Is Government delivering on its social development commitments!

Transcription

1 Is Government delivering on its social development commitments! Assessing FY 2015/16 performance against NDP II and the international commitments in Health, Agriculture, Education, Water and Environment Sectors. 1

2 Is Government delivering on its social development commitments! was produced by the Civil Society Budget Advocacy Group (CSBAG) with support from Democratic Governance Facility and OXFAM Uganda. The contents of this publication are the responsibility of CSBAG and not our development partners. January 2017 Civil Society Budget Advocacy Group (CSBAG) P.O. Box 660, Ntinda Plot 11 Vubya Close, Ntinda Nakawa Rd Fixed Line: Web CSBAG/Facebook.com All rights reserved. No part of this publication may be reproduced, or reprinted in any form by any means without the prior permission of the copyright holder. CSBAG encourages its use and will be happy if excerpts are copied and used. When doing so, however please acknowledge CSBAG.

3 Table of Contents Executive Summary Background Methodology Financial performance of the Social Sectors for FY 2015/ Agriculture Sector Financial Performance Ministry of Agriculture s Financial Performance Performance of the NAADS Programme Physical performance Education Sector Financial Performance Ministry of Education and Sports Financial Performance Performance of the Development of Secondary Education Project Health Sector Financial Performance Ministry of Health s Financial Performance Performance of the District Infrastructure Support Programme Social Development Sector Financial Performance Ministry of Gender s Financial Performance Performance of Youth Livelihood Programme Water and Sanitation Sector Financial Performance Ministry of Water s Financial Performance Performance of the Water and Sanitation Development Facility - North Social sectors performance in relation to the NDP II, regional and international commitments Agriculture Education Social Development Water and Sanitation Conclusions and Recommendations Conclusions Recommendations 62 References 65 3

4 Annexes 67 Annex Table 3: Ministry of Agriculture- Development Budget Performance for FY 2015/16 (UGX) 68 Annex Table 4: Ministry of Agriculture- Recurrent Budget Performance for FY 2015/16 (UGX) 71 Annex Table 5: Ministry of Education- Development Budget Performance for FY 2015/16 (UGX) 73 Annex Table 6: Ministry of Education- Recurrent Budget Performance for FY 2015/16 (UGX) 75 Annex Table 7: Ministry of Health- Development Budget Performance for FY 2015/16 (UGX) 76 Annex Table 8: Ministry of Health- Recurrent Budget Performance for FY 2015/16 (UGX) 77 Annex Table 9: Ministry of Gender- Development Budget Performance for FY 2015/16 (UGX) 78 Annex Table 10: Ministry of Gender- Recurrent Budget Performance for FY 2015/16 (UGX) 79 Annex Table 11: Ministry of Water- Development Budget Performance for FY 2015/16 (UGX) 80 Annex Table 12: Ministry of Water- Recurrent-Budget Performance for FY 2015/16 (UGX) 83 Annex 1: List of Persons met 86 4

5 Acronyms and Abbreviations AIDS AU CAADP CARMMA DSIP GDP EAC ECD EmONC EMTCT FY HCIII HIV ICT KCCA LGs LMIS MAAIF MCH MGLSD MoES MoH MUBS NAADS NAGRIC NARO NDP NEMA NEPAD PHC PMG PRDP SDGs SRH UBOS UCDA UCDO UGX UMI UPPET WHO YLP Acquired Immune Deficiency Syndrome African Union Comprehensive African Agriculture Development Programme Campaign on acceleration of reduction of maternal, newborn and child mortality in Africa District Infrastructure Support Programme Gross Domestic Product East African Community Early Childhood Development Emergency Obstetric and Neonatal Care Elimination of mother-to-child transmission of HIV Financial Year Health Centre Three Human Immune deficiency Virus Information and Communication Technology Kampala Capital City Authority Local Governments Labour Market Information System Ministry of Agriculture, Animal Industry and Fisheries Maternal and Child Health Ministry of Gender, Labour and Social Development Ministry of Education and Sports Ministry of Health Makerere Business School National Agricultural Advisory Services National Agriculture Generic Resources Centre National Agriculture Research Organization National Development Plan National Environment Management Authority New Partnerships for Africa s Development Primary Health Care Production and Marketing Grant Peace Recovery and Development Programme Sustainable Development Goals Sexual and Reproductive Health Uganda Bureau of Statistics Uganda Coffee Development Authority Uganda Cotton Development Organization Uganda Shillings Uganda Management Institute Universal Post Primary Education and Training World Health Organization Youth Livelihood Programme 5

6 Foreword As part of our objective of engaging government for prudent public finance management and monitoring government budget implementation. I am delighted to share the CSBAG assessment of the performance of the social sectors in the financial year (FY) 2015/16. This report came out of the need to establish the extent to which the social sectors of Education, Health, Water, Agriculture and Social Development are meeting the planned annual targets and global commitments. 6 CSBAG has in this report focused on achievement of sector outcomes and not outputs which is in line with the current Government performance assessment reports. The report assesses whether the planned targets as per NDP II are progressively being achieved to ensure that the country is on track for inclusive growth targets as Uganda aspires to be a middle-income economy by The financial year (FY) 2015/16 was the first year of NDP II implementation and for CSBAG it was important to track achievement of milestones. In addition, through this report, CSBAG identifies the social economic and political challenges facing social sector development in Uganda. The selected projects showed some of the implementation challenges within sectors. These included: inadequate funding; late disbursement of funds and therefore delayed procurement; poor planning; weak supervision and monitoring; and diversion of funds, among others. With these challenges, effective implementation of sector projects was problematic and this limited achievement of the expected outcomes. The limited outcome achievements were noted in the poor performance in terms of international, regional, and NDPII targets. Although the SDGs did not have annual targets, the country performance indicators were still wanting. Gender equality is still an issue in terms of achievement of outcomes for the sexes in all sectors except the primary education sub-sector where parity had been achieved. The regional financing commitments were not being met either in most of the sectors. Of particular concern were the budgetary commitments to the sectors of Agriculture and Health that had been agreed on with the African Union. The country was meeting just above 50% of the expected sector budget allocation targets. It s important for Government to establish social development outcomes to which sectors should be contributing and this would be crucial when determining the level of funding in regard to sector contributions. Key recommendation is for all sectors to domesticate the Sustainable Development Goals and set annual performance targets. This report is intended for policy makers, civil society organisations, Government Ministries Departments and Agencies, who can make it a reference when applying reforms for improved budget efficiency. Key policy recommendations have been incorporated in this report which can be a key guide for various stakeholders in ensuring quality service delivery outcomes that benefit the poor women and men how are the majority in Uganda. CSBAG encourages the use of this study to support government efforts towards attainment of the NDP II targets especially in the social sectors if the desired national outcomes are to be achieved. Julius Mukunda COORDINATOR.

7 Executive Summary Social sectors are critical for developing the required human resource for effective engagement in national growth and development. The importance of these sectors has been underscored by the Sustainable Development Goals as well as the Africa 2063 Agenda. Uganda has committed to various goals internationally and regionally at the African Union and East African Community levels. Nationally, the second National Development Plan (NDP II) lists the social sectors among the priority areas for intervention. The financial year (FY) 2015/16 was the first year of NDP II implementation and it is important to track achievement of milestones. To that effect, this study reviews the country s performance in the sectors of Agriculture, Education, Health, Social Development, and Water and Sanitation for FY 2015/16. The study collected information from reports and conducted informant interviews for selected senior officials in the sectors. A limitation of the study was the lack of statistics for some sector performance indicators, as well as annual targets for a number of the indicators. 7

8 8 Findings Financial Performance of the Sectors All sectors, except water and environment, received higher budgets in FY 2015/16 than in FY2014/15, but absorption capacity declined for all as the proportions of the revised budgets spent were lower. All sectors received and spent at least 80% of the revised annual budgets in FY 2015/16. For the agriculture, education and health sectors, more than 95% of the revised budgets was spent. For all sectors, absorption of funds was less than 100% because of both budget cuts and poor expenditure. All sectors had unspent balances under some Central Government votes as Local Government spent all the sector releases. The sector ministries that receive a large share of the budgets had the largest amounts of unspent balances. These unspent balances were under development budgets for Agriculture and Water; while Education, Health and Social Development sectors had them under recurrent. It was noted that unspent balances were not necessarily under budget categories with the highest level of allocation and releases. For instance, the Ministry of Agriculture, Animal Industry and Fisheries had more money under its recurrent budget yet more unspent funds were under the development budget. Likewise, the Ministry of Gender, Labour and Social Development had a higher development budget, yet more unspent funds were found under the recurrent budget. This showed that financial performance was not only a function of level of funding but also the appropriateness of allocations within institutions. The study then reviewed some selected projects to ascertain other non-financial factors that may limit sector achievement of outcomes. The selected projects, with very significant funding levels, had varying levels of performance and showed some of the implementation challenges within sectors. These included late disbursement of funds and, therefore, delayed procurement; poor planning and sequencing of outputs; weak supervision and thus poor quality outputs; as well as diversion of funds, among others. These clearly illustrated that poor achievement of outcomes was a result of both funding constraints and ineffective implementation. In the light of these constraints within the sectors, the study reviewed the extent to which the sectors had achieved outcomes during FY 2015/16. The sector outcome performance was assessed in the light of the international and regional commitments as well as the NDPII targets. Sector performance in relation to commitments Agriculture The agriculture sector s performance, in relation to international and regional commitments with annual targets was fair as it was below 60 per cent. The proportion of the national budget spent on agriculture was about 25 per cent of what the Maputo Agreement specifies. On the other hand, the agricultural sector growth rate was about 50 per cent of the desired rate agreed on at Malabo. The main area of concern, food security, was still a problem as evidenced by the poor nutritional performance indicators. It was also noted that there was consistent gender inequality in the sector outcomes. The boys were more malnourished with higher levels of wasting, stunting and underweight. This partly explains the lower life expectancy at birth for boys than girls. In addition, the sector had non-compliance issues for the National Planning Authority certification as it lacked an approved Strategic Investment Plan. Education Although there are no annual targets for international and regional commitments, the sector had fairly good performance indicators for primary education. For pre-primary and primary education, there was parity in enrolment. However, the quality of education was still limited, as confirmed by the low proficiency levels in reading and mathematics. Since qualified teachers were largely not a problem, then poor quality of education was due to the suboptimal use of this resource.

9 The sector also performed poorly in terms of the NDP II targets. At secondary education level, enrolments were poor for all students, although survival rates were higher for males than females. This gender inequality in education outcomes means that the females have lower average years of schooling. This results in the persistent segmentation of women in low-paying jobs and therefore lower incomes. The low incomes for women keep many in subordination, dependency and with limited decision-making powers. On the other hand, poor survival in secondary education for females results in early marriages and/or pregnancies, which partly explains the high fertility rates in Uganda. The negative effects of high fertility rates include poor health and productivity for the mothers as well as stretched service delivery facilities. The poor performance in terms of NDP II was reaffirmed by the very poor (49%) compliance to the National Planning Authority certificate. Health Overall, the sector still suffered poor performance indicators although there were improvements compared to FY 2014/15. In terms of the international and regional commitments, despite absence of targets, the performance indicators were still poor. For the WHO commitment with a target, the sector s performance was dismal. In terms of gender equality, the males had worse health outcomes. They had lower life expectancy at birth and nutritional indicators. However, the poor maternal health indicators also showed the poor health status of women that negatively impacts on their economic productivity. Nationally, the sector s performance was poor compared to the NDP II targets. The sector had many areas of non-compliance with the National Planning Authority certification process, largely on issues of preventive health and nutrition. The ministry did not pay for the renewal of ICT licenses for the 300 government schools. 9

10 One of the plausible explanations for the sector s poor performance was the underfunding, given the fact that Uganda was spending only 8% of its annual budget on heath against the Abuja Commitment of 15%. However, since the sector had unspent funds, the issue of appropriateness in allocation is of critical importance. In addition, the issue of inadequate health staff was very pertinent. Social Development Despite lack of annual targets for the SDGs, it was evident that gender inequality and women s empowerment were still a big concern. Gender-based violence was still rampant, while inequality in terms of hours spent on unpaid work was also noted. These performance indicators show the disadvantaged position of women who suffer time poverty as well as violence. The long time spent on unpaid care work limits women s participation in productive activities and therefore lowers their earning power. On the other hand, the violence affects their health status as well as productivity, again lowering their income flows. The sector had many issues of non-compliance with the National Planning Authority certification. These ranged from lack of an approved Strategic Investment Plan to limited coverage of the recommended programmes. The lack of data for many performance indicators also showed limited commitment to the achievement of national and international goals and obligations. Water and Sanitation Although the international and regional commitments had no annual targets, overall the sector still had poor indicators. More than 30 per cent of the population did not have safe water services. In addition, sanitation and hygiene were still a problem. For the NDP II that had targets, the difference between the achievement and target of more than 10 points was a problem. The possibility of achievement of the NDP II targets may have been difficult, since the sector had experienced stagnation in its performance indicators in the recent past. In addition, the sector also had issues of non-compliance with the National Planning Authority certification, due to lack of aligned Strategic Investment Plans. Conclusion Financial performance was good although all the social sectors had unspent funds at the end of FY 2015/16, due to declining absorption capacity. Although the unspent funds may contradict the argument for inadequate sector funding, it has to be noted that the local governments that are the main social service providers had used all allocated funds and could possibly do with more. This contradiction where funds were unspent in the light of scarcity points to the need for appropriate allocations. The achievement of outcomes therefore needs to balance between levels of funding and intra-sectoral allocations. The selected projects showed some of the implementation challenges within sectors that were a combination of financial constraints and ineffective implementation. With these challenges, effective implementation of sector projects was problematic and therefore limited achievement of the expected outcomes as was confirmed by the poor level of achievement of the international, regional and NDP II commitments. The fact that all sectors had poor compliance levels with the National Planning Authority certificate was a reflection of the limited commitment within sectors of improving service delivery. 10

11 Background 1.1 Introduction Social sectors consist of sectors and sub-sectors that provide services required for maintaining a healthy and quality population, and developing the required human resource for effective engagement in profitable economic activities. These sectors include: education, agriculture1, health, water and sanitation, and social development. Internationally, the Sustainable Development Goals (SDGs) as well as the Africa Agenda 2063, recognize the importance of social sectors. On the local scene, the social sectors featured among the priorities under the National Development Plan II (NDP II). During the implementation of the National Development Plan I (2010/ /15), the Government had spent massive resources aimed at improving service delivery. However, concerns were raised by citizens and policy makers that resources had not resulted into effective public service delivery Agriculture is traditionally a productive sector. However, for this assessment it is included because it is critical for maintaining a quality population in Uganda.

