Attachment J.6-Mainstreaming Malaria in the National,MDAs and District Dev Plans 13.11.2019.docx

Republic of Uganda

GUIDELINES TO MAINSTREAMING MALARIA IN THE NATIONAL AND DISTRICT DEVELOPMENT PLANS

Mass Action Against Malaria A malaria free sector is my responsibility

National Malaria Control Division Ministry of Health P.O Box 7272, Kampala Uganda

September, 2019

TABLE OF CONTENTS

Acronyms ACT Artemisinin Combination Therapy

CDLS Community Development Leaders D.D.P District’s Development Plan DFID Department for International Development EDPRS Economic Development and Poverty Reduction Strategy GTS Global Technical Strategy IRS Insecticide Residual Spraying IPT Intermittent Presumptive Treatment J A F Joint Action Forum LLIN Long lasting Insecticidal Treated Nets MAAM Mass Action Against Malaria

PRSP Poverty Reduction Strategy Process

UMMAC Uganda Malaria Multisectoral Action Committee

1.0: Introduction 1.1: Objectives of Multisectoral Action for Malaria 1 Develop the capacity, mechanisms and mandates of national and relevant local authorities to encourage ambitious national responses to achieve the Malaria-related targets included the SDGs;

2 Strengthen governance and regulatory frameworks to strengthening community action, civil society networks, social movements as well as collaboration between civil society, government, development partners, and the private sector to implement national Malaria responses; and 3 Bridging the governance gap: strong governance and regulatory frameworks in areas where it is a prerequisite for:

4 Mobilizing adequate, predictable and sustained resources to implement national Malaria responses from domestic public resources, domestic and international private business and finance, and international development cooperation, including voluntary innovative financing mechanisms;

5 Protecting the development of national Malaria policies from undue influence by any real, perceived or potential conflict of interest, including the fundamental conflict of interest between the extraction industry and public health;

6 Ensuring mutual accountability of different spheres of policy-making that have a bearing on Malaria

1.2: HEALTH SECTOR STRATEGIC OBJECTIVE (MALARIA)

SDG3: By 2030, end the epidemics of AIDS, TB, malaria and Neglected Tropical Diseases, and combat hepatitis, water-borne diseases and other communicable diseases.

HSDPII Objective 1: To contribute to the production of a healthy human capital for wealth creation through provision of equitable, safe and sustainable health services.

Strategic Interventions: Provision of Communicable Disease Prevention and Control Services HDSPII Objective 2: To address the key determinants of health.

Strategic Interventions: Strengthen intersectoral collaboration and partnerships for effective implementation of the following program areas; Environmental health and sanitation, Food and nutrition services, Environmental pollution control, Housing and urbanization, School health, Gender and human rights

1.2.1: Determinants of Malaria Malaria is governed by a number of environmental factors affecting its distribution, seasonality and transmission intensity, including:

· abundance of surface water, its chemical composition, pollution and vegetation, which determines the proliferation and density of the vector;

· the atmospheric humidity and temperature, determining the longevity of the vector and the ability of the parasites to develop; and

· the preference for human or animal blood, the form of human aggregation and the type of shelter, which determine the contact between the vector and humans .

The main strategy of fighting Malaria in Uganda was the integration of Malaria activities into a national strategic plan for the country development called EDPRS (Economic Development and Poverty Reduction Strategy).

The implementation of the plan is in the responsibility of the multisectoral ministries Departments and Agencies and districts and each district has a local development plan called D.D.P (District’s Development Plan) that contributes to achieve the EDPRS objectives. During the planning process, the participatory approach will be used to develop necessary activities to implement the DDP’s and to determine the districts priorities where all implementers should seat around a table in order the analyze the source of funds in a Forum called J A F (Joint Action Forum) and they develop together an annual work plan which is a good tool of resource mobilization.

1.1: Background Conventional malaria control actions are to a very large extent relying on medicines, diagnostics, insecticides, insecticide treated nets and other commodities. As a result, they are very capital intensive. Multisectoral malaria action focus on doing things already done across sectors for other purposes differently – more malaria smart. As a result, they are less capital intensive.

