This Report explores the integral links between environmental sustainability and equity and shows that these are critical to expanding human freedoms for people today and in generations to come. The point of departure is that the remarkable progress in human development over recent decades that the Human Development
Report has documented cannot continue without bold global steps to reduce environmental risks and inequality. We identify pathways for people, communities, countries and the international community to promote environmental sustainability and equity in mutually reinforcing ways.
This report breaks new ground in applying a human development approach to the study of migration. It discusses who migrants are, where they come from and go to, and why they move. It looks at the multiple impacts of migration for all who are affected by it—not just those who move, but also those who stay.
Human progress is neither automatic nor inevitable. We are faced now with the fact that tomorrow is today. We are confronted with the fierce urgency of now. In this unfolding conundrum of life and history there is such a thing as being too late…We may cry out desperately for time to pause in her passage, but time is deaf to every plea and rushes on. Over the bleached bones and jumbled residues of numerous civilizations are written the pathetic words: Too late.”
Investment in health systems so that they are able to extend coverage of health services to the world’s poor populations is increasingly recognized as an important contributor to saving lives, reducing poverty, spurring economic development and promoting global security (Commission on Macroeconomics and Health, 2001). The effective and equitable provision of essential health services depends to a large degree on the availability, competence, regulation, motivation and distribution of human resources for health (HRH), which represent the largest single use of public spending on health in developing
countries.
Uganda like many of the developing countries is faced by a number of human resource challenges. An analysis of the Human Resources for Health (HRH) situation reveals a crisis in the country characterized by a critical shortage of health workers with nearly 50% of the districts operating below 50% of the approved staffing establishment. According to the WHO recommended levels of 1:439 a health worker per population ratio, Uganda is three times below the standard at 1:1818 (HRH Strategic plan 2015/2020). The HRH Strategic plan 2015/2020 reports that scarce HRH is further constrained by gross mal distribution with about 71% of the doctors and 41% of the nurses and midwives located in the urban areas where only 13% of the population lives. Staff productivity is low, in most of the health facilities health workers come late and leave early: absenteeism rates range between 47 and 50%.
The National Health Policy and HSSIP Goal is “to attain a good standard of health for all people in Uganda in order to promote healthy and productive lives”. In line with this goal one of the key priorities of the NHP is to address the human resource crisis and re-define the institutional framework for training health workers, including the mandate of all actors, and strengthen leadership and coordination mechanisms to improve the quantity and quality of health workers. The objectives of the HSSIP are to scale up critical interventions; improve equity and access to health services; accelerate quality and safety improvements in health services; improve efficiency and effectiveness in the management of health services; and deepen MOH stewardship of the health agenda.
This is a Human Resources for Health Report which is an analysis of the data provided by the Ministry of Health of the Republic of Uganda with funding and technical support from the USAID funded Uganda Capacity program (UCP) covering the period April to September 2012. The Ministry of Health recognizes the invaluable contribution of UCP in providing both technical and financial support for HRH interventions. Thanks to UMDPC, UNMC, AHPC and PCU for useful data that is updated from time to time and for embracing HRIS that provides updated data on human resources in Uganda.
This Human Resources for Health Bi Annual Report provides critical HRH information captured between March 2013 – June 2013. The report would not have been possible without the timely submission of the required data by different government officers in the public service. Special appreciation is extended to all Chief Administrative Officers and their teams composed of District Directors
of Health Services, Principle Personnel Officers, Secretaries of District Service Commissions, biostatisticians and HMIS focal persons as well as Directors of Regional Referral Hospitals and their teams who provided timely data used to compile this report. This was done amidst a number of challenges including a busy schedule finalizing the financial year and rampant internet interruptions.
Your cooperation and commitment in this regard is much appreciated
These guidelines are issued by the Ministry of Health to Local Governments to provide them with information that is used during budgeting and implementation.
The Human Capital Development Programme budget for FY 2021/22 including external financing is Ug shs 7,459.17 billion (bn), of which Ug shs 4,150.25bn (55.6%) was released and Ug shs 3,125.01bn (75.2%) expended by 31st December 2021. Overall release and absorption was good at 75.2% however at sub-programme level, absorption rates varied with the Education, Sports and Skills sub-programme having the highest absorption (93.2%), while the Population, Health and Safety had the least absorption rate (60.7%).
The National Health Accounts (NHA) survey in Uganda dates back to early 2000s and this report that covers a period from FY 2016/17 to FY 2018/19, is the eighth round of NHA for this country and records health expenditure in Uganda using the 2011 edition of System of Health Accounts (SHA-2011).
The current methodology SHA-2011 focuses on the key areas of healthcare expenditure and therefore aims at answering the key policy questions that include how much is spent on healthcare in the country? Who pays for healthcare? Who manages the resources? How are these resources pooled? Who provides which healthcare services? What are the inputs for these services? And who actually benefits from these services provided.
The overall purpose of the NHA study initiative is to reduce health inequalities affecting the poorest populations in the region by focusing on supply and demand-side interventions, particularly changes in policy, new interventions, the expansion of proven and cost-effective healthcare packages, and the delivery of incentives for effective health services
