Health 2 September 2026 Parliament of Uganda

MPs Demand Improved Staffing and Functionality for UgIFT Health Facilities

Members of Parliament are calling for enhanced staffing and operational efficiency within health centers established under the Uganda Intergovernmental Fiscal Transfers (UgIFT) program. The concerns arise as the government plans for the second phase of the initiative, aiming to bolster healthcare access across the nation. Source: https://www.parliament.go.ug/news/4598/mps-call-better-health-service-delivery-under-ugift-programme

Lawmakers have voiced strong concerns regarding the staffing levels and overall functionality of health facilities constructed or upgraded through the government’s Uganda Intergovernmental Fiscal Transfers (UgIFT) health program. The discussions followed a statement by the Minister of Health, Hon. Chris Baryomunsi, detailing the program’s achievements and outlining the framework for UgIFT 2.

According to Minister Baryomunsi, the UgIFT program has successfully established 373 Health Centre IIIs by either upgrading existing facilities or building new ones in underserved sub-counties. This initiative has significantly increased the proportion of sub-counties with access to a Health Centre III, from 61% to 78%. The program has been supported by substantial funding, with the World Bank contributing Shs453 billion for infrastructure and equipping, while the government has allocated Shs270 billion for maintenance.

Despite these infrastructure developments, several MPs highlighted critical gaps in human resources. Hon. Anna Adeke proposed an audit by the Auditor General to identify non-functional facilities and recommended revisions to the wage bill cap for local governments to facilitate the recruitment of staff for new centers. She noted that many upgraded facilities are currently managed by a minimal number of nurses and midwives working under strenuous conditions.

Similar sentiments were echoed by Hon. Kenny Auma, who pointed out that some upgraded Health Centre IIIs remain non-operational due to a lack of essential health personnel. Hon. Stephen Shyaka raised alarm over the severe understaffing at Entebbe Referral Hospital, which he stated is operating with a fraction of its required workforce, impacting patient care and confidentiality.

Other concerns raised included the need to support faith-based health facilities with medical personnel and supplies, and ensuring adequate electricity access for newly established health centers. Minister Baryomunsi pledged to collaborate with legislators during constituency visits to conduct thorough assessments and address these pressing issues as UgIFT 2 prepares for implementation, focusing on human resources, medicine availability, and sustainable infrastructure.