KAMPALA, Uganda — The Ministry of Health has released its 2024–2025 financial year performance report, naming the best and worst performing districts and hospitals across the country based on the volume of services delivered and the readiness of facilities.
The findings, presented Tuesday during the 31st Joint Review Mission, highlight significant service delivery disparities among government and private not-for-profit hospitals. Assessments were based on the ministry’s Annual Performance Grant and Delivery Readiness Grant scores, which evaluate staffing, equipment, medicines and infrastructure.
Hospital Rankings
The top-performing hospitals were:
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Mbale Regional Referral Hospital, 67 percent
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Mengo Hospital, 55 percent
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St Mary’s Hospital Lacor, 41 percent
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St Francis Nsambya Hospital, 41 percent
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Fort Portal Regional Referral Hospital, 41 percent
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Masaka Regional Referral Hospital, 40 percent
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Kayunga Hospital, 38 percent
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Mbarara referral hospitals, 38 percent
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Hoima, 37 percent
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Lira, 36 percent
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Entebbe, Lubaga and Mubende hospitals, each 35 percent
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Arua, 34 percent
The lowest-performing hospitals included:
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Gulu and Jinja regional referral hospitals, each 33 percent
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Kabale, 32 percent
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Soroti, 31 percent
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Moroto, 28 percent
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Yumbe Regional Referral Hospital, 27 percent (worst)
District Rankings
The top-performing districts were:
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Kiruhura, 92.3 percent (best)
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Bundibugyo, 89.4 percent
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Mbale, 89 percent
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Lira City, 88.7 percent
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Amolatar, 87.1 percent
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Bududa, 85.4 percent
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Bunyangabu, 85.3 percent
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Jinja City, 85.2 percent
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Kwania, 85 percent
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Ibanda, 84.8 percent
The lowest-performing districts included:
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Bukomansimbi, 61.1 percent
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Hoima, 60.2 percent
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Butebo, 58.8 percent
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Soroti District, 57.8 percent
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Arua District, 54.3 percent (worst, ranked 146th)
Other low-performing districts included Ngora, Buvuma, Kisoro, Karenga and Bugweri, scoring between 63.2 percent and 64.1 percent.
Health Center IVs and Sub-Regions
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Kisenyi Health Centre IV in Kampala emerged as the best-performing HC IV with a 74 percent score.
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The lowest-rated government facility was Naguru Police HC IV in Kampala, scoring 1 percent, with Astu HC IV in Katakwi ranking last with 0 percent.
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In sub-regional rankings, Lango topped the country, followed by Bugisu, Acholi, West Nile and Kigezi.
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South Buganda, ranked 15th, was the worst-performing sub-region, followed by North Buganda and Teso.
Systemic Failures and Future Reforms
Dr. Diana Atwine, the Ministry of Health’s Permanent Secretary, attributed the poor performance in many districts largely to human resource shortages, transparency issues and operational inefficiencies.
“Resilience and efficiency is a human resource,” Atwine said. “We should rethink human resource management through improved training, welfare, mentorship and mindset transformation.”
Atwine also introduced the new Health Sector Strategic Plan and the Uganda Health Compact, noting both will guide investments toward universal health coverage. She warned that off-budget partner funding had long distorted planning and urged partners to entrust their funds with the government to ensure better coordination.
The ministry is also launching the Health Partners Portal, a new mandatory digital platform for all partners working in the sector to track and coordinate activities, according to Mr. Joshua Musaasizi, the assistant commissioner for private sector coordination.
