Analyses of Health Care Reforms in Uganda and Its Impact on Health Equity | Chapter 3 | Issues and Development in Health Research Vol. 7

 Over the years, the Ugandan government, in conjunction with key stakeholders, has begun to implement health policy reforms targeted at improving health care equity. These include expanding access to health care, improving quality of care, improving health-care delivery efficiency, and lowering catastrophic health-care costs. The analysis' goal was to compile a summary of the numerous health reforms that have been implemented and how they have impacted health equity in the country. This research is based on an examination of both published and unpublished papers from the Ugandan government, multilateral organisation reports such as the World Bank and the World Health Organization, and government and development partner commissioned studies. Inequities due to a lack of medications and other pharmaceutical supplies, quality concerns, and a lack of high-impact therapies are among the results. Other findings include the existence of under-the-table payments, unsustainable out-of-pocket payments that contribute to high rates of catastrophic health spending, dilapidated health infrastructure in many parts of the country, low morale among health personnel, and low government spending on health care. However, the reforms have resulted in enhanced efficiency advantages in terms of increasing use of lower-level government facilities, such as health centres, and decreased usage of hospital services. Increased investment in the health sector is recommended, as well as methodical development and implementation of policies including all key players, as well as boosting the supply of vital drugs, renovating health infrastructure, and providing incentives to health workers. Supporting the operations of community health insurance and other pre-payment schemes designed to protect the poor from catastrophic health-care costs is another recommendation. Similarly, political commitment to raising government spending on health care in line with the Abuja Declaration of 2001, as well as measures targeted at improving health care delivery efficiency, is suggested.

Author(S) Details

Timothy C. Okech
Chandaria School of Business, United States International University, Africa.

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