HUMAN RESOURCES FOR HEALTH BI-ANNUAL REPORT

Human Resource Bi-annual Report October 2012

Ministry of Health

HUMAN RESOURCES FOR HEALTH

BI-ANNUAL REPORT

“Improving HRH Evidence for Decision Making”

April 2012 – September 2012

October 2012


i

Contents Acknowledgements ...................................................................................................................................... iii

1. INTRODUCTION ..................................................................................................................................... 1

1.1 The Context ................................................................................................................................... 1

1.2 Health Facility inventory ............................................................................................................... 1

1.3 National level Staffing ......................................................................................................................... 3

1.4 National referral hospitals .................................................................................................................. 4

1.4 Selected Health Professional staff ...................................................................................................... 4

2. PROPORTION OF APPROVED POSITIONS FILLED BY VARIOUS HEALTH PROFESSIONALS BY FACILITY

LEVEL ............................................................................................................................................................. 5

2.1 Health Professional staff by Health Facility level ................................................................................ 5

Table 2.1: Regional Referral Hospitals ...................................................................................................... 5

Table 2.2: District Health officers ......................................................................................................... 6

Table 2.3: General Hospitals ..................................................................................................................... 6

Table 2.4: Health Center IV staffing .................................................................................................... 7

Table 2.5: HCIIIs & HCII staffing ................................................................................................................ 7

3. SELECTED CADRES PER HEALTH FACILITY LEVEL ....................................................................................... 9

3.1 Selected cadres per health facility level ............................................................................................. 9

Table 3.1: Anesthetic Officers .............................................................................................................. 9

Table 3.2: Clinical Officers .................................................................................................................... 9

Table 3.3: Laboratory Assistants ......................................................................................................... 9

Table 3.4: Laboratory Technicians .......................................................................................................... 10

Table 3.5: Midwives ............................................................................................................................. 10

Table 3.6: Nurses ................................................................................................................................. 10

Table 3.7: Dispensers .......................................................................................................................... 11

Table 3.8: Doctors ................................................................................................................................ 11

Table 3.9: Public Health Dental Officers ........................................................................................... 11

Table 3.10: Dental Surgeons .............................................................................................................. 11

Table 3.11: Health Educators ............................................................................................................. 12

Table 3.12: Health Inspectors ............................................................................................................ 12

Table 3.13: Laboratory Technologists ............................................................................................... 12


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Table 3.14: Occupational Therapist .................................................................................................. 12

Table 3.15: Orthopedic Officers ......................................................................................................... 13

Table 3.16: Pharmacists ..................................................................................................................... 13

Table 3.17: Physiotherapist..................................................................................................................... 13

Table 3.18: Medical Radiographers .................................................................................................. 13

3.2 Summary of staffing by cadre in GoU Health Institutions (RRH, GH and Health Centres only) March

2012 ........................................................................................................................................................ 14

3.3 Density of Nurses, midwives, clinical officers, laboratory assistants & doctors ............................... 15

4. Financial implications of filling existing vacancies .................................................................................. 17

5. HRIS UPDATE IN UGANDA AS AT SEPTEMBER 2012 ............................................................................... 19

5.1 Districts with Computerized HRIS ............................................................................................... 19

5.2 Rolling out HRIS to 74 districts .................................................................................................... 20

6. Private –Not-for profit (PNFP) as at March 2011 .................................................................................... 26

7. Assessment of Functionality of the District Service Commissions.......................................................... 26

7.1 Key findings of the assessment ....................................................................................................... 26

Annex 1: SUMMARY OFVACANCIES FOR SELECTED CADRES IN DISTRICTS ................................................ 39


iii

Acknowledgements

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.

We thank the PNFP umbrella organizations – UPMB, UCMB and UMMB for providing the much

needed information concerning the health facilities and HRH working in the PNFP subsector.

We thank the local governments for participating in data collection, analysis and reporting.

Finally, we thank the editorial team Mr. Francis Ntalazi and Mr.Kibwika-Muyinda (MoH), Dr.

Charles Matsiko, Dr. Vincent Oketcho, Dr. Grace Namaganda, Ms Sarah Murungi and Mr.Isaac

Kagimu (UCP) for working long and beyond the call of duty to work out the required numbers for

inclusion in this report. Management recognizes the efforts of both technical and non technical

staff in the health sector both in central and local governments that have given a hand in the

production of this bi-annual report.

Ministry of Health; P.O Box 7272; Kampala.


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1. INTRODUCTION This is Human Resources for Health Bi-annual Report covering the period April 1, 2012 to September 30, 2012. The Health Sector Strategic and Investment Plan (HSSIP) target for human resource investment is to attain a minimum of 75% of the approved staffing norms by 2014. The HSSIP is cognisant of the fact that attaining this target is a challenge. As such, improvements in staff numbers are staggered across the years. This report provides information on the changes in staffing that has taken place during this period.

1.1 The Context

The HRH situation in Uganda continues to be characterized by inadequate number and

necessary skills to effectively respond to the health needs in the country. The critical shortage is

further aggravated by gross mal-distribution of the scarce human resources, low staff

productivity, low staff morale and poor attraction and retention especially in rural and hard to

reach local governments. To further compound the HRH challenges is a complex and

fragmented HRH management systems.

Underlying the current HRH challenges is weak leadership at all levels of the health delivery

system. This manifests as lack of individuals in responsible positions to; provide direction, align

people, mobilize resources to achieve goals and to tackle the severe under-staffing of health

units. The sector has inadequate consistent champions and advocates for HRH as high priority

for resource allocation and support; has weak mechanisms for multi-stakeholder engagement to

ensure that complex HRH issues are resolved at all levels; leadership is not linked to

performance in service delivery, but strong in safeguards for due process and bureaucratic

system and capacity for HRH is inadequate. A deeper analysis of the training of the current

health leaders and managers reveals that their basic training did not cover HR leadership and

management yet they manage the human resource on a daily basis.

1.2 Health Facility inventory Uganda has about 5,229 health facilities owned by Government of Uganda, PNFP and Private

practitioners. All these health facilities have staffing implications. Government is planning to

upgrade most of the health centre II to health centre III level. Table 1.1 shows a summary of the

total health facilities in the country.


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Table 1.1: Health facility inventory

GoU GoU Gou PNFP Private Total

NRH RRH Local Govt

Hospitals 2 14 48 65 23 152

HC IV 170 15 8 193

HC III 937 272 70 1,279

HC II 1,696 522 1,387 3,605

Total

2

14 2,851 874 1,488 5,229

Source: Health Facility inventory, July 2012


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1.3 National level Staffing

At the national level, we did not collect new information during this period. The team working on

the bi-annual re-analyzed the previous data that was available as at March 2012 and did not

find any significant changes apart from the number of health facilities. The analysis is as

presented in table 1.1

Table 1.2: National Level Staffing Summary as at March 2012

No Cost Centre No. of Units

Total Norms Filled Vacant

% Filled

% Vacant

1 Mulago Hospital 1 2,801 2,423 378 87% 13%

2 Butabika Hospital 1 434 384 50 88% 7%

3 Regional Referral Hosp 14 4,331 3,121 1,210 72% 18%

4 General Hospitals 47 7,600 4,751 2,849 63% 37%

5 DHOs Offices 112 1,232 698 534 57% 43%

6 HC IV 166 7,920 4,768 3,152 60% 40%

7 HC III 962 5,634 3,363 2,271 60% 40%

8 HC II 1321 4,905 2,197 2,708 45% 55%

9 Urban Authorities 155 20,216 10,083 10,133 50% 50%

2,779 55,073 31,788 23,285 58%

42%


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1.4 National referral hospitals