12 12 A study 2 on the status of service delivery showed that social sector funding from 2010/11 to 2013/14 was below the NDP estimate. Apart from the Water and Environment sector whose actual funding had exceeded the NDP estimate by UGX bn, the others were underfunded. The Agriculture sector had a deficit of UGX bn; Education UGX bn; while Health had UGX bn (see details in Annex Table 1).The inadequate funding partly explains the state of social service delivery outcomes. Under Agriculture, the Household panel data from the Uganda Bureau of Statistics (UBoS) showed that the average share of farmers visited by an agricultural extension agent had increased from 14.6% in 2010/11 to 17.2% in 2011/12. However, although 60% of funds earmarked to the agriculture sector were allocated to the National Agriculture Advisory Services (NAADS), the share of households and communities who participated in the programme was low and on a declining trend. Funds for technologies and inputs were inadequate as more than 40% of funds disbursed to districts were spent on staff contracts and facilitation allowances. On the other hand, weak supervision and monitoring of input distribution had led to supply of poor quality as well as thefts of inputs. As a result, the household food security situation was bad. The number of households eating one meal a day was 9% in FY 2012/13. 3 Food security had improved in urban areas but declined in rural areas, particularly among those engaged in subsistence agricultural enterprises, female-headed households and those residing in Northern Uganda. The agricultural sector institutions lacked capacity and measures to ensure that the planting/breeding materials were effectively planted/bred and utilized to meet household food needs. The Education sector had increasing enrolment and parity had been attained at primary level. However, sector outcome performance was also problematic. The Uganda Service Delivery Survey 4 in 2013 showed that the primary school infrastructure availability was 56%; the student: textbook ratio was 14:1; while the teacher school absence rate was 24%. In primary schools, the actual learning was limited, as evidenced by the declining numeracy rates of 2 This was conducted by the Ministry of Finance in Uganda National Household Survey 2012/13 4 Done by the Economic Policy Research Centre covering 400 primary schools and 400 health units across the country pupils from 74.1 to 70.8 for boys and from 71.7 to 68.8 for girls for 2010 and 2013 respectively. The poor outcome performance was largely due to inadequate supervision and monitoring. Under the Health sector, there were also issues with the outcome performance. The Uganda Service Delivery Survey (2013) showed that infrastructure availability was 64%; drug availability was 48%; while medical staff absence from facility was 45%. To that effect, people still preferred private health providers. For persons that fell sick, nine in every ten (87%) sought health care. The majority visited a private hospital/clinic (37%) and Government health centres (35%) first. Comparing the health sector outcomes against the NDP targets showed slow progress and unlikely achievement by the target dates. In addition, the Core health service indicators 5, though showing some positive trends, were too low to be acceptable (see Annex, Table 2). The Water and Environment sector had put into place interventions for improved and equitable access to quality safe water and sanitation facilities for rural and urban areas. On average, the distance travelled to fetch water had reduced from 0.7km in FY 2009/10 to 0.9km in FY 2012/13. The waiting time at the water source had also reduced from 26.7 minutes in FY 2009/10 to 21.8 minutes in FY 2012/13. In the rural areas that have less access to safe drinking water, there was an increased number of people accessing safe water in nominal figures, although the percentages have almost stagnated. The sector attributed the stagnation to inadequate funding. The Social Development sector is the second least funded 6 and the NDP II financing strategy allocated an annual 0.08% of the GDP throughout the plan period. This sector plays the critical role of community mobilization, a prerequisite for other social sector interventions. However, the sector consistently reported inadequate funding for community mobilization. All these social sector outcomes refer to the NDP I timeframe. Uganda now has a new National Development Plan ( ).The FY 2015/16 was the first year of the National Development Plan II (NDP II) implementation and as such tracking the 5 They have no set targets. 6 It follows the Information and Communication Technology (ICT) sector.

13 progress of the social milestones achieved in the year is very critical. Having held the Presidency of the UN General Assembly during the debate, adoption and launch of the Sustainable Development Goals (SDGs), Uganda was in a uniquely advantageous position to lead by example. The NDP II adopted and localized the SDGs in its strategies. Thus the key projects being implemented will move the nation towards the achievement of the SDGs, particularly those that fit within the current national development obligations as well as East African Regional Integration and African Agenda 2063 development commitments. 1.2 Justification for the assessment The social sectors had poor outcome performance because of budget-related constraints as well as weak implementation capacity of public programmes. For the NDP II, timely assessments are important to ensure that the country is on track for inclusive growth targets as Uganda aspires to be a middle-income economy by There is need to assess whether the planned targets as per NDP II are progressively being achieved. In addition, it is important to identify the social economic and political challenges facing social sector development in Uganda with a view to making improvements. The Civil Society Budget Advocacy Group (CSBAG) is a Ugandan non-profit organization that was founded in 2004 to bring together Civil Society Organizations at national and district levels with the view of ensuring a people-centred National Budget. The Budget is the most important policy instrument of government that reflects its commitment to fulfil specific goals and priorities. It determines whether or not, and the extent to which, different groups of people and regions will benefit from the service provided by the state through public intervention. It was therefore important for CSBAG to undertake this assessment to establish the extent to which the social sectors of Education, Health, Water, Agriculture and Social Development are meeting the planned annual targets and global commitments. This report focuses on the achievement of sector outcomes and not outputs as the current Government performance assessment reports. 1.3 Objectives of the assessment The main objective was to establish whether the budgetary provisions for the social sectors will achieve the NDP II goals, as well as the regional and international commitments. The specific objectives were to: 1. Establish the financial performance of the social sectors for FY 2015/16; 2. Identify and analyse the performance of at least one project in each of the social sectors; 3. Determine the performance of the social sectors in relation to the NDP II targets and other regional and international commitments in FY 2015/16 and with gender considerations; and 4. Provide recommendations on how to improve the performance of the social sectors in FY 2017/ Limitations of the assessment The assessment had one shortcoming of unavailability of data for some of the performance indicators. These indicators included: agricultural area under productive and sustainable agriculture; jobs created in agricultural sector; average income of small-scale farmers; average years of schooling; incidence of Hepatitis B; proportion of the annual national budget allocated to gender-specific interventions; as well as ratification and implementation of commitments in the Social Development sector. 7 7 The researcher failed to meet officials from the Ministry of Gender, 13

14 Methodology 2.1 Scope of Coverage The study covered five social sectors of Education, Health, Water, Agriculture and Social Development. Focus was on central government institutions for FY 2015/ Data collection methods The study used both quantitative and qualitative data generated from secondary and primary sources. (a) Secondary sources The information was derived from literature review of relevant documents. These are listed as References at the end of the report. 14 Labour and Social Development which explains the many gaps in the sector s performance indicators

15 (b) Primary sources Information was collected through informant interviews with 10 selected senior sector officials. The officials were selected purposively for their seniority and placement in planning and policy units. These officials have a comprehensive view of sector polices, programmes and developments, as well as sector challenges by virtue of their placement. The officials were also in position to validate the performance indicators that had been captured. The list of officials met is attached as Annex 1 while the questionnaire used is attached as Annex Quality Control Quality control was ensured through triangulation of information from the primary and secondary sources. The data given for sectors was discussed with the sector officials who were met. 2.4 Data Analysis The data generated was analyzed using relevant methods. The quantitative data was analyzed using Ms Excel to generate simple descriptive statistics for the levels of achievement. It was mainly a comparative analysis of levels of achievement with targets. The qualitative information was analyzed at validation stage during key informant interviews. Consensus was reached on interpretation. The Social Development sector is the second least funded and the NDP II financing strategy allocated an annual 0.08% of the GDP throughout the plan period. 15

16 Financial performance of the Social Sectors for FY 2015/16 Financial performance was reviewed for each sector as a whole. The initial analysis compared performance between FY 2014/15 and FY 2015/16; then focused on the year under review. In addition, each sector ministry s 8 budget was analyzed in terms of development and recurrent expenditure 9 to assess any variations in allocations, releases and actual absorption. A project was selected and assessed as a pointer to the status of implementation of sector programmes and therefore the expected level of achievement of outcomes The Sector Ministry budgets were singled out because these institutions take the largest proportion (except for agriculture which is surpassed by NAADS) of the budget. In addition, ministries are responsible for policy guidance and, to a large extent, determine allocations to other votes. So assessing their financial performance speaks volumes for the sector as a whole. 9 The current budget debate is the allocation of funds between development (investment and equipment) and recurrent which is often referred to as consumptive expenditure. The recurrent expenditure constitutes of wages and non-wage (operational costs for allowances, fuel, utilities, stationery, communication, travel, maintenance and repairs).

17 3.1 Agriculture Sector Financial Performance The sector had an approved budget of UGX 388,979,634,486 that was revised to UGX bn of which UGX bn (96%) was released. The sector spent UGX 381.1bn amounting to 95 per cent of the revised budget. The sector received a supplementary with additional funds to the Ministry of Agriculture, NAADS secretariat, Uganda Cotton Development Authority, and the National Agriculture Generic Resources Centre. Most of the funds were allocated (90.8%) to and expended (90.4%) by the Central Government votes, particularly the NAADS secretariat and Ministry of Agriculture, Animal Industry and Fisheries (MAAIF) that were also given supplementary budgets (see details in Table 3.1.1).The Local governments spent all their funds. Table 3.1.1: Financial performance of the Agriculture sector in FY 2015/16 Approved Budget Revised Budget Total Released Total Expenditure Expend as % of Vote Name UGX UGX funds UGX UGX Revised budget MAAIF 93,216,192,062 95,550,121,304 84,486,493,748 81,157,478, Diary Development Authority 5,044,202,179 5,044,202,179 3,917,439,902 3,897,125, NAGRIC 4,150,000,000 4,220,000,000 3,892,738,102 3,892,738, NARO 37,610,778,092 37,610,778,092 36,345,032,745 36,345,032, NAADS Secretariat 178,974,680, ,974,680, ,653,987, ,653,987, UCDO 5,301,480,784 9,101,480,784 8,365,712,006 8,365,712, UCDA 27,912,300,405 27,912,300,405 27,210,787,364 27,206,275, Total Central Government Votes 352,209,634, ,413,563, ,872,191, ,427,278, Local Governments 30,410,000,000 30,410,000,000 30,410,000,000 30,410,000, KCCA Agriculture Grant 6,360,000,000,360,000,000 6,360,000,000 6,360,000, Total Agriculture sector 388,979,634, ,183,563, ,642,191, ,197,278, Source: Ministry of Finance, Planning and Economic Development Compared to FY 2014/15, the sector allocation was increased from the approved budget of UGX bn. In FY 2014/15 the sector also received a supplementary and the budget was revised to UGX bn, of which UGX bn (97.8%) was spent. In terms of absorption, the sector declined because it spent 97.8% of the revised budget in FY 2014/15 as opposed to 95% in FY 2015/16.With declining absorption capacity, it was important to explore the underlying causes. It was only the Ministry of Agriculture, Animal Industry and Fisheries and the Uganda Cotton Development Organization that had unspent funds in FY 2015/16. The bulk of unspent funds were within the Ministry of Agriculture and the details are given in section However, the budget cuts had institutions spend below 17

18 the revised budget levels Ministry of Agriculture s Financial Performance The Ministry had an approved budget 10 of UGX bn for development, of which UGX bn (86%) was released. A total of UGX bn, representing 82.3% of the revised budget was spent. On the other hand, the revised budget for recurrent was UGX bn, of which shs (90%) was released. A total of UGX bn, representing 86.7% of the revised budget was spent. A higher budget was allocated, released and spent on recurrent than development activities (see Figure 3.1.1). However, the development budget had lower absorption capacity since it had more unspent funds at the end of the financial year. Most of the development funds were allocated to the Vegetable 10 The approved development budget was not revised although the Ministry received a supplementary. oil development project; Improving access to and use of agricultural equipment and machinery project; Livestock disease control project; Support to institutional development; Support to tea/cocoa seedlings project; and Crop diseases and pest control project respectively (see details in Annex Table 3). However, the projects with least use of released funds were Enhancing National Food security through increased research project; and Construction of the MAAIF headquarters. This might have had minimal impact on the sector service delivery. On the other hand, the recurrent budget was mainly allocated to operations at the headquarters, Department of Fisheries Control Regulation and Quality, as well as the Department of Aquaculture Management and Development respectively. Most departments used up the money, except 7, among which the headquarters and the Directorate of Animal Resources had the highest amount of unspent funds respectively. The allocation of the recurrent budget and the unspent funds may have had little impact on service delivery (see details in Annex Table 4). Figure 3.1.1: MAAIF development and recurrent budget performance FY 2015/16 Source: Ministry of Finance, Planning and Economic Development In addition to reviewing the variations in budget allocation between development and recurrent expenditure explored in this section, the study reviewed a project. This was to ascertain the extent to which the sector might achieve outcomes and the implementation challenges therein. Under agriculture, the NAADS progarmme alone received 46% of the sector budget. It is a critical programme for delivering agricultural extension services and appropriate technologies. 18

19 3.1.3 Performance of the NAADS Programme It was a well 11 performing 12 project for the period under review. Background The Government has been implementing the National Agricultural Advisory Services (NAADS) since 2001 to increase farmers access to information, knowledge and technology. The programme was restructured in FY 2014/15 to deliver the new mandate of the Operation Wealth Creation (OWC) intervention. The OWC focuses on procurement and distribution of agricultural inputs to farmers that support the interventions across the value chain from production and value addition to agri-business development and streamlining the output marketing structures. The key implementing agency is the NAADS Secretariat that works closely with the District Local Governments. The planned outputs for FY 2015/16 included 1 : i) Seeds and seedlings procured and distributed to farmers including maize, beans, apples, pineapples, Irish potatoes, banana, cassava ii) Livestock procured and distributed heifers, beef cattle, poultry, improved goats, piglets, beehives, fish fries, poultry and fish feeds iii) Agricultural inputs and equipment for value addition procured and distributed Physical performance The overall performance of the NAADS/OWC programme was very good (109.79%) in line with the very good releases (102.6%) and resource absorption (100%). Planting materials for many commodities were delivered in almost double or above the planned quantities, particularly maize, beans, tea, oranges, mangoes, poultry and cocoa seedlings, in line with the national priorities. However, some strategic commodities such as coffee seedlings, cattle and goats were delivered in lesser quantities than the planned levels (see details in Table 3.1.2). Table 3.1.2: NAADS/OWC performance by 30th June 2016 Output Annual Planned Quantity or Target Cum. Achieved Quantity Maize (kg) 438, ,985 Beans (kg 459, ,989 Rice (kg) 31,334 10,972 Cassava cuttings (bags) 14,839 18,629 Orange Seedlings 984,112 1,861,162 Mango seedlings 522, ,886 Coffee seedlings 23,571,847 19,546,667 Tea Seedlings 19,000,000 21,211,048 Ginger (bags) 31,900 31,990 Banana plantlets 167, , The performance was based on the assessment criteria used by the Budget Monitoring and Accountability Unit. For a score of 80% and above this was excellent; 70-79% - very good; 60-69%- good; 50-59% fair and less than 50% being below average Well performing in terms of achieving the planned outputs although the outcomes may not be attained

20 Output Annual Planned Quantity or Target Cum. Achieved Quantity Irish potatoes (bags) 1,173 1,431 Simsim seeds (kg) 7,600 3,350 Soya bean seeds (kg) 12,000 1,320 Dairy cattle/heifers 2,194 1,476 Beef cattle Goats Piglets 5,088 4,848 Poultry/layer chicks 61,000 76,500 Fish fingerlings 807, ,518 Fish feeds (kg) 86,765 76,387 Poultry feeds (kg) 51,627 52,897 Artificial insemination kit - 3 Motorized pumps 8 12 Thiamethoate (bottles) Apiary Units 34 - Groundnuts (kg) 2,870 8,540 Tebucozanole (bottles) Cocoa Seedlings 920,000 1,690,150 Pineapple suckers 80,000 80,000 Maize mill 2 3 Maize huller 3 3 Milk cooler 1 1 Apples 30,000 30,466 Total Source: Budget Monitoring and Accountability Unit Annual Budget Monitoring Report FY 2015/16 20 The overperformance of the OWC programme was attributable to timely procurement and distribution of most inputs to farmers, setting of less ambitious targets by the NAADS Secretariat and the supplementary funding above the approved budget. However, wastage, low survival and loss of planting materials were widely reported at farm level. A proportion of 44% of the farmers reported challenges of low survival, production and productivity of crop enterprises, animal mortality and non-functionality of equipment distributed by the NAADS Secretariat. The average survival rate was only 76%. The programme outreach still remains low compared to the number of farmers who demanded for the inputs in all districts. Outreach was lower in areas with peculiar geographical features, such as islands due to the high cost of service delivery. For example, less than 30% of the planned outputs for Koome Island in Mukono District were delivered to the farmers due to the unaffordable cost of hiring boats and fuel for water passage. Wastage of enterprises such as coffee, mangoes and oranges was highly prevalent in urban and peri-urban areas where farmers lacked land for expansive farming. Challenges The programme faced challenges despite the achievement of outputs. These included: i) Wastage of inputs and low survival of crop planting materials that were distributed to farmers due to poor quality of seeds, limited follow-up and extension advice and provision of inputs to farmers who were not ready.

