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: 

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.