Annex 6: HMIS 001- Annual Comprehensive Workplan

Section 1: Catchment / Area of Responsibility

Figure 1: Catchment Area Health Map

(Insert Catchment Area Health Map)

Table 1: Demographic Characteristics

Demographic variables Proportion (%) Population Population
FY 20../20.. FY 20../20..
(Current FY) (Next FY)
1. Total population 100%
2. Children below 18 years 55.1%
3. Adolescent & youth (young people, 10-24 34.8%
years)
4. Orphans (below 18 years) 8.04%
5. Infants (below 1 year) 4.3%
6. Children below 5 years 17.7%
7. Women of reproductive age (WRA) (15-49 20.2%
years)
8. Expected pregnancy 5%
9. Expected Deliveries 4.8%
10. Refugee Population
Should be based on UBOS Mid-year population projections

Table 21: Administrative Units VHTs and Health Facilities

S
No of VHT Members

/
N
Name of Health

Accessing PHC
Town Council/

No of Villages
Sub-county/

Ownership
Population

Population
Parish

1
NANZIGA 6636

1
 KATEREKE

1113
1

MAYA
1498
5

NSANGI
2697
2

NABBINGO

3392
9

Note: Add more rows as necessary

Local Government Health Partners

Table 32: Implementing Partners, CSOs and Respective Interventions

2
 Implementation Mode

Intervention Area(s) /

Duration of Project
Donor(s) / Funders

District Coverage /

Estimated Annual
Name of Project /

Service Delivery

Start-End Date
Direct Technical In-kind

Target Group
Funding Support Support

Location
Partner

Budget
Section 2: Organisational Structure and Strategic Direction

2.1 Organizational Structure

Figure 2: Organogram
(Insert Organogram)

2.2 Vision

2.3 Mission

2.4 Core Values

(i)…………………………………….
(ii)……………………………………
(iii)…………………………………….

2.2 Health Sub-Programme Objectives

1) Improve the foundations for human capital development.

2) Improve population health, safety and management
3) To increase financial risk protection of households against impoverishment due to health expenditure.

3
Section 3: Health Status

3.1 Key Outcome Indicators

Table 4: Indicators of Health Status

Indicator National Regional1

Maternal Mortality Ratio (MMR) (per 100,000)
Neonatal Mortality Rate (NMR) (per 1,000)
Infant Mortality rate (IMR) (per 1,000)
Under five mortality rate (U5MR) (per 1,000)
Total Fertility Rate (TFR)
Adolescent pregnancy rate (< 15 years)
Adolescent Pregnancy Rate (15-19 Years)
Proportion of women of reproductive age who have their need for family
planning satisfied with modern methods
Contraceptive prevalence rate (CPR)
Children below five years who are stunted
Children below five years who are underweight
1. Indicate data source

3.2 Disease burden, cause of mortality

Table 53: Top ten causes of morbidity for all age groups during previous FY
S/N Diagnosis Male Female Total (%)
1
2
3
4
5
6
7
8
9
10
All others
Total
Source: HMIS

Table 64: Top ten causes of morbidity for under-fives during previous FY
S/N Diagnosis Male Female Total (%)
1
2
3
4
5
6
7
8

4
 9
10
All others
Total
Source: HMIS

Table 7: Top ten causes of morbidity for above 5 Years during previous FY
S/N Diagnosis Male Female Total (%)
1
2
3
4
5
6
7
8
9
10
All others
Total
Source: HMIS

Table 8: Top ten causes of mortality for all age groups during previous FY
S/N Diagnosis Male Female Total (%)
1
2
3
4
5
6
7
8
9
10
All others
Total
Source: HMIS

Table 9: Top ten causes of mortality for under-fives during previous FY

S/N Diagnosis Male Female Total (%)
1
2
3
4
5
6
7

5
 8
9
10
All others
Total
Source: HMIS

Table 10: Top ten causes of mortality for above 5 Years during previous FY
S/N Diagnosis Male Female Total (%)
1
2
3
4
5
6
7
8
9
10
All others
Total
Source: HMIS

Table 115: Causes of maternal mortality during the previous FY

Cause of Death 10-19 years 20-24 years > 25 years Total (%)
death death death

Total
Source: HMIS

6
Section 4: Previous Budget Performance, Planned Budget & Key Output Indicators and Targets

Table 12: Budget Performance and Planned budget

Specific Key Result Area Indicator Previous FY Current FY
Objective 20../20… 20../20..