21 ii) Poor farmer mobilization and selection and uncoordinated programme implementation due to communication gaps and lack of joint planning between the NAADS Secretariat, Chief Administrative Officers (CAOs) and District Production Officers. iii) Low animal and crop production and productivity due to declining soil fertility, provision of materials with poor tolerance to pests and diseases and drought The NAADS programme performance points to the unlikely achievement of the food security targets. This means that apart from budget constraints, poor programme implementation like poor supervision also limits the achievement of outcomes. 3.2Education Sector Financial Performance The sector had an approved budget of UGX 1, bn that was revised to UGX 1,859 trillion of which UGX trillion (97%) was released. A total of UGX 1.8 trillion, representing 96.8% of the revised budget, was spent. Most of the funds were allocated (69.5%) to and expended (71.7%) by the Local Government votes (see details in Table 3.2.1). The local governments spent all their funds. Table 3.2.1: Financial performance of the Education sector in FY 2015/16 Vote Name Ministry of Education and Sports Uganda National Examinations Board Approved Budget UGX Revised Budget UGX Total Released funds UGX Total Expenditure UGX 224,573,382, ,844,866, ,085,004, ,199,868,699 30,954,401,001 30,954,401,001 30,954,401,001 30,551,377,456 Expend as % of Revised budget Education Service 6,812,716,483 5,965,631,528 5,336,675,525 Commission 6,489,524, Busitema 20,487,003,770 University 20,723,739,890 17,658,700,418 17,658,558, Muni University 10,726,217,091 10,726,217,091 8,850,536,345 8,659,911, Makerere 115,056,454,645 University 115,056,454, ,710,552, ,631,997, Mbarara 24,537,007,687 University 24,537,007,687 21,069,948,732 20,786,457, ,182,706,166 MUBS 17,182,706,166 15,232,485,415 15,232,485, Kyambogo University 30,749,452,434 30,749,452,434 28,708,851,788 28,519,476, UMI 3,020,634,306 3,020,634,306 2,521,063,264 2,521,063, Gulu University 21,092,571,218 23,338,062,339 20,122,360,088 18,538,004, Total Central Government 534,946,258, ,879,536, ,635,875,330 Votes 504,869,354, Local Governments 1,292,160,000,000 1,292,160,000,000 1,292,160,000,000 1,292,160,000, KCCA Education 32,200,000,000 32,200,000,000 32,200,000,000 32,200,000, Total Education sector 1,829,229,354,850 1,859,306,258,326 1,806,239,536,167 1,800,995,875, Source: Ministry of Finance, Planning and Economic Development

22 Compared to FY 2014/15, the sector allocation was increased from the approved budget of UGX 1, bn. In FY 2014/15, the sector suffered a cut and the budget was revised to UGX 1, bn, of which UGX 1, (97.9%) bn was spent. In terms of absorption, the sector declined because it spent 97.9% of the revised budget in FY 2014/15 compared to 96% in FY 2015/16. Like in agriculture, with a declining absorption capacity, it was important to explore the underlying causes. It was only the Central Government votes that had unspent funds, especially in the Ministry of Education and Sports, and Gulu University. The bulk of unspent funds were within the Ministry of Education and the details are given in section Ministry of Education and Sports Financial Performance The Ministry had an approved budget of UGX bn that was revised to UGX bn for development, of which UGX (82.3%) was released. A total of UGX bn, representing 82.3% of the revised budget was spent. On the other hand, the revised budget for recurrent was UGX bn, of which UGX (96%) was released. A total of UGX bn, representing 94.6% of the revised budget was spent. A higher budget was allocated, released and spent on recurrent than development activities (see Figure 3.2.1). However, the recurrent budget had lower absorption capacity since it had more unspent funds at the end of the financial year. Most of the development budget was allocated to the following projects: Support to Higher, Science and Technology; Development of Business Technical, Vocational Training and Education; Uganda Teacher and School Effectiveness; Development of Secondary Education; Development Uganda Petroleum Institute-Kigumba; and National High Altitude Training Centre respectively. Apart from two projects, 13 all development funds were used up (see details in Annex Table 5). On the other hand, the recurrent budget was mainly allocated to operations at the Headquarters; Department of Higher Education; Department of Basic Education; Department of Business Technical, Vocational Training and Education, Department for Teacher Training; and Department for National Higher, Science and Technology. Most recurrent funds were used up, but unspent balances were mainly at the Headquarters; Department of Planning and Department for Secondary Education. The unspent balances under the Department for Secondary Education might have worsened the performance of a sub-sector that had poor outcome indicators (see details in Annex Table 6). 13 These are the Relocation of Shimoni Primary Teachers College, and Akii Bua Olympic Stadium. 22 A proportion of 44% of the farmers reported challenges of low survival, production and productivity of crop enterprises, animal mortality and non-functionality of equipment distributed by the NAADS Secretariat. The average survival rate was only 76%.

23 Figure 3.2.1: MoES development and recurrent budget performance FY 2015/16 Source: Ministry of Finance, Planning and Economic Development It was noted that the secondary education sub-sector, with some of the worst outcome performance indicators, had problems with spending allocated recurrent funds. To that effect, the project on the development of secondary education was reviewed to ascertain the possibilities of improving the sub-sector outcomes Performance of the Development of Secondary Education Project The Development of Secondary Education was a fairly performing project for the period under review. Background The Development of Secondary Education project aims at ensuring quality and equitable post primary education in the country. Project objectives are: (i) Increasing equitable access to Universal Post Primary Education and Training (UPPET), (ii) Ensuring achievement of the Millennium Development Goals (MDGs) of gender parity by 2015, (iii) Enhancing sustainability of Universal Primary Education (UPE), and (iv) Reducing high costs of UPPET. The outputs under the project FY2015/16 were: i) Classroom construction and rehabilitation (Secondary), ii) purchase of office and ICT Equipment, including software, iii) instructional materials for secondary schools, and iv) Policies, Laws, Guidelines and Strategies. Financial performance The project s annual budget was UGX 7,783,173,000, of which UGX 7,631,403,012 (98%) was released and all spent. 23

24 Physical Performance This was estimated to be 60%, which was not commensurate with the level of disbursement and use of funds. Component Achievements 1. Classroom Construction Four of the five planned 14 schools received funds for classroom construction. That is: Bufunjo Seed (150m), Katungulu Seed (150m), Bukandula Seed (40m), Kyenjojo S.S. (174m). Works on the administration block at Bufunjo were at roofing stage, while at Kyogo S.S. was at finishing level. Works on a storied classroom block with science laboratories at Kyenjojo S.S. were at ground slab. On the other hand, civil works at Katungulu Seed Secondary School had not started and the completion works at Bukandula had not started. Funds were still on bank accounts by end of financial year because of late disbursements and therefore delayed procurements. 2. Instructional Materials for Secondary Schools A total of 4,800 teachers and 4,800 students guides for the planned 28 seed schools for S.1 and S.2 were procured. The chemicals and reagents were not bought. The textbooks for UPPET schools were not procured. 3.3 Health Sector Financial Performance The sector had an approved budget of UGX bn that was revised to shs bn, of which UGX bn (98.7%) was released. Supplementary funds were received by all votes except the Uganda Aids Commission; Uganda Heart Institute; and the National Medical Stores. A total of UGX bn, representing 97.7% of the revised budget was spent. Most of the funds were allocated (61.7%) to and expended (60.8%) by the Central Government votes, particularly the National Medical Stores and Ministry of Health (see details in Table 3.3.1).The local governments spent all their funds. Overall, the sector financial performance was very good as more than 96 per cent of the budget was released and spent. 3. Purchase of ICT The ministry did not pay for the renewal of ICT licences for the 300 government schools. 24 The project performed poorly because of delayed procurement that limited the achievement of planned outputs. It was also noted that there was limited value for money since budget expenditure was not commensurate with the outputs. This meant that the outcome indicators for secondary education are unlikely to achieve expected targets. This was not necessarily due to lack of funds but because of poor planning that delayed procurement in addition to misuse of funds. 14 One school that was not part of the plan also received funds

25 Table 3.3.1: Financial performance of the Health sector in FY 2015/16 Vote Name Approved Budget UGX Revised Budget UGX Total Released funds UGX Total Expenditure UGX Expend as % of Revised budget Ministry of Health 102,816,563, ,247,484, ,367,305, ,404,873, Uganda AIDS Commission 7,747,968,117 7,747,968,117 7,246,831,272 7,110,959, Uganda Cancer 13,613,898,472 13,326,593,681 12,885,561,162 Institute 13,119,466, Uganda Heart Institute 11,688,744,411 11,688,744,411 12,257,044,973 11,088,784, National Medical Stores 218,614,466, ,614,466, ,614,466, ,614,466, Health Service Commission 4,371,387,562 5,397,685,940 4,950,014,884 4,619,187, Uganda Blood Transfusion Service 8,646,047,856 8,931,694,552 8,829,488,361 8,772,052, Mulago Hospital 48,941,813,175 50,609,969,339 50,527,767,841 50,033,975, Butabika Hospital 9,364,508,683 9,703,133,311 8,879,257,382 8,825,382, Arua Hospital 5,619,857,961 6,677,076,087 6,276,435,278 5,849,246, Kabarole Hospital 6,045,870,074 6,233,057,603 5,657,397,947 5,603,213, Gulu Hospital 7,134,557,537 7,166,248,180 6,692,022,341 6,266,161, Hoima Hospital 6,369,984,613 6,513,653,305 5,708,375,034 5,510,657, Jinja Hospital 7,106,539,464 7,175,813,419 6,974,023,845 6,947,263, Kabale Hospital 4,929,226,620 5,328,497,104 5,108,564,637 5,108,464, Masaka Hospital 6,023,635,391 6,077,292,941 5,895,177,835 5,471,059, Mbale Hospital 7,827,064,017 7,911,995,001 7,384,077,855 7,359,165, Soroti Hospital 5,748,221,612 5,807,372,776 5,370,111,544 5,358,381, Lira Hospital 5,120,008,622 5,880,210,747 5,809,789,494 5,486,221, Mbarara Hospital 6,905,707,906 8,789,337,329 7,538,462,851 6,674,894, Mubende Hospital 5,723,699,694 5,904,086,713 5,215,544,187 5,215,067, Moroto Hospital 4,107,856,114 4,385,751,376 4,113,509,796 3,643,431, Naguru Referral Hospital 6,391,478,725 6,401,514,589 5,866,347,554 5,552,734, Total Central Government Votes 510,364,674, ,806,952, ,608,610, ,401,206, Local Governments 319,150,000, ,150,000, ,150,000, ,150,000, KCCA Health 5,000,000,000 5,000,000,000 5,000,000,000 5,000,000, Total Health sector 834,514,674, ,956,952, ,758,610, ,551,206, Source: Ministry of Finance, Planning and Economic Development 25

26 Overall, the sector financial performance was very good as more than 96 per cent of the budget was released and spent. Compared to FY 2014/15, the sector allocation was increased from the approved budget of UGX bn. In FY 2014/15, the sector suffered a cut and the budget was revised to UGX bn, of which UGX (96.8%) bn was spent. In terms of absorption, the sector declined because it spent 96.8% of the revised budget in FY 2014/15 compared to 96.5% in FY 2015/16. It was only the central government votes that had unspent funds especially at the Ministry of Health and in Mbarara and Moroto Regional Referral Hospitals and Mulago National Referral Hospital. The bulk of unspent funds were within the Ministry of Health and the details are given in section Ministry of Health s Financial Performance The Ministry had an approved development budget of UGX bn that was revised to UGX 32.1 bn, of which UGX bn (98%) was released. A total of UGX 28.3 bn, representing 88% of the revised budget was spent. The supplementary budget was for the Rehabilitation and Equipment of Health Facilities project. On the other hand, the approved recurrent budget was UGX bn that was revised to UGX bn, of which UGX (90%) was released. A total of UGX bn, representing 85% of the revised budget was spent. A higher budget was allocated, released and spent on recurrent than development activities (see Figure 3.3.1). However, the recurrent budget had lower absorption capacity since it had more unspent funds at the end of the financial year. Under the development budget, most of the funds were allocated to the following projects: Gavi Vaccines and Health Sector Support Project; District Infrastructure Support Programme; and Global Fund for Aids TB and Malaria(ee details in Annex Table 7). Only 4 out of the 11 projects used up the released funds fully. The two projects with the lowest absorption of funds were the District Infrastructure Support Programme, and the Rehabilitation and Equipment of Health Facilities project. The poor performance of these two projects negatively affected service delivery because they were meant to enhance availability of health infrastructure and equipment that are still very inadequate. On the other hand, most of the recurrent budget was allocated to Clinical services, operations at the Headquarters and the shared national services respectively (eee details in Annex Table 8). It was only the Joint Clinical Research Centre that used up its release. The Headquarters had the worst absorption (89.9%) followed by the Department for Quality Assurance. Figure 3.3.1: MoH development and recurrent budget performance FY 2015/16 26 Source: Ministry of Finance, Planning and Economic Development

27 Since the District Infrastructure Support Programme had one of the largest budgets but poor absorption of funds, it was selected for detailed assessment in section Performance of the District Infrastructure Support Programme The District Infrastructure Support Programme performed fairly as a project during the period under review. Background: The District Infrastructure Support Programme (DSIP) was established to enable government equip and rehabilitate selected health facilities to improve health service delivery. Project Objective: To improve infrastructure of health systems by purchasing essential equipment and undertaking rehabilitation of regional and district health facilities. Expected outputs: i) District health facilities rehabilitated /constructed, ii) District health facilities equipped, and iii) Ambulance trucks and station wagon vehicles procured. Financial Performance The approved annual budget was UGX 9,298,000,000, of which UUGX 8,547,454,269 was released, and UGX 6,017,016,389 (70%) spent. Physical Performance Physical performance of DISP was fair (53%), as key planned outputs such as purchase of specialized machinery and equipment were not implemented. The 7,000 beds donated by the People s Republic of China were distributed by the Ministry of Health (MoH) to various health facilities countrywide, although some beds were not in use, as a number of health facilities had stored them for lack of space. This financial performance is not commensurate to physical performance as most of the expenditures were outside the planned outputs. The reallocated funds were spent on activities not related to the overall project goal. These were: facilitation dinner for South Korean President; facilitation of the Anglican Uganda Martyrs Shrine health services; travel abroad; improvement of MoH reception area; and refunds to Global Fund, among others. Activities at district level were limited to payment of retentions and no major rehabilitations were undertaken. The detailed physical performance of DISP project components for FY 2015/16 is given below. Component Achievements 1.Medical equipment and furniture The plan was assorted medical equipment and furniture for general hospitals and the health facilities procured and supplied; and, payment for shipping and clearance costs for the donated items. The procurement of assorted medical equipment was not done; however, the 7,000 beds donated by the People s Republic of China were cleared and distributed to various health facilities. However, facilities like Mbarara Regional Referral Hospital, Ikumbya and Kiyunga Health Centress in Luuka District, Budondo and Wakitaka Health Centres in Jinja District simply stored the beds due to lack of space. 27

