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Draft HC II, III, IV & V Workplan & Budget - Draft 0 - v7.6.2021
Draft HC II, III, IV & V Workplan & Budget - Draft 0 - v7.6.2021
JULY 2021
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Submitted by: (Facility In Charge) Name …………... Signature………… Date: …………
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1.0 Background Information:
Introduction:
This section provides background information about Eremi HC III in terms of its
establishment, location, governance, leadership and management structure, strategic
direction, health service package, among others.
1.1 Location:
Established in 2005, Eremi HC III is found in West Moyo Constituency (Health Sub District),
Otce subcounty, Eremi parish, Palerua Village. The health facility is 23.5 km away from the
District Health Office. It is boarded in the north by Aya parish in the East by Abeso parish, in
south by Ori parish, and west by Metu Sub county.
Administratively, the Metu sub county which supervises Otce Sub county. Otce sub county
consist of the following vilages: Paleure Pamuru, Aringa East, Aringa West, Pabolo, Agugwe,
Paecua Logo. Eremi Health Center III supervises Aya HC III, Aya HC II & ORI HC II.
The Sub county chief is the technical head of the sub county, while the parish chiefs
administratively head the parishes. Politically, the LC III chairperson, LC II and LC I head
the Sub County Council, parishes and viallaegs respectively.
Quality- We strive to exceed the expectations of all our customers by committing to deliver
quality and value in every aspect of our work
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Responsibility- We accept personal accountability for the work we do
Enthusiasm- We remember that the true meaning of this value is “to be inspired “and we do
our jobs with the same spirit and commitment that first inspired us to work in health care
Innovation- W are committed to a supportive environment that encourages new ideas and
creativity.
HUMC
SCO
ANO CO Lab/Tech
H/Asst
E/midwiv
E/Nurses Lab/Asst HIA
E/Midwives
S/Staff
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as orals/DMPA), Basic first aid, Monitoring health service delivery, General outpatient
services, Emergency deliveries plus all functions of the HC I for the target population.
Eremi HC III provides minor surgery (non-operating room), Maternity services, Inpatient
services, Sanitation, Treatment of common diseases and illnesses, Static immunization point,
Minor dental treatment (mobile), SRH services (including long-term family planning
methods), Basic laboratory services plus all functions of the HC II for the target population
where it exists.
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3.0 SITUATION ANALYSIS:
3.1 Burden of Diseases:
The top 10 diseases and their contribution to morbidity and mortality in Besia HC III by age
categories and gender are listed below. The information was extracted from the HMIS
database of FY 2020/21.
Table xxx: Top ten causes of morbidity for all age groups during previous FY 2020/21
S/N Disease Male Female Number (%)
1
2
3
4
5
6
7
8
9
10
Total
Table xxx: Top ten causes of morbidity for under-fives during previous FY 2020/21
S/N Disease Male Female Number (%)
1
2
3
4
5
6
7
8
9
10
Total
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Table xxx: Top ten causes of morbidity for adults during previous FY 2020/21
S/N Disease Male Female Number (%)
1
2
3
4
5
6
7
8
9
10
Total
Table xxx: Top ten causes of mortality for all age groups during previous FY 2020/21
S/N
1
2
3
4
5
6
7
8
9
10
Total
Table xxx: Top ten causes of mortality for under-fives during previous FY 2020/21.
S/N Disease Male Female Number (%)
1
2
3
4
5
7
6
7
8
9
10
Total
Table xxx: Top ten causes of mortality for adults during previous FY 2020/21
S/N Disease Male Female Number (%)
1
2
3
4
5
6
7
8
9
10
Total
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3.2 Performance Against Key Health Sub Program Indicators in 2020/21 FY:
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S/# Indicator Target Achievement Comment
vaccines)
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Person Position Training Duration Venue Period of Implementin
Training g Partner
Kojoki Enrolled Maternal Infant 5 days Catholic 3rd – 7th AVSI
Maureen Midwife Young Child Centre May 2021
Adolescent Cafeteria,
Nutrition Arua City
(MIYCAN)
Basic 5 Days UNICEF
Emergency
Obstetric and
Essential
Newborn Care
(BEmONC)
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The Carter Onchocerciasis/River blindness
Centre Elimination
MSU Sexual Reproductive Health
BRAC TB
AFOD Adolescent Sexual Reproductive
Health
Save the Adolescent Sexual Reproductive
Children Health
GAVI Immunization MTC 500,000
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3.8 Health work force:
Human resource is a key factor in health service delivery at Besia HC III. The table xxx below summaries health work force staffing, positions
filled and vacant including annual budgets in post and vacant.
Table xxx: Status of health work force
S/# Position
Approved
Filled
Vacant
Salary Scale
Name
Sex
Date of birth
Computer
Basic Salary
Incremental
1st
Last
Status
Qualification
Remarks
number
No.
date
Appointment
Appointment
1 Senior Clinical
Officer
2 Clinical Officer
3 Assistant Nursing
Officer (Nursing)
4 Enrolled Midwife
5 Enrolled Nurse
6 Health Assistant
7 Health
Information Asst.
