Sources of funds for the palliative care providers
The stand-alone palliative care providers had two sources of income: 1) Donations (local and international grants) and 2) Income generating activities from axillary projects, provide training in short courses on palliative care, co-payment of service fee and membership fees. The total amount of funds received by all the stand-alone palliative care providers over the five year period was Ushs 123,451,035,673/=; of which Ushs 115,086,594,042/= (93.22%) was from donations and Ushs 8.364, 441,631/= (6.78%) was from income generating activities within the organizations. The percentage contribution from donations to total income ranged from 100% for Kitovu Mobile to 79.34% for Kawempe Home Care (KHC). Other centres assessed: Rays of Hope Hospice Jinja (99.05%), Palliative Care Association of Uganda (PCAU) (91.32%), Mildmay Uganda (95.34%), HAU (95.3%), and Reach Out Mbuya (88.72%). The percentage contribution from locally generated funds ranged from 20.66% for KHC, to 0.95% for Rays of Hope Hospice Jinja; with an average of 6.81%. The others were Mildmay Uganda (4.66%), HAU (10.7%), Reach Out Mbuya (11.28%) and PCAU (8.68%).
Rays of Hope Hospice Jinja had a total income of 603,375,127 UGX over the five years. Of this, 99% were donations from eight donors that is; three from UK, two from USA and one each from Ireland, the Netherlands and African Palliative Care Association (APCA), and 93% of this income is used as operational funds.
HAU had a total income of 22,346,062,751 UGX, 89% from donations and 11% from local income generating activities. There were 58 sources of funding; 7 from locally generated funds (one time or monthly cash donations, in-kind donations that is medicines and sandices, corporate social responsibilities), 33 from international donations and 16 were from local income generation activities (axillary projects, short courses in palliative acre, co-payment of user fees, retailers and membership fees). The local donors included PCAU/MPCU, MOH, Airtel, Centenary Bank, individuals and other unspecified sources. There were 33 international donors; the majority from UK, USA and Europe. The income generating activities included education fees, rentals, sale of oral morphine, bank interest and disposal of assets.
Kawempe Home Care had a total income of 1,526,079,266 UGX; of which 54% was from international donations, 25% from local donations and 21% from local income generating activities.
Palliative Care Association of Uganda had a total income of 2,314,470,196 UGX from 17 sources during the period under study; of which 12 were local donations (cash of one time or monthly donations from Ugandans), fund raising rally and four were income generating activities(short courses, membership fee). International donations constituted 91.2% of the income, internally generated funds constituted 7.7% and local donations were up to 1.1%.
Reach Out Mbuya had a total income of 11,352, 288,252 UGX from 22 sources; ten of which were local donations (6%), eleven were international donations (83%) and one income generating activity (11%).
Mildmay Uganda (MU) had a total income of 81,218,366,800 UGX. International donations contributed 90%, local donations and income generating activities contributed 5% each. There were seven sources of donations; three international donations, and two each local donations and income generating activities.