2.4. BASES TEÓRICAS
2.4.1. AMBIENTE DE CONTROL
This section assesses progress in implementation of the Compact for implementation of the HSSIP as well as the decentralized responses (partners’ technical and financial support for health).
2.9.1.1 The Compact for Implementation of the HSSIP 2010/11 – 2014/15
The Compact for implementation of the HSSIP is an instrument aimed at maintaining policy dialogue, promoting joint planning and ensuring implementation and monitoring of the HSSIP 2010/11 – 2014/15. The partnership in this compact is between the Government of Uganda (MoH) and HDPs, PNFP, the Private Health Practitioners (PHP) and CSOs and are collectively referred to as health sector partners.
HPAC meets monthly to receive, discuss and make recommendations on policy issues and progress reports submitted through the Senior Management Committee.
Attendance of HPAC meetings by the various stakeholders varied with the HDP representatives progressively attending more consistently than all other members.
Table 37: HPAC Institutional representatives’ attendance
Representatives Average Annual Attendance Rate
2010/11 2011/12 2012/13 MoH (11) 45% 45% 41% HDP (4) 88% 109% 138% CSO (3) 48% 67% 44% Private (1) NA 66% 58% NMS (1) 58% 42% 92% District (1) 17% 8% 58% NRH (2) 0% 4% 4% RRH (1) 0% 0% 0% Line Ministries (5) 0% 2% 8%
Source: HPAC Minutes
Three areas of focus extracted from the list of indicators for monitoring implementation of the Compact 2010/11 – 2014/15 were used for the assessment. These are planning and budgeting, monitoring programme implementation and performance, and policy guidance and monitoring. Of these three areas the sector performed well in policy guidance and monitoring through attendance of most of the planned meetings for the governance structures.
Only two out of the five indicators measuring performance of the planning and budgeting processes were achieved. There was slow progress in achieving the remaining 3 outputs due to
2.9 Health Partnerships Performance
This section assesses progress in implementation of the Compact for implementation of the
HSSIP as well as the decentralized responses (partners’ technical and financial support for
health).
2.9.1.1 The Compact for Implementation of the HSSIP 2010/11 – 2014/15
The Compact for implementation of the HSSIP is an instrument aimed at maintaining policy
dialogue, promoting joint planning and ensuring implementation and monitoring of the HSSIP
2010/11 – 2014/15. The partnership in this compact is between the Government of Uganda
(MoH) and HDPs, PNFP, the Private Health Practitioners (PHP) and CSOs and are collectively
referred to as health sector partners.
HPAC meets monthly to receive, discuss and make recommendations on policy issues and
progress reports submitted through the Senior Management Committee.
Attendance of HPAC meetings by the various stakeholders varied with the HDP representatives
progressively attending more consistently than all other members.
Table 37: HPAC Institutional representatives’ attendance
Representatives Average Annual Attendance Rate
2010/11 2011/12 2012/13 MoH (11) 45% 45% 41% HDP (4) 88% 109% 138% CSO (3) 48% 67% 44% Private (1) NA 66% 58% NMS (1) 58% 42% 92% District (1) 17% 8% 58% NRH (2) 0% 4% 4% RRH (1) 0% 0% 0% Line Ministries (5) 0% 2% 8%
Source: HPAC Minutes
Three areas of focus extracted from the list of indicators for monitoring implementation of the
Compact 2010/11 – 2014/15 were used for the assessment. These are planning and budgeting,
monitoring programme implementation and performance, and policy guidance and monitoring.
Of these three areas the sector performed well in policy guidance and monitoring through
attendance of most of the planned meetings for the governance structures.
Only two out of the five indicators measuring performance of the planning and budgeting
processes were achieved. There was slow progress in achieving the remaining 3 outputs due to
[Annual Health Sector Performance Report 2012/13] Page 61
2.9 Health Partnerships Performance
This section assesses progress in implementation of the Compact for implementation of the HSSIP as well as the decentralized responses (partners’ technical and financial support for health).