Table 1.3: Mulago Hospital as at March 2012

Cadre of staff/Post Norms Filled Vacancy Excess

%

Filled

Executive Director and Deputy 2 2 0 0 100

Medical Consultants 55 40 15 0 73

Medical officers 167 112 55 0 67

Pharmacists and other Pharmacy

Professionals 46 38 8 0 83

Nurses 945 964 0 19 102

Midwives 157 157 0 0 100

Allied Health Professionals 367 403 0 37 110

Administrative staff 562 330 232 0 59

Support Staff 500 377 123 0 75

TOTAL 2801 2423 378 56 86

Table 1.4: Butabika Hospital as at March 2012

Cadre of staff Norms Filled vacant Excess

%

filled

Director 2 2 0 0 100

Medical officers 17 12 5 0 71

Consultants 6 3 3 0 50

Pharmacy 11 11 0 0 100

Nursing 156 149 7 0 96

Allied Health Professionals 35 37 0 2 106

Administrative 32 23 9 0 72

Support Staff 165 156 9 0 95

TOTAL 424 393 33 2 93

1.4 Selected Health Professional staff

This HRH biannual presents data of approved positions filled for a selected number of cadres at each of the health facility levels from Regional Referral Hospitals down to HCIIs. The cadres include: laboratory technicians; nurses; laboratory assistants; clinical officers; midwives; anesthetic officers, dental surgeons; dispensers; doctors; health educators; health inspectors; laboratory technologists; occupational therapist; orthopedic officers; pharmacists; physiotherapists; public health dental officers and radiographer. The results are based on secondary analysis of the 2010 and 2011 biannual reports.


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2. PROPORTION OF APPROVED POSITIONS FILLED BY VARIOUS HEALTH

PROFESSIONALS BY FACILITY LEVEL

2.1 Health Professional staff by Health Facility level

In this section, staffing levels for selected cadres are presented by level starting with the RRHs

up to HCIIs. The section is intended to provide an overall picture of the staffing available in the

country by health facility level.

Table 2.1: Regional Referral Hospitals

13 Regional Referral Hospitals

Cadre Total norm Total filled Vacancies % filled

Orthopedic Officers 182 156 26 86%

PHDOs 126 104 22 83%

Midwives 770 632 138 82%

Nurses 1,386 1,128 258 81%

Dental Surgeons 252 194 58 77%

Occupational Therapist 378 283 95 75%

Physiotherapist 70 51 19 72%

Clinical Officers 336 237 99 71%

Laboratory Assistant 56 39 17 69%

Radiographers 56 39 17 69%

Anesthetic Officer 70 47 23 68%

Laboratory Technicians 42 27 15 64%

Pharmacists 42 25 17 59%

Laboratory Technologists 56 32 24 58%

Dispenser 70 36 34 51%

Doctors 350 173 177 50%

Consultants 224 81 143 36%

From the table above, we note that the key staffing shortage at RRH is among the Medical Consultants, Doctors (Medical Officers special grade and general medical officers), dispensers, laboratory technologists and pharmacists and to lesser extent laboratory technicians.


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Table 2.2: District Health officers

No. Job Title Approved Norm

Total filled Vacancies % filled

1 District Health Officer 112 78 34 70%

2 Assistant DHO (Environ. Health) 112 15 97 13%

3 Assistant DHO (MCH/Nursing) 112 15 97 13%

Total 336 108 228 32%

Overall there is an acute shortage of Assistant DHOs (maternal health and environmental health) with 97 districts lacking at least one of these cadres. In addition, 34 districts do not have a DHO. To full staff the districts with one DHO, one Assistant DHO Maternal Health and one Assistant DHO environmental there would be need to recruit 34 DHOs and 194 ADHOs. The additional wage required to accomplish this would be 5.4 billion shillings. This as illustrated in table 2.3.

Table 2.2 (b): District Health offers

No. Job Title Vacancies Wage required

1 District Health Officer 34 857,383,688

2 Assistant DHO (Environ. Health) 97 2,290,089,895

3 Assistant DHO (MCH/Nursing) 97 2,290,089,895

Total 228 5,437,563,478

Data was analyzed for a total of 47 general hospitals in the country. The filled and vacant positions for professional health workers were isolated. Information from this secondly analysis is summarized in table 2.3 below.

Table 2.3: General Hospitals

General Hospitals

Cadre Total Norm Filled Vacant % filled

Laboratory Assistant 47 47 - 100%


Dental Surgeons 47 38 9 80%

Orthopedic Officers 94 75 19 80%

Health Inspectors 47 33 14 70%

Laboratory Technicians 94 61 33 65%

Public Health Dental Officers 94 56 38 60%

Midwives 1,316 776 541 59%

Dispenser 94 49 45 52%

Physiotherapist 47 24 24 50%

Nurses 3,431 1,684 1,747 49%


Radiographer 94 38 56 40%

Doctors 517 165 353 32%

Laboratory Technologists 94 29 65 31%


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Health Educators 94 28 66 30%

Occupational Therapist 47 14 33 30%

Pharmacist 47 2 47 4%

General hospitals are relatively well staffed with laboratory assistants, clinical officers, dental surgeons and orthopedic officers. On the other hand however the following cadres are in shortage when compared to the staffing norms: Pharmacists, occupational therapists, health educators, laboratory technologists, doctors, radiographers, anesthetic officers, nurses, physiotherapists and midwives. At the HC IV, some cadres such as the laboratory assistants and midwives seem to be present as indicated in table 2.4.

Table 2.4: Health Center IV staffing

HCIV

Cadre Total Norm Filled Vacant % filled

Midwives 664 601 63 91%


Laboratory Technician 166 121 45 73%


Public Heath Dental Officer 166 119 47 72%

Nurses 1,328 849 479 64%

Health Inspectors 332 169 163 51%

Medical Officers 332 117 215 35%

Health Educators 166 52 114 31%


Dispensers 166 35 131 21%

In HCIVs although the proportion of approved norms for midwives is at 90%, workload studies show that the midwives at this level still face high work pressures. The norm for midwives at HCIV is 4 and these are expected to run the maternity ward 24 hours a day and run the busy ANC clinics providing routine ANC, PMTCT and child health services. Workload studies have shown that at least 8 midwives are required at a HCIV level to manage the workload appropriately and for quality health service delivery.

As noted in the table, there is an acute shortage of dispensers, anesthetic officers, health educators, doctors at the HCIVs.

Table 2.5: HCIIIs & HCII staffing

HC 111s


Midwives 1924 1,366 558 71%



Nurses 3848 1606 2241 42%

Lab technician 962 164 798 17%


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HC 11s


Nurses 1,321 911 410 69%

Midwives 1,321 396 925 30%

Like in HCIVs, the staffing for midwives when compared to the norms seems high. However workload studies show that HCIIIs need at least 4 midwives to accomplish the work they experience versus the 2 provided for in the norm. HCIIIs have a shortage of laboratory cadres and nurses as noted on the table above. There is also a shortage of midwives in HCIIs with 70% of the HCIIs having no midwife.


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3. SELECTED CADRES PER HEALTH FACILITY LEVEL

3.1 Selected cadres per health facility level In this section, the staffing levels for selected cadres are presented by cadre across the health facility levels to demonstrate how the cadres are distributed across the health facility levels.

