MASAKA REGIONAL REFERRAL HOSPITAL TO BE A CENTER OF RESEARCH, ASPIRE TO BE A NATIONAL REFERRAL HOSPITAL OUTSIDE KAMPALA

MASAKA REGIONAL REFERRAL HOSPITAL TO BE A CENTER OF RESEARCH, ASPIRE TO BE A NATIONAL REFERRAL HOSPITAL OUTSIDE KAMPALA

By Goodluck Musinguzi

Maternity and Child Health Complex constructed: M/s Tirupati Development (U) Ltd, the contractor undertook works at a cost of Ug shs 10.6bn exclusive of Ug shs 2bn variation. Physical progress of the structure was at substantial completion (80%) inclusive of some additional work. All the structural works were completed, pending works included final painting, installation of door locks and an elevator. Mechanical, plumbing and electrical installations as well as terrazzo polishing among others. Cumulatively, the contractor was paid a total of Ug shs 12.297bn inclusive of the variation.

Greater Masaka hosts 9 districts that get services from Masaka Regional Referral Hospital which is located in Masaka City. The Hospital’s strategic objective is to contribute to improved human capital through increased access to specialized healthcare services and hence improved quality of life for all people of the Greater Masaka Region.

In Financial Year 2021/2022 Masaka Regional Referral Hospital Registered the following major achievements according to the Director of the Hospital, Dr James Elima Treated all the covid19 patients in the hospital, started the construction and remodelling of the ICU, and Constructed and installed an oxygen plant which has the capacity to supply the entire region, despite the Covid19 effects the hospital was able to achieve most of the targets set at the beginning of the financial year.

The hospital procured a modern high-volume central sterilization unit, the hospital laboratory was finally accredited by SANAS, and the hospital is running a 24-hour call centre system for Emergency Medical Services. And the hospital recruited an Orthopedic Surgeon and this has greatly reduced the referrals to Mulago National Referral Hospital. Among the performance indicators at Masaka Regional Referral Hospital under the Human Capital Development programme, there is population health, safety and management.

The sub-programme of the above has Regional Referral Hospital services, the first budget out goes to diagnostic services that include, the percentage of target laboratories accredited in the region. A laboratory quality management system is in place to reduce morbidity and mortality due to HIV/AIDS, TB, malaria and other communicable diseases. Masaka Regional Referral Hospital makes sure the percentage of HIV-positive pregnant women are initiated on ARVs(Antiretroviral Drugs for EMTCT, the percentage of hospitals, Health Center IVs, and IIIs conducting routine HIV counselling and testing should be at 100%, the percentage of key populations accessing HIV prevention interventions must be at 100%.

Condom use in Masaka has passed the 1,000,000 mark which means the Referral Hospital must increase the number of condoms procured and distributed at strategic places. The second biggest component is Inpatient Services under hospital services, which include an Increased number of Civil Society Organisations(CSOs) and service providers trained, increased number of health workers in the public and private sector trained in integrated management of malaria, increased number of health workers trained to deliver KP-friendly services, increased number of HIV test kits procured and distributed, number of stakeholder engagements in the HIV prevention effort to address the socio-cultural, gender and other structural factors that drive the HIV epidemic.

Masaka Regional Referral Hospital makes sure there is increased voluntary medical male circumcision done, and a number of workplaces with male-friendly interventions to attract men to use HIV prevention and care services. There has to be an increased number of youth-led HIV prevention programs designed and implemented. There must be efforts to reduce the number of new HIV infections per 1,000 and protect the uninfected population by sex, age and key populations(incidence rate).

Masaka Regional Referral Hospital budgets for facilities and rehabilitation services, health facilities at all levels must be equipped with appropriate and modern medical and diagnostic equipment. The indicators are below. The percentage recommended for medical and diagnostic equipment available and functional by level must increase, the medical equipment inventory maintained and updated, the medical equipment list and specifications reviewed, the medical equipment policy developed, the number of fully equipped and adequately funded equipment maintenance workshops and the number of health workers trained.