Malaria transmission can be suppressed by effective control measures. However, in the absence of active intervention, malaria will return to an intrinsic equilibrium determined by factors related to ecology, efficiency of mosquito vectors, and socioeconomic characteristics. A review of 75 resurgences in 61 countries between 1930 and 2000 showed that 68 out of the 75 (91%) of the resurgences were attributed at least in part to weakening of malaria control programmes. Of these 37 out of the 68 (54%) were due to funding shortages (9). Given the potential severity of resurgence, engaging in but not continuing funding of conventional malaria control programmes may raise ethical concerns. Looking into the future from a vantage point of a multisectoral approach to malaria that, in addition to the conventional malaria control strategies has added a development dimension, there are three main streams of financing in question:

financing for conventional malaria interventions, such as LLIN, IRS, diagnostics, prevention and treatment, etc.;

financing of coordination and capacity building of sectoral actors to be more malaria-smart in what they would already do to deliver on the sustainable development goals;

financing of malaria intervention costs incurred directly by the household and the individual, including the costs of the conventional interventions as well as interventions related to, e.g., improving housing and adoption of other malaria smart practices in household and daily life.

The “Action and Investment to Defeat Malaria 2016-2030 for a Malaria-Free World” (14) estimates that in order to achieve its 2030 targets, a total of US$101.8 billion is required to the conventional interventions. On average this translates into US$4.9 billion annually for 2016-2020, US$7.1 billion annually for 2021-2025 and US$8.3 billion annually for 2026-2030. In addition, about US$ 675 million is needed annually until 2030 to fund malaria research and development, including for containing the threats of drug and insecticide resistance.

In comparison, the total funding for 2017 was US$3.1 billion, i.e., down by US$0.2 billion from 2016 (1). In other words, to meet the annual requirements for 2021-2025 and 2026-2030, financing would need to more than double and almost triple compared to the 2017 level. The investments are thus considerable and carry both financial and ethical risks. A sound advice is therefore to hedge the investment by multisectoral action.

Most high-burden and several other malaria endemic countries will up to 2030 need external support, both bilateral and multilateral to supplement domestic resources for their conventional malaria activities as well as for meeting the sustainable development goals.

The providers of domestic as well as external resources should – in the interest of their investments – allow and ensure that these are malaria-smart. This can, at the same time both gear and hedge their investments.

1.2: Uganda context Beyond direct burden on health status, there is the indirect, socio-economic component which includes out-of-pocket expenditure for consultation fees, drugs, transport and subsistence at a distant health facility. Loss of workdays because of sickness results in decreased productivity and decreased school attendance Investments in reducing malaria will contribute significantly to increasing productivity of Uganda's population, and hence, increasing GDP; since malaria contributes 37% of workforce illnesses and absence from the production value chains.

Relationship between morbidity and economic growth with an increase in malaria morbidity by one unit, while holding all other factors constant, per capita GDP decreases by US$ 0.00767 per year.

One of the major weaknesses revealed in the evaluation of Uganda’s first PRSP was that Malaria actions were segregated in the health sector and, as such, truly failed to address the cross-cutting impact the epidemic has on all sectors; it also impeded the PRSP’s goal of economic development and poverty reduction.

Thus, in the EDPRS, Malaria is addressed as a cross-cutting issue in all 12 sectors. To achieve the overall objective of prevention and treatment, a multi-sectoral response is imperative. Under the leadership of the Uganda Malaria Multisectoral Action Committee (UMMAC), in collaboration with different partners and civil society, each sector must contribute to the Malaria response through the implementation of sector-appropriate Malaria actions and programmes.

As result of decentralization process, all programs and activities should be implemented at the decentralized level and the districts are the main right authorities to plan and monitor the implementation of all activities for their development.

This Guideline aims at highlighting issues of integrating Malaria into the EDPRS. It also brings out the Malaria commitments to be made by each sector.

The key actions to be taken to integrate Malaria into the EDPRS are highlighted in a step-by-step format. This is followed by a summary of Malaria actions which are to be integrated into each sector in the EDPRS.

The Guideline highlights potential challenges and mitigation measures in the process of elaborating the EDPRS, as well as the next steps in supporting the implementation of the EDPRS Malaria Commitments. It shows also at the implementation level the link between the EDPRS, the DDP’s and the districts annual work plans which are used for resource mobilization.