Table 3.1: Anesthetic Officers

Anesthetic Officers

Health Unit Level Total Norm Filled Vacant % filled

Regional Referral Hospitals 70 47 23 68%

General Hospitals 141 62 79 44%

HCIV 166 37 129 22%

Total 377 146 231 39%

Overall staffing level for anesthetic officers is 39%. The distribution is as has been reported in other HRH studies where the RRHs have the highest proportion of filled positions and the HCIVs having the least. There are 231 vacancies for anesthetic officers (HCIV 129, general hospitals 79 and RRHs 23)

Table 3.2: Clinical Officers

Clinical Officers



HCIV 498 363 135 73%

HCIII 1924 1125 798 59%

RRH 336 237 99 71%

Total 3,134 2,064 1,070 66%

On average 66% of the approved clinical officer positions are filled. The proportion of filled positions filled is highest for general hospitals (90%) and lowest for HCIIIs (59%). To fill all the clinical officer positions, there is need for an additional 1,070 clinical officer’s majority of whom would be for HCIVs and HCIIIs.

Table 3.3: Laboratory Assistants

Laboratory Assistants


Regional Referral Hospitals 56 39 17 69%

General Hospitals 47 47 - 100%

HCIV 166 149 17 90%

HCIII 962 510 452 53%

Total 1,231 745 486 61%

Laboratory assistants are staffed at 61% . Total vacancies are 486 with majority of these being in HCIIIs.


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Table 3.4: Laboratory Technicians

Laboratory Technicians


RRH 42 27 15 64%


HCIV 166 121 45 73%

Total 260 182 78 70%

Staffing for laboratory technicians is 70%. However 78 vacancies still remain unfilled.

Table 3.5: Midwives

Midwives


General Hospitals 1,316 776 541 59%

HCIV 664 601 63 91%

HCIII 1924 1,366 558 71%

HCII 1,321 396 925 30%

RRH 770 632 138 82%

Total 5,995 3,771 2,224 63%

Overall the proportion of approved midwife positions filled is 63%. There are 2,224 midwife positions not filled and majority of these are in HCIIs, HCIIIs and hospitals.

Table 3.6: Nurses

Nurses


Regional Referral Hostpitals 1,386 1,128 258 81%

General Hospitals 3,431 1,684 1,747 49%

HCIV 1,328 849 479 64%

HCIII 3848 1606 2241 42%

HCII 1,321 911 410 69%

Total 9,928 5,050 4,878 51%

The staffing level for nurses is at 51%. The health facilities with the highest staffing levels were RRHs and HCIIs. But findings from workload studies show that the staffing norms for nurses in HCIIIs, HCIVs and HCIIs are low compared to the workload they experienced. Workload studies show that HCIVs require on average 12 nurses versus the 8 provided for in the norm, HCIIIs require on average 7 nurses versus the 4 provided for in the norm. 4,878 nurse vacancies remain unfilled majority of the vacancies are in general hospitals.


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Table 3.7: Dispensers

Dispensers



HCIV 166 35 131 21%

RRH 70 36 34 51%

Total 330 119 211 36%

The staffing level for dispensers was found to be 36%. HCIVs in particular have an acute shortage of dispensers having only 21% of the approved filled. 211 positions remain unfilled 131 of these in HCIVs.

Table 3.8: Doctors

Doctors



HCIV 332 117 215 35%

RRH 350 173 177 50%

Total 1,199 455 744 38%

With an overall staffing level of 38% there is an acute shortage of doctors in the health sector. This shortage is wide spread affecting all levels of facility levels. There is need to recruit 744 doctors for the hospitals and HCIVs.

Table 3.9: Public Health Dental Officers

Public Health Dental Officers



HCIV 166 119 47 72%

RRH 126 104 22 83%

Total 386 280 106 72%

Overall 72% of the approved norms for PHDOs are filled with the RRHs having the highest number of this cadre.

Table 3.10: Dental Surgeons

Dental Surgeons



RRH 252 194 58 77%

Total 299 231 68 77%

Overall 77% of the approved norms for dental surgeons are filled with the highest filling rate being in general hospitals.


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Table 3.11: Health Educators

Health Educators



HCIV 166 52 114 31%

Total 260 80 180 31%

As noted in the table above, there is an acute shortage of health educators in hospitals and HCIVs. A total of 180 positions of health educators remain vacant.

Table 3.12: Health Inspectors

Health Inspectors



HCIV 332 169 163 51%

Total 379 202 177 53%

Overall 53% of the approved norms for health inspectors are filled with the highest filling rate being in general hospitals. A total of 177 positions remain vacant.

Table 3.13: Laboratory Technologists

Laboratory Technologists



RRH 56 32 24 58%

Total 150 61 89 41%

Generally there is a shortage of laboratory technologists. The shortage affects the general hospitals more than RRHs.

Table 3.14: Occupational Therapist

Occupational Therapist



RRH 378 283 95 75%

Total 425 297 128 70%

There is a shortage of occupational therapists in general hospitals which have on 30% of approved positions filled.


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Table 3.15: Orthopedic Officers

Orthopedic Officers



RRH 182 156 26 86%

Total 276 231 45 84%

Orthopedic officers are generally more available in the hospitals (overall average is 84%). 45 positions remain unfilled.

Table 3.16: Pharmacists

Pharmacists



RRH 42 25 17 59%

Total 89 27 64 30%

The shortage of pharmacists is critical especially in general hospitals. Overall only 30% of the approved positions for pharmacists are filled leaving 64 vacancies.

Table 3.17: Physiotherapist

Physiotherapist



RRH 70 51 19 72%

Total 117 74 43 63%

Overall the staffing level of physiotherapists was 63% with the vacancy rate of 37%.

Table 3.18: Medical Radiographers

Radiographers



RRH 56 39 17 69%

Total 150 76 74 51%

Overall the staffing level of Medical Radiographers was 51% with the vacancy rate of 49%.


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3.2 Summary of staffing by cadre in GoU Health Institutions (RRH, GH and

Health Centres only) March 2012

Table 3.19: Filled and vacant positions in GoU Health Insstitutions

Cadre % filled Vacancies

Pharmacist 30% 64

Health Educators 31% 180

Dispenser 36% 211

Medical Officer 38% 744

Anesthetic Officer 39% 231

Laboratory Technologists 41% 89

Nurses 51% 4,878

Radiographer 51% 51

Health Inspectors 53% 177

Laboratory Assistant 61% 486

Midwives 63% 2,224

Physiotherapist 63% 43

Clinical Officers 66% 1,070

Laboratory Technicians 70% 78

Occupational Therapist 70% 128

Public Health Dental Officers 72% 106

Dental Surgeons 77% 68

Orthopedic Officers 84% 45

Average/Total 55% 10,873

Overall the staffing level for the selected health professionals is 5 5% with a total of 10,873 vacancies. In descending order of shortage, pharmacist, health educators, dispensers, doctors, anesthetic officers, laboratory technologists, nurses and radiographers are the cadres in critical shortage.


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3.3 Density of Nurses, midwives, clinical officers, laboratory assistants &

doctors Analysis was done of the nurses, midwives, clinical officers, laboratory assistants and doctors.

The results of this analysis are presented in Figure 1 below:

Figure 1 Number of selected clinical and diagnostic staff in GoU health institutions


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Figure 2: Occupational therapists, PHDOs, health inspectors, anesthetic officers, dispensers,

dental surgeons and orthopedic officers


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4. Financial implications of filling existing vacancies

Cadre % filled Vacancies

Total annual salary & allowances

Total wage required

Pharmacist 30% 64 13,738,107 879,238,848

Dispenser 36% 211 9,431,401 1,990,025,704

Doctors 38% 744 13,738,107 10,221,151,608

Anesthetic Officer 39% 231 9,431,401 2,178,653,733

Laboratory Technologists 41% 89 9,431,401 839,394,728

Nurses 51% 4,878 5,952,471 29,036,151,372

Radiographer 51% 51 9,431,401 481,001,473

Laboratory Assistant 61% 486 5,952,471 2,892,900,690

Midwives 63% 2,224 5,952,471 13,238,294,517

Physiotherapist 63% 43 9,431,401 405,550,262

Clinical Officers 66% 1,070 9,431,401 10,091,599,541

Laboratory Technicians 70% 78 9,431,401 735,649,312

Occupational Therapist 70% 128 9,431,401 1,207,219,384

Public Health Dental Officers 72% 106 9,431,401 999,728,553

Dental Surgeons 77% 68 13,738,107 934,191,276

Orthopedic Officers 84% 45 9,431,401 424,413,065

Health Educators 31% 180 9,431,401 1,697,652,259

Health Inspectors 53% 177 9,431,401 1,669,358,055

Average/Total 55% 10,873 79,922,174,380

Source of salary data is 2012/13 salary structure

To fill the norms for the above selected cadres would require a total of 79.9 billion shillings.


