Assessment of the Extent to which Resources Allocated to the Health Sector Affect Access to...
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Assessment of the Extent to which Resources Allocated to the Health Sector Affect Access to Medicines in Uganda
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Assessment of the Extent to which Resources Allocated to the Health Sector Affect Access to
Medicines in Uganda
Project rationale;• Uganda is a low income country with a GDP per
capita of US $ 430 and 31% of the population leaves below the poverty line.
• Demand for Essential Medicines and Health Supplies far exceeds supply. Less than half of the population obtains their medicines in the public sector
• HSSP III has prioritised increase in access to medicines and other health supplies.
• The National Medical Stores (NMS) is to be strengthening during the implementation of HSSP III. This is guided by the National Pharmaceutical Sector Strategic Plan (NPSSP II).
• Glaring infrastructural and human resource constraints exist:
– Limited monitoring and supervision, poor record management, infrastructural challenges in transport, communication and access to basic utilities at health centres
• UNHCO and HEPS will assess the extent to which resources allocated to the health sector affect delivery of medicines
Performance
IndicatorsNeeds Analysis
Consultation
Internal & External Environment
Proposed methods;
• Qualitative Service Delivery Survey (QSDS) tool
• Qualitative approaches include in-depth interviews; Key informant interviews and exit interviews with patients.
• The methodology measures the quality of health service delivery with various dimensions .
• The quantitative methods include; semi-structured questionnaires, document review and analysis of budgets allocations
• The sample population shall be drawn from both national and district level
• 30 public health facilities shall be randomly sampled from each of the two districts.
Research questions;
• The study will examine budgeting process, budgets, allocations, and actual deliveries from records at health facility level
• It will also examines other components/pillars of the health system that enable effective delivery of medicines
Long-term objectives.
• Improve the effectiveness of public spending on health and in particular medicines, so that government resources are reaching and improving the lives of those who need those most.
• Consolidate, strengthen and ensure an effective and harmonized procurement and supplies management system for medicines
Agaba AzizKibira Denis
Opio Geoffrey Atim
