The document provides an overview of the findings of Uganda's 2015 National Service Delivery Survey (NSDS). Some key highlights:
- The NSDS covered 10 sectors including education, health, water and sanitation, and agriculture. It surveyed over 11,000 households nationwide.
- In education, 91% of children were found to be attending school. However, school facilities were often inadequate, with high pupil-teacher ratios.
- In health, 26% of people reported illness in the previous month, mainly fever/malaria. 51% sought care at government facilities on average 3km away. 62% felt services had improved.
- Access to safe water increased, with 75% in dry season and
This document summarizes a research dissertation on local government and health service delivery in Uganda, specifically in Lira District. The study examines the accessibility and quality of health services provided by Adekokwok Sub-County and ways to improve delivery. Some key points:
1) Decentralization policy aims to provide services like health care locally but allegations of insufficient delivery due to poor management and lack of accountability remain.
2) Accessibility of health services in the sub-county is limited. Services in some rural areas are inaccessible or unequipped. Quality is also poor in many parts of the country.
3) Suggested ways to improve include increasing funding to local governments and ensuring proper accountability
The document summarizes a study on awareness and utilization of social health insurance in Biratnagar, Nepal. It found that while most residents were aware of health insurance, only about 70% were enrolled in social health insurance. Of those enrolled, 83% had used it 1-2 times in the past year. Though premiums were viewed as affordable, some residents lacked trust in facilities or were unaware of the scheme. The study concluded awareness of social health insurance was high but utilization could be improved by building trust and increasing awareness of the program.
The document provides demographic and economic statistics for Taiwan. It notes that Taiwan has a population of 23.54 million with a GDP per capita of $22,384. It has an aging population, with 13.2% of residents being 65 or older. Taiwan implemented a single-payer National Health Insurance program in 1995 that now covers 99.9% of residents. It also developed an electronic health records system accessible via health cards and online portals. Taiwan faces challenges from its growing elderly population and is working to enhance long-term care, including developing community-based services and a trained long-term care workforce.
This document summarizes a research study on rural water supply management in Dodoma Region, Tanzania. The study examined the implementation of Community Owned Water Supply Organizations (COWSOs), private sector participation, and monitoring systems across the region's seven districts.
The research found that water management systems in rural Dodoma are distributed as village water committees (56%), private operators (28%), and COWSOs (15%). The establishment and registration of COWSOs lacks dedicated funding, clear guidelines, and adequate support from local governments. As a result, only 25% of planned COWSOs in 2014 were officially registered.
While district engineers viewed private operators as more efficient managers, contracts between private
Providing Health in Difficult Contexts: Pre-Pilot Performance-Based Financing...RBFHealth
The Adamawa Primary Health Care System in Nigeria has implemented performance-based financing (PBF) to address underlying issues plaguing the health system. After two years of pre-pilot implementation, results have been encouraging with improvements in key indicators like institutional deliveries and vaccination rates. Success stories like Mayo-Ine health center demonstrate how community engagement and strengthened management can boost coverage. However, some indicators still show room for growth, and deeper analysis finds issues like staffing shortages and infrastructure problems influencing performance. Moving forward, continued scale-up and addressing broader health system challenges will be important to sustain gains under PBF in Adamawa State.
The document discusses gaps in Myanmar's health system that hinder progress on MDG goals related to child mortality. It identifies gaps in service delivery, program coordination, and human resources. The Health Systems Strengthening goal is to improve essential health services for mothers and children by strengthening coordination, planning, and human resources management. Key activities include expanding service access in remote areas, developing guidelines for coordinated township health plans, researching effective health financing schemes, and ensuring adequate staffing levels according to national standards. Outcomes will be measured by coverage indicators like DTP3 and skilled birth attendance rates.
What Lessons for Sustainability of Maternal Health Interventions Can Be Drawn...David Roger Walugembe
This document discusses lessons for sustainability that can be drawn from the Uganda Rural Water and
Sanitation (RUWASA) project, which was implemented from 1991-2001 in eastern Uganda. The key findings
are:
1. Latrine coverage and access to safe water increased substantially in the districts of Pallisa and Kamuli even
after the RUWASA project ended, showing its sustained impact.
2. Factors that contributed to the project's sustainability included community involvement in planning and
maintenance, community contributions towards infrastructure, and training local mechanics to conduct repairs.
3. Close involvement of communities helped build trust and secure ongoing financial and labor contributions,
fostering a sense of ownership over the water sources and
This document summarizes a research dissertation on local government and health service delivery in Uganda, specifically in Lira District. The study examines the accessibility and quality of health services provided by Adekokwok Sub-County and ways to improve delivery. Some key points:
1) Decentralization policy aims to provide services like health care locally but allegations of insufficient delivery due to poor management and lack of accountability remain.
2) Accessibility of health services in the sub-county is limited. Services in some rural areas are inaccessible or unequipped. Quality is also poor in many parts of the country.
3) Suggested ways to improve include increasing funding to local governments and ensuring proper accountability
The document summarizes a study on awareness and utilization of social health insurance in Biratnagar, Nepal. It found that while most residents were aware of health insurance, only about 70% were enrolled in social health insurance. Of those enrolled, 83% had used it 1-2 times in the past year. Though premiums were viewed as affordable, some residents lacked trust in facilities or were unaware of the scheme. The study concluded awareness of social health insurance was high but utilization could be improved by building trust and increasing awareness of the program.
