINAC) was signed on 20/03/2018
  41. The Tender for MRI was advertised on 25/01/2018, bids were received on 04/05/2018.
  42. Terms of Reference for the training needs assessment and a revised proposal from Makerere University College of Health Sciences were
    developed.
  43. Recruited the medical and gynecology fellowship program directors in February, assumed duty on 1st May 2018.
  44. Launched a medical oncology fellowship program on 4th May 2018 with an initial intake of four fellows.
  45. Admitted six fellows to the Pediatric Hematology and Oncology Fellowship Program. (Three Ugandans and three other East Africa nationals)
  46. Received requests for proposals for the Monitoring and Evaluation consultancy, awaiting Solicitor General¶s clearance of the contract.
  47. Final designs for the multipurpose building were submitted to AfDB for approval of the tendering process
  48. An agreement to relocate occupants of the multipurpose construction site was reached with Mulago National Referral Hospital, land is now
    available for construction to begin
  49. A comprehensive design review of the multipurpose building was done to reduce the estimated cost from USD 19.3 million to USD 15 million

INSTITUTIONAL SUPPORT TO UCI

  1. 6 Desktops and 4 laptops were procured.
  2. Vocal Communication system was installed
  3. Clinic master was rolled out to link to all applicable instruments & departments for quick service delivery
  4. The 40.ft Container, 4 box trolleys, 2 ladders and 30 padlocks were procured.
  5. 16 wooden pallets were procured after a market re-assessment. Fleet requirements (tires and batteries were purchased.
  6. The contracts for procurement of a micro-Laryngoscopy, blood bank refrigerator and centrifuge were awarded to the suppliers, awaiting delivery.
  7. Ward file trolleys and file trolleys were delivered.
  8. The autoclave was procured and delivered.
  9. There were no funds to procure two colposcopies, two LEEP machines, cyrotherapy equipment (2), and Cold coagulators after conducting a
    market reassessment.
  10. The brachytherapy applicators were not procured due to insufficient funds (a brachytherapy applicator costs USD 153,561.42).
    Performance as of BFP FY 2018/19 (Performance as of BFP)
    CANCER RESEARCH SERVICES
  11. 15 research proposals were reviewed by UCI REC
  12. 3 REC meetings were held and 1 monitoring review was carried out
  13. 1 review meetings were held and 1 CAB meeting was held.
  14. Two (2) support visit to Mayuge were conducted
  15. Cancer registry related training workshops were not held due to inadequate funding
  16. Data for publication on Cancer trends is still being cleaned
  17. Two (2) UCI initiated research projects supported
  18. 3 UCI initiated research projects were supported under the ADB support to UCI
  19. 3 UCI research projects were initiated and funded
    CANCER CARE SERVICES
  20. 124,770 assorted lab investigations conducted at UCI
  21. 1,177 Ultra sound scans were performed at UCI
  22. 241 histo-pathology examinations were carried out.
  23. 252 cytology examinations and 3350 assorted research investigations were carried out
  24. 3,207 inpatient days and 4,632 outpatient days of clinical care were provided at the satellite clinics.
  25. 186 new patients cases received and attended to at satellite clinics
  26. 9565 in-patient days and 13,658 outpatient days of comprehensive oncology clinical care were provided at UCI
  27. 235 minor and 73 major surgical procedures were carried out
  28. 22 gynae operations were performed at UCI
  29. 1,267 new patient were received and attended to at UCI
  30. 97 Lumbar Punctures were carried out at UCI
  31. 236 Bone marrow procedures were performed at UCI
  32. 373 patient days of psycho-social assessment and support provided
  33. 13,356 prescriptions were dispensed to patients
  34. 26,352 meals were prepared and served for general inpatients at UCI
  35. 79 Ultra sound interventions were performed
  36. 767 CT scans were conducted at UCI
  37. 2,044 X-rays investigations
  38. 56 diagnostic mammography procedures
  39. 799 mammography screening investigations were performed
    CANCER OUTREACH SERVICES
