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This document should be read in conjunction with the Grant Overview: Strengthening different approaches for health partnership engagement. Please be as clear and succinct as possible and ensure that any acronyms and technical terms are fully explained. The concept note should be completed and submitted to [email protected]. If you do not receive an acknowledgment from us, please assume that we have not received your application and re-submit.
1. Summary Details Lead UK partner University Hospitals of South Manchester / Health Education
North West
Project title Healthy Uganda Building Capacity (HUBCAP)
Project goal Through the coordination of UK-based organisations and with the oversight and collaboration of the Ugandan Ministry of Health, the Alliance will support the sustained growth and quality improvement of robust systems for healthcare in Uganda.
Please indicate which category of funding you are applying for:
Category A £10,000-£30,000
Category B £30,000-£100,000
√ Category C £100,000-£250,000
Project budget total £250,000 (given the unique arrangement we aim to utilize most of this for capacity building and minimize the administration costs)
Project duration 2 years
Project start date 1 April 2015
Health Partnership Scheme Concept Note: Strengthening different approaches for health partnership engagement
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2. Partnership
2.1 Please provide contact details for all partners involved in this application. If there are more than three partners involved (UK and overseas), please add more boxes as necessary.
Lead UK partner
Project co-ordinator (name and position)
Professor Rajan Madhok , Programme Director (on behalf of Professor Byrne)
Institution
University Hospital of South Manchester NHS Foundation Trust (UHSM)/Health Education North West (HENW)
Department
Global Health Exchange
Address
Room A129, Allerton Building, University of Salford, Salford M6 6PU
Telephone number(s)
07816 957 892
Additional partner
Project co-ordinator (name and position)
Dr. Lukwago Kawuzi Asuman, Permanent Secretary (who will appoint a MOH Commissioner to coordinate)
Institution
The Government of the Republic of Uganda
Department
Ministry of Health
Address
Plot 6/PO Box 7272 Lourdel Road, Nakasero, Kampala
[email protected] His PA is [email protected]
Telephone number(s)
PA +256 772 702 257/702 702 257
Additional partner
Project co-ordinator (name and position)
NOTE: The Alliance is made up of a large number of partners; the full list of names is provided at Appendix A. Additional information can be provided when required
Institution
Department
Address
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Telephone number(s)
3. Justification and Concept
3.1 Describe the Lead UK Partner’s experience of supporting the Health Partnership Community. This should include the practical role you play in supporting the day-to-day activities of Health Partnerships. (Maximum 300 words) The Lead Partner (LP) is the University Hospital of South Manchester (UHSM) NHS Foundation Trust, a 1000 bedded teaching hospital serving the population of South Manchester. In 2007 the UHSM Academy (a unique, multi-professional educational delivery arm of UHSM) guided by THET, established a link with the University and Regional Referral Hospital in Gulu, Uganda, an area recovering from decades of civil war. Since establishment, the link has developed robust and sustainable systems for healthcare capacity building through education and training. In addition, the link has a burgeoning influence on Ugandan healthcare capacity building, with the achievements to date including:
the deployment of over two hundred NHS staff and student volunteers on
short and long term placements in Gulu and surrounding districts
the delivery of a recurrent educational initiatives to staff and students in
Gulu healthcare systems
significantly influencing an increase in retention and reduction in the
attrition and migration of locally trained healthcare staff
working in collaboration with groups from Canada, Italy and USA in helping
to reduce maternal and newborn mortality rates
development of the ‘Acute Illness Management for Africa’ educational
programme (A4A)
the establishment of the Manchester Centre for Global Health Volunteering
the development of a primary trauma course which has been the catalyst for
the Ugandan National Ambulance Service Project.
The experience and sustained activity of the GuluMan link has expanded its National and International influence. In 2013, under the guidance of Lord Crisp and modelled on the Zambia UK Health Alliance (ZUKHA), the Uganda UK Health Alliance was launched. More recently, in partnership with Health Education England and the Higher Education Sector, UHSM Academy has participated in the foundation of the Global Health Exchange (GHE) that aims to promote educational and training exchanges that will help build Human Resource for Health (HRH) capacity globally. (word count: 298)
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3.2 Explain how the relationship between the Lead UK Organisation and the Health Partnerships operates and how wide the scope of its work is. (Maximum 300 words) The four objectives of the UUKHA are to:
1. support the Ugandan Government in implementing the plans to increase and develop its health objectives and systems, and thus contribute towards achieving the health-related Development Goals
2. provide opportunities for learning and development for health workers and institutions in both Uganda and the UK
3. provide a better means of coordinating the contributions of UK organisations working in health, within internationally recognised standards of good practice;
4. encourage professional volunteering in both directions, in particular the development of standard models for different categories of volunteers.