The document provides demographic and economic statistics for Taiwan. It notes that Taiwan has a population of 23.54 million with a GDP per capita of $22,384. It has an aging population, with 13.2% of residents being 65 or older. Taiwan implemented a single-payer National Health Insurance program in 1995 that now covers 99.9% of residents. It also developed an electronic health records system accessible via health cards and online portals. Taiwan faces challenges from its growing elderly population and is working to enhance long-term care, including developing community-based services and a trained long-term care workforce.
This document summarizes a research study on rural water supply management in Dodoma Region, Tanzania. The study examined the implementation of Community Owned Water Supply Organizations (COWSOs), private sector participation, and monitoring systems across the region's seven districts.
The research found that water management systems in rural Dodoma are distributed as village water committees (56%), private operators (28%), and COWSOs (15%). The establishment and registration of COWSOs lacks dedicated funding, clear guidelines, and adequate support from local governments. As a result, only 25% of planned COWSOs in 2014 were officially registered.
While district engineers viewed private operators as more efficient managers, contracts between private
Providing Health in Difficult Contexts: Pre-Pilot Performance-Based Financing...RBFHealth
The Adamawa Primary Health Care System in Nigeria has implemented performance-based financing (PBF) to address underlying issues plaguing the health system. After two years of pre-pilot implementation, results have been encouraging with improvements in key indicators like institutional deliveries and vaccination rates. Success stories like Mayo-Ine health center demonstrate how community engagement and strengthened management can boost coverage. However, some indicators still show room for growth, and deeper analysis finds issues like staffing shortages and infrastructure problems influencing performance. Moving forward, continued scale-up and addressing broader health system challenges will be important to sustain gains under PBF in Adamawa State.
The document discusses gaps in Myanmar's health system that hinder progress on MDG goals related to child mortality. It identifies gaps in service delivery, program coordination, and human resources. The Health Systems Strengthening goal is to improve essential health services for mothers and children by strengthening coordination, planning, and human resources management. Key activities include expanding service access in remote areas, developing guidelines for coordinated township health plans, researching effective health financing schemes, and ensuring adequate staffing levels according to national standards. Outcomes will be measured by coverage indicators like DTP3 and skilled birth attendance rates.
What Lessons for Sustainability of Maternal Health Interventions Can Be Drawn...David Roger Walugembe
This document discusses lessons for sustainability that can be drawn from the Uganda Rural Water and
Sanitation (RUWASA) project, which was implemented from 1991-2001 in eastern Uganda. The key findings
are:
1. Latrine coverage and access to safe water increased substantially in the districts of Pallisa and Kamuli even
after the RUWASA project ended, showing its sustained impact.
2. Factors that contributed to the project's sustainability included community involvement in planning and
maintenance, community contributions towards infrastructure, and training local mechanics to conduct repairs.
3. Close involvement of communities helped build trust and secure ongoing financial and labor contributions,
fostering a sense of ownership over the water sources and
The document discusses South Africa's social programs and efforts to integrate public and administrative registries to evaluate these programs. It outlines South Africa's social wage regime established since 1994 to address high poverty, inequality, and unemployment. It then describes the National Integrated Social Information System (NISIS) and SOCPEN payment system, which aim to consolidate beneficiary data across programs but face challenges in data quality, integration between systems, and completing nationwide household profiling. Overall, the document examines South Africa's efforts to better monitor and coordinate its large investment in the social wage through improved information systems and data integration.
INTEGRATING PUBLIC AND ADMINISTRATIVE REGISTRIES IN THE EVALUATION OF SOCIAL ...UNDP Policy Centre
The document discusses integrating public and administrative registries to evaluate social programs in South Africa. It provides background on South Africa's social programs since 1994. The National Integrated Social Information System (NISIS) was developed to integrate data across systems like education and healthcare to better monitor social programs, but it has progressed slowly and faces data quality issues. The South African social protection payment system (SOCPEN) interfaces with other systems but not always in real time. Fully integrating information systems remains a challenge due to competing priorities and a lack of ownership over integrated data.
Strengthening government primary reproductive healthcare services through soc...Marie Stopes International
Nguyen Thi Bich Hang's presentation at the International Conference on Family Planning, 2013 on:
Strengthening government primary reproductive healthcare services through social franchising in rural Viet Nam: the “tinh chi em” (Sisterhood) model
Importance of Community Health Strategy (CHS) in attaining health goals (MNCH...REACHOUTCONSORTIUMSLIDES
This document outlines Kenya's community health strategy. It discusses how community health units empower communities to take control of their health, hold leaders accountable, and improve health outcomes. The strategy aims to enhance access to healthcare through sustainable community services. Key points include:
- Community health units are a key part of Kenya's healthcare system and Vision 2030 goals.
- Over 4587 units had been established by 2015, serving over 40,000 communities.
- The strategy has contributed to improved maternal and child health indicators in Kenya.
- Continued support is needed to ensure resources, training, and data systems for community health volunteers and units.
- Research shows community health strategies can increase healthcare utilization and reduce childhood mortality.