FY 20../20..
(Millions)
(Millions) (Millions)

Planned
Approved Budget Approved Budget Budget
Budget Released Budget Released
(by
December)

1. To increase Health financing GoU Wage i) SCG Wage

financial risk ii) District Unconditional
protection of Grant – Wage
households iii) Urban Unconditional
against Grant Wage
impoverishm Sub Total GoU Wage
ent due to
health GoU Non-Wage SCG - DHO
expenditure Recurrent SCG - Public Hospital
SCG - PNFP Hospital
SCG - PHC - LLU
SCG - PHC PNFP LLU
NMS Credit Line
JMS Credit Line
Non-Tax Revenue (AIA)
(User fees)
Unconditional Grant
Local Revenue
OGT- Global Fund
OGT- GAVI

Sub Total GoU Non-Wage

GoU Sector Cond. Grant -

7
Specific Key Result Area Indicator Previous FY Current FY
Objective 20../20… 20../20..

FY 20../20..
(Millions)
(Millions) (Millions)

Planned
Approved Budget Approved Budget Budget
Budget Released Budget Released
(by
December)

Development Upgrade
Grant (Specify Sector Cond. Grant –
Source) Performance/Formula based
DDEG
Locally Raised Revenue
Sub Total GoU Dev.

On Budget Ext.
Financing
(Specify source)

Sub Total On Budget Ext. Financing

Off
Budget
Financing
(Specify source)
Sub Total Off Budget Fin.

Grand Total

8
Table 13: Revenue Projections
S/N Service Package Target Achieved Target User Fee Annual User Fee RBF unit Annual RBF
(Paid for) Previous FY Previous FY Next FY unit Price Revenue price revenue
20../20.. 20../20.. (UGX) Projection (UGX) projection
20../.. (UGX) (UGX)
1
2
3
4
5
Total
Add/Remove rows as necessary.

Table 14: Service Delivery Key Outputs and Indicators

Key Result Area Indicator Previous FY Current FY Planned
20…/20.. 20.../20… FY 20../20..

Achieved by
December
Achieved
Target

Target

Target
Specific Objective 1: Improve the foundations for human capital development
1. Child and maternal nutrition % of work places with breastfeeding corners 23 19 20 14
enhanced
Vitamin A second dose coverage for under-fives (%)
% of pregnant women receiving iron/folate supplement
2. Increase access to % of Children Under One Year Fully Immunized
immunization against % of functional EPI fridges 2 2 2 2
childhood diseases % of health facilities providing immunization services by
level
BCG Coverage (%) 5187

IPV Coverage (%) 7208

9
Key Result Area Indicator Previous FY Current FY Planned
20…/20.. 20.../20… FY 20../20..

Achieved by
December
Achieved
Target

Target

Target
DPT/Hep B/Hip 3 Coverage 7086

Rota Virus 2nd dose Coverage 7086

PCV Coverage 4855

Measles Rubella Coverage 4855

Measles Rubella 2nd Dose Coverage 416

HPV coverage 2nd Dose Coverage 2768

3. Improve adolescent and % of health facilities providing adolescent friendly service

youth health package
Adolescent birth rate (<15 years) per 1,000)
Adolescent Birth rate (15-19 years per 1,000
No. of peer educators trained and recruited to support
provision of Adolescent friendly services
Number of youths mobilized for uptake of Health services
% of VHTs with youth members
Specific Objective 2: Improve population health, safety and management
4. Reduced morbidity and % of the population with knowledge, and utilize and practice

10
Key Result Area Indicator Previous FY Current FY Planned
20…/20.. 20.../20… FY 20../20..

Achieved by
December
Achieved
Target

Target

Target
mortality due to HIV/AIDS, correct malaria prevention, control and management
TB and malaria and other measures.
communicable diseases % of Malaria patients treated with a laboratory diagnosis
Intermittent Presumptive Treatment (IPT) 3 coverage for 1521
pregnant women