8 Nursing Assistant
9 Lab Assistant
10 Lab Technician
12 Watchman
13 Porter
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3.9 Strength Weaknesses Opportunities and Threats (SWOT) Analysis:
Strengths (Positive, internal, what are we Weakness (Negative, internal, what we are
doing well? What are our advantages?) doing poorly? What can we improve? What
should we avoid? )
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4.0 Bottleneck Analysis:
4.1 Analysis of the root causes of under performances:
In this section, all performance indicators which are performing sub optimally i.e. below set
target were analyzed further using Bottle Neck Analysis (BNA) model. In Besia HC III, we
constituted a team around the table with the right knowledge and expertise on the subject
matter to establish and determine the real cause which led to the under-performance.
E.g….
Low Bottleneck Why 1 Why 2 Why 3 Management
performing
identified Immediate Underlying Structured Weaknesses
Indicator
causes causes causes
1st ANC with Low effective Ignorance of Too much Lack of health Inadequate
1st trimester coverage (%) mothers workload of education staffing
mothers
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4.2.3 Immunization:
………………………
…………………
…………………
4.2.4 Nutrition:
………………………
…………………
………………………
…………………
4.2.5 HIV and AIDS:
………………………
…………………
………………………
4.2.6 TB:
………………………
…………………
………………………
4.2.7 WASH:
………………………
…………………
………………………
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4.3 Planning for an intervention:
4.3.2 Objectives:
E.g….
1. To increase PCV3 coverage from 52% to 75% by June 2022.
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5.0 BESIA HC III FY 2021/22 DETAILED WORK PLAN:
S/# Activity Measurable Target Frequency Expected Means of Responsibility Annual Quarterly
Indicator Results Verification Budget Budget
1.1 Conduct immunization # children Infants 5*12 100% Tally Sheets EPI FP 1,296,000= 324,000=
outreaches immunized immunized HMIS 105
1.2 Conduct home visits to # children Infants 4*12 100% Tally Sheets MCH FP
trace defaulters of immunized immunized
immunization
1.3 Conduct school health # schools School 6*3 100% Report MCH FP 612,000= 153,000=
visits visited children schools School
reached visitors
with Book signed
services
1.4 Conduct CB DOTS visits # TB TB 1*12 100% Payment HA/FP ART 408,000= 102,000=
patients patients supervised voucher clinic
visited
2.0 Reporting:
2.1 Submit accurate & timely Timeliness (LAB 1*6 No stock Order forms Health Unit 324,000= 81,000=
pull orders & reports to the of orders supplies, outs submitted Manager
district stores assistant submitted ARVS,
TB, HIV
test kit…)
2.2 Submit complete & timely Timeliness HMIS 1*12 complete & HMIS reports Health Unit 324000= 81,000=
HMIS reports of reports 101, 102e, timely Manager/HIA
submitted 105, 108, reports
106a, 107.
2.0 Mobilization:
2.1 Motivate VHTs to conduct # of VHTs VHTs 2*12 # VHT Attendance HA/HF 640,000 160,000=
community mobilizations motivated motivated sheets Manager
Payment
voucher
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S/# Activity Measurable Target Frequency Expected Means of Responsibility Annual Quarterly
Indicator Results Verification Budget Budget
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6.0 BESIA HCIII FY 2021/22 DETAILED BUDGET:
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No. Activity Timing Unit of No. of No. of
measure No. of Unit cost days times Amount
Q1 Q2 Q3 Q4 Units
- Safari Day Allowance person 02 50,000 5 5 250,000=
- Fuel petrol Ltres 30 5,000 150,000=
- Staff welfare (break tea sugar)
- Tea leaves 00
Sub total 150,000=
1.6 Travel & transport
1.Use of public means for official duties L/S 100,000=
Sub total 100,000=
1.7 Meetings
Performance review meetings
HUMC meetings Persons 15 15,000 1 1 300,000=
QI meetings Persons 3 20000 1 1 60,000=
General staff meetings
MPDSR meetings 40,000=
VHT-facility coordination meetings
Sub total 580,000=
1.8 Secretarial services
- purchase of stationary
- printing & type setting
- photocopying report forms
- ball pens
- marker pens
- masking tape
- calculator L/S 100,000=
- 30cm rulers
- Flip charts
- Punching machines
- Stapler machine
- Stapling pins
- Cartage ink
Sub Total 100,000=
1.9 Coordination & communication
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No. Activity Timing Unit of No. of No. of
measure No. of Unit cost days times Amount
Q1 Q2 Q3 Q4 Units
1.Air time (for 2 Askaris,2 H/u Heads) L/S 90,000=
Sub total
90,000=
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No. Activity Timing Unit of No. of No. of
measure No. of Unit cost days times Amount
Q1 Q2 Q3 Q4 Units
2.monthly charges Ugx 25,000 3 3 3 86,190=
Subtotal 86,190=
Sub total 885,000=
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7.0 Total Income and Expenditure Financial Projection
Table xxx: Financial Revenues & Expenditure Projection
Revenues Past Year Projected Projected
Revenues (FY Revenues Expenditure
2019/20) (FY2020/21) (FY2020/21)
User fee charges 0 0 0
PHC NWR funds 6,000,000 6,960,000 6,960,000
Salaries from government & other sources 147,774,852 147,774,852 147,774,852
RBF subsidies from fund holder 0 18,916,800 18,916,800
Contribution from other sources ...
Credit line 8,412,218 8,633,388 8,633,388
UNICEF 0 60,000 60,000
GAVI 0
Cash 0 0 0
Bank balance at the end of last year 0 531,772 0
31/12/2020
TOTAL 162,187,070 182,876,762 182,345,040
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