This document analyzes nutrition changes in Odisha, India from 1992-2014 through a review of nutrition outcomes, determinants, policies, and programs. It finds that while stunting, wasting, and underweight in children declined significantly, anemia and low birth weight improved modestly. Coverage increased for many nutrition-specific interventions like supplementary feeding and immunizations. However, underlying determinants like poverty, sanitation, and early marriage showed less progress. The improvements are attributed to political leadership, investments in health and nutrition programs, infrastructure, and development partner support, while continued action on underlying factors is still needed.
Evidence of Social Accountability_Kamden Hoffmann_5.7.14CORE Group
The document discusses social accountability and its role in improving health outcomes. It analyzes selected social accountability models used by international NGOs, including Citizen Voice and Action (World Vision), Partnership Defined Quality (Save the Children), Community Score Card (CARE), and various approaches used by White Ribbon Alliance. Common themes across the models include preparation and planning, involvement of marginalized groups, identifying barriers, interface meetings between communities and government, and using score cards to measure services. The document recommends expanding the evidence base on effectiveness, clarifying financial and human resource needs, identifying barriers to scale up, and exploring promising practices across models.
The document summarizes the National Rural Health Mission (NRHM) in India, which aimed to provide accessible, affordable and quality healthcare, especially to rural and vulnerable populations, from 2005-2012. Key aspects included decentralizing healthcare and increasing public health expenditure to 2-3% of GDP. Goals were to reduce infant and maternal mortality, and ensure access to primary healthcare through community health workers like ASHAs, improved infrastructure like 24/7 facilities, and intersectoral coordination between health, water, sanitation and nutrition initiatives. The document outlines the organizational structure, strategies and interventions of the NRHM at national, state, district and community levels.
Factors Affecting Consumer Health Care Services Delivery in Private Health Fa...AI Publications
Background: In 2007, the government of the republic of Tanzania has launched the Primary Health care services development programme as one of the renewed efforts to effectively engage the healthy sector in poverty reduction strategies. The study was dealing with evaluation on the factors that affects health services delivery to private hospital facilities Method: Data was collected from 169 patients who are customers of KMH and two sampling techniques were used, namely purposive sampling and random sampling. The study use questionnaire and interviews together with documentary review together information concerning the study objective. Quantities data were analyzed through SPPS data were coded ruined to observe to which percent the variables were significant or not significant towards research objectives. Results: The study finding that there are factors that are challenges towards delivering health services to patients including absence of good communication, customer care, shortage number of health professionals and most of patients are not attended on time, however on other hand study discover that there factors pull health services delivery including presence of social media, good infrastructures that support patients from far and presence of NHIF services to KMH. Recommendations: This study recommends that Private Public Partnership should be more emphasized and applied in health sector for the aim of improving health survives delivery to patients. Conclusion: The study concludes that although much has been done over many years to restructure the health care system and to improve the quality of care being rendered to patients, the literature reveals that a lot of people in Mwanza city still suffer from getting quality health services from health facilities including hospitals which are owned by private institutions.
Bottom up budgets for pr is coloured 28 10-06 b&wVIBHUTI PATEL
How to enable women to direct economy through designing and constructing fiscal policy?
How to link economic governance to political governance ?
How to enable EWRs to participate in the budget-making efforts ?
Method-Participatory Rural Appraisal (PRA) and Focus Group discussion (FGD)
The document summarizes the key aspects of India's Ninth and Tenth Five Year Plans as they relate to health. The Ninth Plan (1997-2002) aimed to tackle communicable and non-communicable diseases, improve health infrastructure and services, and reduce population growth. The Tenth Plan (2002-2007) sought to meet Millennium Development Goals by reducing poverty, gender gaps, and infant/maternal mortality while increasing literacy rates. Both plans focused on improving access, quality and efficiency of health services through strengthening primary care, human resources, and community involvement.
Quality of Service Delivery Survey Presentation - Melody NiwamanyaMelody Niwamanya
The document provides a summary of key findings from a national and local service delivery survey conducted in Lesotho. Some of the main findings include:
- Access and satisfaction levels for key services like education, health, water and sanitation, agriculture, and civil registry. Challenges included distance to facilities, lack of infrastructure and supplies.
- Educational access was high but quality was lacking, especially for early childhood programs. Health services had good utilization but long wait times and medicine shortages were issues.
- Agricultural support had low satisfaction due to poor quality seeds and inputs, as well as lack of irrigation and marketing assistance. Civil registry services also had long wait times.
This document is a curriculum vitae for Muhammed Ahmed Rameto. It outlines his personal and educational background, work experience, skills, and references. Currently, he is the CEO of Kulito Hospital in SNNPR, Ethiopia, where his responsibilities include overseeing medical staff, planning activities, improving access to healthcare services, and collaborating with partners. Previously, he worked as the Head of Halaba special woreda health office, managing rural and urban health programs related to reproductive health, child health, nutrition, malaria, and HIV/AIDS. He has a Bachelor's degree in natural science and a Master's in public health epidemiology.