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Figure 1: Laboratory technicians, health educators, laboratory technologist, radiographers,

physiotherapists and pharmacists


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5. HRIS UPDATE IN UGANDA AS AT SEPTEMBER 2012

5.1 Districts with Computerized HRIS

This Map shows (In green) the Districts (74) with Computerized HRIS to date. The districts are not at the same level of HRIS implementation. Training of data managers and mentoring is ongoing. During the period under review, the districts where HRIS is established were given extensive technical support directly through coaching visits or online trouble shooting in collaboration with USAID funded Uganda Capacity Program. The interns and HRIS resource persons at the centre and at the regional level played a pivotal role in this support as a way of further building their capacity in the management of the HRIS. Key areas of support included retraining data users and managers in cases where there were staff movements and as a refresher to those who were trained earlier. The data managers were further coached on how to keep the system up to date and how to generate different reports from the system. The coaching visits were also used as an opportunity to discuss in detail with users the different reports and gain a deeper understanding of the unique needs. In total 372 staff were trained majority of whom were in districts.


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5.2 Rolling out HRIS to 74 districts

The roll out of HRIS to 74 districts has been a collaborative venture. The MoH supported by USAID funded Uganda Capacity Program has worked with the school of computing Makerere University and other development partners to further build capacity for HRIS. The students of Makerere University join the IT team on attachment for industrial training over a period of 6 months. In addition to internship, UCP has supported the training of 8 lecturers in HRIS. As a result of this collaboration, all the databases have been kept functional throughout this period. Below is a map showing the geographical roll-out of HRIS in 74 districts by various partners and year of establishment.

Key: Below are the names of the districts matching the numbers displayed on the map above


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Id Name HRIS Supported Established


1 KAMPALA No

57 MPIGI Yes UCP 2011

2 ADJUMANI Yes UCP 2011

58 MUBENDE Yes WHO 2010

3 ARUA Yes UCP 2011

59 MUKONO Yes UCP 2009

4 BUNDIBUGYO Yes Baylor 2011

60 MITYANA Yes WHO 2010

5 BUSIA Yes WHO 2010

61 NAKASEKE No

6 BUTALEJA Yes UCP 2011

62 NAKASONGOLA Yes UCP 2011

7 KABALE Yes UCP 2010

63 RAKAI Yes UCP 2011

8 KANUNGU Yes UCP 2011

64 SSEMBABULE Yes UCP 2011

9 KASESE Yes Baylor 2011

65 WAKISO Yes Capacity 2009

10 KISORO Yes UCP 2010

66 HOIMA Yes WHO 2010

11 KOBOKO Yes UCP 2011

67 KIBAALE Yes UCP 2011

12 MANAFWA Yes UCP 2011

68 MASINDI Yes UCP 2011

13 MBALE Yes WHO 2010

69 BULIISA No

14 MOYO Yes UCP 2011

70 AMURIA No Baylor 2012

15 NEBBI Yes UCP 2011

71 BUKEDEA Yes Baylor 2012

16 PALLISA Yes UCP 2011

72 KABERAMAIDO No Baylor 2012

17 BUDAKA Yes UCP 2011

73 KUMI Yes UCP 2011

18 RUKUNGIRI Yes UCP 2011

74 SOROTI Yes UCP 2011

19 SIRONKO Yes UCP 2011

75 KATAKWI No Baylor 2012

20 TORORO Yes WHO 2010

76 KABAROLE Yes Capacity 2009

21 YUMBE No

77 KAMWENGE Yes Baylor 2011

22 ABIM No

78 KYENJOJO Yes WHO 2010

23 KAABONG No

79 BUDUDA Yes UCP 2011

24 KOTIDO No

80 AMUDAT No

25 NAKAPIRIPIRIT No

81 BUIKWE No

26 MOROTO No

82 BUYENDE No

27 BUKWA Yes Baylor 2012

83 KYEGEGWA Yes Baylor 2011

28 KAPCHORWA Yes UCP 2011

84 LAMWO No

29 AMOLATAR Yes Capacity 2009

85 OTUKE No

30 APAC Yes UCP 2011

86 ZOMBO No

31 LIRA Yes Capacity 2009

87 ALEBTONG No

32 OYAM Yes Capacity 2009

88 BULAMBULI Yes Baylor 2012

33 DOKOLO Yes UCP 2011

89 BUVUMA No

34 GULU Yes NUMAT 2009

90 GOMBA No

35 AMURU No

91 KIRYANDONGO No

36 PADER Yes NUMAT 2009

92 KYANKWANZI No

37 KITGUM Yes NUMAT 2009

93 LUUKA No

38 BUGIRI Yes UCP 2011

94 NAMAYINGO No

39 IGANGA Yes UCP 2011

95 NTOROKO Yes Baylor 2011

40 JINJA Yes UCP 2010

96 SERERE No Baylor 2012

41 MAYUGE Yes UCP 2011

97 KALUNGU No

42 KALIRO Yes UCP 2011

98 BUKOMANSIMBI No

43 NAMUTUMBA Yes UCP 2011

99 BUTAMBALA Yes UCP 2011

44 KAMULI Yes UCP 2011

100 LWENGO No

45 MBARARA Yes WHO 2010

101 MITOOMA No


22



46 BUSHENYI Yes WHO 2010

102 RUBIRIZI No

47 NTUNGAMO Yes UCP 2011

103 SHEEMA No

48 IBANDA Yes WHO 2010

104 BUHWEJU No

49 ISINGIRO Yes UCP 2011

105 NGORA No Baylor 2012

50 KIRUHURA Yes UCP 2011

106 NAPAK No

51 KAYUNGA Yes UCP 2011

107 KIBUKU Yes Baylor 2012

52 KALANGALA Yes UCP 2011

108 NWOYA No

53 KIBOGA No

109 KOLE No

54 LUWERO Yes UCP 2010

110 AGAGO No

55 LYANTONDE No

111 MARACHA No

56 MASAKA No

112 KWEEN Yes Baylor 2012


23

Map of Uganda showing the geographical roll-out of HRIS according to year of Establishment


24

Map of Uganda showing the geographical location of HRIS and Partner support


25

Hris Website at MoH: http://hris.health.go.ug

Health workers Registration and Licensure Status http://hris.health.go.ug/reports

You can also send SMS type doctor <space>

full names of doctor and send to 8198

http://hris.health.go.ug/

http://hris.health.go.ug/reports


26

6. Private –Not-for profit (PNFP) as at March 2011

In the Private-Not-for profit (PNFP) health facilities there were only 12,383 health workers in all the three umbrella organizations namely Uganda Catholic Medical Bureau (UCMB), Uganda Protestant Medical bureau (UPMB) and Uganda Moslem Medical Bureau (UMMB) as of June 30, 2011. Of these 7,488 were in the UCMB network, 3,856 in the UPMB network and 1,039 in the UMMB network. UCMB alone as of June 30th 2011 there were 225 doctors, 2011 nurses, and 2825midwives (all calibers put together) out of the total workforce of 7,488 in its network. However, the country needs about twice this number of professional health workers in order to address the current health needs.