In patient malaria deaths per 100,000 persons per year

Malaria cases per 1,000 persons per year
No. of youth-led HIV prevention programs designed and
implemented
% of key populations accessing HIV prevention
interventions
No. of safe medical male circumcisions done
% of Hospitals, HC IVs and IIIs conducting routine HIV
counselling and testing
% of Preg. Women tested for HIV during current pregnancy
HIV + women receiving ARVs for PMTCT during
pregnancy and delivery
% of HIV-exposed infants with 2nd PCR test
% of high-risk population receiving PrEP and PEP 1236
ART Coverage (%) 98%
ART retention rate (12 months) 98%
Viral Load suppression (%)
% of priority programs integrating HIV care and treatment
(TB, Nutrition, Family Planning, Cancer of the cervix
screening, Hepatitis B & C screening, HPV Vaccination for
girls, Sexual and Reproductive Health, SGBV)

11
Key Result Area Indicator Previous FY Current FY Planned
20…/20.. 20.../20… FY 20../20..

Achieved by
December
Achieved
Target

Target

Target
No. of stakeholder engagements in the HIV prevention effort
to address the socio-cultural, gender and other structural
factors that drive the HIV epidemic
% of target population vaccinated against Hepatitis B
% of Hepatitis B positive people treated by dose
1st dose
2nd dose
3rd dose
TB Case detection rate (all forms)
TB Case notification rate
TB treatment success rate
Facilities (Hospitals, HC IVs and IIIs) with diagnostics for
TB (%)
Under 5 illnesses attributed to diarrhoeal diseases (%)
Hepatitis B incidence per 100,000 population
Malaria Incidence per 100,000 population
5. Reduced morbidity and Number of people requiring interventions against NTDs per
mortality due to Neglected 1,000 population (schistosomiasis and trachoma)
Tropical Diseases

6. Epidemic diseases timely % of epidemics / disease out breaks detected timely and
detected and controlled controlled
Mortality rate from unsafe water, sanitation and lack of
Hygiene (Diarrhoea, Typhoid, Dysentery & Cholera)
7. Prevent and control Non- % of eligible population screened for cancers like:
Communicable Diseases Cervical Cancer Screening in women aged 30-49 years;

12
Key Result Area Indicator Previous FY Current FY Planned
20…/20.. 20.../20… FY 20../20..

Achieved by
December
Achieved
Target

Target

Target
with specific focus on Breast Cancer Screening in women aged 30-49 years;
cancer, cardiovascular Prostate Cancer Screening in Men above 40 years
diseases and trauma % of girls immunized against cervical cancer by 10 years 600 1500
(%)
% of lower-level health facilities (HC IVs and IIIs) routinely
screening for NCDs
Number of deaths from Cancer among 20 years & above
Number of deaths from Cardiovascular Disease among 20
years & above
Number of deaths from Diabetes Mellitus among 20 years &
above
Number of deaths from Chronic Respiratory Disease among
20 years & above
Death rate due to Road traffic Accidents
Total Number of Deaths due to Road Traffic Accidents
Mortality rate attributed to unintentional poisoning
8. Mental Health Services Suicide Mortality Rate
% coverage of treatment interventions for substance use
disorders
9. Improved RMNCAH % of hospitals and HC IVs with functional NICUs
Services % of young people in school accessing age-appropriate
information
% of young people outside school accessing RH services
% of targeted villages with ICCM providers 16
ANC 4+ Coverage 989

13
Key Result Area Indicator Previous FY Current FY Planned
20…/20.. 20.../20… FY 20../20..

Achieved by
December
Achieved
Target

Target

Target
Health facility deliveries 55318

HC IVs offering CEmNOC Services

% of new acceptors of all user to modern contraception
Couple Years of Protection for women in child bearing age
10. Improve the functionality of
the health system to deliver
quality and affordable
preventive, promotive,
curative and palliative health
care services focusing on:

a) Human resources Approved posts (Public) filled (%)

Number of physicians (doctors) per 10,000 population
Number of midwives per 10,000 population
Number of nurses per 10,000 population
Health worker force per 10,000 popn (Doctors, Nurses,
Midwives, Allied Health and Pharmacists Staff only)
Annual performance assessment for all staff