This document is a curriculum vitae for Muhammed Ahmed Rameto. It outlines his personal and educational background, work experience, skills, and references. Currently, he is the CEO of Kulito Hospital in SNNPR, Ethiopia, where his responsibilities include overseeing medical staff, planning activities, improving access to healthcare services, and collaborating with partners. Previously, he worked as the Head of Halaba special woreda health office, managing rural and urban health programs related to reproductive health, child health, nutrition, malaria, and HIV/AIDS. He has a Bachelor's degree in natural science and a Master's in public health epidemiology.
MRC/info4africa KZN Community Forum | October 2012info4africa
Kwazi Mbatha, a CEGAA Researcher/Trainer for the BMET project,was joined by a member of TAC’s uMgungundlovu District community mobilisation team to discuss challenges and opportunities for HIV/AIDS and TB budget monitoring at local levels in South Africa. Relating primarily to CEGAA’s Budget Monitoring and Expenditure (BMET) project, conducted in partnership with the Treatment Action Campaign and entitled "Giving power to the community: Community monitoring of HIV/AIDS and TB spending in two districts in South Africa", this project worked towards increasing the delivery, accessibility, affordability and quality of treatment for people living with HIV/AIDS and TB, thus ensuring that ARVs and TB treatments are available as life-saving and prevention mechanisms. The pilot and secondary phase of the project sought to achieve the above by empowering communities and citizens towards a common understanding of health care delivery and budget issues and collaborative corrective action for optimal health care services at local level.
Nepal Health Sector Program Implementation Plan II (NHSP-IP2)Dip Narayan Thakur
The document summarizes Nepal's Health Sector Implementation Plan II (NHSP-IP II). NHSP-IP II aimed to strengthen Nepal's health system from 2010-2015 by improving access, equity, and utilization of essential health services. It reviewed achievements and shortcomings of NHSP-IP I and outlined NHSP-IP II's vision, goals, strategies, and financing plans. Key points included reducing morbidity and mortality through accessible, affordable, quality care; addressing sustainability issues in health financing; and achieving greater efficiency through health systems strengthening. Progress was made in areas like immunization and maternal health, but challenges remained around nutrition, non-communicable diseases, and equity gaps.
1. The document summarizes Nepal's Health Sector Implementation Plan 2 (NHSP-IP 2), which aimed to strengthen Nepal's health system from 2010-2015 by improving access, equity, and quality of essential health services.
2. Key goals of NHSP-IP 2 included reducing morbidity and mortality from common health problems by ensuring accessible, affordable, quality health care services.
3. The plan outlined strategies, programs and services, roles of non-state actors, and approaches to structure, financing, research and monitoring of Nepal's health system.
4. While progress was made in areas like immunization and reducing child and maternal mortality, challenges remained such as disparities in access, sustainability of financing
This document outlines a research protocol to study the implementation of an integrated network of health services in Guatemala's Ixil health area. The network aims to improve nutrition and maternal and child health. The research will systematize the network's processes and results. It will define indicators to monitor the network's functionality and determine the current situation of services. The research will also define improvement plans and document practices to enhance the network's operation. Key objectives are to understand how the network will be implemented and explore provider attitudes toward it. The target populations are maternal and child health service beneficiaries, facilities, and social networks. Both qualitative and quantitative data will be collected through observation, interviews, document review and surveys.
This document presents a 5-year strategic health plan for Apati from 2018-2022. The key points are:
1. The plan aims to improve basic healthcare access and quality as well as lower maternal and child mortality rates.
2. Apati has a population of over 44 million people with high density in central regions. Health resources are concentrated in urban areas.
3. Objectives include strengthening the health system, improving quality of care, increasing equitable access and utilization, and decentralizing planning and resources.
4. Key targets by 2022 are reducing the maternal mortality ratio to 110 deaths per 100,000 births and infant mortality rate to 20 deaths per 1,000 births.
Jennifer Schaus and Associates hosts a complimentary webinar series on The FAR in 2024. Join the webinars on Wednesdays and Fridays at noon, eastern.
Recordings are on YouTube and the company website.
https://www.youtube.com/@jenniferschaus/videos
Jennifer Schaus and Associates hosts a complimentary webinar series on The FAR in 2024. Join the webinars on Wednesdays and Fridays at noon, eastern.
Recordings are on YouTube and the company website.
https://www.youtube.com/@jenniferschaus/videos
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Similar to Final Presentation June 21st 2016_final.pptx
The document discusses South Africa's social programs and efforts to integrate public and administrative registries to evaluate these programs. It outlines South Africa's social wage regime established since 1994 to address high poverty, inequality, and unemployment. It then describes the National Integrated Social Information System (NISIS) and SOCPEN payment system, which aim to consolidate beneficiary data across programs but face challenges in data quality, integration between systems, and completing nationwide household profiling. Overall, the document examines South Africa's efforts to better monitor and coordinate its large investment in the social wage through improved information systems and data integration.
INTEGRATING PUBLIC AND ADMINISTRATIVE REGISTRIES IN THE EVALUATION OF SOCIAL ...UNDP Policy Centre
The document discusses integrating public and administrative registries to evaluate social programs in South Africa. It provides background on South Africa's social programs since 1994. The National Integrated Social Information System (NISIS) was developed to integrate data across systems like education and healthcare to better monitor social programs, but it has progressed slowly and faces data quality issues. The South African social protection payment system (SOCPEN) interfaces with other systems but not always in real time. Fully integrating information systems remains a challenge due to competing priorities and a lack of ownership over integrated data.