  40. 4 long distance outreaches conducted during which 16,899 people (M=4153, F=12746) educated and 1593 people screened (M=252, F=1341)
  41. 13 short distance outreaches conducted during which 21,572 people (M=9,199, F=11,373) educated and 2,823 people screened (M=403,
    F=2,687)
  42. 3 TVs (BBS Terefayina, Baaba TV, and Kodheyo TV) and 6 Radio talk shows (Baaba fm, NBS fm, CBS) conducted.
  43. 3 Newspaper supplements/articles and interviews published.
  44. 10,482 copies of IEC materials produced and distributed
  45. 3 TVs (BBS Terefayina, Baaba TV, and Kodheyo TV) and 6 Radio talk shows conducted.
  46. 3 Newspaper supplements/articles and interviews published.
  47. 10,482 copies of IEC materials produced and distributed
  48. 2 Talks delivered on wellness & life after cancer treatment.
  49. 3 Cancer patients follow-up outreaches conducted (Lira, Jinja & Rwampara-Mbarara)
  1. 2500 copies of Guidelines for Cancer survivor-ship were produced
  2. 390 copies ( 10 copies per district & 20 per RRH) cancer early detection & referral guidelines for suspected cancer produced and distributed in
    31 districts and four RRHs districts in western Uganda
  3. 31 support & follow-up visits were conducted in 31 districts of western Uganda.
  4. 237 copies (7 copies per district and 5 perRegional Referral Hospitals (RRH)) of cancer information, health education and communication
    guides produced and distributed in 31districts & 4RRHs in western Uganda
    RADIOTHERAPY
  5. 400 brachytherapy insertions were conducted.
  6. 456 new patients were attended to.
  7. 9,824 treatment sessions were conducted on the Cobalt-60 machine
  8. 307 patients were planned for radiation therapy using CT-Simulator, Conventional simulator and computer planning
  9. Radiation leakage monitoring was conducted once in the quarter
  10. Radiotherapy equipment maintenance and service was done once during the quarter
  11. 64 radiation therapy education sessions provided to patients.
  12. 1,333 patients who completed treatment followed up.
  13. 572 on-treatment patients were reviewed
    UCI PROJECT
  14. Interim certificate for the auxiliary building was paid. Casting of the suspended slab for the auxiliary building was done. Construction is currently
    at 55% of the civil works
  15. Interim certificate for the bunkers wasn’t paid due to inadequate release of funds.
  16. Construction is currently at the general finishing stage Bills of quantities for fencing the land in Mbarara and specifications were developed.
    ADB SUPPORT TO UCI
  17. The procurement for consultancy for project monitoring and impact evaluation is under implementation. The contract was signed 30th July 2018.
    The inception report was received and a baseline survey is currently being reconstructed.
  18. The Training Needs Assessment and Continuous Medical Education is under implementation by MakCHS.
  19. The UCI is in the final stages of developing specifications for laboratory equipment and telemedicine. Tendering is expected by October 2018.
  20. The procurement of Station Wagon and High Roof Van was concluded. Payment from the Bank was effected, however Ms TOYOTA is unable to
    deliver till Taxes are settled.
  21. To date, 20 students have completed long-term training These include; 4 MMEDs (Radiology, surgery, internal medicine and paediatrics), 6
    fellows (5 paediatric oncology, 1 interventional radiology), 2 MPH, 4 Nursing, 2 medical imaging and 6 with other courses. One medical Oncology
    fellow due to complete training from India in September 2018
    INSTITUTIONAL SUPPORT TO UCI
  22. The contract for procurement of the desktop computers was awarded to the supplier, awaiting delivery.
  23. Process for servicing and maintenance of computers was initiated
  24. Procurement of barcode reader, pulsoximeters, infusion pump, sevoflurane evaporisers, and anesthetic machine is at evaluation stage
  25. Service and maintenance of specialized medical equipment and machines at UCI was initiated
    FY 2019/20 Planned Outputs
    CANCER RESEARCH SERVICES
  26. 48 research proposals reviewed by UCI Research Ethic Committee
  27. 12 REC meetings held
  28. 4 monitoring reviews carried out
