Uganda's Health Policy
Uganda's Health Policy
GROUP 1 AND 2
NAME REGISTRATION NUMBER
WAISWA KOSSAMU 2021-B452-20009
MUGAYA FREDRICK 2021-B452-20010
WAAKO BENARD 2021-B452-21104
MUSEMBYA BENARD 2021-B452-21111
OROMA GEOFREY 2021-B452-20007
NAKATO GRACE 2021-B452-20015
MUGABO KIIZA 2021-B452-20008
FELICITY KEMUNTO 2021-B452-21299
HILLARY YUKUNI 2021-B452-20014
AYISE MARY 2021-B452-20794
KIHUNDE PROSSY 2021-B452-21164
N/S NAME REG NUMBER
1
ALLAN MBONYE 2021-B452-20658
2
AGNES NAMUTEBI 2021-B452-20801
3
BRIAN SSEMWOGERERE 2021-B452-20019
4
MARION ARINDA 2021-B452-20017
5
MARTIN KIBUUKA 2021-B452-20023
6
NICHOLAS MUTAGUBYA 2021-B452-20024
7
PAUL WACHA 2021-B452-20025
8
RICHARD BATA 2021-B452-20022
9
SEMU ISABIRYE 2021-B452-20021
10
PONSIANO KATENDE 2021-B452-21018
11
GRAHAM GUM 2021-B452-21021
INTRODUCTION
Definitions
Health Policy:
Decisions, plans, and actions undertaken to achieve specific health-related goals within a society.
Policy Analysis:
The process of evaluating and assessing potential policies to determine their effectiveness and
implications.
Policy Implementation:
The translation of a policy into action, involving the execution of programs, laws, or initiatives.
Policy Evaluation:
The assessment of a policy's impact and outcomes to determine its success or failure.
Stakeholders:
Rules and directives established by government agencies to enforce laws and ensure
compliance.
Public Administration:
The process of supporting or promoting a particular policy or cause, often through public
campaigns or lobbying.
Public Goods:
services that are non-excludable and non-rivalrous, meaning they are available to everyone
and one person's use does not diminish their availability for others.
Policy Brief:
A concise document that presents information and analysis to inform policymakers about a
specific issue or proposal.
Public Policy:
Decisions and actions by a government to address societal issues and achieve specific goals.
POLICY LEGAL FRAMEWORK
The 1995 Constitution of the Republic of Uganda provides for all people in
Uganda to enjoy equal rights and opportunities, to have access to health services,
clean and safe water and education, among many other things.
The Public Health Act Cap 281 was enacted in 1935 with the main objective of
ensuring protection of Public Health in Uganda.
The Local Government Act 1997 (sec 97) provides for the role of line ministries
as monitoring, supervision and coordination of Government initiatives, policies
and projects as well as provision of technical assistance to Local Governments
(LGs).
POLICY LEGAL FRAMEWORK
The primary aim of the National Health Policy is to inform, clarify, strengthen and
prioritize the role of Government in shaping the Ugandan Health system in all its
dimensions including organization of Healthcare services, strengthening regulation and
health assurance, prevention of diseases.
It mandates MoH to organize and plan, manage the health system, monitor and evaluate
provision of health services, carryout health research and initiate health legislation.
POLICY MANDATE
The mandate of the MoH is to initiate policy formulation, coordinate overall health sector activities and
bring together stakeholders at the national, sub-national and community level for delivery of quality
health services.
In terms of development and maintenance of the National Health System, the MoH is responsible for:
e) Infrastructure development
The key oversight functions of the health sector will be managed through the Minister
and the Ministers of State. Duties of these have been defined by Government.
The Permanent Secretary coordinates resources for effective management of Health
Funds. The work of the Permanent Secretary will be supported through the following
units:
a) Administration
b) Internal Audit
d) Procurement.
Cont’d
The Permanent Secretary will work through the Office of the Director General Health Services (DGHS) for guiding
technical direction.
The DGHS coordinates technical functions for delivery of Health. The work of the DGHS will be coordinated
through the four directorates:
The MoH headquarters was restructured in June 2016 and now comprises 4 Directorates namely; Strategy, policy
and development; Public Health; Curative Services; and Health Governance and Regulation and there are 20
departments headed by Commissioner under these directorates.
THE NATIONAL LEGAL AND POLICY
Investing in the promotion of people’s health and nutrition ensures that they remain productive and
The Government of Uganda (GoU) recognizes this obligation to provide basic health services to its
Uganda Vision 2040 identifies human capital development as one of the fundamentals that need to be
strengthened to accelerate the country’s transformation and harnessing the demographic dividend.