Strengthening government primary reproductive healthcare services through soc...Marie Stopes International
Nguyen Thi Bich Hang's presentation at the International Conference on Family Planning, 2013 on:
Strengthening government primary reproductive healthcare services through social franchising in rural Viet Nam: the “tinh chi em” (Sisterhood) model
Importance of Community Health Strategy (CHS) in attaining health goals (MNCH...REACHOUTCONSORTIUMSLIDES
This document outlines Kenya's community health strategy. It discusses how community health units empower communities to take control of their health, hold leaders accountable, and improve health outcomes. The strategy aims to enhance access to healthcare through sustainable community services. Key points include:
- Community health units are a key part of Kenya's healthcare system and Vision 2030 goals.
- Over 4587 units had been established by 2015, serving over 40,000 communities.
- The strategy has contributed to improved maternal and child health indicators in Kenya.
- Continued support is needed to ensure resources, training, and data systems for community health volunteers and units.
- Research shows community health strategies can increase healthcare utilization and reduce childhood mortality.
This document analyzes nutrition changes in Odisha, India from 1992-2014 through a review of nutrition outcomes, determinants, policies, and programs. It finds that while stunting, wasting, and underweight in children declined significantly, anemia and low birth weight improved modestly. Coverage increased for many nutrition-specific interventions like supplementary feeding and immunizations. However, underlying determinants like poverty, sanitation, and early marriage showed less progress. The improvements are attributed to political leadership, investments in health and nutrition programs, infrastructure, and development partner support, while continued action on underlying factors is still needed.
Evidence of Social Accountability_Kamden Hoffmann_5.7.14CORE Group
The document discusses social accountability and its role in improving health outcomes. It analyzes selected social accountability models used by international NGOs, including Citizen Voice and Action (World Vision), Partnership Defined Quality (Save the Children), Community Score Card (CARE), and various approaches used by White Ribbon Alliance. Common themes across the models include preparation and planning, involvement of marginalized groups, identifying barriers, interface meetings between communities and government, and using score cards to measure services. The document recommends expanding the evidence base on effectiveness, clarifying financial and human resource needs, identifying barriers to scale up, and exploring promising practices across models.
The document summarizes the National Rural Health Mission (NRHM) in India, which aimed to provide accessible, affordable and quality healthcare, especially to rural and vulnerable populations, from 2005-2012. Key aspects included decentralizing healthcare and increasing public health expenditure to 2-3% of GDP. Goals were to reduce infant and maternal mortality, and ensure access to primary healthcare through community health workers like ASHAs, improved infrastructure like 24/7 facilities, and intersectoral coordination between health, water, sanitation and nutrition initiatives. The document outlines the organizational structure, strategies and interventions of the NRHM at national, state, district and community levels.
Factors Affecting Consumer Health Care Services Delivery in Private Health Fa...AI Publications
Background: In 2007, the government of the republic of Tanzania has launched the Primary Health care services development programme as one of the renewed efforts to effectively engage the healthy sector in poverty reduction strategies. The study was dealing with evaluation on the factors that affects health services delivery to private hospital facilities Method: Data was collected from 169 patients who are customers of KMH and two sampling techniques were used, namely purposive sampling and random sampling. The study use questionnaire and interviews together with documentary review together information concerning the study objective. Quantities data were analyzed through SPPS data were coded ruined to observe to which percent the variables were significant or not significant towards research objectives. Results: The study finding that there are factors that are challenges towards delivering health services to patients including absence of good communication, customer care, shortage number of health professionals and most of patients are not attended on time, however on other hand study discover that there factors pull health services delivery including presence of social media, good infrastructures that support patients from far and presence of NHIF services to KMH. Recommendations: This study recommends that Private Public Partnership should be more emphasized and applied in health sector for the aim of improving health survives delivery to patients. Conclusion: The study concludes that although much has been done over many years to restructure the health care system and to improve the quality of care being rendered to patients, the literature reveals that a lot of people in Mwanza city still suffer from getting quality health services from health facilities including hospitals which are owned by private institutions.
Bottom up budgets for pr is coloured 28 10-06 b&wVIBHUTI PATEL
How to enable women to direct economy through designing and constructing fiscal policy?
How to link economic governance to political governance ?
How to enable EWRs to participate in the budget-making efforts ?
Method-Participatory Rural Appraisal (PRA) and Focus Group discussion (FGD)
The document summarizes the key aspects of India's Ninth and Tenth Five Year Plans as they relate to health. The Ninth Plan (1997-2002) aimed to tackle communicable and non-communicable diseases, improve health infrastructure and services, and reduce population growth. The Tenth Plan (2002-2007) sought to meet Millennium Development Goals by reducing poverty, gender gaps, and infant/maternal mortality while increasing literacy rates. Both plans focused on improving access, quality and efficiency of health services through strengthening primary care, human resources, and community involvement.