2.0: Malaria and Poverty in Sectors Engaging beyond the health sector: developing ambitious national responses to the Malaria- related targets included in the SDGs will require action across all government departments, as well as the engagement of civil society and the private sector.

Delivering commitments: critical for delivering the national commitments set for example:

· Implementing health-in-all-policies, whole- of-government and whole-of-society approaches for addressing Malaria;

· Setting national targets for Malaria;

· Developing and strengthening national multisectoral policies and plans and incorporating Malaria into the national development agenda and plans;

· Raising awareness about the national public health burden caused by Malaria and the relationship between Malaria, poverty and social and economic development.

STEPS TO BECOMING A MALARIA–SMART SECTOR

1 Malaria-producing activities:

The sector should review its ways of operation, practices, procedures and production systems to identify those that are potentially contributing to sustaining or increasing vector load, parasite transmission or insecticide and drug resistance. The sector should develop and promote the use of approaches that do not produce malaria. Determine baseline and measurement dates and frequency of measurement.

2 Malaria reducing potentials:

The sector should review its current activities to identify those that could be modified or added to have a malaria-reducing effect. Each sector will have some comparative advantages with respect to malaria control that can be released with no or limited additional costs. Determine baseline and measurement dates and frequency of measurement 3 Socio-economic development for malaria and synergies with other sectors:

The sector should review its potential and role in addressing those determinants of malaria where concerted efforts by multiple sectors are required. It should then actively engage nationally and locally in addressing the priority determinants, including defining indicators and setting and reporting on targets.

Key advocacy and support activities will effectively integrate Malaria actions across the 12 sectors of the EDPRS. The implementation phase will be followed with an assessment to determine each sector’s capacity to implement their EDPRS Malaria commitments, proceeded by the development of an implementation support action plan with indicators. Focus will be placed on activities to promote accountability among sectors and civil society. For example, a National Common Performance Assessment Framework will be developed for Malaria.

It outlines the key public policy actions needed in order to achieve the EDPRS Malaria outcome priorities over the next 5 years and will be achieved through a participatory process involving all Malaria stakeholders and the districts.

The initiative is part of the response to recommendations made by the Uganda Multisectoral Framework for improving Malaria Coordination among Multilateral Institutions and International Donors, to ensure that resources and technical support are available so that countries can integrate Malaria more fully into Poverty Reduction Strategies.

The programme will start with the development of synopsis paper by a team of stakeholders in districts to identify the main challenges and issues faced in more effectively integrating Malaria in the Poverty Reduction Strategy (PRS) process. District teams then participated in a regional workshop in which they will identify District Follow-up Activities (DFAs) to be implemented over the following year (2020). Implementation of DFAs by the first round districts.

3.0: Key Malaria actions integrated into each sector in EDPRS

ACTIONS FOR MALARIA SMART SECTORS

· Identification of interventions with respect to the Determinants eg: ‘agricultural practices and production systems’, ‘land use/management,’ ‘poverty and education’, ‘community control’, ‘choice and adoption of malaria-safe habits’, ‘education and knowledge’, ‘access to and use of health care’, and ‘provision of health care’

· Capture these interventions/activities in the action plan in log frame by sector and cost them (integrate the activities introduced by non-health sectors to reduce malaria in the routine activities and budgets of the sector concerned at all levels of operation) As a result of the ongoing advocacy and follow up with sectors, Malaria will be integrated across all sectors in the EDPRS. The sectors have to commit to the following in the EDPRS: Sector/Vote

3.1: SECURITY

THE SECURITY SECTOR

The Security Sector for its part, will conduct a sector wide needs assessment exercise by mid-2020, in addition to providing malaria prevention and treatment services for soldiers and their families. In addition, the sector will increase the number of security personnel accessing these services as a result of awareness programmes and ensure a greater percentage of security organizations have Malaria sensitization campaigns by 2020.

MINISTRY OF DEFENCE AND VETERAN AFFAIRS

1. To strengthen the existing collaboration between MOD/VA and MOH using a MOU as a legal document.

2. To identify areas of collaboration and work out detailed operational procedures, division of tasks, funding mechanisms and management of collaborative programs, to include:

a. Collaboration in:

(i) Planning and conducting joint response to public health threats especially disease out breaks and epidemics.

