On
16th and 17th September 2015 was a joint Vertical
Tracking exercise that involved Ntoroko District leaders and Good Hope staff
members took place in two lower local Governments of; Karugutu and Kanara Town
councils targeting four Primary schools in each Town council and Two Health
Centers. In general, Seven (7) schools and three Health centers were visited.
The
exercise was aimed at jointly Tracking Sectoral Budgets allocations from the
District level to the service delivery sites, and collecting and analyzing data
from Schools and Health centers to ascertain the effectiveness of service
delivery in the District and give necessary recommendations aimed at improving
service delivery.
 |
Good Hope Staff together with the District Health Educator, interviewing the Karugutu Health Centre IV Records Officer. |
Among
others, the District Health officer, District Education officer, District
Inspector of schools, District Health Educator, Community Senior Development
officer, and twelve community based monitors from the two Town councils
participated at different levels in the exercise.
 |
District Health Educator and CDO in The Karugutu Health Centre IV Records Office |
Key findings from the Education and
Health Departments;
Projects
in the Education sector that require co-funding
According
to the D.E.O, Since the Inception of Ntoroko District, the Central government
has failed to support;
- Co-curricular activities like ball-games, athletics and
MDD at district and National levels.
- School Facility Grants have barely been sufficient to
put up enough classrooms, staff quarters and toilets.
- To
date, the District has failed to purchase a
vehicle and motorcycles for the department of Education. These are some of
the reasons why the academic performance has not been to the expected level.
- The
department still needs co-funding in the area of Water facilities like Rain
Water Harvesting tanks, bore holes and piped water.
Budget
performance for the last 3 financial years
·
Because
of under remittances from both Central Government and development partners like
UNICEF and Save the Children International, The District was only able to
achieve to an average of 96% of its budgets. In FY 2013/2014 there were cuts in
SFG from over shs.700 millions to shs.190 millions, and UNICEF and Save
the Children did not meet some of their commitments.
Challenges
experienced by the District in meeting the policy goals on delivering the
priorities of the Education sector
 |
Inspector of Schools in-charge of Special needs Education, meeting Teachers at Brain Model Primary School in Kanara Town Council during the Vertical Tracking Exercise |
- Inadequate
qualified Teachers in primary Schools (especially in the new curriculum) and
secondary schools (especially in areas of English language and Sciences).
- Under
staffing in DEO’s office
-
Inadequate
Teachers’ houses in all learning spaces
-
Inadequate sanitary facilities in all learning
spaces
-
Inadequate
funding
especially in the inspectorate sector and support for co-curricular activities
in the District.
-
High
school dropout rates
-
Inadequate
co-funding for Education programe
- Lack
of libraries and
sufficient scholastic materials.
-
Lack
of sporting infrastructures
-
Negative
attitude towards education by the communities
-
Games
teachers lack knowledge and skills to carryout co curricular activities.
-
Lack
of mid-day meals especially for learners.
Recommendations
for better service delivery in the Education sector/department
- Introduction
of incentives/allowances for Teachers in hard to reach schools
- Enforcing
the policy of payment of the Ugx 10,400/= in Town Council based Government
aided schools to support Teachers.
- Construction
of more Teachers houses, classrooms and sanitation facilities
- Communities
to be encouraged and guided on construction of Teacher’s houses using local
materials
- Lobbying
Development partners to support the Education Road map.
- The
Ministry of Education and Sports should give special consideration to Ntoroko
in respect to SFG
- Develop
an Education Ordinance to control/reduce on animals loitering in schools,
school drop outs and early marriages/ defilement of girl children; and also for
school feeding programme.
- Games
Teachers should be trained or given refresher courses in co-curricular courses.
The Joint Tracking
team also visited Two Public Health centers; Karugutu Health Centre IV and
Ntoroko Health Centre III, and One Private Health Centre; Stellamaris both in
Ntoroko District.
 |
Ntoroko Health Centre |
 |
Clinical Officer at Ntoroko Health Centre III attending to a patient |
The Following key
challenges were discovered as hindrances to effective health service delivery;
- Congestion by patients
especially at Karugutu Health Centre IV in the OPD and in the Wards
- Inadequate staff Houses.
According to some staff interviewed At Karugutu Health Centre for example,
they share rooms. At Ntoroko Health centre, only six (6) rooms are
habitable for the fifteen (15) Health workers.
- No Vaccine refrigerator at Stellamaris
- Inadequate strong source of
electricity to power strong medical machines. In Kanara Town council for
example, the only source of power is solar and Generators.
- For all Health centers in
Kanara Town council, there is no referral system for proper health
problems management. This is a risky condition to patients, No standby
ambulance.
- Inadequate supplies of drugs
at all Health Units. At Ntoroko Health Centre for example by 20th/09/2015
all quarterly drugs delivered in August, 2015 will be out of stock,
according to the clinical officers interviewed.
- Lack of clean and reliable
water. At Ntoroko Health centre, the water tanks installed by the Town
council affected the one installed by UNICEF and completely no water
flows. This has affected the whole town. There was an engineering error by
the Town council.
 |
Staff House, accomodating two Health Workers at Ntoroko Health Centre III | | | | | | | | | |
 |
The best Staff House at Ntoroko Health Centre III |
Recommendations to
improve on service delivery at Health Centers.
- There is an urgent need for
Budget allocations at National or District levels to address challenges of
inadequate staff Houses, Recruitment of key staff to work in theatre at
Karugutu Health Centre IV, and
budgeting for hard to reach allowances to staff working in Kanara Town
council. It is a hard to reach and leave community.
- Access to clean water is
generally a challenge to the health centers visited. Priority needs to be
given to rehabilitating or installing reliable water sources for improved
health. The water source system engineering at Ntoroko HCIII needs to be
repeated urgently.
- Possibly, Kanara Town
council could attach its Vehicle to the Health centre to play the
ambulance role or purchase an
ambulance specifically for the Town council, otherwise in case of an
emergency, there are high chances of losing life given the hard to reach
nature of the community and absence of an Ambulance.
- An action is also urgently
needed towards increasing on quarterly drug supplies from National medical
stores to health centers through the District to Match the current
population.NMS seems to be having
different population figures from the actual ones served by the
health centers. This has escalated drug stock outs.
 |
Bath room at the Ntoroko Health Centre III Staff Quarters |
 |
Un Functional Water Tanks badly installed at the Health Centre.The Engineering work needs to be repeated. |
The Joint Vertical
tracking exercise that is too fundamental in updating stakeholders on the key
strides in Education and Health sectors using the two Lower local Governments
as case studies must increase Leaders’ concerns on improving service delivery
in the District basing on their first hand field findings and this will result
into a District Feedback meeting to discuss the key field findings and come up
with key resolutions aimed at reversing the adverse situations above.