28 Medical equipment for the regional referral hospitals, general hospitals and HCIVs was maintained as planned. 2. Infrastructure construction/ rehabilitation It was planned that Kapchorwa Hospital be partially rehabilitated by way of constructing of four twobedroom houses. Payment of retention for Buyiga HCIII was made. Works at Kapchorwa Hospital had commenced. The defects liability period for Buyiga HCIII had not ended and therefore payment for retention could not be done. However, UGX mn was paid on clearance of some interim certificates for Buyiga. It was also planned to provide Technical support supervision for infrastructure development nationwide at regional referral hospitals and districts. This was carried out for Hoima, Kabale, and Fort Portal hospitals and districts. The poor performance of the programme was largely due to diversion of funds and poor planning. Many activities that were implemented were outside the plan. On the other hand, poor planning resulted in distribution of beds to health facilities that had no space for them. 3.4 Social Development Sector Financial Performance The sector had an approved budget of UGX bn that was revised to UGX 93 bn, of which UGX 75.6 bn (81.3%) was released. The supplementary budgets were allocated to the Ministry of Gender and the Equal Opportunities Commission. A total of UGX 75.2 bn, representing 80.9%of the revised budget was spent. Most of the funds were allocated (68%) to and expended (67.6%) by the Ministry of Gender, Labour and Social Development (see details in Table 3.4.1). The poor performance of the programme was largely due to diversion of funds and poor planning. Many activities that were implemented were outside the plan. 28

29 Table 3.4.1: Financial performance of the Social Development sector in FY 2015/16 Vote Name Approved Budget UGX Revised Budget UGX Ministry of Gender, Labour and Social Development 79,599,975,233 80,617,415,479 Equal Opportunities Commission 4,259,650,992 5,106,478,776 Total Released funds UGX Total Expenditure UGX 63,252,726,483 62,904,843,634 5,106,478,776 5,031,479,069 Expend as % of Revised budget District Adult Functional Literacy 1,580,000,000 1,580,000,000 1,580,000,000 1,580,000, District Women, Youth and Disability Councils 4,440,000,000 4,440,000,000 4,440,000,000 4,440,000, Community Based Rehabilitation 1,130,000,000 1,130,000,000 1,130,000,000 1,130,000, KCCA Social Development 170,000, ,000, ,000, ,000, Total Social Development sector 91,179,626,225 93,043,894,255 75,679,205,259 75,256,322,703 Source: Ministry of Finance, Planning and Economic Development Overall, the sector s financial performance was good as more than 80 per cent of the budget was released and spent. Compared to FY 2014/15, the sector allocation was increased from the approved budget of UGX billion. In FY 2014/15, the sector received a supplementary and the budget was revised to UGX billion, of which GUX (99.6%) bn was spent. In terms of absorption, the sector declined because it spent 99.6% of the revised budget in FY 2014/15 compared to 80.9% in FY 2015/16. Apart from the Ministry of Gender and the Equal Opportunities Commission, all other votes spent all the released funds. Since the Ministry takes the lion s share of the budget, a detailed review was done in section Ministry of Gender s Financial Performance The Ministry had an approved budget of UGX bn for development, of which UGX 36.1 (73.3%) was released. A total of UGX bn, representing 73.2% of the revised budget was spent. On the other hand, the approved recurrent budget was UGX bn that was revised to UGX bn, of which UGX (87%) was released. A total of UGX bn, representinh 85.6% of the revised budget was spent. A higher budget was allocated, released and spent on development than recurrent activities (see Figure 3.4.1). However, the recurrent budget had lower absorption capacity since it had more unspent funds at the end of the financial year. Most of the development funds were allocated to the Youth Livelihoods Programme. Only two projects had unspent funds namely, Promotion of Green Jobs and Fair Labour Market in Uganda and Strengthening Ministry of Gender, Labour and Social Development (see details in Annex Table 9). On the other hand, most recurrent budget was allocated to the Headquarters Planning and Policy Department followed by Youth and Child Affairs Department. Only 46% of the departments used up all the recurrent budget and the worst performer was the Office of Director Gender and Community Development that used only 85% of its release (see details in Annex Table 10). 29

30 Figure 3.4.1: MGLSD development and recurrent budget performance FY 2015/16 Source: Ministry of Finance, Planning and Economic Development The Youth Livelihoods Project received the largest budget under the sector and used up all the funds. To that effect, the programme was reviewed to assess the achievement of outputs and the likelihood of attaining the outcomes. Background The Youth Livelihood Programme (YLP) is a Government Rolling Programme targeting the unemployed and poor youth (18-30 years) in the country. It was designed in response to the high unemployment rate and poverty level among the youth. The Programme was implemented under the Ministry of Gender, Labour and Social Development, beginning FY2013/14. It covers all the 116 districts (including Kampala City) and 41 Municipalities. The design and implementation of the programme is based on the Community Demand-driven Development Model. The youth receive the support in form of Revolving Funds advanced through Youth Interest Groups. Progrmme Objectives The Programme Development Objective is to empower the target youth to harness their socio-economic potential and increase self-employment opportunities and income levels. Specific Objectives: To provide youth with marketable vocational skills and toolkits for self-employment and job creation; To provide financial support to enable the youth establish Income Generating Activities; To provide the youth with entrepreneurship and life skills as an integral part of their livelihoods. To provide youth with relevant knowledge and information for attitudinal change (positive mind set change) 30

31 3.4.3 Performance of Youth Livelihood Programme The Youth Livelihood Programme performed fairly as a project despite full absorption of funds. Financial Performance The approved budget for the programme in FY 2015/16 was UGX 33 billion, of which UGX 24,319,657,496 was released and all spent. Physical Performance The programme performance was 50%, as most planned outputs were either partially done or not done at all. The programme has three components (i) Skills Development, (ii) Livelihood Support, and (iii) Institutional Support. Detailed output achievements are listed below. 1. 2,706 youth projects financed out of the 6,500 that were planned. This was due to both inadequate financial releases and delayed submission of projects by some districts ,808 beneficiaries supported out of the 84,500 planned because of same reasons noted above. 3. All planned Promotional materials were produced. These included 5,000 Programme Documents; 3,000 Access Criteria; 5,000 Project Cycle Charts and 20,000 Brochures Radio Talk shows out of the planned 40 were done. No TV talk show was done although 4 had been planned. 5. Two (2) Newspaper Supplements published out of the 4 that were planned district technical staff were not trained in monitoring and reporting on programme activities as planned due to inadequate funds district/municipality youth council leaders, out of the planned 414, sensitized on the YLP implementation processes. 8. Two Implementation Support Visits per district by the technical support team and National Technical Working Group were done instead of 4 due to inadequate funds. 9. The YLP data base was not designed; the 2,500 YLP projects were not mapped on Geographical Positioning System (GIS); and the 5 Regional Review workshops were not done. The poor performance was due to many factors namely: low technical capacity in some local governments (understaffing, slow action); deliberate violation of Guidelines by some stakeholders; misinformation/negative campaign by perpetual saboteurs; inadequate funds to strengthen support systems at the LG level (for timely follow-up, trainings, mentoring, coaching etc ); internal conflicts in some groups; and natural calamities (droughts, disease outbreaks, floods..). It was also evident that there was no value for money since the level of funding was not commensurate with the outputs. The poor performance was due to many factors namely: low technical capacity in some local governments (understaffing, slow action); 31

32 3.5 Water and Sanitation Sector Financial Performance The sector had an approved 15 budget of UGX bn, of which UGX bn (89.9%) was released. A total of UGX bn, representing 89.2% of the revised budget was spent. Most of the funds were allocated (82.1%) to and expended (81.5%) by the Ministry of Water and Environment (see details in Table 3.5.1).The local governments spent all their funds. Table 3.5.1: Financial performance of the Water and Environment sector in FY 2015/16 Total Expenditure UGX Expend as % of Revised budget Ministry of Water and Environment 229,109,854, ,476,826, ,972,905, NEMA 9,223,809,216 6,653,574,183 6,570,612, National Forestry Authority 7,749,026,584 7,462,202,135 7,462,195, Total Central Government Votes 246,082,690, ,592,602, ,005,713, Local Governments 5,350,000,000 5,350,000,000 5,350,000, KCCA Water and Environment 10,000,000 10,000,000 10,000, Total Water and Environment sector 251,442,690, ,952,602, ,365,713, Source: Ministry of Finance, Planning and Economic Development 15 The budget was not revised 32 Overall, the sector s financial performance was good as more than 89 per cent of the budget was released and spent. Compared to FY 2014/15, the sector allocation was reduced from the approved budget of UGX bn. In FY 2014/15, the sector suffered a budget cut and the budget was revised to UGX bn, of which UGX (99.4%) bn was spent. In terms of absorption, the sector declined because it spent 99.4% of the revised budget in FY 2014/15 compared to 89.2% in FY 2015/16. It was only the central Government votes that had unspent funds, especially NEMA and the Ministry of Water and Environment. Since the Ministry of Water and Environment takes a very big share of the sector budget and yet had issues of absorption, it was reviewed in detail to establish areas of poor performance Ministry of Water s Financial Performance The Ministry had a revised budget of UGX bn for development, of which UGX (90.4%) was released. A total of UGX bn, representing 90.2% of the revised budget was spent. On the other hand, the revised budget for recurrent was UGX bn, of which UGX (81%) was released. A total of UGX bn, representing 79% of the revised budget was spent. A higher budget was allocated, released and spent on development than recurrent activities (eee Figure 3.5.1). However, the development budget had lower absorption capacity since it had more unspent funds at the end of the financial year. Under the development budget, most funds were allocated to Water for production, Protection of Lake Victoria; Support to rural water supply; Piped water in rural

33 areas; and Policy and management Support (see details in Annex Table 11). More than 80% of the projects used up all their money. The 5 projects with unspent money were: Water management and Development project; Piped water in rural areas; Provision of improved water sources; Mapping of ground water resources; and Operational water resource management. On the other hand, the recurrent budget was mainly allocated to the departments of Meteorology; Finance and Administration; and Urban Water supply and sewerage (See details in Annex Table 12). Sixty-two per cent of the departments used up their releases. The lowest absorption was in Water Resources Regulation and Water Quality Management departments. Figure 3.5.1: MWE development and recurrent budget performance FY 2015/16 Source: Ministry of Finance, Planning and Economic Development Rural water access is a problem and two programmes targeting it were among the top-funded programmes. To ascertain the performance in the light of water access in rural areas, the Water and Development Facility for the North was reviewed in section This is because the north has lagged behind in many development aspects Performance of the Water and Sanitation Development Facility - North The Water and Sanitation Development Facility - North performed fairly as a project during the period under review. Background: The Water and Sanitation Development Facility-North is responsible for the provision of safe water supply and improved sanitation in 23 districts2in Lango, Acholi and West Nile sub-regions of northern Uganda. The Facility is currently funded by the Germany Development Bank and receives counterpart funding from Government of Uganda. 33

34 Financial Performance The project s annual budget for FY 2015/16 was UGX bn, of which UGX bn (74%) was received and UGX bn (104%) spent. The overexpenditure was because the project had money carried forward from the previous FY 2014/15. Physical Performance The performance of the Facility was fair at 62%, despite a shortfall in donor funds of 47%, which were not released for project activities from the second to fourth quarter of the financial year. Component Achievements 1. Backup support for operation and maintenance Six of the twenty planned outputs were achieved. Among the planned outputs was the 12 schemes Operation and maintenance structures functionality supported. 16 The Dokolo, Amolatar, Okollo, and Pajule schemes were functioning well, while Amach was still under construction. Works had not yet commenced in the remaining towns due to a shortfall in funding. 2. Piped water supply systems Five of the 8 planned piped water systems were constructed. The water schemes of Amolatar, Dokolo, Pajule, Okollo and Midigo were complete and functional. Works were ongoing in Amach and were at 65%. 3. Energy installations for pumped water supply schemes All 4 planned Water supply schemes (Pajule, Okollo, Amolatar and Dokolo) were connected to the national grid. 4.Sanitation facilities A total of 30 household toilets out of the 37planned; 6 public toilets out of the 9 planned and 12 primary school toilets out of 18 planned were constructed. Sanitation facilities were completed in Okollo, Dokolo, Pajule, and Amolatar. In Amach construction was ongoing. The main reason for poor project performance was inadequate funding Dokolo, Moyo, Kalongo, Midigo, Pajule, Okollo, Amach, Loro, Bibia/ Elegu, Odramachaku, Pabbo, Padibe and Pacego; Paloga, Namukora, PalabeckOgili, Lagoro, Mucwini, Parabongo, Palenga and Alero 34 Overall, the sector s financial performance was good as more than 89% of the budget was released and spent.

35 Social sectors performance in relation to the NDP II, regional and international commitments As was noted in the Background chapter, the Africa Agenda 2063 as well as the Sustainable Development Goals allude to the social sectors under review. For the specific sectors, Government has signed onto other international and regional commitments that are also reviewed in the performance assessment. The first observation was that many commitments made had neither performance indicators nor targets. This made it difficult to assess the country s performance in such cases. 4.1 Agriculture Commitments In agriculture, Uganda has signed onto various international and regional commitments. Internationally there are SDGs while regionally commitments have been made at the African Union as well as the East African Community (EAC) levels. 35

36 36 The second SDG goal is to End hunger, achieve food security and improved nutrition and promote sustainable agriculture. This goal squarely focuses on the agriculture sector. The goal has 8 targets to be achieved by These include, among others: End hunger and ensure access by all people to safe, nutritious and sufficient food all year round; End all forms of malnutrition; Double the agricultural productivity and income of small-scale food producers; Ensure sustainable food production systems and implement resilient agricultural practices that increase productivity and production; Maintain the genetic diversity of seeds, cultivated plants, and farmed and domesticated animals. Regionally, The Africa Agenda 2063 has Goal 5 as Modern Agriculture with the goals of Agricultural productivity and production. Under the African Union, is the Comprehensive African Agriculture Development Programme (CAADP) which has four pillars namely: 1. Land and Water Management; 2. Rural Infrastructure and Trade-related Capacities for Improved Market access; 3. Increasing Food Supply and Reducing Hunger; and 4. Agricultural Research, Technology Dissemination and Adoption. The third pillar resonates with the SDG goal on ending hunger. In addition, Uganda was party to the Maputo (2003) Declaration where African leaders pledged to reverse decades of under-investment in agriculture by allocating at least 10per cent of their GDP to the sector and ensuring an annual agricultural growth rate of at least 6 per cent. This commitment was upheld at the 17 th Summit of the African Union at Malabo in Under the Agriculture and Rural Development Policy for the East African Community, Uganda agreed on to the achievement of food security and rational agricultural production. Agriculture and food security is a key area for cooperation by the Partner States. The cooperation had seven specific objectives that included, among others: Achieve food security in the EAC, and improve the standards on nutrition by improving output, quality and availability of food; Encourage rational agricultural production; Improve standards of living in the rural areas through increased incomes from agricultural production, processing and marketing; and Encourage the development of new and appropriate technologies that improve productivity of land and labour. At the national level, the National Development Plan II also underscores the importance of agriculture. The NDP II notes that agriculture will remain central to Uganda s economic growth and poverty reduction. For the Plan period, focus is on investing in 12 agricultural enterprises along the value chain: Cotton, Coffee, Tea, Maize, Rice, Cassava, Beans, Fish, Beef, Milk, Citrus and Bananas. The enterprises were selected for their high potential for food security and export earnings, as well as employment creation. In order to increase agricultural production and productivity during the Plan period, government is supposed to focus on: strengthening research, identifying and building key human resource capacity; technology adaptation at the farm level including modern irrigation technologies; up-scaling the transfer and utilization of food-production and labour-saving technologies for women farmers; enhancing extension services; increasing access to and use of critical farm inputs; promoting sustainable land use and soil management; and increasing access to agricultural finance with specific attention to women. However, despite these aspirations there are no quantifiable targets to assess performance in this area Sector performance The sector performance in the light of these commitments is given in Table This is based on the either agreed on or domesticated performance indicators/ targets.