(ii) Improving hygiene and sanitation.

(iii) Capacity building in terms of training and knowledge transfer in selected fields of Integrated Vector Control Management, Case Management, Social and Behavioural Change Communication, Programme Management and Multisectoral Coordination, Surveillance and Monitoring and Evaluation, Epidemic Preparedness and Response.

(iv) Preventing and controlling Malaria to Malaria Prevention, Control and Elimination. (“A Malaria free Barracks is my responsibility”)

(v) Capacity building in terms of training and knowledge transfer in selected fields namely, selecting and training a core nucleus team of vector control officers.

(vi) Preventing and controlling Tuberculosis.

(vii) Eliminating Nationally Immunisable diseases.

(viii) Establishment of joint research programs to enable MOD/VA personnel to gain high level and highquality knowledge and skills in different fields as may be identified by the Parties.

(ix) Containment of all National and Trans-boundary public health threats.

(x) All aspects of managing National Public Health related material to support diagnostic, research, prevention, control and response activities.

(xi) Public Health related Innovations (e.g. vaccine and drug development, production and quality assurance)

(xii) Sharing resources whether technical, infrastructural or human to enhance public health at all levels.

(xiii) Exchange of expertise for purposes of research, training, response and service to communities.

(xiv) Exchange of information and public education.

(xv) Scientific publication, information management and communication.

(xvi) Sharing facilities and other resources either for production, research, technology development, innovations and training including but not limited to, access to research and diagnostic laboratories.

(xvii) Any other areas of interest as may be agreed upon by MOD/VA, MOH and other development partners.

b. Representation at various Committees whose aims and objectives are or include Public health, Hygiene and sanitation Improvement, Malaria Prevention, Control and Elimination, Training of vector control officers, Health educators,

c. Health inspectors, Tuberculosis prevention and control, Elimination of Nationally Immunisable diseases, Research and development of outreach services and any other committees in fields of common interest.

d. Participation in trainings, seminars/conferences and special events organized by either party; and

e. Sharing of costs for collaborative activities.

3.2: WORKS AND TRANSPORT

3.2.1 The Infrastructure Sector

The Infrastructure Sector will ensure a set of appropriate measures are in place so that the delivery of transport infrastructure and services contributes to the Malaria control and elimination efforts. This will include providing standards and guidelines to fight Malaria at rest areas along truck corridors and requiring all tender contract documents have clauses addressing Malaria and at least 0.5% of budget is dedicated to Malaria, gender and environmental protection. The sector will also put in place facilities for the fight against Malaria and environment protection within the framework of multisectoral framework.

MINISTRY OF WORKS AND TRANSPORT

MISSION: To promote adequate, safe and well-maintained Works and Transport Infrastructure and Services for Social Economic Development of Uganda.

MANDATE Plan, develop and maintain an economic, efficient and effective transport infrastructure;

· Plan, develop and maintain economic, efficient and effective transport services by road, rail, water, air and pipeline;

· Manage Public works including government structures and;

· Promote good standards in the construction industry

Develop Health–smart (Malaria) environmental impact assessments on all projects at all levels

Conduct research on mosquito repellant plants/flowers that can be grown around homes.

Improve urban drainage, ensure LSM as part of infrastructure development

Improve housing (ceiling and screens); Old LLINs can be used for this purpose as a final disposal.

3.3: AGRICULTURE

THE AGRICULTURE SECTOR

The Agriculture Sector will conduct studies on social protection and food security for vulnerable groups and Malaria, and identify ways to increase the production of key food security crops. The sector will also conduct a specific study on how to integrate Malaria in the sector and develop programmes for Malaria at the district level.