The NDP III places emphasis on these fundamental human rights, and human capital development is
one of the program areas with focus on increasing the stock of a skilled and healthy workforce towards
the production of human capital to accelerate the realization of the demographic dividend.
Cont’d
The ultimate aim is to ensure that Uganda achieves its Vision 2040 aspirations, the NDP III targets and the
health-related SDG targets by 2030.
The 3Rd NHP goal is to “Increase household income and improve quality of life through increasing
productivity, inclusiveness and well-being of the population Regional and International instruments,
conventions, protocols and agreements
The MoH endeavours to comply with a number of regional and international instruments, conventions
protocols and agreements.These include;
The purpose of this plan is to provide strategic direction and goal of the MoH over the next
Five-Year period 2020 /21 – 2024/25, as well as guide on the priority investment areas and
expected results
PROCESS OF DEVELOPMENT OF THE POLICY
❖ The development of this MoH SP was guided by the National Planning Authority (NPA) Sector Development
❖ A core writing team was set up under the MoH Department of Planning, Financing and Policy chaired by the
❖ A review of existing national policies, plans and frameworks was done to inform the plan, and harmonize /
❖ This document is designed to be practical, user-friendly and to be actively used by MoH management and staff
and related stakeholders, to guide them in their operational/work planning processes over the next five years
Cont’d
❖ These included Vision 2040, the NDP III, NHP II, HSDP, MoH SP 2015/16 – 2019/20,
❖ The draft plan was reviewed by the Health Sector Budget Working Group and circulated
❖ A validation workshop was conducted with different stakeholders for input and
consensus.
❖ The draft was also presented through the institutional review and approval structures i.e
The health sector undertook detailed and exhaustive performance reviews to assess
progress and provide evidence which informs the direction and priorities for the present
strategic plan.
The rapid population growth puts severe strains on the Ugandan health system. In spite
of an overall improvement in the national health indicators over the last five years, they
remain unsatisfactory and disparities continue to exist across the country. At impact
level, Uganda has made good progress in reducing child mortality and increasing life
expectancy. A child born today is expected to live up to 64 years by 2023 compared
with 46 years in 2000.
Uganda has an area of 241,000 km2 and a projected population of 32.2 million. With an
average annual growth rate of 3.2% Uganda’s population is expected to increase to 44
million by 2020 and 46 million in 2021 raising the population density from 164 to 228
CONT….
Such a population increase will place more demands on the health sector. Seventy four
percent of the population lives in rural areas. Economic growth rate has averaged 7% per
annum over the last 5 years.
A Total Fertility Rate (TFR) of 4.69 (2020) birth/woman and a contraceptive prevalence rate
of 30.4% both contribute significantly to the increase in Uganda’s population. Uganda has
made progress in improving the health of its population:
HIV prevalence reduced from 27% to 7% between 2000/01 and 2007/08 and now 5.8%,
7.2% among women and 4.3% among men (UPHIA-2020). Polio and guinea worm were
nearly eradicated and the prevalence of other vaccine preventable diseases has declined
sharply.
The re-emergence of polio and guinea worm cases due to cross border migration remains a
challenge
CONT….
Between 1995 and 2005, under-five mortality rate declined from 156 in 1995 to 137 deaths
per 1,000 live births, now at 42 death per 1000 live births (UDHS 2021). Infant mortality
rate decreased from 85 to 75 deaths now 31 deaths per 1,000 live births 2021; and maternal
mortality rate reduced from 527 to 435 per 100,000 live births between 1995 and 2005 to
336/100,000 in 2016 and now 189/100,000 live births (UBOS-2022).
Underweight prevalence reduced from 23% to 16% over the same period, now at 4%
(Nutrition Profile USAID 2021); stunted growth from 41% to 38.5% and wasting increased
from 4% to 3.5%.
Teenage pregnancy estimated at 25% in 2006 significantly contributes to overall maternal
mortality rate (MMR) in Uganda.
The newborn mortality rate was 33 per 1000 live births in 2000 and decreased to 29 in
2006(Uganda Bureau of Statistics, 2007). Despite improvements, these indices remain high.
CONT….
Seventy five percent of the disease burden in Uganda however is still preventable
through health promotion and disease prevention.
The health of the Ugandan population is central to the socio-economic transformation of the
country. The poor health status of our people undermined the economic benefits of attaining
middle income status of people by 2020 as it was planned. This was due to poor health service
delivery . We know that preventable diseases and health conditions are the major causes of poor
health in Uganda.
