The State House Health Monitoring Unit (HMU) has commenced investigations into the Executive Director of Mulago National Referral Hospital.
Dr Byarugaba Baterana who doubles as Accounting Officer has been with the HMU Criminal Investigations Department since yesterday (March 1, 2022) responding to specific investigative issues, the unit said on Wednesday.
Background
In April 2021, HMIJ conducted an Investigative Review of Mulago National Referral Hospital that focused on Essential Medicines and Health Supplies (EMHS), Human Resources for Health and Finance covering a period of the last four (4) Financial Years.
The Reviews were pursuant to the numerous complaints that the HMCI had been receiving from both Mulago Hospital staff and concerned citizens regarding alleged gross mismanagement at the Hospital.
A report was shared with Mulago NRH to provide additional information where queries were raised.
Having failed to provide satisfactory information, further investigations were commenced and preliminary findings recorded.
Finances
A total of 65 Staff both serving or retired were interviewed and statements recorded and so far it has been established that a total of Shs974,347,291 is unaccounted for/ misappropriated to for the period of two years July 2019 to June 2021.
The Accounting Officer failed to notify the Accountant General about the missing vouchers amounting to 5,273,728,6071=.
Equipment Repairs and Maintenance
In November, 2016, Mulago Hospital contracted two Companies MS Setramaco International Ltd, and MS Convention World Ltd to provide a wide range of services like; running the Laundry Machines, Central Sterile Supply Department, Steam Boilers among others.
Investigations have so far revealed that based on forged job cards, Work Completion Certificates and duplicated activities, these two Companies were paid by Mulago, a total of UGX 20,537,264,362 a loss occasioned to Government of Uganda under dubious and fictitious payments for supply of services and consumables.
Suspicious Procurement of Medicines and other Medical Supplies
The Investigating team also conducted verification of supplies allegedly procured from First Pharmacy by the Hospital.
The verifications were prompted upon establishing from IFMS payment statements obtained from the Accountant General indicating that during the period under investigations; Mulago Hospital had paid First Pharmacy a total amount of UGX. 1, 423,473,215= as payments for medicines procured and supplied under emergency orders presumably after running out of
NMS supplied stocks.
Burns Unit Store: Verification conducted at the Burns Unit store located at Kiruddu Hospital but still under Mulago Hospital by then, established that only a small quantity of the purported deliveries made by First Pharmacy had been received in their store.
Most of the other delivery notes from First Pharmacy indicating deliveries to have been made to the said Burns Unit Store have since been denied by Kiruddu Hospital.
Mulago Hospital Bulk/central store: During verifications at the Bulk/central Stores it was established that funds worth Ugx.754,189,609 were paid out to First Pharmacy A/C in Fourteen (14) different transactions between December 2017 and May 2020 for untraceable supplies.
For example, where the Stores staff signed acknowledging receipt on the said deliveries and Goods Received Notes (GRN) generated, there is absolutely no record that the said items were entered in the respective Stock cards and issued out to different User Units.
The investigating team also took note of the fact that most of the items indicated on the First Pharmacy Delivery Notes as having been supplied to the Bulk Store were the same as what NMS delivers to the Hospital and dispenses to the public at no cost.
A total amount of UGX40,529,186/= was paid by Mulago to First Pharmacy purportedly for purchase of medical supplies.
Analysis of documents so far reveals that the said medical supplies were not delivered to the Hospital.
Illegal Operations by Private Pharmacies within the Hospital
Mulago Hospital management headed by the Executive Director on the 7th February, 2018 entered into ten (10) years Memoranda of Understanding and Tenancy Agreements with private pharmacies, Ecopharm and First Pharmacy to operate within the Hospital premises.
The said MOU and Tenancy Agreements between Mulago Hospital and the two private Pharmacies were poorly executed and without clearance from the relevant Government Authorities.
The Pharmacies are operating illegally without National Drug Authority Licenses.
Due to these poorly executed MOUs and Tenancy Agreements, both Eco Pharm Pharmacy and First Pharmacy had defaulted on paying rent to the tune of UGX for Eco Pharm Pharmacy and 67,500,000 for First Pharmacy respectively by 4th November, 2021.
CONCLUSION
The total unaccounted and misappropriated funds at Mulago National Referral Hospital during the period under investigations is so far – UGX. 28,806,032,270= (Twenty-Eight Billion, Eight Hundred Six Million, Thirty Two Thousand, Two Hundred Seventy Shillings Only).
“The above findings are preliminary per our investigations. Once investigations have been Completed all suspects will be arraigned in courts of Law,” the unit said.