Quality of Service Delivery Survey Presentation - Melody NiwamanyaMelody Niwamanya
The document provides a summary of key findings from a national and local service delivery survey conducted in Lesotho. Some of the main findings include:
- Access and satisfaction levels for key services like education, health, water and sanitation, agriculture, and civil registry. Challenges included distance to facilities, lack of infrastructure and supplies.
- Educational access was high but quality was lacking, especially for early childhood programs. Health services had good utilization but long wait times and medicine shortages were issues.
- Agricultural support had low satisfaction due to poor quality seeds and inputs, as well as lack of irrigation and marketing assistance. Civil registry services also had long wait times.
This document is a curriculum vitae for Muhammed Ahmed Rameto. It outlines his personal and educational background, work experience, skills, and references. Currently, he is the CEO of Kulito Hospital in SNNPR, Ethiopia, where his responsibilities include overseeing medical staff, planning activities, improving access to healthcare services, and collaborating with partners. Previously, he worked as the Head of Halaba special woreda health office, managing rural and urban health programs related to reproductive health, child health, nutrition, malaria, and HIV/AIDS. He has a Bachelor's degree in natural science and a Master's in public health epidemiology.
This document is a curriculum vitae for Muhammed Ahmed Rameto. It outlines his personal and educational background, work experience, skills, and references. Currently, he is the CEO of Kulito Hospital in SNNPR, Ethiopia, where his responsibilities include overseeing medical staff, planning activities, improving access to healthcare services, and collaborating with partners. Previously, he worked as the Head of Halaba special woreda health office, managing rural and urban health programs related to reproductive health, child health, nutrition, malaria, and HIV/AIDS. He has a Bachelor's degree in natural science and a Master's in public health epidemiology.
MRC/info4africa KZN Community Forum | October 2012info4africa
Kwazi Mbatha, a CEGAA Researcher/Trainer for the BMET project,was joined by a member of TAC’s uMgungundlovu District community mobilisation team to discuss challenges and opportunities for HIV/AIDS and TB budget monitoring at local levels in South Africa. Relating primarily to CEGAA’s Budget Monitoring and Expenditure (BMET) project, conducted in partnership with the Treatment Action Campaign and entitled "Giving power to the community: Community monitoring of HIV/AIDS and TB spending in two districts in South Africa", this project worked towards increasing the delivery, accessibility, affordability and quality of treatment for people living with HIV/AIDS and TB, thus ensuring that ARVs and TB treatments are available as life-saving and prevention mechanisms. The pilot and secondary phase of the project sought to achieve the above by empowering communities and citizens towards a common understanding of health care delivery and budget issues and collaborative corrective action for optimal health care services at local level.
Nepal Health Sector Program Implementation Plan II (NHSP-IP2)Dip Narayan Thakur
The document summarizes Nepal's Health Sector Implementation Plan II (NHSP-IP II). NHSP-IP II aimed to strengthen Nepal's health system from 2010-2015 by improving access, equity, and utilization of essential health services. It reviewed achievements and shortcomings of NHSP-IP I and outlined NHSP-IP II's vision, goals, strategies, and financing plans. Key points included reducing morbidity and mortality through accessible, affordable, quality care; addressing sustainability issues in health financing; and achieving greater efficiency through health systems strengthening. Progress was made in areas like immunization and maternal health, but challenges remained around nutrition, non-communicable diseases, and equity gaps.
1. The document summarizes Nepal's Health Sector Implementation Plan 2 (NHSP-IP 2), which aimed to strengthen Nepal's health system from 2010-2015 by improving access, equity, and quality of essential health services.
2. Key goals of NHSP-IP 2 included reducing morbidity and mortality from common health problems by ensuring accessible, affordable, quality health care services.
3. The plan outlined strategies, programs and services, roles of non-state actors, and approaches to structure, financing, research and monitoring of Nepal's health system.
4. While progress was made in areas like immunization and reducing child and maternal mortality, challenges remained such as disparities in access, sustainability of financing
This document outlines a research protocol to study the implementation of an integrated network of health services in Guatemala's Ixil health area. The network aims to improve nutrition and maternal and child health. The research will systematize the network's processes and results. It will define indicators to monitor the network's functionality and determine the current situation of services. The research will also define improvement plans and document practices to enhance the network's operation. Key objectives are to understand how the network will be implemented and explore provider attitudes toward it. The target populations are maternal and child health service beneficiaries, facilities, and social networks. Both qualitative and quantitative data will be collected through observation, interviews, document review and surveys.
This document presents a 5-year strategic health plan for Apati from 2018-2022. The key points are:
1. The plan aims to improve basic healthcare access and quality as well as lower maternal and child mortality rates.
2. Apati has a population of over 44 million people with high density in central regions. Health resources are concentrated in urban areas.
3. Objectives include strengthening the health system, improving quality of care, increasing equitable access and utilization, and decentralizing planning and resources.
4. Key targets by 2022 are reducing the maternal mortality ratio to 110 deaths per 100,000 births and infant mortality rate to 20 deaths per 1,000 births.
Similar to Final Presentation June 21st 2016_final.pptx (20)
Jennifer Schaus and Associates hosts a complimentary webinar series on The FAR in 2024. Join the webinars on Wednesdays and Fridays at noon, eastern.