Table 6.1 Cadres of health workers in the UCMB Network

Cadre # of Staff

Doctors 225

Nurses 2,011

Midwives 2,825

All others 2,427

Total 7,488

7. Assessment of Functionality of the District Service Commissions

District Service commissions in Uganda were assessed to find out their functionality to address

human resource needs. The assessment was conducted using a questionnaire which was

administered to representatives of various DSCs. The questionnaire required the respondents to

describe the situation pertaining to their individual service commissions. The results were

analyzed using a simple excel sheet.

7.1 Key findings of the assessment

The assessment findings indicate that the DSCs are at differing levels of functionality as

per the assessment conducted. Some few are well equipped to handle the planned

recruitment while the rest shall need support in order to prepare them adequately to

handle recruitment of staff in local governments. Results of the analysis are

summarized table 7.1 below.


27

Table 7.1 Summary of the findings of the 104 DSCs Assessed

Indicator Total

DSCs fully constituted with a chairperson and 4 members 26

DSCs without quorum (less than 3 members) 11

DSCs with less than 3 members inducted 44

DSCs about to expire in 3 months and below 9

DSCs which have not handled a recruitment in the last one year 23

DSCs with no Substantive Secretary appointed 63

DSCs with SPO and PO in addition to SEC DSC (Hoima) 1

DSCs with a PO in addition to the SEC DSC 15

DSCs without a computer 36

According to the set standards, a functional DSC is expected to have a substantive

Secretary to the Commission at the level of Principal Personnel Officer, a Personnel

Officer, a Records Assistant, a Stenographer / Copy typist and an Office Assistant. It

should also have a substantive Chairperson and four Commission Members. In the

table above we note that not all the DSCs meet these criteria.

DSCs fully constituted with a chairperson and four members.

DSCs were asked to mention whether they were fully constituted or not. The information

obtained was analyzed to establish if there was a substantive chairperson and other

four members. Results out of this analysis are presented in table 7.2 below.

7.2 The list of districts with chairpersons and other 4 members by region

S/ No. District Service Commission Region Chairperson

# Members

Term of office for quorum

# Inducted

1 Abim Northern 1 4 4 years 0

2 Arua Northern 1 4 4 years 5

3 Buikwe Central 1 4 42 months 5

4 Bukedea Eastern 1 4 3 Years 5

5 Bundibugyo Western 1 4 40 months 5

6 Bushenyi Western 1 4 4 years 5

7 Dokolo Northern 1 4 26 months 5

8 Gomba Central 1 4 38 months 5

9 Gulu Northern 1 4 4 Years 5

10 Hoima Western 1 4 4 years 5


28

11 Ibanda Western 1 4 26 months 3

12 Iganga Eastern 1 4 3 years 0

13 Kasese Western 1 4 3 Years 3

14 Katakwi Eastern 1 4 2 years 2

15 Koboko Northern 1 4 3 Years 5

16 Kyenjojo Western 1 4 3 years 5

17 Lira Northern 1 4 2 years 5

18 Mbarara Western 1 4 4 years 5

19 Mityana Central 1 4 3 years 5

20 Mpigi Central 1 4 4 years 2

21 Mubende Central 1 4 4 years 4

22 Nakasongola Central 1 4 17 months 3

23 Namutumba Eastern 1 4 4 years 0

24 Otuke Northern 1 4 4 years 3

25 Serere Eastern 1 4 36 months 3

26 Zombo Northern 1 4 4 years 0

Out of the 104 DSCs assessed only 26 have all the positions for the Commission

members filled. These DSCs have an advantage that they can appropriately handle

large volumes of applicants when it comes to interviewing. The DSC in this category

can easily split into several interview panels when need arises. A service commission

with less members would take longer time to interview large numbers of applicants

compared to the one which is fully constituted.

DSCs with no required membership to form a quorum for transacting business

Further analysis of the data collected indicated that some DSCs did not have the

required number of members to transact business. This is a requirement under the laws

of Uganda particularly the Local Government Act. Findings out of this analysis are

summarized in table 7.3 below.


29

Table 7.3: The DSCs which do not form a quorum

S/ No. District Service Commission Region Chairperson

# Members

Tot. Members

1 Amudat Northern 0 0 0

2 Busia Eastern 0 1 1

3 Kabale Western 1 1 2

4 Kabarole Western 0 0 0

5 Kalungu Central 0 0 0

6 Kotido Northern 0 2 2

7 Kyankwanzi Central 1 1 2

8 Luuka Eastern 1 1 2

9 Luwero Central 1 1 2

10 Nakaseke Central 1 1 2

11 Soroti Eastern 1 1 2

From the table above, some districts have 1 member and others have 2 members of

DSC out the total 5 required. For any service commission to conduct usual business

there is a requirement to have at least three members on the commission. In the

absence of that requirement the commission cannot transact any business whatsoever.

There are 11 DSCs which do not fulfill this requirement at the moment and this means

that if their districts are to recruit health workers as planned they cannot rely on their

service commissions. As an alternative the law provides that these districts have to

liaise with neighbouring DSCs to lend them a hand to enable them recruit the needed

workers.

DSCs with less than three commission members inducted.

DSCs were asked as to whether their members were inducted according to standard

when they were recruited. Some of them indicated that they were inducted but others

were not inducted according to the set standards. Findings out of this analysis are

summarized in table 7.3 below.


30

Table 7.4: The DSCs whose members were not properly inducted

S/ No.

District Service Commission Region Chairperson

# Members

Tot. Members

Term of office for quorum # Inducted

1 Abim Northern 1 4 5 4 years 0

2 Adjumani Northern 0 3 3 4 years 1

3 Apac Northern 1 2 3 4 years 0

4 Bududa Eastern 0 4 4 48 months 0

5 Bugiri Eastern 1 2 3 26 months 2

6 Bukwo Eastern 1 2 3 4 years 1

7 Buliisa Western 1 3 4 41 months 0

8 Busia Eastern 0 1 1 6 months 0

9 Buyende Eastern 1 2 3 3 years 0

10 Iganga Eastern 1 4 5 3 years 0

11 Jinja Eastern 1 2 3 26 months 0

12 Kabale Western 1 1 2 4 years 0

13 Kabarole Western 0 0 0 0

14 Kaliro Eastern 1 3 4 28 months 1

15 Kalungu Central 0 0 0 0

16 Kamuli Eastern 1 2 3 4 years 0

17 Katakwi Eastern 1 4 5 2 years 2

18 Kayunga Central 1 2 3 3 Years 2

19 Kibuku Eastern 1 3 4 2 Years 0

20 Kisoro Western 1 2 3 3 months 2

21 Kotido Northern 0 2 2 4 years 1

22 Kween Eastern 1 2 3 26 months 0

23 Kyankwanzi Central 1 1 2 2 months 2

24 Luuka Eastern 1 1 2 48 months 0

25 Luwero Central 1 1 2 4 years 2

26 Lyantonde Central 0 3 3 4 years 0

27 Masaka Central 1 3 4 2 years 1

28 Mayuge Eastern 1 2 3 26 months 0

29 Mbale Eastern 1 3 4 4 years 1

30 Moroto Eastern 1 3 4 9 months 0

31 Moyo Northern 1 2 3 41 months 0

32 Mpigi Central 1 4 5 4 years 2

33 Nakaseke Central 1 1 2 4 years 0

34 Namayingo Eastern 1 2 3 43 months 0

35 Namutumba Eastern 1 4 5 4 years 0

36 Nebbi Northern 1 3 4 4 years 1

37 Ngora Eastern 1 3 4 36 months 0

38 Ntoroko Western 1 2 3 4 years 2


31

39 Pader Northern 1 3 4 8 months 2

40 Pallisa Eastern 0 4 4 4 Years 0

41 Soroti Eastern 1 1 2 1 year 2

42 Wakiso Central 0 3 3 21 months 1

43 Yumbe Northern 1 3 4 4 years 0

44 Zombo Northern 1 4 5 4 years 0

The induction for new members of a commission is very crucial in preparing them to

undertake the tasks ahead of them. When new members are not inducted properly they

face challenges in making decisions, more so when the commission has to break into

sub panels in order to handle large numbers of interviewees. This may affect their

functionality and they may end up making inappropriate decisions in the course of their

daily work. There are 44 district service commissions which fall in this category which is

39% of the total districts.