MINISTRY OF AGRICULTURE ANIMAL INDUSTRY AND FISHERIES (MAAIF)

Mandate

· Formulate, review and implement national policies, plans, strategies, regulations and standards and enforce laws, regulations and standards along the value chain of crops, livestock and fisheries;

· Control and manage epidemics and disasters, and support the control of sporadic and endemic diseases, pests and vectors;

· Regulate the use of agricultural chemicals, veterinary drugs, biological, planting and stocking materials as well as other inputs;

· Support the development of infrastructure and use of water for agricultural production along livestock, crop and fisheries value chains;

· Establish sustainable systems to collect, process, maintain and disseminate agricultural statistics and information;

· Support provision of planting and stocking materials and other inputs to increase production and commercialization of agriculture for food security and household income;

· Develop public infrastructure to support production, quality / safety assurance and value-addition along the livestock, crop and fisheries commodity chains;

· Monitor, inspect, evaluate and harmonize activities in the agricultural sector including local governments;

· Strengthen human and institutional capacity and mobilize financial and technical resources for delivery of agricultural services;

· Develop and promote collaborative mechanisms nationally, regionally and internationally on issues pertaining to the sector;

Out puts

· National policies, strategies, plans, regulations and standards formulated, reviewed and implemented; laws, regulations and standards along the value chain of crops, livestock and fisheries enforced;

· Epidemics/disasters, sporadic and endemic diseases, pests and vectors controlled and managed;

· Use of agricultural chemicals, veterinary drugs, biological, planting and stocking materials as well as other inputs regulated;

· Infrastructure and use of water for agricultural production along livestock, crop and fisheries value chains developed and supported;

· Sustainable systems to collect, process, maintain and disseminate agricultural statistics established;

· Provision of planting and stocking materials and other inputs to increase production and commercialization of agriculture for food security and household income supported;

· Infrastructure to support production, quality/ safety assurance and value-addition along the livestock, crop and fisheries commodity chains developed;

· Activities in the agricultural sector including local governments monitored, inspected, evaluated and harmonized;

· Human and institutional capacity strengthened and financial and technical resources for delivery of agricultural services mobilized;

· National, regional and international collaborative mechanisms on issues pertaining to the sector developed and promoted;

The seven semi-autonomous bodies are responsible for the outputs related to the key functions delegated to them.

Increased agricultural production and productivity Increased household income social and economic development

Introduce and promote larvivous fish feeding mosquito larvae and provision of food for communities

Identify and eliminate anopheline larvae in urban agriculture eg: rice farms

Support farmers to spray animals with acaricides

Increased agricultural production and productivity Increased household income social and economic development

Support farmers to spray animals with acaricides

3.4: EDUCATION

MINISTRY OF EDUCATION & SPORTS (MOES)

Mandate

· To ensure universal and equitable access to quality basic education for all children through: Early Childhood Care and Development for children up to 8 years, Universal Primary Education for children from 6 years to 12 years and Education for the disadvantaged groups from 6 years to 18 years.

· To improve the Quality of Education in the following levels:- In Primary Education by ensuring pass rates in literacy and numeracy (at the appropriate class grade) levels through the National Assessment of Progress of Education (NAPE); In Post-primary Education by ensuring achievements attainment targets and pass rates in English, Mathematics, Science and Information Technology.

· To ensure equal access by Gender, District and Special Needs at all levels of Education.

· To build capacity of districts by helping Education Managers acquire and improve on their knowledge, skills and attitudes to be able to plan, monitor, account and perform managerial functions.

· To ensure universal and equitable access to quality basic education for all children through: Early Childhood Care and Development for children up to 8 years, Universal Primary Education for children from 6 years to 12 years and Education for the disadvantaged groups from 6 years to 18 years.

· To improve the Quality of Education in the following levels:- In Primary Education by ensuring pass rates in literacy and numeracy (at the appropriate class grade) levels through the National Assessment of Progress of Education (NAPE); In Post-primary Education by ensuring achievements attainment targets and pass rates in English, Mathematics, Science and Information Technology.

· To ensure equal access by Gender, District and Special Needs at all levels of Education.

· To build capacity of districts by helping Education Managers acquire and improve on their knowledge, skills and attitudes to be able to plan, monitor, account and perform managerial functions.

