Villa Maria Hospital villamariahospital villamaria@ucmb.co.ug

1. Villa Maria Hospitalwww.villamariahospital.orgvillamaria@ucmb.co.ug DHA Presentation 2014 Dr. Moses Male Kawuma Medical Director

2. 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.

3. 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

4. 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.

5. 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

6. Services Rendered • Outpatient services • Inpatients / admissions • Antenatal services • Immunization services • Surgical services • X-ray and ultrasound services • AIDS care and Treatment • Laboratory services

7. Services Rendered • Dental services • Maternity services • Clinical Pastoral Care services • Outreach services.

8. Staffing (critical mass)

9. Staffing Problems • Attrition • Remuneration • Dual employment (local government and VMH) might affect quality of service. • Location of VMH not attractive for staff

10. Outputs 2013/2014 Kalungu District / Villa Maria Hospital

11. 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)

12. 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

13. Villa Maria Hospital Income 2013/2014

14. TREND TABLE FOR PHC CONDITIONAL GRANT AS % TOTAL INCOME FOR 2010/2011 - 2013/2014

16. 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 inclusive OPD -Children 8,000/- -Adults 10,000/- Children Ward –Admission 45,000/- per week -Major operation 70,000/- per week

17. 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.

18. Hospital Expenditure 2013/2014

19. 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.

20. Hospital budget 2014/2015

21. Hospital budget 2014/2015 Cont…

22. 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