Uganda

This paper challenges the finding that religious providers are intrinsically motivated to serve (poor) patients, and that extrinsic incentives may crowd-out such motivation.  It finds that PBF improved allocative efficiency by 27%, indicating that although Faith-based healthcare providers may be intrinsically motivated, they still respond positively to extrinsic incentives.

This article examines the effects of several RBF programs on health care purchasing functions in three fragile and post-conflict settings: Uganda, Zimbabwe and the Democratic Republic of Congo (DRC) over the past decade.

Qualitative research methods are increasingly in demand in the field of ‘global health’. Often, they are used alongside, or embedded within, clinical trials to add deeper interpretations of the success – or otherwise – of interventions. This mounting appreciation of qualitative methods and proximity to intervention research has driven demand for guidance on conducting good quality qualitative research in these scenarios.

Toute recherche cherche à donner un sens au monde qui nous entoure, à l'aide d'un ensemble spécifique de méthodes, et toutes ces méthodes sont soutenues par un ensemble particulier de théories ou d'hypothèses philosophiques. Pour comprendre complètement un phénomène social en particulier, il peut être utile de l'observer depuis plusieurs angles, avec toute une variété de méthodes quantitatives et qualitatives. 

Providers at health facilities that implement voucher programs experienced lower job satisfaction when workloads increased without additional compensation. Frontline workers such as nurses experience this more acutely than clinical officers and head midwives. Voucher programs may have unintentional consequences on health worker burnout unless these issues are considered in the implementation of the program.
 

The maternal mortality ratio (MMR) in Uganda has declined significantly during the last 20 years, but Uganda is not on track to reach the millennium development goal of reducing MMR by 75% by 2015. More evidence on the cost-effectiveness of supply- and demand-side financing programs to reduce maternal mortality could inform future strategies.

This study analyses the cost-effectiveness of a voucher scheme (VS) combined with health system strengthening in rural Uganda against the status quo.

There has been increased interest in and experimentation with demand-side mechanisms such as the use of vouchers that place purchasing power in the hands settings. A key measure of the success of such interventions is the extent to which the programmes have succeeded in reaching the target populations. This article estimates the coverage of facility deliveries by a maternal health voucher programme in Southwestern Uganda and examines whether such coverage is correlated with district-level characteristics such as poverty density and the number of contracted facilities.
 

In the context of sector-wide approaches and the considerable funding being put into the health sectors of low-income countries, the need to invest in well-functioning national health sector monitoring and evaluation (M&E) systems is widely acknowledged. Regardless of the approach adopted, an important first step in any strategy for capacity development is to diagnose the quality of existing systems or arrangements, taking into account both the supply and demand sides of M&E.

Hoima is one of 20 districts in Uganda participating in a pilot project to help poor communities gain access to reproductive health services. The Global Partnership on Output-Based Aid (GPOBA), a partnership program administered by the World Bank, is using output-based aid (OBA) to make access to health services possible. OBA is a results-based approach that ties payment of public funding directly to the delivery of specific services or “outputs”.

This feature article describes how voucher programs for safe motherhood services and management of STIs in Uganda and Kenya are helping improve health outcomes for the poor. Voucher programs take time and investment to design and administer, but the evidence suggests they can increase access to essential services and enable facilities to be more responsive to patients. This article highlights issues of managing claims, accrediting facilities, fraud and sustainable financing.

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