2.9.1.1 The Compact for Implementation of the HSSIP 2010/11 – 2014/15
The Compact for implementation of the HSSIP is an instrument aimed at maintaining policy dialogue, promoting joint planning and ensuring implementation and monitoring of the HSSIP 2010/11 – 2014/15. The partnership in this compact is between the Government of Uganda (MoH) and HDPs, PNFP, the Private Health Practitioners (PHP) and CSOs and are collectively referred to as health sector partners.
HPAC meets monthly to receive, discuss and make recommendations on policy issues and progress reports submitted through the Senior Management Committee.
Attendance of HPAC meetings by the various stakeholders varied with the HDP representatives progressively attending more consistently than all other members.
Table 37: HPAC Institutional representatives’ attendance
Representatives Average Annual Attendance Rate
2010/11 2011/12 2012/13 MoH (11) 45% 45% 41% HDP (4) 88% 109% 138% CSO (3) 48% 67% 44% Private (1) NA 66% 58% NMS (1) 58% 42% 92% District (1) 17% 8% 58% NRH (2) 0% 4% 4% RRH (1) 0% 0% 0% Line Ministries (5) 0% 2% 8%
Source: HPAC Minutes
Three areas of focus extracted from the list of indicators for monitoring implementation of the Compact 2010/11 – 2014/15 were used for the assessment. These are planning and budgeting, monitoring programme implementation and performance, and policy guidance and monitoring. Of these three areas the sector performed well in policy guidance and monitoring through attendance of most of the planned meetings for the governance structures.
Only two out of the five indicators measuring performance of the planning and budgeting processes were achieved. There was slow progress in achieving the remaining 3 outputs due to
[Annual Health Sector Performance Report 2012/13] Page 62 leadership and governance issues. The Departments of Planning and Administration should address these three indicators to ensure compliance the current FY.
The sector performed well in monitoring programme implementation and performance especially through quarterly performance reviews, annual sector performance review and reporting, and is on track regarding the MTR of the HSSIP. However, failure by the MoH to conduct regular supervision and monitoring of programme implementation in the districts was a big setback in realization of the mandate of the centre. In addition the TWG continued to meet irregularly, thus affecting coordination and provision of technical guidance.
The MoH leadership needs to prioritize sector performance monitoring activities to the districts by providing reliable, regular and adequate resources. In view of the importance of TWGs, MoH Senior Top Management should put in place mechanisms to monitor the functionality of the TWGs.
Table 38: Progress in implementation of the Country Compact during 2012/13 FY
No Indicator Measurement Achievement Complaint / Non Complaint
1. Planning and Budgeting
i. MoH Annual Workplan reflecting stakeholder contribution (all resources on plan)
Annual Work plan analyzed and report submitted to 1st HPAC of FY
Annual workplan analyzed but not submitted to HPAC.
Non Complaint Workplan development started late and stakeholder contribution not captured ii. All new sector investments are
appraised by SBWG Reports from SBWG on appraised Projects submitted to HPAC GAVI and IDB Projects were appraised and reports submitted to HPAC
Non Complaint iii. All planned procurements
reflected in the Comprehensive Procurement Plan
Quarterly assessment of
implementation of procurement plan to HPAC
Not done Non Complaint iv. Response to the Auditor
General’s Report Response to AG’s report presented to HPAC The Auditor General’s report was presented to HPAC Complaint v. Implementation of Harmonized
Technical Assistance (TA) Plan Progress towards implementation of agreed TA Plan No implementation Non Complaint Harmonized TA Plan not disseminated
2. Monitoring Programme Implementation and Performance
i. Area Team Visits Quarterly
Reports Presentation of reports to HPAC within 30 days after completion of Area Team visits
Not done Non Complaint Only one Area Team visit was conducted in Q4 ii. MoH Quarterly Performance
Assessment 3 quarterly performance reviews took place All four quarters were reviewed in two biannual meetings Complaint iii. Technical Review Meeting Present Report from TRM to HPAC
by 30 April Not done Non Complaint
[Annual Health Sector Performance Report 2012/13] Page 62
leadership and governance issues. The Departments of Planning and Administration should address these three indicators to ensure compliance the current FY.