Recordings are on YouTube and the company website.
https://www.youtube.com/@jenniferschaus/videos
Jennifer Schaus and Associates hosts a complimentary webinar series on The FAR in 2024. Join the webinars on Wednesdays and Fridays at noon, eastern.
Recordings are on YouTube and the company website.
https://www.youtube.com/@jenniferschaus/videos
UN WOD 2024 will take us on a journey of discovery through the ocean's vastness, tapping into the wisdom and expertise of global policy-makers, scientists, managers, thought leaders, and artists to awaken new depths of understanding, compassion, collaboration and commitment for the ocean and all it sustains. The program will expand our perspectives and appreciation for our blue planet, build new foundations for our relationship to the ocean, and ignite a wave of action toward necessary change.
AHMR is an interdisciplinary peer-reviewed online journal created to encourage and facilitate the study of all aspects (socio-economic, political, legislative and developmental) of Human Mobility in Africa. Through the publication of original research, policy discussions and evidence research papers AHMR provides a comprehensive forum devoted exclusively to the analysis of contemporaneous trends, migration patterns and some of the most important migration-related issues.
Combined Illegal, Unregulated and Unreported (IUU) Vessel List.Christina Parmionova
The best available, up-to-date information on all fishing and related vessels that appear on the illegal, unregulated, and unreported (IUU) fishing vessel lists published by Regional Fisheries Management Organisations (RFMOs) and related organisations. The aim of the site is to improve the effectiveness of the original IUU lists as a tool for a wide variety of stakeholders to better understand and combat illegal fishing and broader fisheries crime.
To date, the following regional organisations maintain or share lists of vessels that have been found to carry out or support IUU fishing within their own or adjacent convention areas and/or species of competence:
Commission for the Conservation of Antarctic Marine Living Resources (CCAMLR)
Commission for the Conservation of Southern Bluefin Tuna (CCSBT)
General Fisheries Commission for the Mediterranean (GFCM)
Inter-American Tropical Tuna Commission (IATTC)
International Commission for the Conservation of Atlantic Tunas (ICCAT)
Indian Ocean Tuna Commission (IOTC)
Northwest Atlantic Fisheries Organisation (NAFO)
North East Atlantic Fisheries Commission (NEAFC)
North Pacific Fisheries Commission (NPFC)
South East Atlantic Fisheries Organisation (SEAFO)
South Pacific Regional Fisheries Management Organisation (SPRFMO)
Southern Indian Ocean Fisheries Agreement (SIOFA)
Western and Central Pacific Fisheries Commission (WCPFC)
The Combined IUU Fishing Vessel List merges all these sources into one list that provides a single reference point to identify whether a vessel is currently IUU listed. Vessels that have been IUU listed in the past and subsequently delisted (for example because of a change in ownership, or because the vessel is no longer in service) are also retained on the site, so that the site contains a full historic record of IUU listed fishing vessels.
Unlike the IUU lists published on individual RFMO websites, which may update vessel details infrequently or not at all, the Combined IUU Fishing Vessel List is kept up to date with the best available information regarding changes to vessel identity, flag state, ownership, location, and operations.
Monitoring Health for the SDGs - Global Health Statistics 2024 - WHOChristina Parmionova
The 2024 World Health Statistics edition reviews more than 50 health-related indicators from the Sustainable Development Goals and WHO’s Thirteenth General Programme of Work. It also highlights the findings from the Global health estimates 2021, notably the impact of the COVID-19 pandemic on life expectancy and healthy life expectancy.
Preliminary findings _OECD field visits to ten regions in the TSI EU mining r...OECDregions
Preliminary findings from OECD field visits for the project: Enhancing EU Mining Regional Ecosystems to Support the Green Transition and Secure Mineral Raw Materials Supply.
RFP for Reno's Community Assistance CenterThis Is Reno
Property appraisals completed in May for downtown Reno’s Community Assistance and Triage Centers (CAC) reveal that repairing the buildings to bring them back into service would cost an estimated $10.1 million—nearly four times the amount previously reported by city staff.
A Guide to AI for Smarter Nonprofits - Dr. Cori Faklaris, UNC CharlotteCori Faklaris
Working with data is a challenge for many organizations. Nonprofits in particular may need to collect and analyze sensitive, incomplete, and/or biased historical data about people. In this talk, Dr. Cori Faklaris of UNC Charlotte provides an overview of current AI capabilities and weaknesses to consider when integrating current AI technologies into the data workflow. The talk is organized around three takeaways: (1) For better or sometimes worse, AI provides you with “infinite interns.” (2) Give people permission & guardrails to learn what works with these “interns” and what doesn’t. (3) Create a roadmap for adding in more AI to assist nonprofit work, along with strategies for bias mitigation.
2. Introduction
The public service is the main implementing
machinery for national development programmes
and specifically, the National Development Plan
(NDP)
The public service needs to institutionalize
mechanisms for monitoring and evaluating the
delivery of public services to the citizens
This is done to ensure that strategies are in place
for feedback from clients regarding the efficiency
and effectiveness of service delivery, and
mechanisms for continuous improvement .
3. Background
A baseline Service Delivery Survey was conducted
in 1995/96 and was piloted only in 9 districts
This Survey had limited services covered which
included health, Agriculture extension Programs
and Customs Services of URA
The first National Service Delivery Survey (NSDS)
was conducted in 2000 by a consortium of firms
led by Development Consultants International
(DCI).