Provision of school meals, Secondment of teachers

Improved educational achievement & cognitive performance

Include Mass action Against Malaria (MAAM) in Music Dance and Drama

Behavioral change agent on environment management and health seeking behavior

Extension work Standards

Implement Dormitory/ classrooms protection programmes (e.g. provision of LLINs for day scholars, IRS in Dormitories, diagnosis and treatment in school clinics)

Building renovation and construction, including kitchens and pit latrines

Deworming in primary schools every four months

Promote formation and functionalization of school health clubs with malaria activities in school & surrounding communities, Malaria talking compounds

Develop Health–smart (Malaria) environmental impact assessments on all school projects

3.4.1: The Youth and Education Sectors The youth and education sector are best placed to significantly contribute to reducing the Malaria prevalence rate among 7–24 year-olds. Education Sector activities will focus on developing and implementing a national Malaria and reproductive health curriculum appropriate for each level from Primary school through university, as well as vocational training schools.

As teachers are already in short supply, it is crucial that the education workforce remains healthy, thus the sector will strengthen the capacity of education staff and management committees to address issues related to Malaria as a cross-cutting issue. Also awareness- raising activities and sensitisation programmes will be implemented to ensure education policies related to Malaria are included in all levels of the education system for staff, teachers and lecturers, students and ancillary workers.

In addition, the sector will also provide appropriate support to targeted vulnerable children to ensure continued access to education.

The Youth Sector is committed to reducing the Malaria prevalence rate, especially out-of-school youth. The sector will contribute with life skills-based Malaria prevention programming for youth. The sector will also put in place a range of policies and a legal framework related to Malaria and develop a strategic plan (20020–2025) on Malaria prevention for youth.

3.5: HEALTH

3.5.1: The Health, Malaria, Nutrition and Population Sector The Health, Malaria, Nutrition and population sector will focus on prevention (especially for most -at-risk populations) and treatment, and support for Malaria. For prevention the focus will be on increasing: awareness among most-at risk populations to maximise the level of knowledge and prevention of Malaria; (insert indicators) On ensuring that Malaria prevention (IPT) and LLINs are available during prenatal and postnatal visits, and that all health centers have Malaria Corners. Lastly, Indicators for Case management

MINISTRY OF HEALTH

Vision is to have a healthy and productive population that contributes to socio-economic growth and national development.

Mission is to provide the highest possible level of health services to all people in Uganda through delivery of promotive, preventive, curative, palliative and rehabilitative health services at all levels”.

Mandate

· mobilization of resources such as human resources, health infrastructure, medicines and other health supplies, health data and information.

· Capacity development and technical support supervision; provision of nationally coordinated services including health emergency preparedness and response, epidemic prevention and control, coordination of health research, monitoring and evaluation of the overall health sector performance.

· Ensures mechanisms that offer equity for all citizens in accessing health services for life threatening health problems, particularly to avert pregnancy and birth-related mortality and childhood killer diseases, strengthen the capacity of health facilities to improve service provision, build and expand the national health infrastructure through a medium term health facility development plan, as well as establish an appropriate and efficiently functioning referral

Create a convening mechanism of Uganda Malaria Multisectoral Action Committee (Chaired by Prime Minister`s Office) and network secretariat (NMCD/MOH) to coordinate activities

Develop coalitions and networks to simplify coordination, at any level, while also amplifying the voice of partners.

Develop norms and standards for inclusion in sectoral guidelines and procedures (including appropriate tools for health delivery)

Develop Health–smart (Malaria) environmental impact assessments on all projects at all levels

Conduct research on mosquito repellant plants/flowers that can be grown around homes.

Avail access to free quality primary health care services in both public and private sectors

Implement public programmes (e.g. provision of LLINs, IRS, LSM, diagnosis and treatment)

Identify gaps in Health service delivery and build capacity to fill the gaps

3.6: WATER AND ENVIRONMENT

3.6.1: The Water and Sanitation Sector The Water and Sanitation Sector will play a role in prevention, providing Malaria programming for its workers and taking actions to reduce the number of days its workers are away from their homes. For Malaria prevention for the public, the sector will strive to decrease the distance Ugandans have to travel to obtain water carry out sensitisation activities to create awareness among the population on access to water and sanitation services and links with Malaria.

MINISTRY OF WATER AND ENVIRONMENT (MOWE)

Mandate:

· ensure provision of quality water and environmental protection services in the country.