DSCs about to expire in three months’ time and less

The validity of the contract time for the members of a service commission is paramount

because it affects their legality in conducting commission business. Given the time

urgency of the planned recruitment there are 9 DSCs whose service time may expire

before they bring the planned recruitment of health workers to a logical conclusion.

These need urgent attention to ensure that the exercise runs smoothly without undue

interruptions. This includes districts without commissions in place as well (category of

less than 3 commission members). Here below are the DSCs affected. Table 7.5 gives

details of these districts.

Table 7.5 DSC about to expire in 3 months time or less

S/ No. District Service Commission Region Chairperson # Members Tot. Members

Term of office for quorum

1 Amudat Northern 0 0 0

2 Budaka Eastern 0 3 3 3 Months

3 Kaabong Eastern 1 3 4 2 months

4 Kabarole Western 0 0 0

5 Kalungu Central 0 0 0

6 Kapchorwa Eastern 1 3 4 3 months

7 Kisoro Western 1 2 3 3 months

8 Kole Northern 1 3 4

9 Kyankwanzi Central 1 1 2 2 months


32

DSCs which have not handled a recruitment in the last one year period

This particular indicator relates to the acquired experience by a DSC to deal with

recruitments. At this time we expect district service commissions to receive numerous

applications which will require innovations from the DSC members on how to go about

the whole process. Further analysis indicated that a number of districts have not

handled a recruitment in the last one year. Findings of this analysis are indicated in

table 7.6.

Table 7.6 DSC that have not recruited in the last one year

S/ No. District Service Commission

Region Date of last recruitment handled

1 Adjumani Northern July 2011

2 Amudat Northern

3 Arua Northern

4 Buikwe Central December 2011

5 Buliisa Western

6 Busia Eastern November 2010

7 Kabale Western

8 Kabarole Western

9 Kalungu Central

10 Kamwenge Western May 2009

11 Kapchorwa Eastern June 2011

12 Kasese Western June 2011

13 Kotido Northern October 2011

14 Kumi Eastern April 2011

15 Luuka Eastern

16 Lyantonde Central 0

17 Mpigi Central April 2011

18 Mukono Central June 2011

19 Nakaseke Central December 2011

20 Namayingo Eastern

21 Nebbi Northern December 2011

22 Oyam Northern 2010

23 Sembabule Central July 2011

As indicated in the table above, a total of 23 DSCs did not handle any recruitment in the

last one year. This implies that the DSCs may need some technical assistance in


33

handling the planned recruitment for health workers. This group is critical because it

has 9 members who do not appear to have handled any recruitment at all in the past.

These are Amudat, Arua, Buliisa, Kabale, Kabarole, Kalungu, Luuka, Lyantonde and

Namayingo.

DSCs with no substantively appointed secretary to the commission

Members of the DSC were asked as to whether they have substantively appointed

secretaries to their commissions. The presence of a substantively appointed secretary

to the commission at the appropriate level of principal personnel officer translates into

appropriate interpretation of the legal requirements and proper functioning of the DSC.

The list below indicates 63 DCSs which have not confirmed the appointments of the

incumbents in the position of secretary to the DSC.

Table 7.7 Districts with no substantively appointed Secretaries

S/ No. District Service Commission Region

(Sec DSC) Appointment Level (PPO, etc) Other Assisgnments

1 Abim Northern Acting SAS SAS / ACAO

2 Agago Northern Acting SAS Clerk to Council

3 Alebtong Northern Acting PO

4 Amolatar Northern Acting SPO

5 Amudat Northern Acting SPO

6 Apac Northern Acting SPO

7 Bududa Eastern Acting SAS Sec District land board

8 Bugiri Eastern Acting SAS SAS Sub county

9 Buhweju Western Acting Dist. Env. Officer

10 Buikwe Central Acting Sports Officer

11 Bukedea Eastern Acting SPO Clerk to Council

12 Bukomansimbi Central Acting SPO

13 Bukwo Eastern Acting SPO

14 Butaleja Eastern Acting PO

15 Butambala Central Acting SPO

16 Buvuma Central Acting PO

17 Buyende Eastern Acting SPO

18 Dokolo Northern Acting PO

19 Ibanda Western Acting PO

20 Iganga Eastern Acting Ass. CAO ACAO

21 Isingiro Western Acting PO

22 Kaabong Eastern Acting SAS ACAO


34



23 Kabarole Western Acting PO Payroll management

24 Kalangala Central Acting PAS ACAO

25 Kaliro Eastern Acting PO

26 Kalungu Central Acting SPO

27 Kamuli Eastern Acting PPO

28 Kanungu Western Acting SPO

29 Kasese Western Acting PO

30 Katakwi Eastern Acting ARO

31 Kiruhura Western Acting PO

32 Kitgum Northern Acting PO PO - Kitgum Hospital

33 Kotido Northern Acting PO

34 Kween Eastern Acting SAS

35 Kyankwanzi Central Acting PO

36 Lira Northern Acting PO

37 Luuka Eastern Acting PO

38 Luwero Central Acting PPO Clerk to Council

39 Lwengo Central Acting SAS SAS

40 Masaka Central Acting SPO CAO's Office

41 Mitooma Western Acting PO

42 Mityana Central Acting PAS

43 Moroto Eastern Acting SPO PO - Moroto Hospital

44 Moyo Northern Acting PO

45 Nakasongola Central Acting SPO

46 Namayingo Eastern Acting SPO

47 Namutumba Eastern Acting SAS

48 Napak Eastern Acting PPO Clerk to Council

49 Nebbi Northern Acting SAS

50 Ngora Eastern Acting PO

51 Ntoroko Western Acting PO

52 Ntungamo Western Acting SPO

53 Nwoya Northern Acting SPO Clerk to Council

54 Otuke Northern Acting SAS ACAO

55 Oyam Northern Acting SPO Subcounty chief

56 Pader Northern Acting SAS Town Clerk

57 Pallisa Eastern Acting PO

58 Rubirizi Western Acting SAS ACAO

59 Sheema Western Acting SAS

60 Sironko Eastern Acting PO

61 Wakiso Central Acting SPO Deputy Town Clerk

62 Yumbe Northern Acting SPO


35



63 Zombo Northern Acting SAS Town Clerk

Results indicate that many of the DSCs are below the recommended level of PPO while

others are at the same time committed to other assignments within the district; meaning

that they cannot give full time dedication to the affairs of the DSC.

Most outstanding are the secretaries for Buhweju DSC (District environment officer),

Buikwe (Sports officer), Iganga (ACAO) and Katakwi (Assistant Records Officer) who

may not have the requisite technical skills for handling DSC affairs.