14
Key Result Area Indicator Previous FY Current FY Planned
20…/20.. 20.../20… FY 20../20..

Achieved by
December
Achieved
Target

Target

Target
% of facilities with Annual Training plans based on the
Training Needs Assessment
Training database updated with all staff trainings
b) Health Infrastructure No. of Hospitals and HCs rehabilitated / expanded
Total (Hospital, HC IV & HC III) Beds per 1,000 population
% recommended medical and diagnostic equipment available
and functional by level
Hospital
HC IV
HC III
HC II
Medical equipment inventory maintained and updated
c) Avail affordable medicine % SPARS score for LG
and health supplies % availability of 41 basket of commodities
including promoting local % of health facilities with 95% availability of 41 basket of
production of medicines EMHS
% of health facilities utilizing the e-LIMIS
d) Essential clinical and New OPD utilization rate
rehabilitative care Inpatient admissions per 1,000 population
Total Bed Occupancy rate (Hospital, HC IVs & HC IIIs)
Bed Occupancy Rate Hospital
Bed Occupancy Rate HC IV
Bed Occupancy Rate HC III
Average length of stay Hospitals

15
Key Result Area Indicator Previous FY Current FY Planned
20…/20.. 20.../20… FY 20../20..

Achieved by
December
Achieved
Target

Target

Target
Average length of stay HC IVs
Average length of stay HC IIIs
% of target laboratories accredited (Hospitals and HC IVs)
e) Governance and % of Quarterly DHMT Meetings held
management structures % of monthly DHT meetings held
reformed and functional % of Hospital / Health Facility Management Team
(Technical Management) meetings held
% of Quarterly Hospital / Health Unit Management
Committee meetings held
Annual stakeholder analysis and mapping undertaken
No. of stakeholder engagement meetings / workshops held
% quarterly supervision visits undertaken
Comprehensive Annual Operational Workplan developed
f) Data collection, quality and HMIS 001 Reporting rate (%) – Workplan 100% 100%
use at facility and HMIS 033b Reporting rate (%) – Weekly epidemiological 100% 100%
community levels surveillance report
strengthened HMIS 102 Reporting rate (%) – Facility Equipment 100% 100%
Inventory report
HMIS 105 Reporting rate (%) – Monthly Outpatient report 100% 100%
HMIS 106a Reporting rate (%) – Quarterly report 100% 100%
HMIS 106b Reporting rate (%) – Quarterly Assessment 100% 100%
report
HMIS 107 Reporting rate (%) – Annual report
HMIS 108 Reporting rate (%) – Monthly Inpatient report 100% 100%
VHT/ICCM (HMIS 097b) Reporting Rate (%) - 100% 100%
Quarterly report

16
Key Result Area Indicator Previous FY Current FY Planned
20…/20.. 20.../20… FY 20../20..

Achieved by
December
Achieved
Target

Target

Target
Information products developed and shared at all levels
quarterly
% of hospitals and HC IVs with a functional EMRS
Quarterly Data Quality Audits conducted
% of health facilities with an error-to-data ratio of less than
5% (95% correctness based on selected health facilities and
data elements)
g) Sector performance % of quarterly and annual performance reports disseminated
monitored and evaluated % of quarterly review meetings held 100% 100%

h) Improving Quality of Care % of functional CQI Committees at District/City Health 3 3 8

Office
% of functional CQI Committees at health facility level 3 3 3 3
Institutional Fresh Still Births (per 1,000 deliveries)
Institutional Macerated Still Births
Institutional New-born Deaths
Institutional Perinatal Mortality Rate
Number of Maternal Deaths in health facilities
% of Maternal deaths reviewed
% of Perinatal Deaths Reviewed
Under five deaths among 1,000 under 5 admissions
Client satisfaction index
% of readiness capacity of health facilities to provided
general services (HFQAP Score)
Specific Objective 3: To address the key determinants of health through strengthening inter-sectorial collaboration and partnership
11. Social and economic Children below 5 years who are stunted (%)

17
 Key Result Area Indicator Previous FY Current FY Planned
20…/20.. 20.../20… FY 20../20..

Achieved by
December
Achieved
Target

Target

Target
determinants of health Children below 5 years who are under weight (%)

12. Health promotion and % of Villages/wards with a VHT 16 16 16

Environmental Health Households with improved sanitation coverage (%)
% of Villages (Communities) that are Open Defecation Free
-ODF
Population with access to Basic hand hygiene (Hand
Washing Coverage)
% of health facilities with access to Basic Environmental
cleanliness services1
% of health facilities having Basic hygiene facilities2
% of health facilities having Basic services for Health Care
Waste Management3
% of health facilities with access to Basic water services
% of schools with pupils having access to Basic Sanitation
services4
% of schools with pupils having access to Basic hand
hygiene services5
% of hospitals and HC IVs with functional mortuaries

