villa maria hospital dha presentation 2014 dr. moses
DESCRIPTION
Background / History Founded on 8/8/1902 as a catholic faith-based aid post by White Sisters. White Sisters handed to Bannabiikira sisters in i976 Became full fledged hospital 1966 General hospital but offers some specialized services Gazetted bed capacity 126 beds Has a large AIDS Program - 25 years old Has a Nurses Training School startedTRANSCRIPT
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VILLA MARIA HOSPITALwww.villamariahospital.org
DHA Presentation 2014Dr. Moses Male Kawuma
Medical Director
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Presentation outline • Villa Maria Hospital background, vision,
mission, mission, core values• Services provided• Outputs for 2013/2014• Income and expenditure• The Nurses Training School• The AIDS Program.
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Background / History• Founded on 8/8/1902 as a catholic faith-based aid
post by White Sisters.• White Sisters handed to Bannabiikira sisters in i976• Became full fledged hospital 1966• General hospital but offers some specialized
services• Gazetted bed capacity 126 beds• Has a large AIDS Program - 25 years old • Has a Nurses Training School started 1984
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Mission, Vision, Core values• Mission: Our mission is based on the imitation
of Christ and His deeds; To promote life to the full and heal
• Vision: To be the leading provider of quality, affordable, holistic health care in the mother and surrounding districts.
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• Core Values:- Equal opportunity to all in equal need- Uphold and cherish honesty, confidentiality
and professionalism- Uphold human dignity and rule of natural
justice- Constant improvement- Patient is at heart of everything we do- Value all stakeholders in health
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Services Rendered• Outpatient services• Inpatients / admissions• Antenatal services• Immunization services• Surgical services• X-ray and ultrasound services• AIDS care and Treatment• Laboratory services
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Services Rendered
• Dental services• Maternity services• Clinical Pastoral Care services• Outreach services.
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Staffing (critical mass)Cadre Establishment Current Number Shortage
Medical Director 1 1 0
Surgeons 1 1 0
Medical officers 3 2 1
Clinical Officers 3 2 1
Nursing Director 1 1 1
Nurses (all cadres) 38 32 6
Midwives (all cadres)
15 13 2
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Staffing Problems• Attrition• Remuneration• Dual employment (local government and
VMH) might affect quality of service.• Location of VMH not attractive for staff
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Outputs 2013/2014 Kalungu District / Villa Maria Hospital
Output Total Kalungu District
Villa Maria Hospital Percentage
Total Immunization (DPT3) 5460 355 7
Total OPD Attendance 185147 12959 7
ANC Attendance 7537 597 8
Admissions 11852 4768 40
Deliveries 4484 1321 30
Caesarian Sections (C/S) 621 571 92
Major Operations (including C/S)
1057 929 88
Counseled for HIV 49831 30535 61
Clients on ART 6844 3452 50
Source: District Biostatician
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Comment on outputs
• The hospital makes very big contribution to Kalungu District outputs especially in;
- Admissions- Deliveries- Caesarian sections- Major operations- HIV counseling- ART service]- X-ray services (the only provider)
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Comment on outputs contd….
• VMH inadvertently takes the role of district hospital.
• VMH needs to be enabled to play the role of a district hospital in the spirit of PPPH through;
- HRH- PHC – CG
VILLA MARIA HOSPITAL INCOME 2013/2014
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Details 2013/2014User Fees 930,119,600
PHC Conditional Grant 135,456,244
Designated Donations 132,497,946
Non Designated Grants/Donations 5,850,000
Other Hospital Income 57,638,781Total Income 1,261,562,571
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TREND TABLE FOR PHC CONDITIONAL GRANT AS % TOTAL INCOME FOR 2010/2011 - 2013/2014
Financial Year 2010/2011 2011/2012 2012/2013 2013/2014
Government Grants 431,303,128 202,546,940 130,891,189 135,456,244
Total Income 1,118,859,474 1,003,850,381 1,278,188,818 1,261,562,571
PHC as a % age of Total income 39% 20% 10% 11%
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Income notes• User fees constituted 73% of income• Trend of PHC CG is downward• Flat rates still maintained;
Maternity -Normal delivery 60,000/- -Nursing 60,000/- -Caesarian 160,000/- all inclusiveOPD -Children 8,000/- -Adults 10,000/-
Children Ward –Admission 45,000/- per week -Major operation 70,000/- per week
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Income Challenges
• Rural nature of catchment population• Poverty of the population we serve• Decreasing donor support• Diminishing numbers of patients;- Poverty- Improvement in service in government
facilities.
Hospital Expenditure 2013/2014
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No. ExpenditureAmount UGX
1 Employment Costs 704,268,687
2 Supplies & Services 431,646,497
3 Property Costs 105,842,362
4 Depreciation 82,960,210
5 Transport costs 37,004,733
6 Maintenance 23,681,590
7 Administration Costs 18,691,149
8 Governance Costs 12,264,200
9 Primary Health Care 2,848,000
10 Extra Costs 14,277,800
Total Expenditure 1,433,485,228
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Comments on expenditure• Employment costs consume 49%• Supplies and services take 30%• Nothing was spent on capital development• Employment costs of 50% and above are not
sustainable.
Hospital budget 2014/2015
DETAILS APPROVED BUDGET FOR 2014 - 2015 Percentage
Contribution
INCOME
User Fees 1,150,423,500 81
PHC CG grant 124,035,071 9
Other Income Generating Activities (IGAS) 69,315,166 5
Designated donations & Grants 74,303,088 5
Total Income 1,418,076,826 100 20
Hospital budget 2014/2015 Cont…
EXPENDITURE APPROVED BUDGET FOR
2014 - 2015
Percentage of Total Expenditure
Employment Costs 829,278,305 60
Supplies & Services 333,834,425 24 Administrative costs 9,688,000 1 Transport & Plant costs 39,598,712 3 Property Costs 106,707,732 8 Governance Costs 26,089,755 2 Maintenance Costs 20,721,433 1 Primary Health Care (PHC) 2,698,000 0
Extra Costs 19,002,800 1
Total Expenditure 1,387,619,162 100
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Challenges • High wage bills• Tight budgets• Almost absent donor support (except PHC CG)• Falling patient numbers, yet user fees is the main
source of income• Increasing poverty in the community• Slow implementation of PPPH• Lack of Gov’t policies enabling PNFP’s to be
sustainable• Dual employment among some cadres of staff