The sector performed well in monitoring programme implementation and performance especially through quarterly performance reviews, annual sector performance review and reporting, and is on track regarding the MTR of the HSSIP. However, failure by the MoH to conduct regular supervision and monitoring of programme implementation in the districts was a big setback in realization of the mandate of the centre. In addition the TWG continued to meet irregularly, thus affecting coordination and provision of technical guidance.
The MoH leadership needs to prioritize sector performance monitoring activities to the districts by providing reliable, regular and adequate resources. In view of the importance of TWGs, MoH Senior Top Management should put in place mechanisms to monitor the functionality of the TWGs.
Table 38: Progress in implementation of the Country Compact during 2012/13 FY
No Indicator Measurement Achievement Complaint / Non
Complaint
1. Planning and Budgeting
i. MoH Annual Workplan reflecting stakeholder contribution (all resources on plan)
Annual Work plan analyzed and report submitted to 1st HPAC of FY
Annual workplan analyzed but not submitted to HPAC.
Non Complaint
Workplan development started late and stakeholder contribution not captured
ii. All new sector investments are
appraised by SBWG Reports from SBWG on appraised Projects submitted to HPAC GAVI and IDB Projects were appraised and reports submitted to HPAC
Non Complaint
iii. All planned procurements reflected in the Comprehensive Procurement Plan
Quarterly assessment of
implementation of procurement plan to HPAC
Not done Non Complaint iv. Response to the Auditor
General’s Report Response to AG’s report presented to HPAC The Auditor General’s report was presented to HPAC Complaint v. Implementation of Harmonized
Technical Assistance (TA) Plan Progress towards implementation of agreed TA Plan No implementation Non Complaint Harmonized TA Plan not disseminated
2. Monitoring Programme Implementation and Performance
i. Area Team Visits Quarterly
Reports Presentation of reports to HPAC within 30 days after completion of Area Team visits
Not done Non Complaint
Only one Area Team visit was conducted in Q4
ii. MoH Quarterly Performance
Assessment 3 quarterly performance reviews took place All four quarters were reviewed in two biannual meetings Complaint iii. Technical Review Meeting Present Report from TRM to HPAC
[Annual Health Sector Performance Report 2012/13] Page 63
No Indicator Measurement Achievement Complaint / Non
Complaint
iv. Technical Working Group
meetings Target 80% of TWG meetings held 40% of TWG meetings held. There are 14 TWGs but meetings held irregularly
Non Complaint v. Annual Health Sector
Performance Report Submission of Final Report by 30 th
September Done Complaint
vi. Joint Review Mission –
performance review Aide Memoire presented to HPAC by November 30 Done Complaint vii. Mid-Term review of the HSSIP Completion of MTR by May 2013 MTR process initiated in November
2012 and report to be presented at the JRM in September 2013
Complaint viii. Submission of Annual Report to
OPM Submission to OPM by 30
th
September Submitted Complaint
3. Policy Guidance and monitoring
i. Senior Management Committee Proportion of planned meetings held 11/12 (92%) of planned meetings
held Complaint
ii. Health Policy Advisory
Committee meetings Proportion of the scheduled meetings took place Proportion of the meetings occurred on the scheduled dates.
All the 12 scheduled HPAC meetings took place. All the 12 HPAC meetings took place on the scheduled dates.
Complaint
iii. Country Coordinating
Mechanism (CCM) Performance for CCM meetings Attendance of at least ¾ of meetings by all members
8 meetings were held out of the expected 4 but irregular attendance by some members
[Annual Health Sector Performance Report 2012/13] Page 64