{"id":3864,"date":"2025-04-11T13:17:40","date_gmt":"2025-04-11T13:17:40","guid":{"rendered":"https:\/\/govinfohub.go.ug\/?p=3864"},"modified":"2025-04-11T13:19:21","modified_gmt":"2025-04-11T13:19:21","slug":"kcca-proposes-a-hospital-in-every-division","status":"publish","type":"post","link":"https:\/\/govinfohub.go.ug\/index.php\/2025\/04\/11\/kcca-proposes-a-hospital-in-every-division\/","title":{"rendered":"KCCA Proposes a Hospital in Every Division"},"content":{"rendered":"\n

The Kampala Capital City Authority (KCCA)<\/a><\/strong> has submitted a bold request to Parliament: an annual budget allocation of Shs35 billion to establish a general hospital in each of the city’s five divisions.<\/p>\n\n\n\n

Positioned as a long-overdue remedy for Kampala\u2019s overstretched healthcare system, the proposal aims to reduce congestion at national referral hospitals and better address the capital\u2019s growing urban health demands. However, with significant funding gaps, aging infrastructure, and persistent sanitation challenges, the question remains\u2014will Parliament endorse the plan, or balk at its cost?<\/p>\n\n\n\n

On Thursday, April 3, 2025, a KCCA<\/a> delegation led by the Minister for KCCA<\/a> and Metropolitan Affairs, Hon. Kyofatogabye Kabuye \u00a0appeared before Parliament\u2019s Committee on Health to present the proposal. The envisioned city hospitals, they argued, would function as intermediary referral centers, easing the burden on overtaxed national facilities like Mulago and Kawempe hospitals.<\/p>\n\n\n\n

\u201cUpgrading KCCA-managed health facilities to city hospital status will enable us to expand service delivery, serve as referral buffers, and ultimately decongest national hospitals,\u201d said Dr. Sarah Zalwango, KCCA\u2019s Acting Director for Public Health.<\/p>\n\n\n\n

Currently, Kampala operates two Health Center IVs, four Health Center IIIs, and two Health Center IIs\u2014many of which are severely overcrowded. Kawaala HCIV, for instance, records delivery numbers nearly on par with Kawempe National Referral Hospital, according to Hon. Kyofatogabye.<\/p>\n\n\n\n

\u201cOur Health Centers are already functioning at the level of hospitals. Kampala serves over five million people daily, including many from upcountry\u2014Lira to Kigezi\u2014who pass through the city and may fall ill,\u201d he noted.<\/p>\n\n\n\n

However, KCCA<\/a> faces major hurdles with existing infrastructure. Dr. Zalwango revealed that maintenance budgets for current facilities have been neglected for the past three financial years. Furthermore, establishing full-fledged hospitals would require land expansion\u2014especially for facilities like Kisenyi HCIV, Kitebi HCIII, Bukoto HCII, and Kisugu HCIII.<\/p>\n\n\n\n

In addition to infrastructure concerns, Members of Parliament raised a more foundational issue: the city\u2019s broken sewerage and drainage systems, which they argue pose an even greater public health risk than hospital overcrowding.<\/p>\n\n\n\n

\u201cYou can treat diseases, but they\u2019ll keep recurring due to water pollution. People discharge sewage into the drainage system during the rainy season,\u201d said Hon. Florence Nebanda (NRM, Butaleja District Woman MP).<\/p>\n\n\n\n

She cited recent flooding in Kampala that claimed lives and disrupted businesses, warning that such conditions also tarnish the city\u2019s image and threaten tourism and trade.<\/p>\n\n\n\n

\u201cImagine the capital city of a nation constantly flooding. This affects not just health but our national image. Tourists won\u2019t visit a city that floods,\u201d she added.<\/p>\n\n\n\n

Hon. Josephine Bebona (Bundibugyo District Woman MP) echoed these concerns, recounting experiences in downtown Kampala where open sewage interfered with business operations\u2014calling it both a health hazard and an economic threat.<\/p>\n\n\n\n

Although the Shs35 billion proposal may appear significant, it barely scratches the surface of what KCCA says it needs. According to Dr. Zalwango, the Directorate of Public Health and Environment requires Shs186.98 billion to effectively fulfill its mandate for the 2025\/26 financial year. So far, it has only been allocated Shs15.31 billion\u2014leaving a staggering funding gap of Shs171.67 billion.<\/p>\n\n\n\n

This stark contrast underscores a broader issue: the tension between ambition and budgetary reality. While Parliament may support expanding access to healthcare in principle, the feasibility of accommodating such a costly plan within the national budget remains uncertain.<\/p>\n\n\n\n

The concept of a hospital in every division is undeniably attractive. It promises decentralized, accessible healthcare, reduced pressure on national referral centers, and improved services for Kampala\u2019s rapidly growing, transient population. Yet lawmakers caution that building new hospitals alone won’t resolve the city’s deeper health challenges\u2014especially not without addressing untreated sewage, urban flooding, and chronic underfunding.<\/p>\n\n\n\n

In the weeks ahead, Parliament will face a critical decision: Is this proposal a strategic investment in a healthier, more resilient Kampala\u2014or merely a costly band-aid lacking the necessary infrastructure to succeed?<\/p>\n\n\n\n

Regardless of whether the Shs35 billion is approved, one thing is clear: Kampala needs more than just hospitals. It needs a comprehensive overhaul that integrates infrastructure, sanitation, sustainable funding, and long-term urban planning.<\/p>\n","protected":false},"excerpt":{"rendered":"

The Kampala Capital City Authority (KCCA) has submitted a bold request to Parliament: an annual budget allocation of Shs35 billion to establish a general hospital in each of the city’s five divisions. Positioned as a long-overdue remedy for Kampala\u2019s overstretched healthcare system, the proposal aims to reduce congestion at national referral hospitals and better address […]<\/p>\n","protected":false},"author":1,"featured_media":3865,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[4,5],"tags":[],"class_list":["post-3864","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health","category-news"],"yoast_head":"\nKCCA Proposes a Hospital in Every Division - Published By UPPC<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/govinfohub.go.ug\/index.php\/2025\/04\/11\/kcca-proposes-a-hospital-in-every-division\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"KCCA Proposes a Hospital in Every Division - Published By UPPC\" \/>\n<meta property=\"og:description\" content=\"The Kampala Capital City Authority (KCCA) has submitted a bold request to Parliament: an annual budget allocation of Shs35 billion to establish a general hospital in each of the city’s five divisions. 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