Published: 26th October 2016

Fiscal decentralization reforms: CSOs make health sector proposals to gov’t of ugandaThe Health sector budget allocation in FY 2016/17 increased by 44% from last financial year UGX1, 270.81bn in FY2015/16 to UGX 1,826.49bn this financial year. The Health sector objectives include; improving population health outcomes and well-being, reducing health inequalities, and ensuring a citizen-centered health system that is universal, equitable, sustainable and of a high quality. In order to achieve this, Ministry of Health focuses on implementation of National Health Policy II (NHPII) whose priority areas include: 

  • Establishing a functional integration within the public and private sector, addressing the human resource gaps and related service delivery challenges. 
  • Strengthening health System in line with decentralization, reconceptualising and organizing supervision and monitoring of health systems at all levels 

Health sector grants are provided to Local Governments and health facilities to provide health services, in order to achieve universal health coverage with emphasis on access, quality and affordability aspects. 

With the use of the fiscal decentralization reforms, Local Governments (LGs) will be able to enhance adherence to core budget and accountability requirements, strengthen functioning of LG processes, systems and incentive attainments of service delivery results. 

While the recent LG Health Sector Guidelines and the attendant budget allocation formula are a step in the right direction, Civil Society has made a critical analysis of the same and come up with recommendations for the guidelines to be more robust and effective. 

GENERAL RECOMMENDATIONS

  • Where Private not for Profit Health Facilities (PNFPs) exist and there is no Government Health facility, they should be treated equally (Allocated the same amount of money/funds as that of a government health facility). In addition PNFPs should provide services at subsidized prices (capping of costs of services fess/ performance bonds).

  • During reporting by LGs, focus should be put on the patients’ Area of residence to capture the catchment popula-tion of those health Facilities serving more than one district. Non – Sector Actors should be involved in the for-mulation of sector policies and monitoring.

  • Allocation Formula for Health Facilities in Lower local Governments should be developed and used in allocating funds to promote equity within the districts

  • Sensitization of LG office Bearers on how to implement guidelines and reforms and PNFS- that get funds from other sources should provide subsidized services (capping of costs of service fees)/performance bond.

Published: 12th October 2016

CSOS advise government on monthly barazasUganda Debt Network (UDN) participated in a Social Accountability Forum that was organized by World Vision, on 28th September, 2016. This forum brought various actors from Government, Donors, Media, CSOs and Private Sectors together with an aim of creating a platform for sharing experiences, stories of change, and to build synergies between Government Accountability Mechanism and Social Accountability efforts by Non State Actors. 

UDN shared her Social Accountability approach called Community Based Monitoring and Evaluation system (CBMES) that aims at stimulating community interest to take charge of their own development process and increase citizen voices. UDN has continued to strengthen her partners and allies to articulate and influence policies at local and national level. The efforts have yielded an effective interface between policy-makers and the communities in promotion of public accountability and improved service delivery.

Published: 12th October 2016

By Christine Byiringiro

Education and health play a pivotal role in producing a quality human resource for any given country, which in turn accelerates the country’s socio-economic development. Uganda’s efforts over the years to invest in the two sectors cannot go unappreciated. The development of primary education in low-income countries, contributes the most to national income growth according to a January 2015 publication of the United Nations Children’s Fund (UNICEF) titled “The investment case for education and equity”. The report notes that 10 additional percentage points in the primary enrolment rate is associated with an increase of between 0.2 and 0.3 percentage points in GDP per capita annual income growth (in real terms). As a result of the income effects of education, poverty rates decline with each level of education, particularly for primary education. 
Uganda’s growth facilitating a society of the haves and have-nots

Article 29 of The Convention on the Rights of the Child, to which Uganda is party, is emphatic on an education directed to developing the child's abilities to their fullest potential and preparing them for responsible life. The State’s Constitutional obligation to provide access to education for its citizens is clear under Articles 30 and 34(2). The Education Act, 2008 interprets basic education to mean the minimum educational package of learning made available to each citizen through phases of formal primary education and non-formal education system to enable them become useful persons in society.