Browsing by Author "Orach Sam Orochi"

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ART in Uganda Catholic Church health facilities: opportunities and challenges.
(Uganda Martyrs University Press, 2005-04) Orach Sam Orochi
Uganda Government plans to scale up access to antiretroviral therapy (ART) through the involvement of all stakeholders including public, private, Non-governmental organizations, Private-not-for-profit providers etc. based on the use of the existing institutional framework. Like other stakeholders, health facilities of the Catholic Church stand some opportunities to participate in this process. However, it is already clear that the rollout process is overstretching both the implementing health facilities and the Ministry of Health. The human and infrastructure resource demand is fast proving overwhelming. This is worse for the private-not-for-profit facilities. Salary enhancement for government staff alone will further weaken the PNFP partners from contributing effectively in the rollout. Integration of the ART programme into the comprehensive function of the hospitals faces difficulty from its "project" or vertical nature. There is concern over the visible drain of resources from other activities of health facilities providing ART and possible weakening of these facilities. The future sustainability is progressively being questioned. It is proposed that government assists the Church and other implementing partners in strengthening the existing framework as a composite part of the rollout package. It is also suggested that strengthening of the Public Health approach that Uganda is already partially practicing could offer some relief. Strengthening of the community-based approach is particularly advocated for.
Challenges of retaining health workers in the PNFP sector: the case of Uganda catholic health network
(Uganda Martyrs University Press, 2008-04) Orach Sam Orochi
Shortage of human resource for health poses a major challenge to achieving the millennium development goals. Uganda is among the 57 countries with human resource shortage reaching critical level and the situation is worst at lower levels of the health system. The private-not-for-profit (PNFP) health sub-sector in Uganda complements government efforts to achieve the MDG, the second health sector strategic plan (HSSP II) and the health-related objectives of the poverty eradication plan (PEAP). The Uganda Catholic Medical Bureau coordinates the Roman Catholic health facilities network, one of the three PNFP networks in Uganda. This paper, presented at a conference organized by the Faculty of Health Sciences of Uganda Martyrs University in March 2007, looks at the HRH crisis as experienced by the UCMB network giving the trend, examining the reasons, the destinations of attritional cases and what the network is trying to do to improve human resource stability. The information is based on quarterly reports received by the bureau from its affiliated health facilities.