Mbarara Hospital Fails to Account for Shs4 Billion

A six-week investigation into Mbarara Regional Referral Hospital (MRRH) in Uganda has revealed significant financial and administrative problems, including a staggering failure to account for Shs4.1 billion (approximately $1.1 million USD).

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The hospital management has failed to account for Shs4.1 billion. Hospital administrators claimed to have paid over Shs2 billion towards utility bills. However, we have found no physical receipts.

The State House Health Monitoring Unit (HMU), led by Executive Director Dr. Warren Naamara, found that hospital management could not provide proper documentation for the missing funds. Furthermore, the hospital allegedly made utility payments exceeding Shs2 billion without any physical receipts, and the National Water and Sewerage Corporation (NWSC) has not confirmed receiving these payments. The probe also uncovered irregularities in fuel claims, with drivers reportedly pocketing cash for fuel not used.

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They claim to have paid over Shs2 billion but no receipt and NWSC doesn't acknowledge receipt.

Compounding these financial issues is a severe human resource crisis. MRRH is operating with only 318 staff members against an approved requirement of 1,256, creating immense pressure. Investigators also noted a high staff absenteeism rate, estimated at 50%, which severely compromises patient care and service delivery.

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We have discovered that drivers have been fueling cars and retaining money that is not accounted for. They requisition 80 litres, fill 40 litres and take the balance in cash.

Dr. Deus Twesigye, Acting Executive Director of MRRH, acknowledged the staffing challenges, stating the hospital is overwhelmed. He mentioned plans to implement a digital attendance system to monitor staff presence and ensure salaries are paid only to those reporting for duty. Regarding the unaccounted funds, he stated they would await the investigators' report. The HMU has officially handed over its findings and warned that implicated officials have until December to account for the funds, respond to the audit, and present corrective measures. Failure to resolve these issues could lead to further action.

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The audit revealed a staggering 50% absenteeism rate among the hospital's active staff, severely compromising patient care.