1
"Basic Environmental Cleanliness Services" refers to Health care facilities with basic protocols for cleaning and where all staff with cleaning responsibilities
have been trained.
2
Basic Hygiene service in HCFs is defined by two main criteria: (1) either alcohol hand rub or basin with water and soap at points of care (2) hand washing
facilities with water and soap available at toilets
3
Basic Services for HCWM is when medical waste is safely segregated into at least three bins, and sharps and infectious waste are treated and disposed of safely
4
A school has access to Basic Sanitation if it has Improved sanitary facilities, which are single-sex and usable at the school
5
Basic hand hygiene services refers to presence and use of Hand washing facilities (having water and soap) at critical points in the school e.g near latrine, food
serving area.

18
Key Result Area Indicator Previous FY Current FY Planned
20…/20.. 20.../20… FY 20../20..

Achieved by
December
Achieved
Target

Target

Target
Functional mortuary in the City
% of Parishes with Pillar 4 Committees (P4C) under the
Parish Development Committees

19
Section 5: Logistics, Infrastructure and Human Resource

5.1 Health Department Transportation

Table 15: Status of vehicles/motorcycles

Facility Level Type of Vehicle Vehicle Reg. Condition (Good Purchased/
/Motorcycle make Number or Poor) Donated By
Public Facility
District/City/
Municipal Health
Office
General hospital

HC IV

HC III
HC II
PNFP Facility
Hospital

HC IV
HC III
HC II
Private Facility
Hospital
Health Centre
Clinic

Table 16: Status of Ambulance/Referral Service Performance

Type / Level of # of ambulance Staffing for # of referrals
Facility vehicles ambulance Pre-hospital/ Inter-facility
community pick-ups referrals
Public facility
General hospital
HC IV
PNFP facility
Hospital
HC IV
Private facility
Hospital
HC IV

Note: Add rows as necessary.

5.2 Human Resource Capacity

Table 17: Public Sector Staffing by Health Facility Level

20
 Level No. of No. of Filled Vacant % Filled Annual Annual
Units posts budget budget
(In post) (Vacant
post)
DHOs Office
City Health Office
Municipal Health
Office
General Hospital
HC IV
HCIII
HC II
Town Council
Total

Table 18: PNFP sector staffing by health facility level

Level No. of Units No. of Filled Vacant % Filled Annual Annual
posts budget budget
(In post) (Vacant
post)
Hospital
HC IV
HCIII
HC II
Total

Table 19: Private Sector Staffing by health facility level

Level No. of No. of Filled Vacant % Filled Annual Annual
Units posts budget budget
(In post (Vacant
post)
Hospital
HC IV
HCIII
HC II
Total

21
 Table 20: Wage Analysis

Retiring

Annual Cost for filled

No. to Recruit

post

Annual Cost for vacant

post
Monthly Basic Salary

Annual Cost Filled +

planned recruitment
Monthly Gross pay
Lunch Allowances

Annual Cost for

Position

Approved Posts

Hard to Reach
S/N

Salary Scale

Recruitment
planned for
Allowance
Vacant
Filled
Nsangi Health Centre III
U3 (Med-
Medical Superintendent - - -
1 1 1 1) 5,884,476 - - 5,884,476 - 70,613,712 - -
U4 (Med-
Medical Officer - - -
2 1 1 1) 5,408,476 - - 5,408,476 - 64,901,712 - -
U4 (Med-
Senior Clinical Officer - - -
3 1 1 2) 4,408,476 - - 4,408,476 52,901,712 - - 52,901,712
U4 (Med-
Nursing Officer/Nursing - - -
4 1 1 2) 4,408,476 - - 4,408,476 - 52,901,712 - -
U4 (Med-
Sonographer - - -
5 1 1 2) 4,408,476 - - 4,408,476 - 52,901,712 - -
Counsellor - - - U4L
6 1 1 723,868 330,000 - 1,053,868 - 12,646,416 - -
Clinical Officer - - U5 (Med)
7 2 1 1 2,608,476 - - 2,608,476 31,301,712 31,301,712 - 31,301,712

Assistant Nursing Officer/Nursing - - - U5 (Med)