37 Table 4.1.1: Agriculture sector performance in relation to NDP II, international and regional commitments Level of compliance Commitment Performance Indicators/ Target Sector performance in FY 2015/16 International SDG-2 End hunger, achieve food security and improved nutrition and promote sustainable agriculture Proportion of agricultural area under productive and sustainable agriculture Number of plant and animal genetic resources for food and agriculture secured in conservation facilities Plant variety Protection Act (2014) published Average income of small scale food producers Regional Maputo (2003) 10% of national budget for agriculture 2.6% of national budget to agriculture CAADP ( )- Food and nutrition security Prevalence of underweight 13.8% -12.7% for girls -14.9% for boys Prevalence of wasting 5% -4.6% for girls -4.9% for boys Prevalence of stunting 33% % for girls -37% for boys The Malabo Commitment (2014) To sustain annual agricultural GDP growth of at least 6% To create job opportunities for at least 30% of the youth in agricultural value chains By 2025, at least 30% of farm, pastoral, and fisher households are resilient to climate and weather related risks 3.2 % projected GDP growth rate at market prices 66.6%of youths were employed in sector -20 dams constructed for crop based irrigation -Irrigation designs for Acomai- Sironko river and Atai river project areas improved -118 valley tanks constructed for livestock National NDP II 104,103 Jobs created in 2015/16 Source: Ministry of Agriculture, Animal Industry and Fisheries (2016) Policy Statement for FY 2016/17; Ministry of Finance, Planning and Economic Development: Annual Budget Performance Report FY 2015/16; Background to the Budget Fiscal Year 206/17 37

38 38 For the few indicators with annual quantified targets, it was evident that the agriculture sector performance in relation to international and regional commitments was fair as it was below 60 per cent. The proportion of the national budget spent on agriculture was about 25 per cent of what the Maputo agreement specifies. However, despite the seemingly dismal funding, the sector had unspent balances during FY 2015/16 (Table 3.1.1). On the other hand, the agricultural sector growth rate was about 50 per cent of the desired rate agreed on at Malabo. It was also noted that there was consistent gender inequality in the outcomes. The boys were more malnourished as shown by the higher levels of wasting, stunting and underweight. The poor nutritional status of male children partly explains their lower life expectancy at birth. The poor sector outcome performance is largely an issue of inadequate funding. However, it was noted that poor supervision, as was the case under NAADS, also gives low outcome indicators even if funds are available. In terms of compliance with the NDP II, the sector had areas of non-compliance with the National Planning Authority certification process. Specifically, the Authority noted the areas of non-compliance that included: the sector only had a draft development plan that was yet to be aligned to the NDP II; it had accorded less priority to institutional strengthening of MAAIF structures, particularly regarding regulation (for quality control of inputs). Other NDP II priorities remained unfunded, which included, among others: training district staff on control of pests and diseases; assisting farmers to obtain value addition services and extension services that were not allocated any budget. These are institutional issues that also affect sector operations because effective implementation of programmes impinges on good structures Sector challenges Overall, the sector had funds absorption challenges since there were unspent balances during FY 2015/16. In addition, other challenges were identified that limit the achievement of outcomes which included: 1. Lack of a functional extension system. For the over 1,300 sub-counties in Uganda, only half the establishment of extension workers was in place, and these lacked logistical supports. 2. Poor planning as evidenced by the sector planning for activities without the relevant human resources. This has led to haphazard implementation of interventions, e.g vaccinations in particular areas instead of mass vaccination. 3. Climate change resulting from environmental degradation. 4. Creation of agencies was killing the ministry, and some of these agencies did not work amicably with MAAIF. For example, the NAADS programme had destroyed the agricultural extension services. 5. Poor cross-sectoral linkages. For instance, the indicators on nutrition are multi-sectoral. The Ministry of Education and Sports and the Ministry of Health need to provide support. On the other hand, for job creation, there is need for linkage with Ministry of Trade, and Ministry of Gender, Labour and Social Development; but there were no systematic mechanisms for collaboration. 6. The sector had problems of information. The performance indicators were not quantified and reports 17 of achievements were qualitative. The other sector challenges were classified under two broad themes: Crop related challenges The challenges include poor agronomic practices that affect production: poor markets and marketing infrastructure for many crop enterprises; funding constraints with limited access to credit facilities; climate change; poor regulatory framework and weak enforcement; inadequate engagement of women and youth; limited extension services due to very low extension staff to farmer ratio; weak monitoring and evaluation framework and vague indicators. Livestock and fisheries-related challenges The challenges include weak policy and regulatory framework; production constraints like limiting availability of quality feeds; land tenure and water rights; weak monitoring and evaluation system and statistics. Others included poor post-harvest handling 17 Reference is made to the case study of the Production and Marketing Grant project in Chapter 3.

39 and processing constraints; poor stakeholder coordination including Public Private Partnership; human resource challenges including inadequate staff, lack of training and poor equipment; poor markets and marketing infrastructure; and, funding constraints. 4.2 Education 4.2.1Commitments Uganda has signed onto various international and regional commitments. Internationally, there are SDGs, while regionally commitments have been made at the African Union as well as the East African Community (EAC) levels. SDG 4 commits countries to Ensure inclusive and equitable quality education and promote lifelong learning opportunities for all. It has 10 targets to be attained by These include among others: All boys and girls complete free, equitable and quality primary and secondary education. All boys and girls have access to quality early childhood development, care and pre-primary education. All women and men access affordable and quality technical, vocational and tertiary education, including university. Eliminate gender disparities in education and ensure equal access to all levels of education and vocational training for the vulnerable, including persons with disabilities, indigenous peoples and children in vulnerable situations. All youth and a substantial proportion of adults, both men and women, achieve literacy and numeracy. Build and upgrade education facilities that are child, disability and gender-sensitive and provide safe, non-violent, inclusive and effective learning environments for all; and Increase the supply of qualified teachers Regionally, as a follow up on the Jomtein Commitment of Education for all by 2005, the African Union had an Action Plan for Education ( ). The East African Community committed to operationalize that Action Plan. The primary goal of Priority area one on Gender and Culture was to reduce gender disparities and ensure gender equality, girls and women s empowerment throughout the education system while enriching the system with the positive aspects of our cultures, from early childhood development to higher education, and through non-formal to lifelong learning. The Plan of Action focused on the following key thematic areas: 1. Continued promotion of the right environment to apply and enforce human rights; 2. Increasing universal access to basic and secondary education while significantly reducing out-ofschool children and youth; 3. Promoting cultural industries and functional literacy for the economic empowerment of men and women; and 4. Increasing synergies between culture and education. At the country level, the NDP II conceptualized human capital development along the life cycle approach. Under education, this started with early childhood development. For the 6-12 years age group, focus was on increasing enrolment, retention and completion of the primary schooling cycle, with specific interventions for the girl child; and provision of good quality education, among others. For the years of age group, focus was on retention in school with a special focus on the girl child, till completion of secondary school as well as designing appropriate vocational training courses. To enhance the human capital at the years age group, focus was on massive gender responsive skills training programmes targeting the rapid buildup of skills within the already available labour that has acquired general education and those that have dropped out of school at primary, secondary and tertiary levels Sector Performance The sector performance in the light of these commitments is given in Table

40 At national level National Development Plan II also underscores the importance of agriculture. The NDP II notes that agriculture will remain central to Uganda s economic growth and poverty reduction. For the Plan period, focus is on investing in 12 agricultural enterprises along the value chain: Cotton, Coffee, Tea, Maize, Rice, Cassava, Beans, Fish, Beef, Milk, Citrus and Bananas. 40

41 Table 4.2.1: Education sector performance in relation to NDP II, international and regional commitments Level of compliance Commitment Performance Indicators/ Target Sector performance in FY 2015/16 International SDG 4 - Ensure inclusive and equitable quality education and promote lifelong learning opportunities for all Participation rate in ECD education by sex Proportion of pupils in P 3 and P6 with a minimum proficiency in reading and mathematics by sex Gender parity of 1.02 in favour of girls -P3 pupils proficient in literacy was 59% for boys and 61.3% for girls -P3 pupils proficient in numeracy was 73% for boys and 70.6 for girls - P6 pupils proficient in literacy was 51.6% for boys and 52.6 % for girls -P6 pupils proficient in numeracy was 56.9% for boys and 48.2 for girls Parity in education enrolment at all levels Net enrolment ratio, in primary was 89% for boys Net enrolment ratio in primary was 93% for girls Net enrolment ratio in secondary was 27% for boys Net enrolment ratio in secondary was 25% for girls Proportion of schools with electricity -4 % of ECD centres use electricity Proportion of qualified teachers in schools at all levels -53.6% of ECD teachers -91.4% of primary school teachers -94.2% of secondary school teachers Proportion of schools with separate sanitation facilities for male and females -7% of primary schools -98.8% of secondary schools Proportion of schools with basic drinking water -69% of primary schools -91% of secondary schools Proportion of qualified teachers in schools at all levels Same as row 5 above National NDP II Primary to secondary school transition rate (80% by 2020) Net Secondary completion rates (50% by 2020) 63.2% % for girls -62.8% for boys 36.2% -35.9% for girls -36.4% for boys Average years of schooling (11 by 2020) Source: Education and Sports Sector Annual Performance Report, Financial Year 2015/16; UBOS 2015 Statistical Abstract, UBOS- National Service Delivery Survey 2015; UBOS.et la (2016): National Priority Gender Equity indicators Although there are no annual targets for international and regional commitments, the sector had fairly good performance indicators for primary education. For pre-primary and primary education there was parity in enrolment. However, the quality of education was still limited as confirmed by the low proficiency levels in reading and mathematics. There was consistent inequality between girls and boys in this proficiency, with 41

42 boys doing better in mathematics and vice versa. The fact that qualified teachers were largely not a problem, then poor quality of education is due to the suboptimal use of these teachers largely because of weak inspection. However, the sector performed poorly in terms of the NDP II targets. At secondary education level, enrolments were poor for all students although survival rates were higher for males than females. This gender inequality in education outcomes means that the females have lower average years of schooling. This results in the persistent segmentation of women in low-paying jobs and therefore lower incomes. The low incomes for women keep many in subordination, dependency and with limited decision making powers. In the same vein, poor survival in secondary education for females results in early marriages and/or pregnancies which partly explains the high fertility rates in Uganda. The negative effects of high fertility rates include poor health and productivity for the mothers as well as stretched service delivery facilities. The poor performance in terms of NDP II was reaffirmed by the very poor (49%) compliance to the National Planning Authority certificate. Specifically, the key NDP II priorities not considered included: Establish centres of Excellence by region at postsecondary levels; Reinforce school inspection by recentralizing the inspection function; Formulating and implementing a policy to rationalize fees for private primary schools; Implement the policy of a government primary school per parish; Expand community based Early Childhood Development (ECD) centres and attach ECD centres to primary schools for the provision of pre-primary education; Enforce laws against defilement at school level; Adopting a differentiated allocation formula for capitation grants; Revision of the capitation grants pegging them to inflation trends; Develop and implement appropriate ECD operational standards, among others Sector Challenges The sector was faced with many challenges including: 1. Weak inspection and monitoring resulting into high teacher absenteeism; 2. Persistent regional inequalities in education service provision and outcomes; 3. Poor delivery of curriculum which is very much dependent on the teachers qualifications; 4. Poor learning environment in some schools lack of teaching aids, poor sanitary conditions (which mainly affects female students), too much freedom for students and harsh teachers. 5. Weak background of the students a poor academic background at one level, say primary, affects performance at the subsequent levels. Some schools do not cover the whole curriculum which in turn manifests in low scores; and 6. Lack of government involvement in early childhood development. 42 Livestock and fisheriesrelated challenges weak policy and regulatory framework; production constraints like limiting availability of quality feeds; land tenure and water rights; weak monitoring and evaluation system and statistics.

43 4.3 Health Commitments In Health, Uganda has signed on to the SDGs while, regionally, commitments have been made at the African Union as well as the East African Community (EAC) levels. SDG 3 is to Ensure healthy lives and promote wellbeing for all at all ages. It has 10 targets to be attained by These include, among others: Reduce maternal mortality; End preventable deaths of newborns and children under 5 years; End the epidemics of HIV, tuberculosis, malaria, Hepatitis; Reduce premature deaths from noncommunicable diseases; Strengthen the prevention and treatment of substance abuse; Ensure universal access to reproductive health care services; Achieve universal health coverage; and Substantially increase health financing and recruitment and retention of health personnel. At regional level, commitments include the Abuja and Ouagadougou Declarations, Maputo Plan of Action and the EAC Health strategy. The Abuja Declarations and Frameworks for Action on Roll Back Malaria, and on HIV and AIDS, tuberculosis and other related infectious diseases were made in The primary objective of the Abuja Declarations and Frameworks was for Africa to collectively and individually work towards arresting and reversing the burden of the infectious diseases mentioned above. In addition, States pledged to allocate at least 15% of their annual budget to improve the health sector. On the other hand, the Ouagadougou Declaration (2008) on Primary Health Care and Health Systems in Africa focused on nine major priority areas, namely: Leadership and Governance for Health; Health Service Delivery; Human Resources for Health; Health Financing; Health Information Systems; Health Technologies; Community Ownership and Participation; Partnerships for Health Development; and Research for Health. The Maputo Plan of Action was to operationalize the Africa Campaign on acceleration of reduction of maternal, newborn and child mortality in Africa (CARMMA). The Plan of Action was to ensure universal access to comprehensive sexual and reproductive health (SRH) services on the continent. The plan recommended a number of measures, among them the following: Integrating HIV/AIDS services into sexual and reproductive health and rights; Promoting family planning; Supporting the sexual and reproductive health needs of adolescents and young people; Delivering quality and affordable health services to promote safe motherhood, child survival, and maternal, newborn and child health; and Adopting strategies that would ensure reproductive health commodity security. The East African Community had launched an integrated maternal, newborn, child and adolescent health strategy to deliver improved reproductive, maternal and child health in the five member countries. The five-year health strategy (2015 to 2020) will focus on a rights-based approach to reducing maternal and newborn mortality rates in the region by addressing the economic, social, cultural and political forces that constrain women and their families from asserting their right to maternal health. The programme would build on the EAC health policy that expired in At the national level, the NDP II emphasis was on: mass management of malaria (mass malaria treatment for prevention); National Health Insurance scheme; universal access to family planning services; health infrastructure development; reducing maternal, neonatal and child morbidity and mortality; scaling up HIV prevention and treatment; and developing a centre of excellence in cancer treatment and related services. The Plan notes the provision of health care services along the life cycle approach. During pregnancy to birth stage, focus was on improving maternal health in order to increase newborn survival. This would entail increasing the proportion of deliveries in health facilities and births attended to by skilled health 43

44 personnel. Additionally, antenatal care coverage; improving availability; accessibility of antenatal care; safe delivery and postnatal care; reducing adolescent pregnancies scaling up nutrition especially among women of reproductive age, continued reduction of mother-to-child HIV/AIDS transmission were noted. With regard to the 0 5 years age group, the Plan s efforts were geared at: reducing incidences of morbidity and mortality; scaling up critical nutrition intervention outcomes especially for children below 5 years Sector performance The sector performance in the light of these commitments is given in Table In terms of the Maputo Plan of Action, and the EAC health strategy, Uganda has put a lot of effort into Maternal and Child Health (MCH). The MCH cluster is composed of five sub programmes: Sexual and Reproductive Health (SRH), Newborn Health, Integrated Child Survival and Development, Immunization and Nutrition. The sexual and reproductive health rights interventions are aimed at reducing maternal mortality, peri-natal mortality, and total fertility rate, and improving sexual and reproductive health of the people which are all key elements for achieving the SDG 3 as well. Recommendations from the Maputo Plan of Action 44 Integrating HIV/AIDS services into sexual and reproductive health and rights; Promoting family planning; Supporting the sexual and reproductive health needs of adolescents and young people; Delivering quality and affordable health services to promote safe motherhood, child survival, and maternal, newborn and child health; and Adopting strategies that would ensure reproductive health commodity security.