To date the UUKHA has 67 registered UK partners supporting a range of projects between Uganda (countrywide) and UK. This is an increase of 11 since the MOU was agreed and more organisations/individuals who share similar objectives continue to join the alliance. The LP is the body accountable for the programme and works closely with GHE. As the Commissioner, THET will manage the performance of the LP as it delivers the programme through GHE NW. The scope of the work for which the LP will be accountable will cover the all aspects from developing and delivering the programme to resource and performance management and evaluation. The major ‘delivery units’/foundation blocks for the programme will be the UUKHA partners- this proposal is about adding value to their work to make an impact; such alliances are not easy to build or maintain and it will be crucial to ensure that we work closely with all partners. In summary, roles and scope are:
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Full management and governance arrangements are being put in place and will be described as part of full application. (word count: 273)
3.3 Describe the need that this project is trying to address. (Maximum 300 words) This project has been informed by two years of discussions with UUKHA partners and the Ministry of Health staff and is underpinned by the Health Sector Strategic and Investment Plan 2010/11-2014/15 produced by the Ministry of Health, Uganda. This comprehensive Plan has identified not only disease priorities but also the systemic changes needed to address these priorities. The latter includes an emphasis on:
public health, including prevention and health promotion health systems development and management, including governance and human resources for health (HRH)
Given the nature of the call for this application, and taking account of the above plan and the mission of GHE NW, we will aim to prevent duplication, share resources, enable the accurate measurement of impact and block negotiate practical issues e.g. visas, insurance, transport, logistics etc. HUBCAP will operate to the following 4 key principles:
1. Make a difference – to health services and ultimately improve health 2. Be sustainable – beyond this initial two years grant 3. Deliver measureable outputs/outcomes – by focusing on a few ambitious but
deliverable projects 4. Have a system wide impact – not limited to discrete aspects only, thus
avoiding the problems that can occur with ‘vertical’ programmes The programme will ensure appropriate evaluation and learn lessons. In addition, further opportunities and funding will be created during the lifetime of this grant. (word count: 218)
• Delivering programmes with support from partners
• Approves, facilitates
• Admin, coordination and development
• Accountable body
LP:
UHSM/HEE GHE NW
UUKHA Ministry of
Health
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3.4 Explain how this project will increase the quantity or improve the quality of Health Partnership work in order to strengthen the overall effectiveness of the Health Partnership Community. (Maximum 300 words) So far, much of the HPS work has generally involved single institutional pairings, although there are some examples of multi-centre albeit single issue/subject (such as maternal health) based HPS in operation. There are very few examples of the type of alliance proposed here, which involves a large number of disparate partners; to our knowledge there are only three national level alliances. These link the UK with Sierra Leone; Zambia and Uganda. Such national alliances have been created to address concerns about the arrangements which have often been seen as donor-led development, single issue(s) based which can lead to problems such as duplication. UUKHA is set up to address such concerns, and increase both the quantity and quality of education and training available to improve capacity and enable improvements in health system/services . Whilst recognizing the potential value of the UUKHA as a HPS, we have also been mindful that funds are limited; allocated for a limited period and that the needs are great. That is why we have worked closely to mobilise all other stakeholders and leveraged funding to create the GHE NW, which in the short term provides an additional resource and delivery platform and will, in the long term, a sustainable mechanism for continuing the work. The Alliance’s unique diverse partnerships across the UK and with GHE NW, HEE/HENW and the overall Project lead, Professor Byrne, provides an excellent mechanism to:
a) enhance the contribution of the various partners through collaboration and networking
b) increase the effectiveness of members/volunteers and c) create resources – educational/training packages which can be adopted by
others and hence help to spread the benefits. We expect to increase the number of partners (organisations as well as volunteers within each) in the alliance and enhance their effectiveness and ensure more value for money. (word count: 298)
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3.5 Briefly describe what your project will be doing, including the main activities, and what you hope to achieve. (Maximum 300 words) To ensure an impactful and sustainable programme we need to create a strong UUKHA with existing and new members, and all partners need to know what they will get from this arrangement. Below are our broad ideas and which will be expanded on later in the process. Our experience since 2007 and in discussion with our partners, and given the time and fund-limited nature of this grant, we have identified the following main activities in line with the 4 key principles outlined in section 3.3:
1. Enabling networking and promoting collaboration between alliance partners, and also facilitating shared functions – a crucial underpinning activity, helped by support from GHE NW
2. Developing ‘bespoke’ education and training packages to build capacity –3 specific initiatives have been identified which will be relevant to all Alliance partners –
a) public health and health systems strengthening; b) patient safety and innovation especially low cost interventions and (re) introduction of neglected processes and c) leadership development These initiatives are key to ensuring capacity and sustainability. We will develop detailed projects with SMART objectives within each initiative. 3. Delivering these projects through cost-effective and, innovative means – with
advances in IT and educational methods and also through a tiered range of offerings from open online course/s (which once developed have a long shelf life) to advanced Masters level programme.
