In the report, Muwanga noted that the Ministry of Health provides for an approved structure of 370 staff for Moroto Regional Referral Hospital but a review indicated that only 244 (66 percent) are filled leaving a staffing gap of 126.
Members of Parliament were on Tuesday shocked by the under staffing levels at Moroto Regional Referral Hospital.
Officials from the hospital led by the Director Dr Benedicto Watmon were on
Tuesday appearing before the committee to answer audit queries raised Auditor
General John Muwanga in the financial year 2018/2019.
In the report, Muwanga noted that the Ministry of Health provides for an
approved structure of 370 staff for Moroto Regional Referral Hospital but a
review indicated that only 244 (66 percent) are filled leaving a staffing gap
The report showed that the positions of a senior consultant Pediatrics,
surgery, medicine, Ear Nose and Throat (ENT), Psychiatry, Radiology and others
were not filled while the hospital Accounts Department has only an accountant
with no senior accountant, Senior Accounts Assistant, Accounts Assistant and
“Understaffing results into having staff assigned work beyond their schedules
of work and adversely affects service delivery due to work overload on the part
of the staff, it also leads to staff demotivation tendencies further
undermining service provided to the patients,” said Muwanga in his report.
Dr Benedicto Watmon said that efforts to improve staffing were at a slow pace.
He explained that the hospital’s efforts of attracting and retaining
specialists do not yield many results due to absence of hard to reach
allowances since most posted specialist do not report and opt to work in areas
close to Kampala.
“Those posted either report and do not assume duties or do not report at all.
The current staffing level is at 65 percent,” said Watmon.
He also partly blamed the qualified opinion slapped on the facility to the critical under staffing in the accounts department where he said the only accountant
Joyce Lekuru is overwhelmed.
“But we now have a volunteer who assists but officially, she is the only staff
in the department,” Watmon revealed.
Watmon further shocked PAC when he revealed that even the Internal Auditor,
Eric Olum posted at the facility is barely on the ground since he is shared
with Arua Regional Referral Hospital.
The revelation did not go well with PAC Vice Chairperson Ojara who wondered how
an Internal Auditor can work for two government entities and why it had been
hard for the hospital to recruit more accountants.
Rosemary Nawaut, the Amudat Woman MP demanded that the hospital provides
evidence to the committee about its efforts to recruit staff.
Fredrick Angura, the Tororo South MP said that by all standards the available
accountant is overloaded. He, however, said that this does not take away
queries identified by the auditor general.
Dr Watmon presented a letter written to the Accountant General requesting to
have an internal auditor and more accountants at the hospital. He, however,
recommended that recruitment for Karamoja region need to be done from the area
since those recruited from other areas do not take up the positions.
Meanwhile, the Internal Auditor General Eric Olum explained that he was posted
at Moroto Hospital in the financial year 2017/2018 but in the following
financial year 2018/2019, Arua Hospital did not have an internal auditor
general and the Internal Accountant General asked him to give a helping hand to
Olum said that he only gets a salary from Moroto Hospital and that at every
facility, he spends a week.
Ojara directed that Olum avails the letter directing him to work for the two facilities