The Bulamu Health Center Excellence (HCE) Program
Dick Chandler shown here with: Dr. Diana Atwine, Permanent Secretary of the MOH (in red); David Kabigumira, Chairman LC IV, Sheema District (far left); David’s wife, Jolly (in blue); and Mackay Masereka (far right), Bulamu‘s Uganda Program Director.
Part of our mission is to strengthen the health systems that serve Africans in need. A big part of that is our Health Center Excellence Program, which we launched in 2019. We installed this technology-based, hospital/clinic management system in Sheema District, with 26 public hospitals and clinics serving more than 200,000 patients a year. The HCE-IT system provides weekly dashboard reports on key performance indicators at all facilities. We are now planning to extend this train-the-trainer program to other districts.
“The HCE Program is a game-changer!” ~ From a doctor in Sheema District
The first year HCE cost of $.85 per patient is expected to drop to $.30 in subsequent years.
Why we started the HCE Program
When Bulamu treats 17,000 patients in one week at a government community hospital that would
normally serve that many patients in a year, it shows that the existing healthcare system needs
help. The challenge is: How to improve patient care at Uganda’s 3,200 public health facilities in a
cost-effective and scalable way?
We developed the HCE Program using solutions that could be implemented within the existing system by applying proven management techniques and providing relatively inexpensive, off-the-shelf medical devices. Our pilot HCE partner, Sheema District in southwestern Uganda, has 26 public facilities: 7 hospitals with from 20 to 120 inpatient beds, and 19 small outpatient clinics. Together Sheema District’s 26 health units treat over 200,000 patients per year with a total staff of 305 health workers.
We decided that the best way to improve the productivity of this staff was with new management information that gives facility managers and district officials actionable weekly data on Key Performance Indicators (KPIs) for facilities and on productivity for clinicians.
The HCE Program Implements Management Solutions at Government Health Facilities