Future Health Systems Uganda

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    Future Health Systems Uganda - Presentation Transcript

    1. Making Health Systems Work for the Poor A DfID funded research programme Collaborating institutions: Uganda - Makerere University Institute of Public Health Nigeria - University of Ibadan Bangladesh - ICDDRB China - Chinese Health Economics Institute India - Indian Institute of Health Management Research Johns Hopkins University, Baltimore, MD, USA Institute of Development Studies, Sussex, UK
    2. Making Health Systems Work for the Poor Increasing Access to Institutional Deliveries Using Demand and Supply Side Incentives [Uganda]
    3. Aim
      • To contribute in reducing maternal mortality (MDG 5) in Uganda and the regional countries by increasing institutional delivery through an innovative demand and supply side intervention
      • Promote the implementation of evidence based strategies
    4. [Uganda]
    5. Objectives
      • Identify the demand side factors that influence delivery at health facilities
      • Assess the effectiveness of a voucher system for services and transport in increasing deliveries at public, PNFP and PFP health facilities
      • Assess the effectiveness of a voucher system in increasing deliveries among the poor at public, PNFP and PFP health facilities
      [Uganda]
    6. Objectives
      • Identify the appropriate pathways through which vouchers influence delivery care services at public, PNFP and PFP health facilities
      • Estimate the incremental cost of implementing a voucher system for increasing deliveries at health facilities
      [Uganda]
    7. Methodology
      • Design: Cluster randomized trial
      • Study site: 4 sub-districts (2 intervention and 2 control) will be randomly selected from 2 randomly selected districts in eastern Uganda
      • Intervention: Voucher for transport and maternity services
    8. Methodology
      • Primary outcome: % change in the proportion of women delivering in the intervention and control areas
      • Secondary Outcomes:
      • Birth Outcome
      • Attendance of ANC
      • Attendance of PNC
      • Analytical method: Difference in differences analysis
    9. [Uganda]
    10. Innovations in the project
      • Transport scheme that uses locally available transport
      • Performance based method of payment
      • Inclusion of public and private facilities
      [Uganda]
    11. Actors
      • Makerere University School of Public Health
      • Ministry of Health
      • District health system
      • Donors
      • Health consumer organizations
      • Consumers
      • United Nations agencies
      • Bilateral agencies
      • Politicians
      • Other academic institutions
      [Uganda]
    12. [Uganda]

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