DSCs with at least a personnel officer in addition to the DSC Secretary

In order for the incumbent Secretary to the DSC to appropriately carry out their

functions there is need for a technical back up of the appropriate cadres. DSCs were

asked as to whether there is at least a personnel officer in addition to the Secretary of

the DSC. Results are as indicated in table 7.8

Table 7.8 Districts with at least a personnel officer in addition to the DSC secretary

S/ No. District Service Commission

Region Technical back up cadres

SPO PO

1 Budaka Eastern 1

2 Bugiri Eastern 1

3 Butambala Central 1

4 Buvuma Central 1

5 Hoima Western 1 1

6 Kaberamaido Eastern 1

7 Kotido Northern 1

8 Mubende Central 1

9 Mukono Central 1

10 Nakasongola Central 1

11 Namayingo Eastern 1

12 Namutumba Eastern 1

13 Nebbi Northern 1

14 Otuke Northern 1

15 Wakiso Central 1


36

Findings indicate that many DSCs are operating without this technical back up and it affects the

way they conduct business especially where the incumbent secretary to the DSC is not of the

appropriate level. There is a total of only 15 DSCs with the appropriate technical back up to

support the secretary of the DSC. It should be noted that it is only Hoima DSC which has all the

required numbers of Commission members and technical support cadres.


37

DSCs with no computers to conduct business

In order for the DSC to conduct business smoothly there is need for equipment such as

computers and printers which are used in the process of generating short lists for

candidates and communicating with the candidates. DSCs were asked as to whether

they had computers and printers to help them work efficiently and effectively. Findings

out of this analysis are as indicated in table 7.9

Table 7.9: DSCs with no computers to conduct business

S/ No.

District Service Commission Region

# Computers

# working

# scanners

# printers

# Photocopiers

# telephones

Access to Internet

1 Abim Northern 3 0 1 No

2 Adjumani Northern No

3 Agago Northern No

4 Alebtong Northern No

5 Amolatar Northern 1 0 No

6 Amudat Northern No

7 Apac Northern 1 0 No

8 Buhweju Western No

9 Buikwe Central Yes

10 Bukomansimbi Central yes

11 Buliisa Western No

12 Butambala Central No

13 Buvuma Central Yes

14 Buyende Eastern No

15 Gomba Central No

16 Kaabong Eastern 1 0 No

17 Kabarole* Western No

18 Kalungu Central

19 Kamwenge Western 1 0 1 No

20 Katakwi Eastern No

21 Kibaale Western 1 0 1 No

22 Kole Northern

23 Kween Eastern No

24 Kyankwanzi Central No

25 Kyegegwa Western No

26 Luuka Eastern No

27 Lwengo Central No

28 Maracha * Northern No

29 Masindi Western 1 No

30 Napak Eastern No


38

S/ No.

District Service Commission Region

# Computers

# working

# scanners

# printers

# Photocopiers

# telephones

Access to Internet

31 Ngora Eastern No

32 Ntoroko Western No

33 Nwoya Northern Yes

34 Otuke Northern No

35 Pader Northern No

36 Serere Eastern No

37 Tororo Eastern Yes

38 Zombo Northern No

A total of 38 DSCs indicated that they did not have access to computers to enable them

conduct business in an efficient manner implying that the majority of them did not have

access to internet services. However, further analysis indicated that some districts such

as Kasese were supported by UCP with computers.


