Annex
1
SERVICE LEVEL AGREEMENT MONITORING –FINACIAL YEAR 1998/99
OBJECTIVE
1: continue providing good quality hospital services (curative and preventive)
to the people at accessible cost to them.
INDICATORS |
1st QUARTER 1st JUL-30th SEPT |
2nd QUARTER 1st JUL- 31st DEC |
3rd QUARTER 1st JUL-31st MAR |
4th QUARTER 1st JUL-30st JUN |
GOALS |
|
n. of CS performed |
23 |
42 (19) |
68 (26) |
87
(19) |
80 |
|
n. of INR offered |
17 |
25 (8) |
28 (3) |
32 (4) |
50 |
|
n. of complete feeding to TB children treated |
1,110 |
2,091 (981) |
2,846 (755) |
2,990 (144) |
1,800 |
|
n. of CF to destitute and abandoned patients |
354 |
624 (270) |
921 (297) |
996 (75) |
800 |
|
n. of Oxygen cylinders purchased |
16 |
30 (14) |
39 (9) |
56 (17) |
25 |
|
n. of paediatric ENT consultations |
186 |
393 (207) |
502 (109) |
572 (70) |
400 |
|
n. of paediatric Eye Clinic consultations |
360 |
480 (189) |
669 (120) |
708 (39) |
450 |
|
Physiotherapy service established |
No |
No |
No |
No |
YES |
|
n. of infants and mothers receiving Vit A |
1,259 |
2,912 (1,653) |
4,408 (1,496) |
5,306 (898) |
7,000 |
|
n. of mothers attending ANC static |
340 |
565 (225) |
825 (260) |
1,307 (482) |
500 |
|
n. of mothers attending ANC referred |
21 |
39 (18) |
70 (31) |
130 (60) |
100 |
|
n. of mothers attending ANC outreach |
184 |
385 (201) |
498 (113) |
752 (254) |
300 |
|
n. of vaccination doses administered in OPD |
2538 |
4,037 (2,650) |
8,035 (2,847) |
10,865 (2,623) |
10,000 |
|
n. of vaccination doses administered as outreach |
3115 |
6,847 (3,732) |
10,287 (3,440) |
24,447 (6,433) |
3,000 |
OBJECTIVE
2: introduce and strengthen a referral and counter-referral system for
patients within the District
INDICATORS |
1st QUARTER 1st JUL-30th SEPT |
2nd QUARTER 1st JUL- 31st DEC |
3rd QUARTER 1st JUL-31st MAR |
4th QUARTER 1st JUL-30st JUN |
GOALS |
|
Average fee paid for adult patients referred within Moroto District |
OPD: 4,900 Ush IP : 18,200 Ush |
OPD: 5,350 (5200) IP : 15,000 (11800) |
OPD: 5,400 (4400) IP : 14,500 (14000) |
OPD: 4,870 (4,720) IP : 14,055 (12,220) |
OPD: 6,000 Ush IP : 12,000 Ush |
|
n. of referrals and counter-referrals |
15 |
64 (49) |
93 (27) |
145 (52) |
250 |
OBJECTIVE
3: increase the accessibility of hospital services to the vulnerable groups
of the population.
INDICATORS |
1st QUARTER 1st JUL-30th SEPT |
2nd QUARTER 1st JUL- 31st DEC |
3rd QUARTER 1st JUL-31st MAR |
4th QUARTER 1st JUL-30st JUN |
GOALS |
|
Utilisation rates IP children |
1,425 |
2,414 (989) |
3,027 (613) |
4,989 (1,962) |
3,000 |
|
Average fees’ paid on sampling IP adults O/S |
21,700 Ush |
21,950/= (22,200/=) |
21,240/= (20,500/=) |
21,000/= (19,600/=) |
18,900 Ush |
|
n. of adult TB patients admitted |
59 |
111 (52) |
182 (71) |
272 (90) |
160 |
|
Samaritan fund refund IP |
130,000 Ush |
723,500 Ush (593,500/=) |
1,050,500/= (327,000/=) |
2,286,000/= (1,235,500/=) |
2,000,000 Ush |
|
Utilisation rates OPD (children) |
3,533 |
5,744 (2,211) |
8,805 (3,061) |
15,198 (6,393) |
8,000 |
|
Average fees’ paid on sampling OPD adults O/S |
11,000 Ush |
10,100/= (9,200/=) |
9,500/= (8,200/=) |
11,440/= (15,163/=) |
20,400 Ush |
|
n. of TB patients followed-up |
43 |
78 (35) |
123 (45) |
232 (109) |
100 |
|
Samaritan fund refunds OPD |
592,000 Ush |
1,087,000/= (495,000/=) |
1,806,350/= (719,350/=) |
2,590,350/= (784,000/=) |
2,200,000 Ush |
OBJECTIVE
4: improve remuneration of staff
INDICATORS |
1st QUARTER 1st JUL-30th SEPT |
2nd QUARTER 1st JUL- 31st DEC |
3rd QUARTER 1st JUL-31st MAR |
4th QUARTER 1st JUL-30st JUN |
GOALS |
|
Levels of remuneration reached |
93.4% |
93.4% |
93.4% |
93.4% |
90% |
OBJECTIVE
5: provide trained staff to Health Units
INDICATORS |
1st QUARTER 1st JUL-30th SEPT |
2nd QUARTER 1st JUL- 31st DEC |
3rd QUARTER 1st JUL-31st MAR |
4th QUARTER 1st JUL-30st JUN |
GOALS |
|
Number of pupils nurses qualified |
12 |
16 (4) |
16 (0) |
16 (0) |
10 |
The physiotherapy service has not been established, although the Hospital Administration tried to get a newly qualified physiotherapist from Mulago. An applicant early 1999 failed to report on duty, although he had promised to come.
Utilisation Rates of OPD as well as IP children was much higher than expected, which could be a result of the reduced user fees. The fourth quarter was much higher than the previous three, due to Malaria Epidemic and Measles.
The attendance for ANC of Mothers has as well greatly increased in the fourth quarter due to a mobilisation campaign, including courses for TBA’s, stressing the importance of ANC-services.