45 Table 4.3.1: Health sector performance in relation to NDP II, international and regional commitments Level of compliance International Commitment Performance Indicators/ Target Sector performance in FY 2015/16 SDG 3 - Ensure healthy lives and promote wellbeing for all at all ages Maternal mortality ratio 438 Proportion of births attended by skilled 58 health personnel Under-five mortality rate for girls -114 for boys Neonatal mortality rate for girls -70 for boys Number of new HIV infections per 1,000 uninfected population by sex, age Tuberculosis incidence per 1,000 population Malaria incidence by 1,000 population 408 Hepatitis B incidence per 100,000 population Proportion of women of reproductive age who have their need for family planning satisfied with a modern method Adolescent birth rate per 1,000 women of that age group Coverage of essential health services -3,487 new pediatric cases nationally TB notification rate was 121 per 100,000 30% contraceptive prevalence rate (2011) % of health commodities ( a basket of 41) were available WHO Health worker density and distribution Doctor, Nurse, Midwife ratio of 2.3 per 1,000 patients -52% of health facilities had over 95 percent availability of the basket of 41 commodities -Practicing doctors to population ratio-1: 24,725 -Practicing nurse to population ratio-1: 11, of which it was: doctors per 1, midwives per 1, nurses per 1,000 Regional Abuja Declaration 15% of annual budget allocated to health 8% National NDP II Life Expectancy at birth (60years by 2020) 63.3 years years for female years for male Infant mortality rate per 1,000 live births 54 (44 by 2020) Maternal mortality rate per 100,000 live births (320 by 2020) 438 Child Stunting as percent of under-5s (25 by 2020) 33% % for girls -37% for boys Total Fertility Rate (4.5 by 2020) 6.2 Source: Ministry of Health - Annual sector performance report, World Health Organization; UBOS (2016) National Population and Housing Census Main report; and National Priority Gender Equity indicators 45

46 46 For the SRH, the sector had recruited additional critical cadres of 59 doctors, 174 midwives, 26 Nursing officers midwifery and 148 Enrolled midwives, and 8 Anesthetic officers. As a consequence, 100% of hospitals were able to offer comprehensive emergency obstetric and neonatal care (EmONC) while all HC IIIs offer basic EmONC. In addition, the sector has a child survival strategy focusing on the following: Newborn care, infant and young child feeding, prevention of malaria, management of new childhood illness, expanded programme on immunization, care of HIV-exposed children, Elimination of maternal-to-child transmission of HIV (EMTCT), promotion of safe water access and use, and safe sanitation. Overall the sector still suffered poor performance indicators although there were improvements compared to FY 2014/15.One of the plausible explanations for the poor sector performance was underfunding, given the fact that Uganda was spending only 8% of its annual budget on heath against the Abuja Commitment of 15%. However, the sector also had unspent funds at the end of FY 2015/16 despite the fact that absorption capacity in the sector had improved. In terms of gender equality, the males had worse health outcomes. They had lower life expectancy at birth and nutritional indicators. However, the poor maternal health indicators also show the poor health status of women that negatively affects their productivity. In terms of the international and regional commitments, despite absence of annual targets, the performance indicators were still poor. For the WHO commitment on health staffing, the sector performance was dismal. This means that the poor quality of health services may be a result of absence of the requisite health staff. The sector had many areas of non-compliance with the National Planning Authority certification process largely on issues of preventive health and nutrition. Specifically, the key areas of non-compliance included: Review and realign the essential care health package; Establish a national Institute of Public Health; Establish and operationalize an emergency operating centre; Capacity building in the field of epidemiology; Mass treatment of malaria for prevention; Mass distribution of long-lasting insecticide-treated nets (LLINs); Insecticide residual spraying to high-transmission districts; Strengthening capacity for surveillance and diagnostic capacity for Zoonotic diseases: Develop the Immunization policy and enact the Immunization Act; Implement the national immunization communication strategy in all districts; Screen and treat oral diseases particularly among primary school children; Community structures for health education, promotion and disease prevention; Promote healthy lifestyles that prevent or delay occurrence of non-communicable diseases (NCDs); Establish a functional surveillance, monitoring and research system to support the prevention and control of NCDs. The sector did not comply on the entire objective of addressing the key determinants of health through strengthening intersectoral collaboration and partnerships, save for the establishment of a sanitation fund. Thus key issues of nutrition, gender, health concerns in food production systems were not addressed. In addition, the budget did not address a key objective of increasing financial risk protection of households against impoverishment due to health expenditures, thus leaving out key interventions of: A system to collect pre-payments and voluntary contributions; Design and implement a co-payment system for health care; Design and implement a National Health Insurance scheme; and Develop innovative purchasing and payment mechanisms for efficient use of health resources Sector Challenges The sector still faced several challenges including. a) There is inadequate funding for sector activities especially PHC Services. b) Huge disease burden owing to mainly Malaria, Pneumonia and diarrhoea in children. c) Inadequate staffing at all levels as a significant number of posts are not filled. This is worsened by the limited skills and customer care of the health staff in post. d) Inadequacy in the maintenance of medical equipment nationwide. e) Stocks outs of key commodities at facility level owing to poor planning. f) There is skewed input mix in financing health facilities, for instance there has not been commensurate funding for recurrent costs for utilities and/or maintenance arising from the

47 construction of new buildings and equipment, especially for hospitals g) Unsatisfactory level of support supervision from districts to the lower level health facilities. Many districts lack capacity in terms of manpower, transport and other logistical requirements to conduct regular and effective support supervision. h) Poor health-seeking behaviour of the population. This is due to poverty, limited access to health facilities, and lack of knowledge among the populace; and i) Poor sanitation within communities due to inadequate access to safe water and sanitation facilities. This limits the efforts to check preventable diseases. 4.4 Social Development 4.4.1Commitments Uganda has signed on to the SGDs while, regionally, commitments have been made at the African Union as well as the East African Community (EAC) levels. SDG 5 is to Achieve gender equality and empower all women and girls. It has 9 targets to be attained by These include, among others: End all forms of discrimination against all women and girls everywhere; Eliminate all form of violence against all women and girls in the public and private spheres; Eliminate all harmful practices such as child, early and forced marriages and female genital mutilation; Recognize and value unpaid care and domestic work; Ensure women s full and effective participation and equal opportunities for leadership Ensure universal access to sexual and reproductive health and reproductive rights; Give women equal rights to economic resources; Enhance the use of enabling technology, in particular information and communication technology to promote the empowerment of women. Regionally, the EAC and its Partner States have developed gender policies and adopted gender declarations, action plans and frameworks, strategic plans, gender audits and gender analysis tools which guide gender mainstreaming, programming and budgeting. The NDP II noted the importance of social development as a pre-requisite for inclusive growth. With regard to the social development component, emphasis was on: strengthening Labour Market Information System (LMIS) and Employment Services; implementing a national programme for women s economic empowerment; promoting creative industries for job creation especially for young people; establishing and operationalizing productivity centres at national and regional levels for improving the productivity of the Ugandan workers; developing and implementing a programme to inculcate positive values and mind-sets to produce skilled and cultured people ; expanding access to contributory social security for workers in the informal sector and gradual roll-out of a non-contributory social pension scheme for older persons; and scaling up the Youth Livelihood Programme. Specifically, the Plan noted that in order to achieve gender equality and women s empowerment, Government would ensure a framework for coordinated interventions through a national policy to eliminate gender-based violence and strengthen the capacity of women for increased competitive entrepreneurship and provide appropriate technologies to women. 47

48 4.4.2 Sector performance The sector performance in the light of these commitments is given in Table Table 4.4.1: Social Development sector performance in relation to NDP II, international and regional commitments 48 Level of compliance Commitment Performance Indicators/ Target Sector performance in FY 2015/16 International Regional SDG 5: Achieve gender equality and empower all women and girls EAC Commitment to international and regional equality instruments Gender mainstreaming mechanisms Gender responsive budgeting Legal frameworks to promote, enforce and monitor equality Proportion of girls and women aged 15 years and above, ever experienced gender b-sed violence Proportion of women aged who were married before 18 years Proportion of girls and women who have undergone female genital mutilation Proportion of time spent on unpaid domestic and care work by age, sex Proportion of seats held by women in National Parliament Proportion of farmers with ownership or access rights to land, by sex Proportion of the population who own a mobile phone, by sex Proportion of international and regional gender equality instruments ratified Proportion of ratified instruments with Action Plans being implemented Adherence to reporting requirements Proportion of sectors with gender policies to implement the National Gender Policy Proportion of the annual national budget allocated to the National Machinery Proportion of the annual national budget allocated to gender specific interventions National NDP II None Source: UBOS et al (2016): National Priority Gender Equality indicators 11% 31.8% 14% -Women spend on average 36.8 hours weekly - Men spend on average 11.9 hours weekly 32.8% 47.9% % are female % are male 54.3% % are female % are male 5.4%

49 Despite lack of annual targets for the SDGs, it was evident that gender inequality and women s empowerment was still a big concern. Genderbased violence was still rampant, while inequality in time spent on unpaid work was also noted. The performance indicators show the disadvantaged position of women who suffer time poverty as well as violence. The long time spent on unpaid care work limits women s participation in productive activities and therefore lowers their earning power. On the other hand, the violence affects their health status as well productivity, again lowering their income flows. In terms of compliance with the NDP II, the sector had areas of non-compliance with the National Planning Authority certification process. Specifically, the Authority noted the areas of non-compliance that included: The sector had a draft Development Plan and the Strategic Plan (2013/ /18) for the Equal Opportunities Commission which was not aligned to NDPII, calling for a review. The Annual Budget prioritized and allocated funds to 7 out of the 14 NDP II priorities namely: Entrepreneurship Programme; Strengthening Safeguards, Safety and Health at Workplaces; Strengthening the Capacity of Equal Opportunities Commission; Social Assistance Grants for Empowerment (SAGE) II; and Youth Livelihoods Programme. While this is a positive trend towards implementation of the NDP II, the sector did not prioritize community mobilization which is critical for effective participation and efficiency in the utilization of the project funds. The budget did not prioritize strengthening culture and creative industries, which is key for enhancing youth employment. Other interventions not prioritized include: expanding the scope and coverage of social security services; establishment of the National Council for Older persons; and priority projects of: Strengthening the Uganda National Response for Implementation of Services for Orphans and Vulnerable Children (OVCs); Strengthening Community OVC Response; HIV/ AIDS programmes; Child Helpline; Community Based Rehabilitation; and Strengthening the Culture and Creative Industries. The Social Development sector, therefore, is faced with financial constraints in terms of achieving sector outcomes. However, the reduced absorptive capacity and unspent funds at end of the financial year point to institutional weaknesses that must be addressed. The sector must invest in statistics to effectively show the gender inequalities as a tool for advocating for additional funding Sector Challenges The sector was faced with many constraints including: 1. Limited funding; 2. Inadequate availability of data to track the sector performance; 3. Weak institutional capacity to implement programmes. 4.5 Water and Sanitation Commitments Uganda has signed on to the SDGs while, regionally, commitments have been made at the African Union level. SDG 6 is to Ensure availability and sustainable management of water and sanitation for all. The Goal has 8 targets including, among others: Achieve universal and equitable access to safe and affordable drinking water for all; Achieve access to adequate and equitable sanitation and hygiene for all; Improve water quality by reducing pollution; Support and strengthen the participation of local communities. Agenda 2063 noted water security as apriority for ensuring environmentally sustainable climate and resilient economies and communities. In addition, safe water is a prerequisite for a healthy population At the national level, the NDP II focus is on increasing access to safe water and sanitation level in rural and urban areas. 49

50 4.5.2 Sector Performance The sector performance in the light of these commitments is given in Table Table 4.5.1: Water sector performance in relation to NDP II, international and regional commitments Level of compliance Commitment Performance Indicators/ Target Sector performance in FY 2015/16 International SDG 6: Ensure availability and sustainable management of water and sanitation for all Proportion of the population using safely managed water services % of water sources that are functional -67% in rural -71% in urban -88% for rural -92% for urban Proportion of the population using safely managed sanitation services -79% in rural areas -84.6% in urban areas 5 %of the population with hand washing facilities -33% of households -38% of schools % of water points with actively functioning Water and Sanitation Committees -87% of rural water points -78% in urban Regional Agenda 2063: Water security None National NDP II Rural Safe water coverage (79% by 2020) 67% Urban Safe water coverage 71% (100% by 2020) Source: Water and Environment Sector Annual Performance Report for FY 2015/16 50 Overall, the sector still had poor indicators. A nation where more than 30 per cent of the population did not have safe water services was unacceptable. Sanitation was still a very big problem as hand-washing facilities were in less than 40% of the households. For the NDP II that had targets, it will be an uphill task to achieve them since the sector had experienced stagnation in its performance indicators in the recent past. The persistent inadequate access to safe water affects women more than men because the former are responsible for water provision in the households. In addition, poor hygiene in homes means more morbidity and therefore more work for the women who are responsible for looking after the sick. As was noted in the section on Social Development, women are already overworked with care activities. In terms of compliance with the NDP II, the sector had areas of non-compliance with the National Planning Authority certification process. Specifically, the Authority noted the areas of non-compliance that included: the sector having a draft Sector Development Plan which was aligned to NDP II in terms of content and time horizon but was yet to be approved. With regard to the sector MDAs, the National Water and Sewerage Corporation had a strategic plan that was aligned in terms of content; but in time horizon ( ), the National Forestry Authority had a draft Strategic Plan that was aligned to NDP in terms of horizon, while Uganda National Meteorological Authority only had a planning document. Some of the priority interventions in the NDPII such as; restoration of degraded ecosystems were unfunded priorities.

51 4.5.2 Sector Challenges The sector has various challenges including: 1. Underground water potential is declining, thus failing some technological options that have been focused on. In some instances, the water quality was unsatisfactory as it was not drinkable. 2. Poor planning worsened by inadequate funding. 3. Inadequate human resource at the ministry, local governments and contracted firms. 4. Limited focus on sanitation and hygiene. 5. Increasing cost of materials, which are at times of poor quality on the local market. The reduced absorptive capacity and unspent funds at end of the financial year point to institutional weaknesses within the Social Development Sector that must be addressed 51

52 Conclusions and Recommendations Conclusions Compared to FY 2014/15, sectors received more funds except water and environment that had a reduced budget in FY 2015/16. Financial performance in FY 2015/16 was good for all the social sectors as at least 80% of the revised budgets were released and spent. However, all sectors had declined in absorption capacity compared to FY 2014/15. All the social sectors had unspent funds at the end of the financial year 2015/16, mainly under the Central Government Votes as Local Governments spent all their funds. Within the sector ministries, the unspent funds were under development budgets for Agriculture and Water; while Education, Health and Social Development sectors had unspent balances under their recurrent budgets.