Despite this knowledge and the steady progress made in the last two decades, the high levels of
maternal mortality, infant mortality, malnutrition, poor sanitation and hygiene are at
unacceptable levels.
The Uganda health policy mandates MoH to organize , plan and manage the health system,
monitor and evaluate provision of health services, carryout health research and initiate health
legislation
MINISTRY OF HEALTH STRATEGIC POLICY DIRECTION
Government through ministry of health will focus on health services that are
demonstrably cost-effective and have the largest impact on reducing mortality and
morbidity.
The major contributors to the burden of disease at all levels will be given the highest
priority. These include malaria, STI/HIV/AIDS, tuberculosis, Diarrhoea diseases,
acute lower respiratory tract infections, perinatal and maternal conditions attributable
to high fertility and poorly spaced births, vaccine preventable childhood illnesses,
malnutrition, injuries, and physical and mental disability.
The cost-effective interventions, which will be implemented in an integrated manner
to address these priority health problems, will together constitute the Uganda
National Minimum Health Care Package. This package will be reviewed regularly.
MOH STAREGIC POLICY DOCUMENTS
Focus on health services that are demonstrably cost-effective and have the largest impact
on reducing mortality and morbidity which constitute the Uganda National Minimum
Health Care Package
Shift from facility-based to a household-based health delivery system. The main aim is
empowerment of households and communities to take greater control of their health by
promoting healthy practices and lifestyles. This shift will be anchored on preventive over
curative health service delivery approaches.
Improve the nutrition status of the population especially for young children and women of
reproductive age resulting to reduced child stunting, improved maternal health, enhanced
micronutrient intake, and improved nutritional care.
Cont.
policy shifts in the health delivery system from mainly public centered to a public-
Government in partnership with the private sector and other advanced countries will also
focus on building highly specialized health care services. Through specialized training
MISSION
To promote and ensure Universal Health Coverage in Uganda through evidence-based and technically sound
policies, standards and strategies that are client centered.
II. Equity: The country’s health services ensure equal access to the same health services for individuals with the same
or similar health needs.
III. Respect: The country’s health system respects promotive health aspects of cultures and traditions of the people of
Uganda. The health system respects individual identity and autonomy of our partners in line with the professional
code of conduct and national policies.
IV. Professionalism: integrity and ethics Work in the country’s health system is to be performed with the highest level
of professionalism, integrity, honesty, openness and trust as detailed in the ethics guidelines enforced by
professional bodies to which the various actors are affiliated.
V. Professional: Development We value learning, feedback, coaching and mentoring by taking responsibility to gain
the required skills development to meet our clients’ needs.
VI. Transparency and Accountability: MOH ensure a high level of efficiency and effectiveness in the development
and management of the national health system. MOH believe in accountability for their performance, not only to
the political and administrative system, but, above all, to the community
PRINCIPLES
The Ministry of Health guiding principles aim at providing the highest affordable quality services and these include:
i. Effective Leadership :MOH believe that effective leadership should be structured, present and accessible. Leadership
strategy is based on a practice and overall management level support network which provides both personal and team
motivation, direction and accountability.
ii. Teamwork: The health sector is composed of a team from different professions. Therefore, MOH believe in teamwork
to reinforce the services from different disciplines all aiming at improving the overall care-giving experience.
iv. Partnerships Building: more strategic and effective partnership, exploring the interests and priorities of each party and
identifying shared strategic approaches and shared risks, as well as ensuring transparency, mutual accountability and value
money.
vi. Gender-sensitive and Responsive Health Care: A gender-sensitive and responsive national health delivery system
shall be achieved and strengthened through mainstreaming gender in planning and implementation of all health programs.
vii. Human rights approach :The Ministry of Health will ascertain that the rights to access quality health care and health
information are respected by all categories of individuals of the society
SPECIFIC OBJECTIVES
1. To
strengthen health sector governance, management and coordination for Universal Health
Coverage-UHC.
2. To strengthen human resources for health management and development.
3. To increase access to nationally coordinated services for communicable and
noncommunicable disease / conditions prevention and control.
4. To strengthen disease surveillance, epidemic control and disaster preparedness and response
at national and sub-national levels.
5. To ensure availability of quality and safe medicines, vaccines and technologies.
6. To improve functionality and adequacy of health infrastructure and logistics.
7. Accelerate health research, innovation and technology development.
Source;MOH Strategic plan manual 2020/2021-2024/2025 .