  29. 4 review meetings held and facilitated
  30. 4 CAB meetings facilitated and held
  31. Four training meetings on human subject research ethics held
  32. Eight (8) UCI initiated research projects supported
  33. 8 UCI staff supported to present research findings at local and international fora
  34. 4 clinical trials initiated at the UCI
  35. EIGHT (8) Support visits to Mayuge Community cancer center conducted
  36. Eight (8) cancer registry related training workshops held and reports developed
  37. One publication on cancer trends in Uganda
  38. 40 patients with breast cancer were enrolled in clinical trials under the GSK research scheme
    CANCER CARE SERVICES
  39. 1,000 histo-pathology examinations carried out
  40. 1,500 cytology examinations carried out
  41. 1,000 minor surgical procedures carried out at Uganda Cancer Institute
  42. 156 major surgical procedures carried out at Uganda Cancer Institute
  43. 100 Gynae Operations performed at UCI
  1. 1,000 patient days of psychosocial assessment and support provided
  2. 40,000 Chemotherapy for infusion reconstituted in Uganda Cancer Institute’s pharmacy
  3. 3,000 patient days of physiotherapy services provided at Uganda Cancer Institute
  4. 10,000 in-patient days and 15,000 outpatient days of comprehensive oncology clinical care provided at satellite clinics
  5. 500 new patient cases received and attended to at satellite clinics.
  6. 5,280 X-ray investigations performed at UCI
  7. 5,280 X-ray reports written
  8. 150,000 assorted clinical laboratory investigations (CBCs, Chemistries, Blood transfusions, Platelet transfusions, HIV tests, Urine Analyses,
    Stool Analyses, Bone marrow Processing, Peripheral films, B/S for malaria and Cytology) conducted in Uganda Cancer Institute
  9. 4,000 Ultra sound scans performed at Uganda Cancer Institute
  10. 40,000 in-patient days and 48,000 outpatient days of comprehensive oncology clinical care provided at Uganda Cancer Institute.
  11. 3,000 CT scans conducted at Uganda Cancer Institute.
  12. 200 CT interventions performed at UCI
  13. 96 Tumor boards attended at UCI
  14. 5,000 new patient cases received and attended to at Uganda Cancer Institute.
  15. 500 Lumbar Punctures carried out at UCI.
  16. 400 Bone marrow Procedures performed at UCI
  17. 40,000 prescriptions dispensed to patients at UCI
  18. 60,000 meals prepared and served for general inpatients at Uganda Cancer Institute
    CANCER OUTREACH SERVICES
  19. 4 Talks delivered on wellness & life after cancer treatment to cancer survivorship groups and individuals who survived cancer
  20. 4 Cancer patients¶follow-up outreaches conducted.
  21. 40 Supporting visits on cancer awareness, screening and referral of patients at lower level health facilities made
  22. 520 Biopsies done
  23. Conduct 8 Long distance and 24 Short distance outreaches.
  24. 260 Static cancer awareness and screening clinics conducted at UCI
  25. 8 TV and 24 Radio talk shows conducted
  26. 12 Newspaper supplements/articles published
  27. 26,000 cancer Information Education Communication (IEC) materials produced
  28. 8 TV and 24 Radio talk shows conducted
  29. 12 Newspaper supplements/articles published
    RADIOTHERAPY
  30. 1,000 compensators and immobilization devices constructed
  31. Radiation leakage monitoring around the bunker conducted once
  32. Radiotherapy equipment maintenance and service done four times a year
  33. 2400 brachytherapy insertions conducted per yr
  34. Staff thermo-luminescent dosimeters (TLDs) read 12 times a year
  35. 2,000 new patients attended to 260 radiation therapy education sessions provided to patients
  36. 4,160 patients who completed treatment followed up
  37. 2,000 on treatment patients reviewed
  38. 35,000 treatment sessions conducted on cobalt 60 machine
  39. 2,000 patients planned for radiation therapy using CT-Simulator, Conventional simulator and computer planning
    UCI PROJECT
  40. Land for the Regional Cancer Center in Mbarara fenced
  41. Radiotherapy Bunkers Service support building for the radiotherapy bunkers and nuclear medicine constructed
    ADB SUPPORT TO UCI
  42. Multipurpose building for the East Africa Center of Excellence in Oncology constructed