53 Although the unspent funds may contradict the argument for inadequate sector funding, it has to be noted that the local governments that are the main social service providers had used all allocated funds and could possibly do with more. This contradiction, where funds were unspent in the light of scarcity, points to the structural problem of intra-sectoral allocations and the difficulties of re-allocations / virements. The selected projects showed some of the implementation challenges within sectors. These included: inadequate funding; late disbursement of funds and therefore delayed procurement; poor planning; weak supervision and monitoring; and diversion of funds, among others. With these challenges, effective implementation of sector projects was problematic and this limited achievement of the expected outcomes. The limited outcome achievements were noted in the poor performance in terms of international, regional, and NDPII targets. Although the SDGs did not have annual targets, the country performance indicators were still wanting. Gender equality was still an issue in terms of achievement of outcomes for the sexes. This was true for all the sectors except the primary education sub-sector where parity had been achieved. The regional commitments were not being met either in most of the sectors. Of particular concern were the budgetary commitments to the sectors of Agriculture and Health that had been agreed on with the African Union. The country was meeting just above 50% of the expected sector budget allocation targets. At the local level, the achievement of NDP II targets was also problematic although in some instances there was no data. This was an indication of the limited commitment that the social sectors are putting on the achievement of NDP II targets. The targets are good pointers to the achievement of sector outcomes that are the focus of government since the shift from the Output Based Budgeting to Programme Based Budgeting. According to the National Planning Authority, all the sectors had areas of non-compliance for certification in FY 2015/16. This underscored the importance of reviewing the appropriateness of sector allocations if the desired national outcomes are to be achieved. The international and regional performance indicators brought out the importance of inter-sectoral linkages. The nutrition indicators were common for Agriculture and Health, On the other hand, issues of Water and Sanitation featured in the Education performance indicators. This underscores the need to review development outcomes holistically and not necessarily as individual sector responsibilities. The Programme Based Budgeting should facilitate the holistic outcomes approach where national targets are established and individual sector contributions agreed thereafter. 5.2 Recommendations Nationally, Government should be establishing social outcomes to which sectors should be contributing. The level of funding would then depend on expected sector contributions. However, since the budgeting process for FY 2017/18 is almost completed, sector recommendations are made as short-term interventions. 1. All sectors should domesticate the Sustainable Development Goals and set annual performance targets to facilitate effective monitoring. Individually, the Ministries have specific recommendations namely: Ministry of Finance, Planning and Economic Development The Ministry of Finance should follow through the effective implementation of the Public Finance Management reforms; because most of the spending constraints are a reflection of weak institutional mechanisms that fail to enforce the practices. Special attention should also be put on the following: 1 Ensure effective implementation of the Treasury Single Account. The cash flows and balances should be monitored on a daily basis and releasing of funds should strictly be according to absorptive capacities of MDAs. 2 Enforce funds disbursement timelines to reduce delayed funding of programmes. Penalties should be instituted for Institutions/Officers responsible for consistent slippages. 53

54 54 3 Enforce use of Performance contracts. All Accounting Officers sign performance contracts with the Permanent Secretary/Secretary to the Treasury. It is these same officers that are diverting funds but with no punitive actions being taken. 4 The Local Government should be allocated more funds since they are the main social service providers and have demonstrated capacity to use all releases. Agriculture 1. Ministry of Agriculture and related institutions (NAADS and NARO) should focus on increased food crop production for food security. This should entail provision of appropriate technologies (drought-resistant planting materials; small-scale irrigation equipment, among others). 2. Ministry of Agriculture should fill the staff establishments, especially extension workers, and ensure they are retooled and motivated. This will entail increased non-wage recurrent spending. 3. Ministry of Agriculture in collaboration with Ministry of Health should fast-track the Second Uganda National Nutrition Plan. 4. Ministry of Agriculture in collaboration with the Uganda Bureau of Statistics should improve sector statistical collection to inform policy decisions. Education 1. Ministry of Education and Sports should focus on improving the quality of primary education through enhanced support supervision and inspection in schools. This entails effective implementation of the guidelines in the Handbook for School Inspection: Conducting a full inspection once a year. Short-routine inspection once a term Flying or ad hoc inspections. Follow-up inspections within 18 months. 2. In addition, the Ministry should ensure dissemination of inspection findings to schools and district management for action. Following inspections, the Chief Administrative Officers in collaboration with the District Education Officers should prepare school improvement plans. 3. The Education Standards Agency should improve on collaboration and monitoring of Local Government Operations. Health 1 The Ministry of Health should focus on disease prevention and wellness. The government s efforts in addressing health care services have mainly been more curative in nature than preventive. Since over 70% of the disease burden in Uganda is preventable, the government should focus on the preventive aspect of health, paying attention to requirements of both rural and urban populations. The specific interventions include: Prioritize allocation of non-wage to disease prevention. Increase sensitization and community mobilization about healthy living. This would entail improving the packaging of messages in terms of disease prevention and target the most affected areas. 2. Government should focus on recruiting and retaining Health staff. Those in post should be motivated financially, and with housing, recognition and promotion. 3 Ministry of Health should change the planning and financing strategy for health infrastructure by phasing infrastructure development. Existing facilities should be well equipped before new infrastructure is embarked on. This would also reduce the budget pressures for more development funding. Social Development 1. Ministry of Gender, Labour and Social Development should build internal capacity to improve effectiveness of programme implementation. 2. Ministry of Gender Labour and Social Development should invest in data collection for monitoring of the performance indicators under the various commitments. The data should be used as an advocacy tool for increased funding.

55 3. Ministry of Gender, Labour and Social Development should support other MDAs to develop institutional Gender Policies as this would indirectly foster gender mainstreaming. 2. Ministry of Water and Environment should invest in appropriate technologies, especially of surface water development in areas of low ground water potential. Water 1. Ministry of Water and Environment should invest more resources into improving sanitation and hygiene. The regional commitments were not being met either in most of the sectors. Of particular concern were the budgetary commitments to the sectors of Agriculture and Health that had been agreed on with the African Union. The country was meeting just above 50% of the expected sector budget allocation targets. 55

56 56 References African Union Commission (2015) Agenda The Africa we want. A shared strategic framework for inclusive growth and sustainable development.first Ten Year implementation plan African Union (2015) Agenda 2063 Linkages with the Sustainable Development Goals African Union (2014) The Malabo Declaration on accelerated agricultural growth and transformation for shared prosperity and improved livelihoods African Union (2013) The Maputo Commitments and the 2014 African Union Year of Agriculture African Union (2014) AU outlook on Education report EAC African Union Commission, NEPAD (2015) Comprehensive African Agriculture Development Programme Results framework ( ) Going for results and impacts African Union Commission, NEPAD (2003) Comprehensive African Agriculture Development Programme Ali Hersi and Marren Akatsa-Bukachi:Tracking Gender Equality Commitments in the East African Community East African Community (2006) Agriculture and Rural Development Policy for the East African Community East African Community: Maternal, newborn, child and adolescent health strategy ( ) Inter-Agency and Expert Group on Sustainable Development Goal Indicators (2016) Final List of proposed Sustainable Development Goal Indicators In Waters (2016) Final Report for the Consultancy to facilitate the Review Process of the Water and Environment Sector Performance (Measurement) Monitoring Framework Maputo Plan of Action (2006) Campaign on acceleration of reduction of maternal, newborn and child mortality in Africa (CARMMA). Ministry of Agriculture, Animal Industry and Fisheries (2016) Policy Statement for FY 2016/17 Ministry of Education and Sports (2016) Education and Sports Sector Annual Performance Report (ESSAPR) Financial Year 2015/16 Ministry of Education, Science, Technology and Sports (2016) Education Statistical Abstract 2015 Ministry of Finance, Planning and Economic Development (2016) Background to the Budget Fiscal year 2016/17. Enhanced productivity for job creation Ministry of Finance, Planning and Economic Development (2016) Annual Budget Performance Report FY 2015/16 Ministry of Finance, Planning and Economic Development (2016) Budget Monitoring Annual Performance report for FY 2015/16 Ministry of Finance, Planning and Economic Development (2014) Improving Service Delivery in Uganda, BMAU Discussion Paper 1/14 Ministry of Gender, Labour and Social Development (2016) Youth Livelihood Programme Annual Report (FY2015/16) Ministry of Health (2016) Annual Health Sector Performance Report for FY 2015/16

57 Ministry of Water and Environment (2016) Water and Environment Sector Annual Performance Report for FY 2015/16 The Republic of Uganda (2015) Second National Development Plan 2015/ /20. Organization of African Union (2001) African Summit on HIV/AIDS, Tuberculosis, and other related infectious diseases; Abuja Declaration on HIV/AIDS, Tuberculosis, and other related infectious diseases Ougadouguo Declaration on Primary Health Care and Health Systems in Africa (2008) Achieving better health for Africa in the New Millennium Office of the Auditor General (2010) Value for Money Audit Report on Inspection of Primary Schools by the Ministry of Education and Sports Uganda Bureau of Statistics (2015) Statistical Abstract Uganda Bureau of Statistics: National Service Delivery Survey Main Report Uganda Bureau of Statistics (2012/13) Uganda National Household Survey Uganda Bureau of Statistics, Makerere University School of Gender Studies, UKAID, UNWOMEN (2016) National Priority Gender Equality Indicators- Illuminating the path towards Gender Equality in Uganda World Bank, ADB-Service delivery indicators (November 2013) 57

58 Annexes Annex Table 1: NDP Financing (FY 2010/11-FY 2013/14) Sector Name NDP Estimate (UshsBn) Budget Allocation (FY2010/ /14) (UshsBn) Gap (UshsBn) Agriculture 1, , Education 7, , Health 4, , Water And Environment 1, , Social Development Source: Annual Budget Performance Reports (FY 2010/ /14) 58 Annex Table 2: Changes in health sector outcomes by FY 2012/13 against the NDP Target Outcome indicators NDP Target (2014/15) Achievement by end of 2012/13 Remarks Infant Mortality Rate (per 1,000 live births) May not be achieved Under 5 Mortality Rate (per 1,000 live births) On truck Maternal Mortality Ratio (per 100,000 live births) Improvements were recorded during FY 2012/13 with 1,160 deaths out of 724,806 deliveries recorded Total Fertility Rate Not achieved Core health service coverage indicators FY 2009/ /13 % of deliveries in health facilities 33% 41% Positive trend % of women attending the 4 ANC visits 47% 31% Decline %of under one year immunized with third dose of pentavalent 76% 87% Positive Trend vaccine (DPT3) % one year old children immunized against measles 72% 85% Positive Trend % of children exposed to HIV from their mothers accessing 29% 46% Positive Trend HIV testing within 12 months %eligible persons receiving ARV therapy 53% 76% Positive Trend Core indicators for health quality Per capita Out Patients Department (OPD) utilization On track with 0.9 males; 1.3 females rate % of health facilities without stock outs of any of the 6 26% 53% Positive Trend tracer medicines in the previous 6 months % of functional HC IVs 23% 36% Positive Trend Core indicators on health investments % of approved posts filled by health workers (public 56% 63% Positive however progress is slow health facilities) % annual reduction in absenteeism rate 46% No data It had increased to 48% in 2011 % villages / wards with trained VHTs 31% 55% General Government allocation for health as % of total gov t budget 9.6% 7.4% Decline

59 Source: Annual Health Sector performance Report 2012/13, UBOS Statistical Abstract 2013 and UDHS Annex Table 3: Ministry of Agriculture- Development Budget Performance for FY 2015/16 (UGX) Project Name Approved Budget Revised Budget Total Warrants Total Payments Support for Institutional Development 2,898,932,000 2,898,932,000 2,155,898,811 1,811,476,432 Support for Tea Cocoa Seedlings 2,100,000,000 2,100,000,000 2,095,394,771 2,091,493,890 Crop Diseases and Pest Control 2,243,750,000 2,243,750,000 1,302,738,882 1,300,254,971 Plan for National Agriculture Statistics 1,356,250,000 1,356,250,000 1,094,887,996 1,084,401,061 Agriculture Production,,Marketing and Regulation 1,197,250,000 1,197,250, ,496, ,105,526 MAAIF Coordination/U Growth 2,258,875,000 2,258,875,000 1,782,030,028 1,782,030,028 Vegetable Oil Development Project Phase II 10,212,442,999 10,212,442,999 10,148,219,973 10,129,524,473 Rice Development Project 745,000, ,000, ,789, ,213,325 Agriculture Cluster Development Project 205,000, ,000, ,000, ,969,375 Commercialization of Agriculture in Northern 700,000, ,000, ,947, ,946,872 Uganda Agriculture Technology Transfer Cassava Value 250,000, ,000, ,716, ,677,175 Chain Project Support to Agro Processing & Marketing of Agricultural 400,000, ,000, ,763, ,697,230 Product Projects Construction of MAAIF Headquarters 1,059,550,000 1,059,550, ,597, ,383,433 Enhancing National Food Security through 700,000, ,000, ,408, ,391,875 increased research The Project on Irrigation Scheme Development 400,000, ,000, ,272, ,272,618 in Central and Eastern Uganda Northern Uganda Farmers Livelihood Improvement 300,000, ,000, ,791, ,776,149 Project Farm Based Bee Reserves Establishment Project 300,000, ,000, ,383, ,263,239 National Farmers Leadership Center (NFLC) 800,000, ,000, ,481, ,236,711 Support to Agricultural Training Institutions 800,000, ,000, ,693, ,693,179 The Goat Export Project in Sembabule District 1,200,000,000 1,200,000,000 1,200,000,000 1,200,000,000 Livestock Diseases Control Project Phase 2 5,531,500,000 5,531,500,000 4,861,363,275 4,840,783,784 Improving Access and Use of Agricultural Equipment 6,468,031,127 6,468,031,127 5,415,296,735 5,275,282,478 and mechanisation through the use Meat Export Support Services 500,000, ,000, ,470, ,810,655 Uganda China South -South Cooperation Phase 300,000, ,000, ,700, ,623,154 2 Agro Economic Impact deepening in Albertine 300,000, ,000, ,872, ,902,064 Basin Regional Pastoral Livelihood Improvement 400,000, ,000, ,000, ,998,708 Project The Potato Commercialization Project 300,000, ,000, ,586, ,586,783 Support to Sustainable Fisheries Development 1,341,000,000 1,341,000,000 1,164,816,543 1,059,620,816 Project 45,267,581,126 45,267,581,126 39,125,618,161 37,532,416,004 59

60 Source: Ministry of Finance, Planning and Economic Development Annex Table 4: Ministry of Agriculture- Recurrent Budget Performance for FY 2015/16 (UGX) Programme Name Approved Budget Revised Budget Total Warrants Total Payments Headquarters 16,416,150,317 18,750,079,559 16,561,187,724 15,202,018,184 Directorate of Crop Resources 564,100, ,100, ,897, ,886,123 Crop Protection Department 2,278,461,693 2,278,461,693 2,174,545,588 2,172,116,632 Crop Production Department 1,223,269,452 1,223,269,452 1,116,672,259 1,103,822,249 Directorate of Animal Resources 426,894, ,894, ,394, ,873,981 Animal Production Department 1,351,000,000 1,351,000,000 1,244,498,879 1,244,148,360 Livestock Health and Entomology 2,694,506,104 2,694,506,104 2,400,043,939 2,390,275,207 Fisheries Resources Department 2,265,000,000 2,265,000,000 2,108,185,503 2,098,648,210 Department of Planning 2,500,000,000 2,500,000,000 1,851,070,657 1,829,075,830 Internal Audit 507,461, ,461, ,012, ,009,252 Department of Crop Regulation and Certification 1,900,000,136 1,900,000,136 1,733,061,460 1,731,326,000 Department for Agriculture Infrastructure and Water for Development 2,588,319,719 2,588,319,719 2,581,599,984 2,577,307,733 Department of Entomology 2,200,000,000 2,200,000,000 1,935,419,573 1,928,968,374 Department of Aquaculture Management and Development Department of Fisheries Control Regulation and Quality 3,400,000,000 3,400,000,000 3,155,963,434 3,144,359,755 3,451,704,109 3,451,704,109 3,070,941,459 3,062,445,141 Directorate of Agricultural Support Services 2,000,000,229 2,000,000,229 1,818,809,077 1,782,295,722 Department of Agribusiness 1,081,742,793 1,081,742,793 1,063,525,030 1,063,351,348 Agricultural Statistical Unit 1,100,000,000 1,100,000,000 1,095,981,543 1,052,425,662 47,948,610,936 50,282,540,178 45,125,810,039 43,571,353,763 Source: Ministry of Finance, Planning and Economic Development Annex Table 5: Ministry of Education- Development Budget Performance for FY 2015/16 (UGX) 60 Project Name Approved Budget Revised Budget Total Warrants Total Payments Development of Secondary Education 7,783,173,000 7,783,173,000 7,631,403,012 7,631,403,011 Developmentt of BTVET 13,801,850,000 13,245,499,000 13,119,261,472 13,127,450,557 Development of TVET P7 Graduate 1,100,000,000 1,100,000,000 1,038,260,000 1,038,260,000 Relocation of Shimoni PTC 642,062, ,062, ,062, ,562,004 Nakawa Vocational Training Institute 702,000, ,000, ,953, ,953,200 Karamoja Primary Education Programme 1,100,000,000 1,100,000,000 1,095,657,250 1,095,657,249