39

Annex 1: SUMMARY OFVACANCIES FOR SELECTED CADRES IN DISTRICTS

No. ESTABLISHMENT DETAILS Distribution of Vacancies

District & Job Title Scale Facility Levels

1 Abim District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total

1 Assistant DHO (Environ. Health) U2U 1 0 0 0 0 1

2 Assistant DHO (MCH/Nursing) U2U 1 0 0 0 0 1

3 Medical Officer U4U 0 3 0 0 0 3

4 Clinical Officer U5U 0 1 0 0 0 1

5 Nursing Officer (Nursing) U5U 0 7 0 1 0 8

6 Nursing Officer (Midwifery) U5U 0 1 0 0 0 1

7 Laboratory Technologist U5U 0 1 0 0 0 1

8 Laboratory Technician U5U 0 1 0 3 0 4

9 Dispenser U5U 0 1 0 0 0 1

10 Anesthetic Officer U5U 0 3 0 0 0 3

11 Laboratory Assistant U7U 0 0 0 3 0 3

12 Enrolled Nurse U7U 0 31 0 8 5 44

13 Enrolled Midwife U7U 0 18 0 4 12 34

14 Anesthetic Attendant U8U 0 1 0 0 0 1

Sub-total Abim District 2 68 0 19 17 106

2 Adjumani District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total

1 District Health Officer U1EU 1 0 0 0 0 1












13 Records Assistant/H. Inf. Asst. U7U 0 1 0 1 0 2

14 Nursing Assistant U8U 0 3 4 9 19 35


Sub-total Adjumani District 1 46 15 25 40 127


40

No. ESTABLISHMENT DETAILS Distribution of Vacancies


3 Agago District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total











Sub-total Agago District 3 0 0 52 10 65

4 Alebtong District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total













Sub-total Alebtong District 3 0 6 6 16 31


41

ESTABLISHMENT DETAILS Distribution of Vacancies


5 Amolatar District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total












Sub-total Amolatar District 3 0 4 13 10 30

6 Amudat District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total














Sub-total Amudat District 3 0 13 11 5 32


42



7 Amuria District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total












Sub-total Amuria District 2 0 12 27 42 83

8 Amuru District DHO G.

HOSP. HC 1V

HC 111 HC11 Sub-total











Sub-total Amuru District 2 0 11 16 15 44


43



9 Apac District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total














Sub-total Apac District 1 61 12 37 19 130

10 Arua District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total













Sub-total Arua District 1 0 21 100 17 139


44



11 Budaka District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total











Sub-total Arua District 2 0 12 36 2 52

12 Bududa District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total















Sub-total Bududa District 2 55 0 64 14 135


45



13 Bugiri District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total
















Sub-total Bugiri District 2 54 13 68 65 202

14 Buhweju District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total











Laboratory Assistant U7U 0 0 0 2 0 2





46


Sub-total Buhweju District 3 0 12 42 26 83



15 Buikwe District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total














Sub-total Buikwe District 3 39 0 41 9 92

16 Bukedea District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total











Sub-total Bukedea District 2 0 4 41 5 52


47



17 Bukomansimbi District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total













Sub-total Bukomansimbi District 3 0 8 14 4 29

18 Bukwo District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total












12 Sub-total Bukwo District 3 0 11 19 9 42


48



19 Bulambuli District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total















Sub-total Bulambuli District 2 0 5 60 21 88

20 Buliisa District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total








Sub-total Buliisa District 3 0 3 1 1 8


49



21 Bundibugyo District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total















Sub-total Bundibugyo District 2 57 12 21 16 108

22 Bushenyi District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total
















50

Sub-total Bushenyi District 3 0 12 52 65 132


51



23 Busia District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total













Sub-total Busia District 2 0 4 43 34 83

24 Butaleja District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total















Sub-total Butaleja District 1 77 0 75 27 180


52



25 Butambala District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total















Sub-total Butambala District 1 72 0 32 6 111

26 Buvuma District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total













Sub-total Buvuma District 2 0 10 25 5 42


53



27 Buyende District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total














Sub-total Buyende District 3 0 7 31 19 60

28 Dokolo District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total












Sub-total Dokolo District 1 0 3 19 4 27


54



29 Gomba District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total














Sub-total Gomba District 3 0 8 27 17 55

30 Gulu District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total












Sub-total Gulu District 0 0 5 53 28 86


55



31 Hoima District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total















Sub-total Hoima District 2 0 27 151 35 215

32 Ibanda District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total














Sub-total Ibanda District 3 0 14 40 72 129


56



33 Iganga District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total














Sub-total Iganga District 1 15 10 56 30 112

34 Isingiro District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total















Sub-total Isingiro District 2 0 36 121 78 237


57



35 Jinja District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total











Sub-total Jinja District 3 0 8 52 24 87

36 Kaabong District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total










10 Dispenser U5U 0 2 0 0 0 2








Sub-total Kaabong District 3 90 0 42 42 177


58



37 Kabale District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total












Sub-total Kabale District 1 0 53 68 66 188

38 Kabarole District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total













Sub-total Kabarole District 2 0 3 49 29 83


59



39 Kaberamaido District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total













Sub-total Kaberamaido District 3 0 3 47 13 66

40 Kalangala District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total














Sub-total Kalangala District 2 0 12 42 0 56


60



41 Kaliro District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total











Sub-total Kaliro District 2 0 3 6 3 14

42 Kalungu District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total














Sub-total Kalungu District 2 0 27 47 2 78


61



43 Kampala District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total






Sub-total Kampala District 2 0 2 11 0 15

44 Kamuli District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total
















Sub-total Kamuli District 2 39 25 83 41 190


62



45 Kamwenge District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total











Sub-total Kamwenge District 0 0 6 23 10 39

46 Kanungu District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total
















Sub-total Kanungu District 2 73 17 54 26 172


63



47 Kapchorwa District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total
















Sub-total Kapchorwa District 2 53 0 37 15 107

48 Kasese District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total

















64


Sub-total Kasese District 2 97 4 207 101 411



49 Katakwi District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total












Sub-total Katakwi District 2 0 4 28 21 55

50 Kayunga District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total















Sub-total Kayunga District 2 41 15 38 7 103


65



51 Kibaale District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total















Sub-total Kibaale District 2 54 20 97 32 205

52 Kiboga District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total
















66

Sub-total Kiboga District 2 56 8 80 27 173


67



53 Kibuku District 16 17 HC 1V

HC 111 HC11

Sub-total












Sub-total Kibuku District 1 0 8 45 6 60

54 Kiruhura District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total











Sub-total Kiruhura District 2 0 8 56 64 130


68



55 Kiryandongo District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total















Sub-total Kiryandongo District 2 52 0 9 7 70

56 Kisoro District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total


















69

Sub-total Kisoro District 2 55 33 101 18 209



57 Kitgum District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total















Sub-total Kitgum District 2 52 8 49 11 122

58 Koboko District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total














Sub-total Koboko District 2 0 4 48 11 65


70



59 Kole District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total












Sub-total Kole District 2 0 6 19 1 28

60 Kotido District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total














Sub-total Kotido District 2 0 4 28 12 46


71



61 Kumi District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total

















Sub-total Kumi District 3 50 6 68 1 128

62 Kween District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total














72


Sub-total Kween District 1 0 6 18 5 30



63 Kyankwanzi District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total















Sub-total Kyankwanzi District 3 0 9 60 18 90

64 Kyegegwa District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total











Sub-total Kyegegwa District 2 0 7 40 11 60


73



65 Kyejonjo District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total












Sub-total Kyejonjo District 1 0 13 46 8 68

66 Lamwo District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total















Sub-total Lamwo District 3 0 14 16 9 42


74



67 Lira District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total












Sub-total Lira District 1 0 3 14 34 52

68 Luuka District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total














Sub-total Luuka District 3 0 7 40 38 88


75



69 Luwero District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total












Sub-total Luwero District 2 0 5 43 13 63

70 Lwengo District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total












Sub-total Lwengo District 0 0 28 26 13 67


76



71 Lyantonde District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total














Sub-total Lyantonde District 2 68 0 27 8 105

72 Manafwa District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total














Sub-total Manafwa District 2 0 16 60 4 82


77



73 Maracha District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total










10 Dispenser U5U 0 1 0 0 0 1








Sub-total Maracha District 3 117 16 138 22 296

74 Masaka District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total













78


Sub-total Masaka District 2 0 19 27 21 69



75 Masindi District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total














Sub-total Masindi District 1 34 6 38 22 101

76 Mayuge District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total












Sub-total Mayuge District 2 0 19 23 45 89


79



77 Mbale District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total













Sub-total Mbale District 2 0 11 55 7 75

78 Mbarara District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total















Sub-total Mbarara District 2 0 32 81 70 185


80



79 Mitooma District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total














Sub-total Mitooma District 2 0 5 54 29 90

80 Mityana District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total

















81


Sub-total Mityana District 2 50 23 70 42 187


District & Job Title Scale Facility Level

81 Moroto District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total










Sub-total Moroto District 2 0 0 40 6 48

82 Moyo District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total















Sub-total Moyo District 1 55 7 55 20 138


82



83 Mpigi District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total













Sub-total Mpigi District 2 0 2 93 20 117

84 Mubende District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total














Sub-total Mubende District 2 0 17 62 83 164


83



85 Mukono District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total










Sub-total Mukono District 2 0 4 34 27 67

86 Nakapiripirit District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total














Sub-total Nakapiripirit District 2 0 11 29 4 46


84



87 Nakaseke District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total














Sub-total Nakaseke District 0 50 15 22 9 96

88 Nakasongola District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total









Sub-total Nakasongola District 1 0 4 28 3 36


85



89 Namayingo District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total













Sub-total Namayingo District 2 0 8 38 59 107

90 Namutumba District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total












Sub-total Namutumba District 2 0 5 33 34 74


86



91 Napak District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total










Sub-total Napak District 3 0 0 26 2 31

92 Nebbi District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total
















16 Sub-total Nebbi District 3 44 2 108 28 185


87



93 Ngora District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total












Sub-total Ngora District 2 0 14 23 3 42

94 Ntoroko District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total












Nursing Assistant U8U 0 0 0 4 2 6

Sub-total Ntoroko District 3 0 5 13 5 26


88



95 Ntungamo District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total

















Sub-total Ntungamo District 2 39 13 64 25 143

96 Nwoya District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total

















89


Sub-total Nwoya District 3 85 0 16 12 116



97 Otuke District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total














Sub-total Otuke District 3 0 9 12 3 27

98 Oyam District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total





Sub-total Oyam District 1 0 0 1 7 9


90



99 Pader District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total














Sub-total Pader District 2 0 6 44 53 105

100 Pallisa District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total










10 Dispenser U5U 0 1 1 0 0 2







91

Sub-total Pallisa District 3 61 9 102 9 184


92



101 Rakai District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total















15 Sub-total Rakai District 1 122 3 121 44 291

102 Rubirizi District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total













Sub-total Rubirizi District 3 0 8 22 22 55


93



103 Rukungiri District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total












Sub-total Rukungiri District 2 0 12 17 23 54

104 Serere District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total















Sub-total Serere District 2 0 12 31 6 51


94



105 Sheema District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total















Sub-total Sheema District 2 75 17 20 49 163

106 Sironko District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total














Sub-total Sironko District 2 0 5 108 12 127


95



107 Soroti District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total













Sub-total Soroti District 3 0 7 44 18 72

108 Ssembabule District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total















Sub-total Ssembabule District 3 0 21 86 36 146


96



109 Tororo District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total
















Sub-total Tororo District 2 26 13 108 68 217

110 Wakiso District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total















Sub-total Wakiso District 2 31 10 95 30 168


97



111 Yumbe District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total
















Sub-total Yumbe District 2 47 8 31 5 93

112 Zombo District DHO G.

HOSP. HC 1V

HC 111 HC11

Sub-total











Sub-total Zombo District 3 0 0 51 16 70


98

Documents

HUMAN RESOURCES FOR HEALTH BI-ANNUAL REPORT