· This Ministry is charged with management and sustainable utilization of water and environment resources for the betterment of the population of Uganda.

· This Ministry has affiliated institutions like National Water and Sewerage Corporation (NWSC), National Environment Management Authority (NEMA), National Forestry Authority (NFA) to carry out its role.

· The role of this Ministry is to oversee a number of areas that include: development of public sanitary facilities, promotion of good practices of hygiene and sanitation in small towns and rural growth centers, water for production both on farm and off farm, water use and management of industries, commerce, wildlife and tourism.

· Management and sustainable utilization of water and environment resources for the betterment

· To improve the quality Water resources for population.

· To ensure better access of water and environment resources in all parts of the country.

Develop Health–smart (Malaria) environmental impact assessments on all projects at all levels

Identify mosquito repellant plants suitable for water bodies banks and swamps peripherals

Regulate private pest control operators as part of national insecticide-resistance management plan

Plant mosquito repellant plants in the swamp/ water bodies banks and peripherals

Improve pesticide management

Develop Health–smart (Malaria) environmental impact assessments on all projects at all levels

Regulate private energy and mineral extraction operators as part of Malaria smart operations

3.7: JUSTICE/LAW AND ORDER

3.7.1: The Justice, Law and Order and Security Sectors The Justice, Law and Order and Security Sectors have an important role in both prevention and impact mitigation. Prevention actions are key in these sectors as they contain a number of most-at-risk populations, including those in the prison system and other uniformed services staff. The Justice, Law and Order Sector will provide rehabilitation programs for prison inmates that include Malaria prevention and treatment service provision.

To contribute to impact mitigation, the sector will review laws to ensure they address human rights, provide training on legislative drafting on a variety of human rights issues including Malaria, and will carry out a sensitization programme on human rights. Lastly, the sector will monitor the respect of human rights, in particular the rights of Malaria patients and, if funds are available, will ensure access to legal aid services to vulnerable malaria.

The Vision 2040 Programme aims to eradicate extreme poverty by 2030 by focusing on growth, job creation and exports generation and starts as a pilot covering one of the poorest villages in each district, therefore operating solely in specific rural areas.

MINISTRY OF INTERNAL AFFAIRS

Mandate;

· Promotion of efficiency and effectiveness in the contribution to service delivery in the peace, justice and security issues.

· Promote efficiency and effectiveness in the coordination of service delivery of the Ministry.

· Promotion of alternative sentence to imprisonment, through the Community Service Programme to foster rehabilitation and/or reintegration of offenders.

· Promotion of dialogue and reconciliation between Government and dissidents and to resettle and reintegrate Reporters through implementation of the Amnesty Act.

· Control the proliferation of illicit Small Arms and Light Weapons (SALWs) in the communities in collaboration with the relevant Government Ministries/Departments and the Civil Society Organizations.

· Collection, analysis and dissemination of early warning information and as well provide early response to prevent and mitigate conflict.

· Registration, regulation, coordination and monitoring of NGOs to ensure that their mandates are in line with Government policies and programmes.

· Provision of specialized scientific, analytical and advisory services to Government Departments responsible for administration of justice, Researchers and private sector for global competitiveness.

· Provision of safe, secure and humane custody of prisoners (remands and convicts).

· Facilitation and regulation of entry stay and exit of persons into and from Uganda.

· To coordinate implementation of the Trafficking in Persons Act.

· Issuance of National Identity Cards.

· Protect life and property, preserve law and order as well as prevent and detect crime.

Collaboration Extension

Ensure health care and other services for military, police and prisons collaborate with NMCP, local authorities and communities

Implement workplace protection programmes (e.g. provision of LLINs, IRS, diagnosis and treatment)

Support the strengthening of community structures for empowerment, responsibility, compliance and self-control

Develop Health–smart (Malaria) environmental impact assessments on all projects at all levels

3.8: ACCOUNTABILITY

3.8.1: The Decentralization, Citizen Participation and Accountability Sector The Decentralization, Citizen Participation and Accountability Sector is committed to ensuring local governments meet benchmarks for Malaria indicators and activities in their district development plans, annual plans, and medium-term expenditure frameworks.