61 Project Name Approved Budget Revised Budget Total Warrants Total Payments Improving Training of BTVET Technical Instructors,Health Tutors 2,498,263,065 2,498,263,065 1,720,433,665 1,720,031,281 Development Uganda Petroleum Institute Kigumba 8,000,000,000 8,000,000,000 4,950,533,338 4,950,533,338 Support to National Health & Departmental Training Institutions 2,848,000,000 2,848,000,000 2,794,731,638 2,794,731,638 Support to Higher,,Science and Technology 8,469,411,000 16,378,843,189 11,600,203,276 11,589,300,871 Uganda Teacher and School Effectiveness Project 13,073,476,000 13,073,476,000 9,340,868,081 9,339,805,715 Development and Improvement of Special Needs Education 2,060,667,000 2,060,667,000 2,038,969,120 2,037,369,120 Albertine Region Sustainable Development Project 4,319,306,000 4,319,306,000 3,650,251,218 3,636,801,402 Skills Development Project 300,000, ,000, ,000, ,000,000 Emergency Construction of Primary Schools Phase II 1,864,900,000 1,864,900,000 1,860,459,240 1,860,459,240 Development of PTCs Phase II 5,377,823,719 4,899,029,919 4,676,482,019 4,676,482,018 John Kale Institute of Science and Technology 613,820, ,820, ,439, ,147,008 Akii Bua Olympic Stadium 1,000,000, ,697, ,016, ,162,634 National High Altitude Training Centre 5,829,800,000 5,252,300,000 3,597,751,761 3,596,866,944 Support to the Implementation of Skilling Uganda Strategy 100,001, ,001,000 56,000,000 56,000,000 Grand Total 81,484,552,784 87,684,037,173 72,186,736,124 72,142,977,230 Source: Ministry of Finance, Planning and Economic Development Annex Table 6: Ministry of Education- Recurrent Budget Performance for FY 2015/16 (UGX) Programme Name Approved Budget Revised Budget Total Warrants Total Payments Headquarter 13,064,807,086 32,426,858,890 29,370,386,140 27,179,723,303 Basic Education 24,277,730,401 24,277,730,401 24,039,247,600 24,036,380,666 Secondary Education 1,486,690,728 1,486,690,728 1,355,164,168 1,304,991,599 Teacher Education 16,862,325,995 16,862,325,995 16,855,076,417 16,852,214,264 BTVET 21,452,970,484 21,452,970,484 21,442,727,397 21,418,772,132 Special Needs Education & 1,122,277,027 1,122,277,027 1,055,680,576 1,055,206,652 Career Guidance Higher Education 30,962,168,030 30,962,168,030 30,508,319,830 30,826,125,511 Planning 7,033,539,762 6,933,539,762 5,157,599,764 4,513,177,796 Education Standards Agency 4,017,317,839 4,017,317,839 4,017,261,679 4,013,203,269 61

62 Programme Name Approved Budget Revised Budget Total Warrants Total Payments NHSTC 11,585,344,000 11,585,344,000 11,582,164,800 11,582,164,800 Department Training Institutions 3,375,285,345 3,375,285,345 3,371,533,307 3,370,429,110 Sports and PE 5,270,482,965 7,080,430,765 7,012,476,095 7,012,187,430 Internal Audit 533,085, ,085, ,300, ,269,229 Private Schools Department 981,291, ,291, ,897, ,284,959 Guidance and Counselling 1,063,513,053 1,063,513, ,432, ,347,328 Grand Total 143,088,829, ,160,829, ,898,268, ,286,478,048 Source: Ministry of Finance, Planning and Economic Development Annex Table 7: Ministry of Health- Development Budget Performance for FY 2015/16 (UGX) Project Name Approved Revised Budget Total Warrants Total Payments Budget District Infrastructure Support Programme 9,298,000,000 9,298,000,000 8,547,454,269 6,014,963,411 Global Fund for Aids TB and Malaria 5,000,000,000 5,000,000,000 5,000,000,000 4,930,950,839 Institutional Support to MOH 2,601,082,892 2,601,082,892 2,589,064,651 2,545,894,426 Health Systems Strengthening 299,653, ,653, ,653, ,477,291 Gavi Vaccines and HSSP 10,030,000,000 10,030,000,000 10,030,000,000 9,977,262,190 Public Health Laboratory Strengthening 350,000, ,000, ,000, ,733,306 Project Italian Support to HSSP & PRDP 100,000, ,000, ,000,000 99,994,800 Support to Mulago Hospital Rehabilitation 950,000, ,000, ,000, ,099,718 Uganda Sanitation Programme 150,000, ,000, ,000, ,999,020 Rehabilitation and Equipment of Health - 2,430,921,097 2,430,921,097 2,175,406,603 Facilities Construction of Neonatal & Maternity Unit 900,000, ,000, ,000, ,480,869 in Mulago Grand Total 29,678,736,040 32,109,657,137 31,347,093,165 28,304,262,473 Source: Ministry of Finance, Planning and Economic Development 62

63 Annex Table 8: Ministry of Health- Recurrent Budget Performance for FY 2015/16 (UGX) Programme Name Approved Budget Revised Budget Total Warrants Total Payments Headquarters 25,827,358, ,827,358, ,805,493, ,184,873, Planning 4,789,309, ,789,309, ,514,283, ,403,075, Quality assurance 809,948, ,948, ,948, ,968, Research Institutions 2,435,342, ,435,342, ,435,342, ,405,674, Joint Clinical Research Centre 242,000, ,000, ,000, ,000, community Health 3,198,324, ,198,324, ,198,324, ,147,371, Clinical Services 18,161,658, ,161,658, ,161,658, ,875,840, National Disease Control 7,128,217, ,128,217, ,128,217, ,003,639, Shared National Services 9,930,000, ,930,000, ,930,000, ,666,023, Internal Audit Department 394,116, ,116, ,826, ,516, Nursing services 220,553, ,553, ,553, ,489, Source: Ministry of Finance, Planning and Economic Development 73,136,827, ,136,827, ,827,646, ,260,473, Annex Table 9: Ministry of Gender- Development Budget Performance for FY 2015/16 (UGX) Project Name Approved Budget Revised Budget Total Warrants Total Payments Strengthening Ministry of Gender, Labour and Community Development 6,242,041,438 6,242,041,438 4,322,396,458 4,275,279,298 Social Assistance Grant for Empowerment 7,000,000,000 7,000,000,000 5,088,499,473 5,088,499,473 Strengthening Safeguards,,Safety and Health at Work-places 1,800,000,000 1,800,000,000 1,437,410,763 1,437,410,763 Youth Livelihood Programme 33,000,000,000 33,000,000,000 24,319,657,496 24,319,657,496 Uganda Women Entrepreneurs Fund 1,000,000,000 1,000,000, ,474, ,474,753 Promotion of Green Jobs and Fair Labour Market in Uganda 200,000, ,000, ,705, ,405,060 49,242,041,438 49,242,041,438 36,105,144,830 36,033,726,843 Source: Ministry of Finance, Planning and Economic Development Annex Table 10: Ministry of Gender- Recurrent Budget Performance for FY 2015/16 (UGX) Programme Name Approved Revised Budget Total Warrants Total Payments Budget Headquarters Planning and Policy 9,837,056,808 10,854,497,054 10,538,184,783 10,335,147,958 Disability and Elderly 3,003,830,000 3,003,830,000 2,348,015,728 2,347,360,945 Youth and Children affairs 6,774,570,000 6,774,570,000 5,244,608,518 5,238,843,575 Labour and Industrial Relations 1,615,750,000 1,615,750,000 1,238,555,776 1,222,519,569 Occupational Health &Safety 585,040, ,040, ,860, ,828,299 Industrial Court 656,110, ,110, ,844, ,887,113 Office of the D/G&CD 86,500,000 86,500,000 85,177,612 72,733,666 63

64 Programme Name Approved Revised Budget Total Warrants Total Payments Budget Gender and Women Affairs 3,825,500,000 3,825,500,000 3,146,656,262 3,128,615,570 Equity and Rights 205,673, ,673, ,806, ,808,186 Community Development and Literacy 1,074,344,000 1,074,344, ,500, ,094,895 Culture and Family Affairs 2,162,650,057 2,162,650,057 1,797,287,774 1,797,174,753 Employment Services 468,113, ,113, ,827, ,756,721 Internal Audit 62,795,533 62,795,533 58,255,796 50,447,692 30,357,933,795 31,375,374,041 27,147,581,653 26,865,218,942 Source: Ministry of Finance, Planning and Economic Development Annex Table 11: Ministry of Water- Development Budget Performance for FY 2015/16 (UGX) Project Name Approved Revised Budget Total Warrants Total Payments Budget Energy for Rural Transformation 195,000, ,000, ,249, ,249,881 Lake Victoria Environment Management 1,621,000,000 1,621,000,000 1,476,105,000 1,476,105,000 Project National Wetland Project Phase III 2,992,000,000 2,992,000,000 2,872,788,543 2,863,399,030 Operational Water Resource.Management 581,877, ,877, ,779, ,356,681 NBI Policy and Management Support 10,672,981,854 10,672,981,854 10,473,556,894 10,465,716,798 Support to Rural Water Supply Project 27,936,999,999 27,936,999,999 23,940,263,298 23,838,885,045 Support to small town Water and Sanitation 4,040,224,335 4,040,224,335 3,281,875,000 3,280,634,691 Project Support to Water Resource Management 2,985,593,251 2,985,593,251 2,683,414,500 2,676,922,972 Urban Water Reform 2,644,076,652 2,644,076,652 2,400,742,402 2,396,129,717 Water for Production 36,302,883,361 36,302,883,361 30,689,134,522 30,600,496,430 FIEFOC-Farm Income Project 18,456,816,818 18,456,816,818 16,682,647,518 16,671,473,284 Mapping of Ground Water Resources in 138,610, ,610, ,510, ,026,475 Uganda Water and Sanitation Development Facility-North 3,967,000,000 3,967,000,000 3,899,550,000 3,899,425,000 64

65 Project Name Approved Revised Bud- Total Warrants Total Payments Budget get Water and Sanitation Development Facility-East 4,979,000,000 4,979,000,000 4,965,182,164 4,965,182,164 Climate Change Project 799,000, ,000, ,454, ,401,629 WSDF Central 6,916,000,000 8,475,922,915 8,448,890,915 8,448,890,915 Protection for Lake Victoria-Kampala Sanitation 30,129,000,000 30,129,000,000 29,636,147,879 29,636,027,094 Programme Sawlog Production Grant Scheme Project 877,761, ,761, ,041, ,041,530 Support to Nabyeya Forestry College 842,979, ,979, ,076, ,076,618 Provision of Improved Water Sources-Acholi 510,000, ,000, ,497, ,797,238 Sub Region Lake Victoria Water and Sanitation 4,352,634,921 4,352,634,921 3,160,634,442 3,160,362,601 Kampala Water Lake Victoria Water and 9,374,000,000 9,374,000,000 9,200,000,000 9,199,994,000 Sanitation Project Water Management and Development 4,588,820,403 4,588,820,403 3,623,811,791 3,534,573,092 Project Water & Sanitation Development Facility-South 3,654,282,318 3,654,282,318 3,653,282,000 3,653,282,000 Western The National REDD-Plus Project 1,399,999,652 1,399,999,652 1,394,999,652 1,392,551,618 Support for Hydro-Power Development and 500,000, ,000, ,000, ,675,416 Operations on River Line Solar Powered Mini-piped Water Schemes in 100,000, ,000, ,000, ,000,000 Northern Uganda Water Management Zones Project 370,233, ,233, ,233, ,233,000 Large Rural Piped Water Supply Schemes in 100,000, ,000, ,000, ,000,000 Uganda Piped Water in Rural Areas 18,765,332,552 18,765,332,552 14,494,252,710 14,349,438, ,794,107, ,354,030, ,738,122, ,253,348,569 Grand Total 382,822,882, ,942,728, ,981,992, ,157,258,488 Source: Ministry of Finance, Planning and Economic Development 65

66 Annex Table 12: Ministry of Water- Recurrent-Budget Performance for FY 2015/16 (UGX) Programme Name Approved Budget Revised Budget Total Warrants Total Payments Finance and Administration 5,227,557,222 6,740,177,197 6,348,489,470 5,930,511,970 Urban water supply and sewerage 3,389,006,764 3,389,006,764 1,727,515,547 1,727,473,352 Rural Water Supply Sanitation 511,973, ,973, ,923, ,405,365 Meteorology 12,777,002,544 12,777,002,544 9,304,539,491 9,304,539,491 Office of Director Department for Water Development 206,383, ,383, ,709, ,680,202 Planning 1,384,496,104 1,384,496,104 1,381,496,104 1,381,495,980 Water Resources M&A 409,995, ,995, ,912, ,122,732 Water Resources Regulation 280,706, ,706, ,153, ,908,393 Water Quality Management 485,715, ,715, ,715, ,024,301 Water for Production 319,518, ,518, ,778, ,473,717 Environment Support Services 230,345, ,345, ,945, ,230,057 Forestry Support Services 737,189, ,189, ,689, ,679,298 Wetland Management Services 596,557, ,557, ,969, ,512,082 Office of Director DWRM 189,641, ,641, ,455, ,455,604 Office of Director DEA 199,051, ,051, ,051, ,355,992 Internal Audit 583,302, ,302, ,052, ,037,633 Nabyeya Forestry College 522,303, ,303, ,303, ,541,792 Trans-boundary Water Resource Management 20,000,000 20,000,000 20,000,000 20,000,000 Urban Water Regulation Programme 20,000,000 20,000,000 20,000,000 20,000,000 Water and Environment Liaison Programme 200,000, ,000, ,500, ,493,669 Climate Change Programme 25,000,000 25,000,000 25,000,000 25,000,000 28,315,747,101 29,828,367,076 24,218,203,105 23,624,941,630 Source: Ministry of Finance, Planning and Economic Development 66

67 Annex 1: List of Persons met Name Title Institution Dr. CallistTindimugaya Commissioner, Water Ministry of Water and Environment Resources Planning and Regulation Mr. Derrick Namisi Economist Education Planning and Policy Analysis- MoES Engineer Disan K. Ssozi Commissioner, Water and Ministry of Water and Environment Environment Sector Liaison Department Mr. Emmanuel Kimbowa Senior Economist MAAIF Mr. Godfrey Arnold Dhatemwa Commissioner Education Planning and Policy Analysis- MoES Engineer Ivan Birungi Principal Engineer (Water Ministry of Water and Environment and Environment Sector Liaison) Dr. Jackson Amone Assistant Commissioner Integrated Curative Services - MoH Mr. James Mugisha Specialist Senior Health Department of Policy and Planning- MoH Planner Mr. Robert L. Khauka Assistant Commissioner- Monitoring and Evaluation MAAIF Mr. Tom Kakuba Coordinator Uganda Strategic Analysis and Knowledge Support System MAAIF Footnotes 1 MAAIF, Apac, Lira, Otuke, Alebtong, Kole, Dokolo, Amolatar, Oyam, Amuru, Gulu, Pader, Nwoya, Agago, Lamwo, Kitgum, Adjumani, Moyo, Yumbe, Koboko, Zombo, Maracha, Arua and Nebbi 67

68 OUR VISION A Ugandan with a people centered budget. OUR MISSION Working towards ensuring that budgets at local and national levels are financed, designed, implemented and monitored to promote prudent and transparent allocation of national resources for the benefit of marginalised groups. 68 Civil Society Budget Advocacy Group (CSBAG) P.O. Box 660, Ntinda Plot 11 Vubya Close, Ntinda Nakawa Rd Fixed Line: csbag@csbag.org Web CSBAG/Facebook.com