4. Re health systems strengthening we will explore projects to support ‘rationalisation and tailoring’ of clinical protocols and benchmarking in collaboration with our Ugandan colleagues and the MoH
5. We will explore how to help the existing projects to deepen their impact including securing further grants
6. Develop new projects in line with the needs expressed by the Ministry in Uganda.
Finally, there will be an evaluation of the programme to understand lessons for the future of a successful sustainable Alliance. (word count: 289)
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APPENDIX A:
MEMORANDUM OF UNDERSTANDING
ESTABLISHING THE UGANDA UNITED KINGDOM
HEALTH ALLIANCE
BETWEEN
THE GOVERNMENT OF THE REPUBLIC OF UGANDA
REPRESENTED BY THE MINISTRY OF HEALTH
AND
THE UNIVERSITY HOSPITAL OF SOUTH MANCHESTER
(UHSM) ACADEMY
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THIS MEMORANDUM OF UNDERSTANDING is made this…15th …day of October
2013, between the GOVERNMENT OF THE REPUBLIC OF UGANDA, represented by
the PERMANENT SECRETARY of the Ministry of Heath, Kampala (referred to as
“MoH”) on the one part
and
THE UNIVERSITY HOSPITALOF SOUTH MANCHESTER (UHSM) ACADEMY,
represented by PROFESSOR G. J. BYRNE.
PREAMBLE
Recognising the mutual interest of Uganda and the United Kingdom in promoting co-
operation and interaction in healthcare between our two countries; inspired by our
common principles and complementary objectives; and wishing to extend the existing
professional, non-Governmental and Governmental contacts between the UK and the
Ugandan healthcare systems; WE THE UNDERSIGNED have agreed to establish a
network on the terms and conditions set out in the Articles.
Article I – NAME
The name of this network will be the Uganda UK Health Alliance, referred to in this
document as “the Alliance”.
Article II – PURPOSE
The Alliance will be an informal group of Health orientated Organisations incorporated
and/or Registered in Uganda and/or UK working together to:
1. Support the Ugandan Government to implement its plans to increase and
develop its health objectives and systems, and to contribute towards achieving the
health-related Development Goals;
2. Provide opportunities for learning and development for health workers and
institutions in both Uganda and the UK;
3. Provide a means of better coordinating UK organisations’ contribution to joint
working in health, within internationally recognised standards of good practice;
4. Encourage professional volunteering in both directions, in particular the
development of standard models for different categories of volunteers.
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Article III – MEMBERSHIP AND ASSOCIATE STATUS
1. Membership is limited to Uganda-based and UK-based organisations involved or
wishing to be involved in international health work initiatives in Uganda.
Associate membership refers to organisations based elsewhere who may join the
mailing list as associates and receive communications from the Alliance. Membership
and associate membership are free. Eligible organisations must apply for membership
by registering via the website that will be operated by the Alliance.
2. The Alliance admits Uganda and UK based organisations of any type (public, private,
NGO, professional network, faith-based, or secular).
3. Members agree to share information and expertise with other members, associates,
and others working or wanting to work in Global Health in Uganda, through the publicly
accessible website, attendance at events whenever possible, and other contacts.