  43. Specialized machinery and equipment (for Microbiology, Biochemistry, Hematology, histopathology, Clinical pathology, Immunohistochemistry,
    Genomics and flow cytometry) procured
    MANAGEMENT/SUPPORT SERVICES
  44. All Utilities like water, electricity and Internet bills for Uganda Cancer Institute settled
  45. Financial statements for UCI prepared and submitted to Authority Institutions three times in the year
  46. Four (4) Quarterly performance achievement reports & newsletters published for Uganda Cancer Institute visibility
  47. Four Uganda Cancer Institute press releases published,
  48. Eight Institutional radio talk shows and
  49. Eight Institutional TV talk shows
  50. Four Uganda Cancer Institute Quarterly return reports for Aid In Appropriation prepared and submitted to Accountant General¶s Office
  51. IT, other communication and record management services at Uganda Cancer Institute supported throughout the year
  52. Offices managed and supervised
  53. Performance Monitoring and evaluation reports prepared and submitted to authority Institutions four times throughout the year
  1. Prefeasibility Report for Establishment of Oncology & Diagnostic Centres in Mbale, Arua and Mbarara
  2. Security, cleaning and hygiene at the Uganda Cancer Institute maintained
  3. Uganda Cancer Institute Assets and Inventory managed
  4. Uganda Cancer Institute Infrastructure, Equipment and vehicles Maintained throughout the year
    i. Construction and equipment of the Radiotherapy Bunkers
    ii. Construction of nuclear medicine department and support areas for the radiotherapy bunkers
    iii. Construction of Multipurpose Cancer building for the East Africa Centre of Excellence in Oncology
    iv. Procurement of state of the art medical equipment for cancer diagnosis and treatment
    v. Construction and equipment of the Regional Cancer Centres
    Medium Term Plans
    Will be working in linewith the Public Finance Management Act 2015 by ensuring expenditure is according to work plans and cash flow plans as
    established by MoFPED
    Efficiency of Vote Budget Allocations
    Table V3.2: Past Expenditure Outturns and Medium Term Projections by Programme
    One of the major expenditure allocations went to Uganda Cancer Institute Project which is to cater for construction of radiotherapy
    bunkers and the auxiliary buildings
    The major expenditure allocation went to ADB support to UCI which is aimed at transforming the UCI into a center of excellence
    in oncology
    Wage was among the expenditures with substantially big allocation as a result of salary enhancement
    Vote Investment Plans
    The major expenditure allocations went to Uganda Cancer Institute Project which is to cater for construction of radiotherapy bunkers and other
    buildings to improve on UCI capacity to effectively deliver on its mandate
    The other project was ADB support to UCI which is aimed at transforming the UCI into a center of excellence in oncology
    Also wage was among the expenditures with substantially big allocation and this is aimed at ?? recruitment of additional staff to improve service
    delivery

The Public Finance Management Act requires the Secretary to the Treasury to provide parliament with the list of accounting officers for different government entities before the beginning of a new financial year.

The offices include Central Government Ministries, agencies, referral Hospitals and health institutions, missions abroad and local government

The Accounting Officers according to the law, carry out the mandate of controlling the regularity and proper use of money appropriated to their ministries, agencies or entities, are responsible for authorizing any commitment and control the resources received, held or disposed of.

These are regularly required by Parliament to offer accountability on behalf of their entities concerning policies, regulations and expenditure of appropriated funds in the budget. Parliament in the ended financial year 2019/2020 appropriated 32 trillion Shillings to different government entities out of the total approved 40.48 trillion Shillings budget.

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