The Institutional Capacity Building project In planning, leadership and management in the Uganda health sector Phase 2 (ICB II) is formulated as a follow-up of the ICB (I) project and complementary to the PNFP project. The ICB (I) project started in June 2010 and will be closed in December 2015.
It focused on capacity building at MOH, regional and district level (Rwenzori and Wets Nile) and support to the Health Manpower Development Centre in Mbale. The PNFP project (institutional support towards Universal Health Coverage) started in September 2014 and will support the MOH and the PNFP sub-sector until the end of 2018.
The project is funded by BTC Uganda at a total cost of EUR 5,000,000 and has a three-year implementation period, complementary to PNFP project.
Objectives of the project
General Objective: to further improve effective delivery of an integrated Uganda Minimum Health Care Package (UMBCP).
Specific Objective: to strengthen the planning, leadership and management capacities of (public) health staff, specifically at decentralized local government level.
Activities under the project will follow a double logic and the project framework is structured through a number of strategic options:
- Result-Based-Financing (RBF) as one of the building blocks in the perspective of a national Social Health Insurance system (SHI). A RBF approach has been developed under the PNFP project and will be expanded under ICB II to public health facilities. Implementation will feed national policies for future SHI system development in the country.
A Health Systems perspective and Systemic Capacity Building approach to improve quality of care and quality of management. The ICB II project will intervene at 3 organizational-administrative levels of the health system (facility, district / regional and Ministry of Health), and will cover three dimensions at each level: quality of care, quality of management and Human Resource development.
Coherent approach in health sector support: ICB II will build on achievements and dynamics under the ICB (I) project (2010-2015), such as regional coordination, regional referral/ambulance system,
Leadership & Management capacity and decentralized support (Execution Agreements. The ICB II and PNFP projects will end at the same time, in order to enable an overall planning of a single comprehensive health sector support programme.
4Geographical focus: at the request of the Ministry of Health, the ICB (I) project intervened in two regions (Rwenzori and West Nile). The PNFP project is also focused on the PNFP sub-sector in the same two regions. ICB II will expand on the work started in 15 districts within the Rwenzori and West Nile regions, with a focus on facility, district and regional level. It will also intervene at the national level (MOH) and work complementary with the PNFP, Skills Development proj ect and Health Budget Support.
- Capitalization of lessons learned to feed national policy: the type of support through the Belgian cooperation is one of systemic strengthening and supporting development processes. This is long-term support and requires continuous analysis of the situation based on vision, models and policies. The overall purpose of evaluations should be more on how interventions contributed to change and why progress was made (understanding). Recommendations should deal with what has been learned and which decisions could further improve given situations.
The expected capital output of the BTC/ICB II project are:
- Basic medical equipment to General Hospitals and HC IVs
- Provision of Clinical software and hardware tools to Hospitals and HCIVs to handle e-patient files
- Basic equipment for District Health Offices
- The quality of care at hospital and He IV is strengthened
- District Health Offices and Management Teams are strengthened in their capacity to manage integrated district health systems and to strengthen quality of care
- Integrated regional network of health facilities in place
- The normative role of MOH is strengthened