Results Framework

The overarching goal of the 2015/6-2020 Health Program is to improve the health status of Uganda's population, as stated in the 1995 Constitution of the Republic of Uganda with its subsequent amendments, Uganda's Vision 2040, the SDGs, and its commitment to transform the fragmented health sector. This health project will make strategic investments to build country capacity that will have a sustainable impact on the entire health sector. This long-term goal of the Burnratty Investment Group focuses on consolidating the highly fragmented Ugandan, East African, and African health sector and increasing access to quality healthcare services, increasing the engagement of individuals and communities in the management of their own health and health systems, and improving the management and performance of the health system to emerge as the leading authority in the health sector globally. These objectives will contribute to achieving the government and ministry of health goals in a multifaceted approach to: 1) fight curable and incurable diseases 2) provide improved, modern and accessible healthcare services. 3) increase the engagement and contribution of the private health sector. Other related benefits shall be intertwined and met through our consolidation of and development of an improved health delivery organization, and they shall realize a major contribution towards the reduction of maternal, neonatal, and under 5 mortality rates; production of improved research, health advocacy, and ensuring the observance of the right to health as a top priority. In the immediate short term, our objectives in improving the health sector are laid out below as Intermediate Results (IR) in an updated results framework for the Burnratty Investment Group.

Uganda is at a crossroads in the fight against the COVID pandemic and its human development. Not only must it tackle the ever-increasing contractions and deaths due to the pandemic through the implementation of regulations and lockdown while risking the spread of the pandemic in under-facilitated communities engaging in self-isolation, it also has high rates of infant and maternal mortality and must also cope with a growing crisis of non-communicable and emerging diseases such as the currently silent threat of Ebola, Cholera amidst the most threatening and urgent COVID-19. The government's efforts to implement widespread reforms including decentralization, universal health coverage, and integration of community health services bring new challenges to ensuring that these policies are implemented effectively and efficiently. The success of Uganda's health program will hinge on its ability to balance a portfolio of "traditional" key public health interventions while also adapting to a rapidly changing globalized world focused on new technologies and innovation with massive input from the private sector.

The Burnratty Investment Group seeks to address seven health technical areas corresponding to Uganda's health funding streams with a strong focus on the fight against the COVID-19 pandemic and offer a long-term solution of consolidating the health sector while aggressively contributing towards the improvement of maternal, child, and new-born services, family planning/reproductive health, nutrition, HIV/AIDS, and malaria prevention, treatment, and control with a major focus on improving the Ugandan health index holistically. The geographic focus of the project shall flow from Uganda, to East Africa spreading out into Africa and the global market as soon as humanly possible.

Intermediate Result 1: Increased Access to a High-Quality Package of Essential and Non - Essential Health Services.

Sub-IR 1.1: Increased Access to Quality Health Services and Products in the Public Sector

The Burnratty Investment Group will support the public sector in improving the provision of quality healthcare and health statistical data, as well as care and life-saving products along the community-to-facility continuum, to ensure quality service delivery at the national, district, community, and health facility levels. Activities will focus on the acquisition and transformation of existing small and medium-sized medical practices that fit our investment standards. These practices will be prepped and structured to better address the inefficiencies in the health sector, with the goal of realizing high-impact value and consistent interventions that will rapidly improve the Ugandan health index, as well as maternal, child, and new-born morbidity and mortality. This will be achieved through the engagement of skilled medical personnel and the employment of revolutionary best practices developed by our research arm, with international best practice acting as the minimum benchmark.

Sub-IR 1.2: Increased Availability of Private Sector Service Delivery Points and Products

Despite the increase in the number of private healthcare providers in Uganda, the health industry remains highly fragmented, with significant potential for expansive growth that has yet to be consolidated by any one entity. Most of the improved health services are evenly spread across various aspects, including healthcare education, ownership, management, distribution, and delivery of improved and competitive healthcare services, education, and research. The Burnratty Investment Group, through its profit-seeking venture, will provide support to Uganda in updating its processes towards modernizing, consolidating, and improving the offer of competitive health services that will position us as an authority in dealing with various health challenges while representing the best quality healthcare standards. This project will also support our improved operational standards, marketing, and distribution of health products in Uganda.

Immediate Result 2: Increased Engagement of Individuals and Communities

Sub-IR2.1: Increased Adoption of Healthy Behaviours

The adoption of healthy behaviours can be a long and complex process that is affected by social, cultural, religious, and gender-related factors. The Burnratty Investment Group realizes that in order to inspire effective behaviour change, the activities employed must be educational, strategic, evidence-based, targeted, and sensitive to Uganda's unique cultures and changing demographics.

Sub-IR2.2: Improved Community Involvement in Health System Governance

Furthermore, sustainable and lasting improvements in healthcare services cannot be achieved without the direct engagement of the communities in which we operate. This shall be carried out through our foundational arm, which shall play an important role in guaranteeing transformative services that will be offered through the sensitization of communities to the importance of taking ownership of and responsibility for their own health.

Immediate Result 3: Improved Performance of the Health System

Sub-IR 3.1: Improved Health System Governance and Finance

Good governance at all levels of the health system is essential in ensuring accountability, transparency, scalability, and rapid improvement in the management and delivery of quality health services. We shall develop this good governance on the one hand, which will steer efforts towards building the capacity of skilled, semi-skilled, and highly specialized professionals to ensure that they have the knowledge, skills, and tools required to adapt to new challenges in a rapidly changing environment. This will better position the areas in which we operate to be ready and more prepared to innovate and operate in complex situations since they will be skilled through our effective educational plans.

The Government of Uganda's commitment to the realization of universal health coverage provides an excellent window through which we can tap into in our vision towards consolidating the health sector. The Burnratty Investment Group will support the expansion of community-based health insurance and the integration of some free services aimed at protecting women, children, and the elderly.

Sub-IR 3.2: Improved Management and Availability of Qualified Human Resources

Uganda's health system suffers from insufficient quantity and quality of health personnel, who are unevenly distributed in rural and urban areas. Public sector employees are frequently underpaid, unmotivated, and insufficiently supervised. The Burnratty Investment Group will operate through an improved human resource management system geared towards making sustainable and lasting improvements to the health sector.

Sub-IR 3.3: Improved Management of Public Health Commodities

Uganda's supply chain and commodity distribution system are hampered by limited access and unavailability of improved operational, regulatory, and research standards that hampers innovation and delivery of essential drugs, contraceptives, and other health commodities at all levels. In line with its commitment to ensuring access to life-saving commodities, hospital beds, among others, through our dedicated educational and research arm, we shall provide a framework for accelerating system reforms. Under this project, the Burnratty Investment Group will operate through new approaches to strengthen public health management.

Sub –IR 3.4: Improved Information and Data Use for Decision Making

Further still, health workers at all levels have limited capacity to use and interpret health data because it is scarce or non-existent. The Burnratty Investment Group shall dominate this space and contribute to strengthening the capacity of health sector personnel through the collection, analysis, and use of health information acquired from studies, outreach, and patients to improve decision making at central, regional, and district levels.