8 1 1 2,608,476 - - 2,608,476 31,301,712 - - 31,301,712
Assistant Nursing
- - - U5 (Med)
9 Officer/Psychiatry 1 1 2,608,476 - - 2,608,476 - 31,301,712 - -
Assistant Nursing
- - - U5 (Med)
10 Officer/Midwifery 1 1 2,608,476 - - 2,608,476 - 31,301,712 - -
Assistant Nursing Officer/Public
- - - U5 (Med)
11 Health 1 1 2,608,476 - - 2,608,476 - 31,301,712 - -
Assistant Nursing Officer/Palliative
- - - U5 (Med)
12 Care 1 1 2,608,476 - - 2,608,476 - 31,301,712 - -
Assistant Health Educator - - - U5 (Med)
13 1 1 2,608,476 - - 2,608,476 - 31,301,712 - -

22
 Assistant Vector Control Officer - - - U5 (Med)
14 1 1 2,608,476 - - 2,608,476 - 31,301,712 - -
Laboratory Technician - - - U5 (Med)
15 1 1 2,608,476 - - 2,608,476 31,301,712 - - 31,301,712

Pharmacy Technician - - - U5 (SC)

16 1 1 2,200,000 - - 2,200,000 - 26,400,000 - -
Health Inspector - - - U5 (SC)
17 1 1 2,200,000 - - 2,200,000 - 26,400,000 - -
Sign Language Interpreter - - - U5L
18 1 1 462,852 330,000 - 792,852 - 9,514,224 - -
Enrolled Midwife - - U7 (Med)
19 8 4 4 1,421,634 - - 1,421,634 68,238,432 68,238,432 - 68,238,432

Enrolled Nurse/Psychiatry - - - U7 (Med)

20 1 1 1,421,634 - - 1,421,634 - 17,059,608 - -
Enrolled Nurse/Critical Care - - - U7 (Med)
21 2 2 1,421,634 - - 1,421,634 - 34,119,216 - -
Enrolled Nurse - - U7 (Med)
22 8 5 3 1,421,634 - - 1,421,634 85,298,040 51,178,824 - 85,298,040

Laboratory Assistant - - - U7 (Med)

23 3 3 1,421,634 - - 1,421,634 - 51,178,824 - -
Hygiene Assistant - - - U7 (Med)
24 3 3 1,421,634 - - 1,421,634 - 51,178,824 - -
Health Assistant - - U7 (Med)
25 4 1 3 1,421,634 - - 1,421,634 17,059,608 51,178,824 - 17,059,608

Health Information Assistant - - - U7U

26 1 1 343,792 220,000 - 563,792 6,765,504 - - 6,765,504

Nursing Assistant - - U8 (Med)

27 - 3 (3) 596,000 - - 596,000 21,456,000 (21,456,000) - 21,456,000

Driver - - - U8
27 1 1 221,988 220,000 - 441,988 - 5,303,856 - -
Askari - - U8
28 3 2 1 221,988 220,000 - 441,988 10,607,712 5,303,856 - 10,607,712

Porter - - U8
29 2 3 (1) 221,988 220,000 - 441,988 15,911,568 (5,303,856) - 15,911,568
TOTAL - -
55 23 32 372,143,712 843,371,880 - 372,143,712

23
 NB: (i) Fill out a form for Each Cost Centre
(ii) Grand total of Annual Cost filled posts + Annual Cost Number to Recruit – Annual Cost Number retiring should Equal approved wage budget

Capacity Building

Table 21: Monitoring staff on training

Name of Officer Title Facility Study Leave Type of Duration Institution Start End Date
attached to Approved training Date
attended

Table 22: Public Health Infrastructure (Use a column for each facility)
Type of Infrastructure Public Health Facility Name
Hosp…. ……. ……... …….
HC IV HC III HC II
OPD
Inpatient Bed capacity: Total Beds 12
Wards Maternity: beds
Medical: beds
Surgical: beds
Paediatric: beds
Obs/Gyn: beds
TB: beds
ICU: Beds
Maternity

24
Operating theatre
Laboratory
X-ray unit
Dental unit
Blood bank
Pharmacy
Store
Mortuary
Staff With one bed room
Houses With two bed rooms 2
With three bed rooms
Toilet stances
Water supply
Electricity
Incinerator 4 1
Kitchen 1
Placenta pit
Toilet stances 6
Water sources
Electricity
Waste bins 34
Patient’s shade
Fence
Year of Construction
Year Last Rehabilitated
General Comments