POLICY IMPLEMENTATION AND SUSTAINABILITY
These plans shall be linked to the National Development Plan and other planning
frameworks implemented through the development of two five-year Strategic and
Investment plans.
These plans shall be operationalized through the development of integrated annual work
plans developed with input from all stakeholders.
Districts, hospitals and training institutions will develop their annual implementation plans
with input from relevant stakeholders and communities which will feed into the national
integrated work plans.
Districts will be responsible for the development and implementation of their plans with
support from the center
INSTITUTIONAL AND FINANCIAL SUSTAINABILITY OF THE HEALTH POLICY
IN UGANDA
The MoH will advocate for introduction of the following reforms for enhanced institutional and
financial sustainability arrangements.
Reorientation of health services more towards disease prevention and health promotion since
75% of the disease burden is preventable.
Institutionalization of measurement and accountability by all stakeholders to strengthen
health leadership and governance for multisectoral action on addressing the determinants of
health.
Integrated programming and budgeting for effective delivery from fragmented policies,
vertical programmes, budgets and services.
Establishment of a Regional Technical Supervisory and Mentorship Structure.
INSTITUTIONAL SUSTAINABILITY CONT
Establishment of a disaster / Public Health Emergency Response mechanism for the health
sector.
Scholarships and training programs should be targeted to addressing training needs for the
critical cadres in short supply and specialists.
Recentralize some of the critical cadres in the health sector such as specialists, anaesthetists,
hospital managers, DHOs.
FINANCING FRAMEWORK AND STRATEGY
This section presents the financing framework of the plan. It provides the overall
and disaggregated costs of the plan and the strategies for mobilizing the required
financing.
The financing cost was estimated based on the budgetary allocations in the budget
framework papers of the MoH for the past 3 years and annual projections of 15%
The funding sources include GoU medium term expenditure framework and external
Wages
Non-Wage recurrent
Total Recurrent
Total Development
Total Budget.
THE INTERVENTIONS THAT CONSTITUTED THE MAJOR COST DRIVERS OVER THE
PLANNING PERIOD
diseases (Malaria, HIV/AIDS, TB, NTDs, Hepatitis B), epidemic prone diseases
Ensuring adequate HRH at all levels, with special focus on specialized and
Sources of funding:
● Government Revenues
The budgetary allocation to sector on average for the few years has been about 7%
( far below the 15% recommended) of the national budget.While the donor
During the implementation of this plan, GoU with support from HDPs shall
The MoH shall also focus on building the capacity of both finance and non-
finances.
STRATEGIES APPLIED TO REDUCE THE FUNDING GAP IN THE MEDIUM TERM
information systems.
Resource tracking of off budget financing for MoH to ensure there are no
FEEDBACK MECHANISM
The feedback mechanism involves the exchange of information between the sender and the recipient of a
communication. It can be verbal or nonverbal, using text, body language, or facial expressions.
Positive feedback encourages good communication, while negative feedback identifies areas for improvement. Theodora
Stanciu (23/2/2023) provides procedures for informing someone of a need.
Confirmation of understanding without feedback, it’s possible that the sender won’t be aware that their
communication has been misunderstood.
Improves communication
It improves efficiency
Effective healthcare systems, including those aligned with Uganda's health policies, rely on robust policy communication and feedback
mechanisms, which are facilitated by various aspects within the current Uganda health policy as stated below:
COMMUNITY ENGAGEMENT
With feedback sessions and public discussions, programs hope to encourage community engagement in the creation and application of
policies.
Through town hall meetings, seminars, and outreach initiatives, efforts are sought to encourage community involvement and effectively
inform the public about health policy.
To guarantee successful implementation at the local level, teach medical personnel on the specifics of the existing health policy.
Enable medical professionals to act as informational sources for patients and the local population.
MONITORING AND EVALUATION
Establish a comprehensive monitoring and assessment framework to appraise the efficacy of communication
tactics and acquire valuable perspectives from stakeholders.
Utilize assessment and monitoring data to improve communication strategies and deal with new problems.
FEEDBACK MECHANISM
Provide feedback channels so that community members, patients, and healthcare professionals may share their
experiences and offer suggestions for how the policy should be implemented.
To get input from a range of stakeholders, use suggestion boxes, internet platforms, and frequent surveys.
a) Administration,
b) Internal Audit,
d) Procurement.
HEALTH POLICY GOVERNANCE AND ADMINISTRATION
★ The key oversight functions of the health sector will be managed through the Minister and the
a) Administration,
b) Internal Audit,
d) Procurement.