Uganda is pursuing financial sustainability for its immunization services through legislation and expenditure tracking. The Sabin Sustainable Immunization Financing (SIF) Program began its efforts in Uganda in September 2008.

Immunization Program Structure

The Ugandan National Expanded Program on Immunization (UNEPI) is located in the Directorate of Clinical and Community Services, Department of National Communicable Disease Control, Ministry of Health (MOH).

Uganda’s Progress to Date

Government Spending on Immunization

Vaccination Financing Mechanism

Legislation for Sustainability

Budget Advocacy

SIF Program Inputs

Government Spending on Immunization

Over the period 2006-2014, Uganda’s Gross National Income per capita doubled from US$340 to $680. According to the WHO/UNICEF Joint Reporting Form (JRF), the Ugandan government spent $3 on routine immunization per surviving infant in 2006. In 2014, government contributions rose to $11 per surviving infant, more than tripling. In addition, the government share of total routine immunization expenditures rose from 13 percent to 49 percent over the period. Since 2010, Uganda has reported inconsistently on JRF financial indicators. The data suggest that Uganda has not progressed towards country ownership of its immunization program. Among SIF countries, Uganda ranked eighth in terms of routine immunization spending per surviving infant in 2014.

Uganda's JRF Financial Feedback Report, 2006-2014.

Vaccination Financing Mechanism

An earmarked immunization fund is provided for in Uganda’s 2016 National Immunization Act. 

Legislation for Sustainability

The Constitution of Uganda lacks a substantive provision on the right to health; the right is mentioned under the directive principles of government policy. Parliament has the mandate to make laws to operationalize that constitutional right.

A desk review of immunization-related by-laws was completed in 2010. Work on an immunization bill began in September 2011. In October 2014, Sabin arranged a study tour for a team of MPs and government officials to Mongolia where a law and immunization fund already exist. In March 2015, the Ugandan counterparts incorporated provisions for an immunization fund into the draft bill. The bill was sent to the Health Committee in November, 2015, where it was approved and sent up for a full parliamentary vote. The bill was passed the following month. The President signed the National Immunization Act into law on 10 March 2016. Regulations for implementing the law are under preparation.

Budget Advocacy

The Parliamentary Network on Immunization was established in February 2012.

SIF Program Inputs

  • June 2012, October 2015, April 2016: Ugandan counterparts join Kenyan, Nigerian, Sierra Leonean, and Liberian peers in Sabin-sponsored peer review workshops
  • March 2015: Resident Sabin Senior Program Officer organizes legislative workshop
  • September 2009, September, November 2014: Resident Sabin Senior Program Officer organizes parliamentary briefings
  • October 2014: Ugandan counterparts study Mongolia’s immunization law and fund in Sabin-sponsored study tour
  • February 2010, April 2012, April 2013, March 2014: Resident Sabin Senior Program Officer, Ugandan Local Government Association, other counterparts organize national briefings
  • November 2011, January 2012: Resident Sabin Senior Program Officer and ULGA co-organize subnational briefings
  • September/October 2008: Resident Sabin Senior Program Officer introduces SIF program to Ugandan government

Last Updated July 12, 2016