Uganda - Improvement of Health Services Delivery at Mulago Hospital and in the City of Kampala Project

Project Summary

Approval Date	06 Jul 2011
Signature Date	11 Jan 2012
Planned Completion Date	30 Jun 2020
Last Disbursement Planned Date	31 Dec 2019
Sovereign / Non-Sovereign	Sovereign
Sector	Social
DAC Sector Code	12110
Environmental Category	2
Commitment	U.A 56,000,000
Status	Completion

Project General Description

The Improvement of Health Services Delivery at Mulago Hospital and in the City of Kampala Project is designed to redirect the high demand for basic health care that currently congests services delivery at Mulago Hospital – the national tertiary care facility for medical services by supporting the establishment of two new secondary health care facilities and a referral system. It aims to increase access to quality and affordable health care services for the population of the Kampala metropolitan area. The Project is centered on three broad strategic outcomes namely: Capacity Development and System Strengthening; Revitalized Referral and Counter-referral System; and Expanded & Improved Health Services in Kampala City. It will be implemented over a four-year period starting January 2012; at a cost of UA 56 million (approximately US$ 88 million).

Project Objectives

The Principal Objective of this project is to improve access to quality and affordable Health care services for the population of the Kampala Metropolitan Area. The project will contribute to supporting the Health Sector Strategic and Investment Plan (HSSIP) thus contributing to reduction of morbidity and mortality from the major causes of the disease burden in the country.

Beneficiaries

The project is expected to benefit the entire national population estimated at 31.8 million since Mulago Hospital is the main National Referral and Teaching Hospital. Immediate project beneficiaries are estimated at 3 million people (9.4% of the national population), the majority being women and children under 15 years.

Participating Organization

Implementing

Ministry of Health

Extending

Government Of Uganda

Funding

Nigerian Trust Fund

Funding

African Development Fund

Information

IATI identifier	46002-P-UG-IB0-006
Last Update	22 Mar 2023

Export

Contact Details

Name	Peter Lawrence OGWANG
Email	p.ogwang@afdb.org

Geographic Location

Country	Uganda

Coordinates	Location Name
0.3775 32.5567	Kawempe
0.3392 32.5762	Mulago Hospital
0.284444 32.5917	Makindye
0.33791 32.577	Makerere University School of Public Health

Project Classification

Finance Type	Aid Loan Excluding Debt Reorganisation
Flow Type	ODA
Aid Type	Project Type Interventions

Commitments

U.A 56,000,000

African Development Fund

U.A 46,000,000

Government Of Uganda

U.A 5,000,000

Nigerian Trust Fund

U.A 10,000,000

Disbursements

Repayments (Interest & Loan)