Table 23: PNFP/Private Health Infrastructure

Type of Infrastructure PNFP Health Facility Name
Hosp. HC IV HC III HC
II
OPD
Inpatient Bed capacity: Total beds
Ward Maternity: beds

25
 Medical: beds
Surgical
Paediatric: beds
Obs/Gyn: beds
TB: beds
ICU: Beds
Maternity
Operating theatre
Laboratory
X-ray unit
Dental unit
Blood bank
Pharmacy
Store 1
Mortuary
Staff With one bed room 2
houses With two bed rooms
With three bed rooms
Toilet stances
Water supply
Electricity
Incinerator
Kitchen
Placenta pit
Toilet stances
Water sources
Electricity
Waste bins
Patient’s shade
Fence
Year of Construction
Year of last Rehabilitation
Ownership
General Comments

26
Section 6: Situation Analysis & Evidence Based Prioritisation

6.1 Key Achievements in previous FY

6.2 Challenges

Table 24: Strengths, Weaknesses, Opportunities and Threats (SWOT Analysis)

Strength (Internal Positive) Opportunities (External Positive)

(i) (i)
(ii) (ii)
(iii) (iii)
(iv) (iv)

Weaknesses (Internal Negative) Threats (External Negative)

(i) (i)
(ii) (ii)
(iii) (iii)
(iv) (iv)

Figure 3: Bottlenecks Analysis

Insert Bar Graphs for bottlenecks analysis (sample indicators provided in table 24)

Table 25: sample indicators for Bottlenecks Analysis

Commodities Human Physical Initial Continuous Quality or Effective
Resource access Utilisation Utilisation Coverage
Availability of Posts filled for % of villages ANC 1st visit ANC 4 coverage Deliveries in Health
Pregnancy Test medical staff with a in first (%) Facilities (%)
Kits (% of days in (%) functional trimester (%)
a quarter stock VHT
lasts)
Availability of Posts filled for % of parishes DPT Hib HeP DPT Hib Hep 3 % of children that
measles vaccine doctors (%) with a health 1 coverage coverage (%) are fully immunized
(% of days in a facility (%)
quarter stock
lasts)
Availability of Posts filled for % of sub Deliveries in Post Natal Care @ Post Natal care @ 6
Partographs (% Midwives counties / Health 24 hours (%) days
days in quarter the TCs / Facility (%)
stock lasts) Divisions

27
 Commodities Human Physical Initial Continuous Quality or Effective
Resource access Utilisation Utilisation Coverage
with a HC III
% of Health Post filled for % of expected % of HIV + % of exposed babies
Facilities health pregnant pregnant women tested for HIV at 18
(including HC IIs) promotion and women that receiving ARVs for months
with adequate Environmental are tested for PMTCT during
stocks of HIV test health staff HIV Pregnancy or
Kits) delivery

Table 26: Cause and Management Analysis of Identified Bottlenecks

Bottleneck
Immediate Cause
Underlying Cause
Root Cause
Proposed Solution
Activities to address
proposed solution
Monitoring, Evaluation &
Learning Activities

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Table 27: Prioritization Matrix
Solution Feasibility Affordability Acceptability Equity Score
Is there Is there capacity Does it Is it cost- Can Is it Is it Does it Does it
supportive to implement? mitigate effective? you acceptable acceptable to benefit benefit
policy? against fund it? to health system the poor women
climate communiti stakeholders? more? more?
change es

Section 7: Annual Workplan Programming

Table 28: Annual Work plan Template

Quarterly Budgets

Annual Budget
Budget Output

Budget Output

Budget Source
(Previous FY)
Service Area

(Millions)

Description
verification

Resp. Unit/
Item Code

(Millions)
Indicator

Activities
Means of
Baseline

Q1 Q2 Q3 Q4

Officer
Target
Code

Item
(i) Use program, sub program, objectives, interventions and sub intervention plus their respective codes from the PIAP
(ii) Use Output and Output codes from the program budgeting system (PBS) software
(iii) Include indicators in PIAP and other indicators relevant for your specific activities
(iv) Select Item and Item Codes from the chart of accounts.
(v) The total planned expenditure must equal the total budget from all grants.

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