Civil society group fails to block sh1.4 trillion for Lubowa Hospital

14 May 2024


KAMPALA. The Constitutional Court in Kampala has dismissed a petition in which Civil Society Organization Initiative for Social Economic Rights (ISER) wanted to stop a parliamentary resolution to guarantee sh1.4 trillion to an Italian Investor for construction of an ultra-modern Hospital in Lubowa.

In a unanimous decision, the Constitutional Court of Justices Fredrick Egonda-Ntende, Catherine Bamugemereire, Irene Mulyagonja, Monica Mugenyi, and Oscar Kihika threw out the petition.

The Justices have dismissed the petition against the Attorney General on grounds that Parliament passed a resolution after the Ministry of Health and Ministry of Finance had entered into the Direct Agreement for the financing of the loan in issue and therefore it did not come into operation until the resolution was passed, as is required by Article 159 (5) of the Constitution.

The Justices have explained that the imperative in Article 79 that no person or body other than Parliament shall have the power to make the law was satisfied because it is the same that Parliament applied to enter into the impugned contracts and therefore, the Constitution was effectively protected by the Law and by Parliament.

In February 2013, FINASI made a proposal to President Yoweri Kaguta Museveni to build and manage specialized healthcare facilities at Entebbe Grade A Hospital and the Uganda Cancer Institute. As a result, the President directed the Ministries of Health and Finance, Planning and Economic Development to negotiate the project and its financing.

Consequently, on January 27th 2016, the Government entered into a Project Services Agreement with the International Specialised Hospital of Uganda Limited (ISHU) to undertake the operations and management of the facilities of the Hospital for a period of eight years.

Subsequently, Ministry of Health and Ministry of Finance on behalf of Government then entered into a Project Works Investment Agreement with Finasi/Roko Construction Special Purpose Vehicle Limited (Finasi/Roko). This resulted in the two ministries entering into a Lenders Direct Agreement with the African Export-Import Bank and Others, to facilitate the construction of the Hospital.

In line with the said agreements, records before Court indicate that when Finasi/Roko presented the first Milestone Completion Certificate, duly certified, the Ministry of Finance was required to issue a Promissory Note within two weeks, which was due by December 22 2018.

However, Government defaulted and was therefore liable to pay a penalty. Records further indicate that on February 12th 2019, the Minister of State for Finance in Charge of Planning tabled a proposal before Parliament for Government to issue promissory notes, not exceeding USD 379.71 Million(then 1.4 trillion Shillings) to Finasi/Roko for financing the design, construction and equipping of the Hospital.

Consequently, in March 2019, the Parliamentary Committee on National Economy, to which the proposal was referred by Parliament for consideration, observed that the necessary approval had not been granted by Parliament but it went ahead to recommend that Parliament approves the issue of the promissory notes.

According to the evidence before Court, a Minority Report was issued by some members of the Committee in which they opposed the recommendation but promissory notes were issued in spite of the Minority Report.

Dissatisfied with all these actions, the Civil Society Organization filed a Constitutional petition against the Attorney General saying that the actions of the government were unconstitutional because the entire procedures leading to approval were improper.

ISER argued that the process of the conceptualization of the project was marred with lack of transparency and participation of the citizens who are bound to shoulder the financial implication of the loan obligations, which the state has illegally gotten into.

They further argued that the construction of the hospital at Lubowa will not solve Uganda’s Health Sector challenges and that as such, the entire project runs against the broader national interests that should be protected. ISER asked Court to cancel the agreement and to order that within one year from the determination of the petition, Parliament furnishes the Court with a comprehensive framework on how it intends to ensure effective citizen participation in the processes leading to approval of the project.

They also asked court to order Finance and Health Ministers to ensure that all necessary steps are taken to implement project in line with the Public-Private Partnership Act.

On his part, the Attorney General asked Court to dismiss the petition on grounds that whereas the petitioner pleads that the impugned act contravene the Constitution, the petition did not disclose any dispute that requires the interpretation of the Constitution; instead the petitioner seeks the application of the articles of the Constitution cited.

Attorney General further submitted that the petitioner here could have sought and obtained redress in an action for judicial review in the High Court, by challenging the actions of entering into the International Specialized Hospitals of Uganda agreements as illegal and having them quashed.

Government further submitted that while it was contended in the answer that the promissory notes that were issued did not amount to a guarantee of any loan payment obligation, after the filing of the pleadings and evidence, it was established that the Attorney General, in December 2018, issued legal advice to the Ministry of Finance that the promissory notes which were provided for in the Direct Agreement constituted a guarantee to the lenders in support of the Fiansi/Roko Construction SPV.

He accordingly conceded that due to the fact that the promissory notes were under The Direct Agreement between Government and Finasi/Roko Construction SPV; African Export-lmport Bank and Barclays Bank of Uganda (“the lenders”), by which Government was to make guarantees to both the SPV and the lenders, the promissory notes constituted a guarantee to both the SPV and the lenders for the contemplated loans in support of the SPV.

Regarding other submissions, the government indicated that they didn’t require interpretation by the Constitutional Court.

In their Judgement, the Constitutional Court Justices have ruled that the loan that is challenged was, in their view obtained under the second limb of clause (3) of section 36 PFMA (Public Finance Management Act).

“My understanding of the requirement in section 36 (5) then is that it does not require approval of the terms of the loan to be laid before Parliament before the instrument under which the loan is obtained is executed. What is required is that the terms must be laid before Parliament and approved before the loan is enforced,” said Mulyagonja who wrote the lead Judgement.

They said the Direct Agreement was dated December 4th 2018, which placed it in the Financial Year 2018/2019. While relying on the affidavit of Charles Byaruhanga ,the court stated that the first Milestone Completion Certificate was issued by the Owner’s Engineer on December 20th 2018.

But the promissory notes were not issued until April 2019, within the same Financial Year. However, according to the Justices, by that date, Parliament had passed the Resolution on 12th March 2019 approving the proposal by the MoFPED for Government to issue promissory notes worth US$ 379.71 Million to the Contractor.

They noted that this is in relation to section 23 (2) which gives Parliament power to may authorize a vote to make a multi-year expenditure commitment, which should then be indicated in the Annual Budget.

“In conclusion, the provisions Article 159 (2)’, (5), and (6) of the Constitution were satisfied by sections 23 and 36 of the PFMA. The Direct Agreement was laid before Parliament, which scrutinized it through the Committee on National Economy, and the requisite Resolution was passed by Parliament,” held the Justices.

“The execution of the Direct Agreement in respect of the International Specialized Hospitals of Uganda was, therefore, not in contravention of or inconsistent with Article 159 (2), (5), and (6) of the Constitution.

Though the impugned Resolution was passed after the Ministry of Health and Finance Ministry entered into the Direct Agreement for the financing of the Hospital, the Court found that the agreement did not come into operation until the resolution was passed as required by the Constitution,” they added.

ISER’s bid to cancel the loan and ensure citizen participation was thus unsuccessful, with the Court upholding the legality of the financing agreement. This decision marks a significant outcome in the ongoing debate surrounding public-private partnerships and healthcare infrastructure development in Uganda.

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