Document Type	Language	Document
Appraisal report	en	UGANDA - Improvement of Health services delivery- eng
Contract	en	Listing of Awarded Contracts from 01 January 2000 to 16 April 2014
Contract	en	LISTING OF AWARDED CONTRACTS FROM 2012 TO 2017 AS AT OCT 2017
Contract	en	listing of awarded contracts from 2014 to 2019 as at october 2019
Contract	en	listing of awarded contracts from 2014 to 2019 as at january 2020
Contract	en	LISTING OF AWARDED CONTRACTS FROM 2013 TO 2018 AS AT SEPT 2018
Contract	en	LISTING OF AWARDED CONTRACTS FROM 2012 TO 2017 AS AT MAY 2017-1-1
Contract	en	LISTING OF AWARDED CONTRACTS FROM 2013 TO 2018 AS AT JAN 2019
Contract	en	Listing of Awarded Contracts from 01 January 2000 to 4 May 2015 - Eng
Contract	en	LISTING OF AWARDED CONTRACTS FROM 2013 TO 2018 AS AT APRIL 2019
Contract	en	LISTING OF AWARDED CONTRACTS FROM 2011 TO 2016 AS AT JANUARY 2017
Contract	en	listing of awarded contracts from 2015 to 2020 as at february 2021
Environmental Study	en	Uganda MulagoKawempeKiruddu Hospitals ESMP Summary May 20 2011 (2)
Evaluation Report	en	viewer
Evaluation Report	en	PN10896 SR EN
Evaluation Report	en	viewer
Evaluation Report	fr	viewer
Expression of interest	en	Uganda - Improvement of Health Services Delivery at Mulago National Referral Hospital and the City of Kampala Project - EOI
Expression of interest	en	Uganda - The improvement of Health services delivery at Mulago National Referral Hospital and the City of Kampala project - EOI
Expression of interest	en	EOI - Uganda - Consultancy Services - definition of requirements and supervision of the development - 11 2015
Expression of interest	en	EOI – Uganda - Consultancy Services for the Development of a Referral and Counter Referral System and Establishment of an Ambulance Service System in the Kampala Metropolitan Area – 01 2015
General Procurement Notice	en	GPNUgandaHealth 10-11
Invitation for Bids	en	AOI - Uganda - Improvement of health services delivery at Mulago hospital and the city of Kampala Project – MKCCAP – 08 2015
Invitation for Bids	en	IFB – Uganda - Improvement of health services delivery at Mulago hospital and the city of Kampala project MKCCAP – 02 2015
Invitation for Bids	en	AOI – Uganda - Improvement of health services delivery at Mulago hospital and the city of Kampala project MKCCAP – 06 2015
Project Completion Report	en	PR10992 SR EN
Project Completion Report	en	viewer

Indicator	Indicator Measure	Target Year	Target Value	Actual Year	Actual Value
Patients satisfied with the services provided	%	2011	70.0	2019	52.0
Revised HR performance management system rolled out to Hospitals	%	2011	80.0	2019	100.0
New ICT based management systems operational	None	2011	By 2016/17	2019	Under development
New Referral systems adopted and operational	None	2011	By 2016/17	2019	Referral system developed
Percentage of referral cases to Mulago Hospital	%	2011	30.0	2019	N/A
Skilled birth attendants	%	2011	74.0	2019	65.0
Management and leadership framework	None	2011	In use by 2016/17	2019	In use by 2016/17
Senior and middle managers trained	Number	2011	150.0	2019	168.0
Senior and middle managers trained -of which women	Number	2011	52.0	2019	85.0
ICT based financial and accounting system operational	None	2011	In all 3 hospitals by 2016/17	2019	Under development
Hospital staff trained and effectively implementing the maintenance system	Number	2011	50.0	2019	40.0
Hospital staff trained and effectively implementing the maintenance system of which women	Number	2011	5.0	2019	23.0
Number of students, teaching staff and researchers and utilizing the HIRC	Number	2011	800.0	2019	N/A
Number of students, teaching staff and researchers and utilizing the HIRC - of which women	Number	2011	400.0	2019	N/A
No.of hospital clinical services professionals trained	Number	2011	400.0	2019	1758.0
Number of hospital clinical services professionals trained -of which women	Number	2011	200.0	2019	1143.0
Percent of hospital staff trained	%	2011	80.0	2019	90.0
Percent of hospital staff trained - of which women	%	2011	10.0	2019	50.0
Clinical protocols and operation guidelines on care management and referral system developed and implemented	None	2011	Effective by beginning 2016/17	2019	Guideline and protocols developed and 9 ambulances procured
PPP Structured Management Contract for Kampala Ambulance Service signed	None	2011	Effective by mid-2016/17	2019	Restructured
Spatial areas services rehabilitated (in Sqm)	m2	2011	96000.0	2019	96000.0
Availability of clinical services in General Hospital in Kampala (Kawempe and Kiruddu)	Number	2011	2.0	2019	2.0
Proportion of approved positions filled by trained health professionals	%	2011	75.0	2019	N/A
Proportion of approved positions filled by trained health professionals - of which women	%	2011	50.0	2019	N/A