Kiryandongo District REPORT
June 2013
Medicines and Health Service Delivery Monitoring Unit (MHSDMU)
Plot 21 Naguru Hill Drive
P.O Box 25497
Kampala
Tel: 0414-288442, 0414-288445, 0800100447 (Toll free)

MHSDMU is a department set up by a presidential
instrument to monitor health service delivery in
Uganda

The department is apolitical

Does not override the functions of MoH, which has
the constitution mandate to oversee health activities
in the country
•
The main objective is to raise the bar in health service
delivery
•
Other specific objectives include to assess health service
delivery in health facilities
•
To identify and rectify any forms of healthcare
malpractice, poor administration and mismanagement.
•
To find out possible immediate and long term solutions
together with partners (stakeholders)

MTraC – free sms to 8200

Public complaints

MOH

Toll free line - 0800100447

Partners e.g ISO, Police

Politicians e.g LCs

Whistle blowers e.g health workers

Motivation: Prompted by the several mTrac
reports of negligence, absenteeism, extortion
especially at the district hospital

Timing: Performed between 4th – 14th Jun 2013

On-spot unannounced visits to all public health
facilities in the district

Human resource

Infrastructure and equipment

Finance and administration

Medical supplies

Medical services delivery

Laboratory, infection and vector control

Kiryandongo district
Hospital

Kigumba HCIII

Panyadol HCIII








Mutunda HCIII

Masindi port HCIII

Diima HCIII,




Nyakadoti HCII
Yabweng HCII
Kiroko HCII
Karuma HCII
Kaduku HCII
Diika HCII
Kitwara HCII
Teecwa HCII
Kicwabugingo HCII
Apodorwa HCII
Mpumwe HCII
Facility


All facilities
found to
have less
than the
recommend
ed number
of staff.
Hospital
most
adversely
affected
Staff found
on duty
Positions
filled
Recommende
d by MoH
Kiryandongo
Hosptial
79
93
190
Kigumba HCIII
07
13
19
Diima HCIII
11
15
19
Mutunda HCIII
06
12
19
Panyadoli HCIII
05
09
19
Masindi Port HCIII
04
08
19
Kaduku HCII
04
04
09
Kitwara HCII
03
04
09
Tecwaa HCII
03
04
09
Nyankadoti HCII
05
05
09
Diika HCII
04
05
09
Kicwabugingo HCII
01
04
09
Karuma HCII
04
04
09
Yabwengi HCII
04
04
09
Mpumwe HCII
03
04
09

Lower health centres
better managed
compared to facilities of
a higher level.
No financial audit queries found at Kaduku HCII
Particularly, the district hospital
found to have queries
amounting to UgX 16,136,258.
Symptoms of mismanagement at the district
hospital

Lower level health
facilities were observed
to have better
maintained
infrastructure when
compared to higher
level faclities
Rather Stalled
Unkept - Kigumba
HCIII
Dilapidated District Hospital
Well maintained - Diima HCIII
Shoddy work – Nyakadoti
HCII

Lower level facilities
assessed to have better
accountability for drugs
and other supplies.
Good records keeping at
Diima HCIII


Expired drugs were
evident in almost all
visited facilities
Well-shelved drugs at
Kitwara HCIII
Particularly, wide gaps found within
the drug audits at the district hospital,
no dispensing logs in certain wards
Poor house-keeping at
district hospital main store

Patients appeared to have more
confidence with the services of lower
facilities, especially HCII’s & HCIII’s
Her story – found with
convulsing child at
Kiroko HCII at
11.40am, no health
worker, incharge
went with the
facility’s keys to
Gulu. She was
carried to the
district hospital for
admission.

Health workers at Kitwaara, Masindi Port and
Nyakadoti smartly clad in uniforms. Good
performance starts with being smart at work
In the district hospital however,
doctors were not honoring the duty
roster, which led to loss of lives,
especially on the male, female,
maternity and peadiatric wards.

Generally infection
control measures were
in place
Vermine
•
•
•
•
•
•
•
Health workers that are committed
Health partners in the district: IDI,SURE,
Malaria consortium
RDC & DISO Hoima
Police (DPC, CLO, OC CID)
Tullow
Hoima LG
NMS