Members are expected to comply with the following standards of best practice:
a) Activities, including new initiatives, should be consistent with the aims, plans and
priorities of the Ugandan Ministry of Health and regional or local health
authorities.
b) Activities in Uganda should be led by Ugandans; this should include agreement
on introducing and evaluating new or innovative practice.
c) Activities should focus, whenever possible, on developing expertise and
strengthening Health systems in Uganda; this should lead to an exit strategy
when Ugandan capacity is adequately developed.
d) The development of individuals or health services should be designed to improve
quality and access to services, with particular reference to the poorest people
and rural communities.
e) All clinical and educational participants should be registered, licensed and/or
validated by the relevant bodies in the UK and Uganda and individuals involved
should act in accordance with their professional code of practice.
f) Evaluation should be undertaken with lessons learned applied in both Uganda
and the UK.
g) Activities should deliver value for money when compared with other potential
support for the Ugandan Health System.
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4. Organisations which do not live up to these commitments may be disbarred and/or
removed from membership by decision of the joint Secretariat, whose decision will be
binding and not subject to appeal.
5. Any member of the Alliance can withdraw their membership by cancelling their
website registration or written notification to the Secretariat requesting deletion from the
mailing list.
Article IV – OFFICERS and Governance Structures
The Alliance will be governed as follows:
Co-Chairs of the Alliance are (1) LORD NIGEL CRISP (deputized by Professor Ged
Byrne) on behalf of UK members and (2) Dr. LUKWAGO KAWUZI ASUMAN (deputized
by Dr. GEORGE MUKONE MUDANGA) on behalf of the Ugandan Government
The Alliance will consist of an executive/ operational group (Secretariat) and a non-
executive/ steering group (strategy).
The UUKHA steering group
The steering group chaired by The Alliance co-chairs will consist of representatives of
Ugandan and UK collaborators to ensure
Robust governance and accountability of the Alliance as whole
An appropriate and agreed strategic direction
The Steering group will meet regularly, will have an agreed Terms of Reference and
produce and publish an annual report.
The UUKUA operational team/ secretariat
The Secretariat will be responsible for the delivery of UUKHA strategy. Led initially by a
Chief Executive Officer (Currently Maura Buchanan). The appointment of a full time
project manager and administrative staff based in both the UK and Kampala is
anticipated.
The operational team will be accountable via the Chief Executive Office to the Steering
Group.
Active members and associates may be invited to undertake in-depth expert
assessments that would help design and deliver programmes for the Alliance.
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Article V – OPERATIONS/PROGRAMMES
Section 1. Selection of programmes to be promoted and supported
The Alliance is not a grant-giving body but it would aim, when possible, to help promote
and support programmes that fulfill the relevant criteria.
Section 2 Volunteerism
The Alliance through a separate clear framework of the new Uganda UK Health
Alliance will encourage and facilitate professionals – from both countries –
offering their services without charge or additional salary except recovery of
costs incurred during mobilisation of such volunteers. General principles and
possible standard models for volunteering that will guide the operations of the
Alliance will be drawn and agreed between the two parties. The Alliance will aim
to encourage and facilitate professionals – from both countries – offering their
services without charge or additional salary. A clear volunteer framework will be
established which will clarify to volunteers, their employers/services, host
organisations, international donors, and official bodies:
Services required and skills/ services available to the Alliance
Volunteer accountability and professional standards
Volunteer induction and reporting/ line management
Links to other large volunteer organisations
Costs
o Air fares o Home country costs (e.g. medical) o In-country costs: accommodation, local travel, daily living o Communication – will there be internet access o Medical insurance/emergency o Visas: will visa fees be waived for volunteers?
Standards expected for evaluation of volunteer activity
`
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Section 3. Events
The Alliance will co-ordinate yearly Uganda Day events, which should alternate between
Uganda and UK, where active members and those interested in working in Uganda or
UK will be able to share ideas, experiences and skills and can plan future work together.
Article VI – FINANCES
The Alliance will finance the activities it engages in e.g. meetings, the website, officers,
publicity, scoping need and defining potential programmes and their funding by both
parties jointly agreeing to apply for grants to grant giving bodies. During the start up
period of the Alliance, it is recognized that the operationalization costs (appointment and
employment of operational team, housing and administrative costs) will be borne by the
UK. Over time, the Alliance is expected to reduce the costs of volunteerism and improve
value for money for all participating member organisations thus the Alliance will rely on
‘top slicing’ these savings for sustainability. It is anticipated that the Alliance will become
self-sustaining within 5 years.