This sector will also strengthen sub-national and district level responses to Malaria through the provision of training to Community Development Leaders (CDLs) in leadership development skills and tools to harmonise the implementation of Malaria initiatives like MAAM. The sector will also work to enhance civil society in the management of comprehensive Malaria prevention and treatment programmes, and will keep updated registries of families vulnerable to poverty and Malaria and the services they are receiving.

MINISTRY OF FINANCE PLANNING AND ECONOMIC DEVELOPMENT (MOFPED)

Ministry of Finance is further charged to oversee how resources are accounted for as they target to benefit all Ugandans. The Ministry is also concerned with matters of achieving the fastest rate of economic transformation alongside emerging economies. It targets to formulate sound economic policies that lead to sustainable economic growth and development.

Mandated to:

· Develop and monitor appropriate policies and strategies that guide annual and medium-term expenditure

· Prepare the Annual National Budget and medium-term expenditure allocations

· Formulate, review and appraise projects and programs in liaison with line Ministries and Institutions

· Review and update of the Public Investment Plan

· Execute and monitor the annual National Budget

· Coordinate releases of funds for both recurrent and development activities in Central and Local Governments

· Formulate tax policies aimed at generating domestic revenue for Government expenditure

· Develop appropriate fiscal and monetary policies

· Prepare of medium and long term development plans in association with The National Planning Authority

· Coordinate policies that promote institutional capacity and development of the public and private sector

· Mobilize domestic and external resources

· Formulate strategies for appropriate external and internal public debt management

· Facilitate trade and Regional integration initiatives within the East African Community, and the COMESA region

· Harmonize and monitor the National Public Procurement Policy with International and Regional Organizations' Procurement and Trade Policy Agreements

· Produce timely, accurate and reliable financial management information that meets professional standards and conforms to internationally accepted best practices

· Oversee and implement the Integrated Financial Management System (IFMS)

· Ensure appropriateness of internal control systems and internal audit functions throughout Government

· Provide overall framework for control of public resources and expenditure

· Ensure that Accounting Officers observe the PFAA 2003 and associated Financial Regulations

· Set standards for professionalism for Accounts Cadres in Government

· Ensure provision is made for the security of Government's financial and non-financial assets

· Maintain a register of public debt

· Manage fiscal data for Government Departments and Agencies

· Provide information technology related finance support services to Government Ministries and Agencies

· Carry out financial transaction processing and reporting

Planning and budget process Loans/ Grants negotiations

Earmark resources for malaria-smart development in sectoral budgets

Earmark property taxes for mosquito abatement activities

Require health and environmental impact assessments to be conducted & monitored

Planning and budget process Loans/ Grants negotiations

Earmark resources to develop the most deprived areas

Earmark resources for malaria-smart development in sectoral budgets

Earmark property taxes for mosquito abatement activities

Require health and environmental impact assessments to be conducted & monitored

Planning and budget process Loans/ Grants negotiations

Fulfil the 10 commitments in the Copenhagen Declaration on Social Development;

Implement the Paris Declaration on Aid Effectiveness and the Accra Agenda for Action

Meet the Sustainable Development Goals (SDG) targets

Base the post-2015 agenda on the values of human rights, equity and sustainability

Improve Uganda`s access to industrial countries’ markets, including for agricultural products and labour-intensive manufactures

3.9: ENERGY AND MINERAL DEVELOPMENT

MINISTRY OF ENERGY AND MINERAL DEVELOPMENT (MOEMD)

Mandate:

· manage utilization of energy and mineral resources for development of Uganda and its people.

· The Ministry is concerned with matters such as energy policy, investments in mining, the establishment of new power generating infrastructure using hydro power, thermal power, solar power and nuclear power.

· To provide policy guidance in the development and exploitation of the energy and mineral resources.

· To create an enabling environment in order to attract investment in the development, provision and utilization of energy and mineral resources.

· To acquire, process and interpret technical data in order to establish the energy and mineral resource potential of the country.

· To inspect, regulate, monitor and evaluate activities of private companies in energy and mineral sectors so that the resources are developed, exploited and used on a rational and sustainable basis.

Develop Health–smart (Malaria) environmental impact assessments on all projects at all levels

Regulate private energy and mineral extraction operators as part of Malaria smart operations