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Persons who are beginning work as childcare providers should have a TB skin test (Mantoux method using tuberculin purified protein derivative [PPD]) to check for infection with the TB germ, unless there is documentation of a positive test result in the past, or of active TB that has been treated already. The first time that they are tested, persons who cannot document any previous TB skin test results should have a two-step test. (That is, if the first test result is negative, the skin test is repeated within one month.) Persons who have negative results from their skin tests when. | GOVERNMENT OF UGANDA Ministry of Health HEALTH SECTOR STRATEGIC PLAN III 2010 11-2014 15 i TABLE OF CONTENTS FOREWORD BY MINISTER OF HEALTH.IV ACKNOWLEDGEMENTS.V LIST OF ACRONYMS.VI EXECUTIVE SUMMARY.IX 1. INTRODUCTION.1 1.1 Context and rationale for development of the HSSP III.1 1.2 development process for the HSSP III.1 2. BACKGROUND.2 2.1 sector organisation function and management.2 2.1.1 The Ministry of Health and national level institutions.3 2.1.2 National Regional and General Hospitals.3 2.1.3 District health systems.4 2.1.4 Health sub-district HSD system.4 2.1.5 Health centres III II and I.4 2.2 Health service delivery in UGANDA.5 2.2.1 The public health delivery system.5 2.2.2 The private sector health care delivery system.6 3. ACHIEVEMENTS AND CHALLENGES OF HEALTH SECTOR STRATEGIC PLAN II.8 3.1 Health status of the people of U ganda.8 3.2 food and nutrition in Uganda.9 3.3 The Uganda national Minimum Health Care package.10 3.3.1 Cluster 1 Health promotion Environmental Health and Community Health Initiatives.10 3.3.2 Cluster 2 Maternal and child health.11 3.3.3 Cluster 3 Communicable diseases control.13 3.3.4 Cluster 4 Prevention and control of NCDs disabilities and injuries and mental health problems.16 3.4 Supervision monitoring and evaluation M E . 18 3.5 Research.19 3.6 Health resources.19 3.6.1 Health infrastructure development and management HIDM .19 3.6.2 Human resource management and development.20 3.6.3 Medicines and other health supplies.21 3.6.4 Health financing.23 3.7. PARTNERSHIPS.25 3.7.1 Public Private Partnerships in Health PPPH .25 3.7.2 Intersectoral and inter-ministerial partnership.27 3.7.3 Health development partners.27 3.7.4 Partnership with communities.29 4. CONTEXTUAL ANALYSIS.30 4.1 The external factors.30 4.1.1 Population growth and distribution.30 4.1.2 Political administrative and legal factors.31 4.1.3 The National Development Plan and International Health Initiatives.32 4.1.3 Social determinants of health.32 4.1.4 .