Masaka Regional Referral Hospital makes sure Comprehensive Electronic Medical Record System is scaled up. The percentage of Hospitals and Health Center IVs with functional EMRS(Electronic Medical Record System) must be increased to help get timely data. CHALLENGES AT MASAKA REGIONAL REFERRAL HOSPITAL The Director of the Hospital says there is an inadequate wage which means that we cannot recruit more staff, inadequate NTR and funds to complete the 2 capital projects, poor staff structure which cannot match the workload, inadequate accommodation for staff of only 45 per cent are accommodated, insufficient drugs and medical supplies which leads to some patients going away without medicine.

Lack of funds to complete the 2 big projects that have been under implementation for several years, lack of a budget for the equipment workshop, and lack of investigative equipment like a CT scan and MRI. The hospital is challenged with the cost of the patient’s food is very high and yet scrapping the food is risky and several squatters on Masaka Regional Referral Land.

PLANS TO IMPROVE MASAKA REGIONAL REFERRAL HOSPITAL

The Director says they are going to recruit more specialists especially a Physician Radiologist and a Pathologist, we have to put in place plans to improve the NTR collections which will, in turn, boost the hospital side, decongest the hospital by doing more specialists support supervision to the lower health facilities, procure more equipment, especially the investigative ones, put in place more sanitary facilities and water points, and improve the community dialogue and referral mechanism through frequent radio talk and health education.

CROSS-CUTTING POLICY AND OTHER BUDGETARY ISSUES

Gender and Equity, the objective is to attain equity and fairness in accessing Health Care Services in regard to gender and equal opportunities in the hospital. Issue of concern: Lack of equity and fairness in accessing Health Care Services in regard to Gender and Equal Opportunities in the hospital.

Planned Interventions include 1- Access to Health Care Services by Gender Based Violence Victims, 2-Access to OPD Services by Children aged under 5 years, 3- Access to Adolescent Friendly Services Performance Indicators: 1- Number of deliveries conducted 2- Number of under-fives attended to in OPD, 3- Number of Gender Based Violence victims served.

HIV/AIDS Objective: To reduce the incidence of HIV infections by implementing the 90,90,90 policy of test treat and suppression. Issue of concern: High HIV infection rate in the community, among women and most at-risk populations especially commercial sex workers, long-distance drivers, youth and adolescents. Planned Interventions: 1- Testing clients seeking other services 2- To test all HIV Pregnant Mothers 3- Access to HIV/AIDS Services by most at-risk populations 4- To ensure that 95% and above of clients on treatment have suppression of the virus. Performance Indicators: 1-Number of clients tested for HIV 2- 100% of HIV + Pregnant Mothers enrolled on treatment 3- Percentage of Adolescents maintained in HIV/AIDS Clinic 4- To ensure that 95% and above of clients on treatment have suppression of the virus.

ENVIRONMENT Objective:

To create a clean and safe working environment Issue of Concern: Poor hygiene and bad environmental practices leading to hospital-acquired infections Planned Interventions: 1- Proper Waste Management 2-Proper cleaning of units and compounds 3-An active Infection Prevention and Control Committee 4- Production and supply of alcohol for hand hygiene on all units.

CONSTRUCTION

Masaka RR Hospital’s 400 bed capacity complex for Maternal and Neonatal is nearing completion. It has two state-of-the-art theatres, a gynaecology unit, antenatal and neonatal centers, labour and post-natal wards, a nutrition unit and adolescent health unit. There’s an appeal for government and private sector to contribute generously so that this complex is operationalized.

Maternity and Child Health Complex constructed: M/s Tirupati Development (U) Ltd, the contractor undertook works at a cost of Ug shs 10.6bn exclusive of Ug shs 2bn variation. Physical progress of the structure was at substantial completion (80%) inclusive of some additional works. All the structural works were completed, pending works included final painting, installation of door locks and an elevator. Mechanical, plumbing and electrical installations as well as terrazzo polishing among others. Cumulatively, the contractor was paid a total of Ug shs 12.297bn inclusive of the variation.

A 400 bed Maternal and Child Health Ward Complex operational; Equipment and Medical furniture for the 400 bed MCH complex in use. A 40 Unit Senior staff quarters completed and operational In FY 2020/21, the annual project allocation for the sub-programme was Ug shs 3.2bn, of which Ug shs 3.0bn (93%) was released and 100% spent by 31st December 2020. Expenditures were on completion of the maternity complex

About Goodluck Musinguzi

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9 comments

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  2. It looks like a five star hotel. Thank u so much Diana Atwine for the good leadership

  3. Happy for the people of masaka

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