Article VII – AMENDMENTS
Amendments of the constitution may be proposed in writing by any member of the
Alliance and will be considered by the co-Chairpersons of the Alliance and
communicated through the Alliance Newsletter. Proposed amendments will become
effective following approval by 50% of active members.
Article VIII
Founding Members as of February 2013 are listed in annex 1 & 2
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SIGNING
The undersigned, being the duly authorised representatives of the two parties, have signed
this Memorandum on the day and year first written above.
SIGNATORIES TO THE MOU ARE
PROFESSOR G J BYRNE _____________ _____________ Director of Academy Signature Date Dr. LUKWAGO KAWUZI ASUMAN _____________ _____________ Permanent Secretary Signature Date In the presence of ____________________________ _____________ ____________ Signature Date In the presence of ____________________________ _____________ _____________ Signature Date
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ANNEX 1: Uganda Alliance Founder Members
NAME OF ORGANISATION 1 Makerere University College of Health Sciences 2 Mbarara University 3 Gulu University 4 Mulago National Referral Hospital 5 Butabika National Referral Hospital 6 Mbale Regional Referral Hospital 7 Arua Regional Referral Hospital 8 Fort Portal Regional Referral Hospital 9 Gulu Regional Referral Hospital 10 Mengo Hospital 11 International Hospital Kampala 12 Para Medical schools Mulago 13 Mulago school of nursing and Midwifery 14 Uganda Protestant Bureau 15 The AIDS Support Organisation 16 Mild May Uganda 17 Quality Chemicals Ltd 18 Ebenezer Laboratories Ltd 19 Uganda Police Health Services 20 Uganda Peoples Defence Forces Medical Services 21 St. John Ambulance Uganda 22 Injury Control Centre Uganda 23 Uganda Red Cross 24 Health Counterpart International
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ANNEX 2: United Kingdom Alliance Founder Members
Organisation
1 AIM CITY CONSULTANCY
2 AMREF UK
3 ASSOCIATION OF ANAESTHETISTS
4 BUTABIKA -EAST LONDON NHS FOUNDATION TRUST
5 C3 COLLABORATING FOR HEALTH
6 CHESTER- KISIIZI LINK
7 CHESHIRE AND WIRRAL PARTNERSHIP NHS FOUNDATION TRUST
8 DOCTORS FOR AFRICA
9 EAST AFRICA HEALTH FORUM (EAHF)
10 EDUCATORS INTERNATIONAL
11 GLOBAL HEALTH INFORMATION NETWORK
12 HELP 4 HURTING CHILDREN
13 KISIIZI PARTNERS
14 LINK INTERNATIONAL INNOVATION
15 LIVERPOOL WOMEN’S HOSPITAL
16 FACULTY OF HEALTH AND SOCIAL CARE, LONDON SOUTHBANK UNI.
17 MALARIA CONSORTIUM
18 MANCHESTER ACADEMIC HEALTH SCIENCE CENTRE
19 MANAGEMENT ORG SOLUTIONS
20 NORTH WEST AMBULANCE SERVICE (NWAS)
21 PARTNERSHIPS FOR HEALTH INFORMATION
22 PEOPLES OPEN ACCESS EDUCATION INITIATIVE
23 ROYAL COLLEGE OF PAEDIATRICS AND CHILD HEALTH (RCPCH)
24 ROYAL BERKSHIRE NHS TRUST
25 SHEFFIELD GULU MENTAL HEALTH PARTNERSHIP
26 SIGHTSAVERS
27 TROPICAL HEALTH EDUCATION TRUST (THET)
28 UGANDA DIASPORA HEALTH
29 UNIVERSITY HOSPITAL OF SOUTH MANCHESTER ACADEMY
30 UNIVERSITY OF CAMBRIDGE INSTITUTE OF PUBLIC HEALTH
31 VSO
32 WALTON CENTRE FOR NEUROLOGY & NEUROSURGERY NHS FOUNDATION TRUST
33 34 35 36 37 38 39 40
