Mulago National Hospital (National Referal Hospital)

Plot Located on Mulago Hospital Complex , Mulago Hill
Address: P.O Box 7051 Kampala ,
Tel: 041-4700000
Email: admin@mulago.or.ug
Website: www.mulago.or.ug
Kampala

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Profile of Mulago National Referral Hospital (MNRH)

I. Mission Statement

To provide super-specialized healthcare, training, and research.

II. Strategic Objectives

1. Strengthen policy, governance, and legal frameworks.

2. Provide patient-centered and responsive care interventions.

3. Enhance innovative and sustainable resource mobilization.

4. Improve human resource development, research, and training.

5. Strengthen health information systems.

6. Optimize supply chain management.

7. Build capacity for research and training.

III. Major Achievements (2023/24)

Specialized Healthcare Services

• Renal transplant: 1 successful transplant, 10 more scheduled.

• Expanded services in arthroscopy, interventional radiology, geriatrics, pediatric nephrology, and endocrinology.

• Surgical camps & outreaches: Free knee replacements, radiological procedures, and specialized surgeries.

Patient Care & Satisfaction

• Conducted client satisfaction surveys.

• Established a call center, patient affairs desk, and customer care points.

• Trained staff in customer service and engaged in media campaigns.

Infrastructure & Partnerships

• Construction of 150 staff housing units (48.5% complete).

• Signed 22 MOUs for partnerships in malaria, TB, HIV, and NCDs.

• Strengthened filter clinic at Upper Mulago for better patient flow.

Quality & Accreditation

• ISO 9001 internal audit completed (awaiting accreditation).

• Maintained SANAS accreditation (Microbiology lab).

• Renewed research accreditation (UNCST, USA-FWA00027023, HHS).

Research & Innovation

• Established a digital simulation center for critical care training.

• Launched a clinical trials unit (with Makerere Lung Institute).

• Reviewed 100 research protocols for evidence-based medicine.

Service Delivery Statistics

• Radiology: 6,060 X-rays, 1,697 CT scans, 13 MRIs, 6,876 ultrasounds.

• Laboratory: 343,554 clinical chemistry tests, 83,632 hematology tests.

• Therapies: 8,454 physiotherapy sessions, 1,254 prosthetics repaired.

IV. Budget Overview (2024/25)

Key Budget Allocations

• Human Capital Development: UGX 109.327B

• Medical Services: UGX 20.493B

• Housing Construction: UGX 12.865B (150 units)

V. Performance Indicators (2024/25 Targets)

VI. Challenges

1. Incomplete renovations (Neuro, Trauma, Emergency wards).

2. Staffing gaps due to wage constraints and recruitment bans.

3. Salary disparities between scientists and non-scientists.

4. Medical supply shortages (budget constraints).

5. Inadequate staff housing (only 48.5% of 150 units completed).

VII. Future Plans

✅ Complete Lower Mulago renovations.
✅ Recruit specialized staff (target: 68% filling rate).
✅ Expand paid-for services (MRI, CT scans, dialysis).
✅ Scale up digital hospital management systems (IHMS).
✅ Advocate for increased funding for equipment and supplies.

VIII. Cross-Cutting Policies

Gender & Equity

• Free services in general wards.

• Gender-sensitive wards and child-friendly spaces.

• Breastfeeding center for staff.

HIV/AIDS

• Strengthened MARP clinic (for key populations).

• 100% PEP access for exposed staff.

Environment & Climate

• Solar-powered systems (water heaters, street lights).

• Waste management contracts in place.

COVID-19 Response

• PPE procurement and IPC training.

• Isolation unit operationalized.

IX. Staffing Status

• Approved Positions: 350 (e.g., 67 Medical Officers, 57 Consultants).

• Filled Positions: Only 30 Medical Officers, 20 Consultants.

• Recruitment Plan: Target 150 Nursing Officers, 26 Consultants in 2024/25.

Conclusion

Mulago National Referral Hospital remains Uganda’s premier super-specialized healthcare provider, with strides in renal transplants, research, and patient care. However, funding gaps, staffing shortages, and infrastructure delays hinder optimal service delivery. The 2024/25 budget prioritizes staff recruitment, housing, and digitization to enhance efficiency.

Key Focus Areas:
🔹 Specialized care expansion (transplants, radiology).
🔹 Staff welfare (housing, training).
🔹 Research & innovation (clinical trials, simulation labs).
🔹 Gender-sensitive, climate-smart healthcare.

Budget Requirement: UGX 122.192 Billion.