4. Background (ctd)
The Administrative Reform Secretariat of the Ministry
of Public Service (MPS) coordinated the survey and
the Uganda Bureau of Statistics provided technical
support to the survey.
The survey provided baseline information on
Education, Health, Road Infrastructure, Water and
sanitation, Agriculture and Veterinary extension
services and Governance (Law, Order and Access to
Justice).
In 2004, the second NSDS was conducted as part of a
continuous series of the NSDS that provide periodical
updates on the performance of public services with
regard to availability, accessibility, utilization and
satisfaction of services
5. Background (ctd)
• In 2008, the third NSDS was conducted. This was still
in collaboration with UBOS and other stakeholders as
part of a continuous series of the NSDS.
• Detailed Issues that were covered included, health
services, education, agriculture, water and sanitation,
energy, transport, housing, justice, law and order,
governance and public sector management.
6. NSDS 2015
The Ministry of Public Service in
conjunction with Uganda Bureau
of Statistics and other
stakeholders undertook the NSDS
2015
7. Objectives of the survey
The overall objective of the NSDS is to provide a
comprehensive assessment of the trends in service
delivery in the areas that were covered in the
previous survey and to obtain a baseline position in
the areas that were not covered.
The survey aimed at establishing the availability,
accessibility, cost and utilization of services and
whether service recipients are satisfied with the
trends in service delivery, in terms of coverage,
quantity and quality.
8. Specific Objectives
To provide up to date information about the
performance and impact of selected public
services at local government and national level.
To measure changes in service delivery in
selected sectors
To identify constraints and gaps in the
provision of selected government services by
sectors
To provide recommendations for improvement
in service delivery.
To generate and disseminate information about
services offered by selected government
sectors.
9. Coverage
Survey comprised of a nationally representative
sample with no limitations of geographical
coverage
Survey provides regional level estimates all
over the country
Survey provides both rural and urban estimates
at national level
Survey provide estimates for other groups like
Islands and hard to reach districts
11. 11
ISSUES COVERED
Socio-Demographic Characteristics of
households,
Availability of services,
Accessibility to services,
Payment for and utilization of services,
Satisfaction with service delivery
Challenges in service delivery
12. Survey Description
Questionnaire administration in two parts;
Household schedule (including
demographics, socioeconomic variables
and services at household level etc)
Service Provider Questionnaires
District
Sub – County
13. Working Committees
A technical working committee comprised of
members from different Ministries,
Departments and Agencies to guide the
survey in the technical aspects. The
Committee was Chaired by UBOS while the
Ministry of Public Service was Secretariat.
A Steering Committee which was comprised
of Permanent Secretaries had an oversight
role during the survey and it was being
chaired by the Head of Public Service
13
15. 15
SURVEY COVERAGE
A total of 1100 Enumeration Areas
selected from the 2014 Census were
targeted to yield a sample of
approx.11,000 households.
Nationwide survey covering all 112
districts.
Districts were stratified into 15 sub-
regions on basis of socio-economic
characteristics.
17. SURVEY DESIGN
Used a two-stage stratified sampling
design
First Stage – Enumeration Area
Second Stage - Household
Reliable estimation at:-
National,
Rural-urban and
15 district groupings
18. SURVEY ORGANISATION
A total of 16 teams were formed to
conduct the survey.
A listing exercise was undertaken in all
the sampled EAs. Each listing team
comprised of 3 persons.
For the main survey, each team
comprised of a team supervisor (Team
Leader), 4 interviewers and a driver.
22. Characteristics of Household Heads
27
70
59 61
Female headed
household
Literacy rate Agegp of Majority of
HH heads(25-49)
Agricultural
engagement in last 7
days
23. Characteristics of the respondents
32
68
34
66
3
4
26
67
9
90
2
53
47
Non - Agriculture
Agriculture
Non-Literate
Literate
Other
Son or Daughter
Spouse
Head
65+
18-64
0-17
Female
Male
Industry
of
employ
ment
Literacy
status
Relationship
to
head
Age
Sex
27. Percentage of Pupils Attending Day Primary
School by Distance to School (kms)
83
12
4 2 2.4
87
8
3 3 2.2
84
11
4 2 2.4
0-3kms >3 to 5kms >5 to 10kms >10km Mean distance
to school
Rural Urban Uganda
28. 28
School Feeding – Primary
33
18 20
28
46
20 21
14
Lunch at
School
Packed
from Home
Go back No Lunch
2008 2015
29. Primary Schools by How Pupils
Get Lunch
40
74
46 46
20
13
31
20
24
7
18
21
16
7
4
14
Government Private Both Govt &
Private
Uganda
Lunch at School Packed from home Go back home No lunch
30. Classrooms in Primary Schools:
Availability vs Adequacy
100 100 100 100
29
58
46
34
Government Private Both Govt &
private
Uganda
Availability Adequacy
31. Pupil Teacher Ratio and Pupil
Stance Ratio
Funder Primary Schools
Pupil
Teacher
Ratio
Pupil Stance Ratio
Girls Boys
Gov’t 55 75 78
Private 23 41 39
Gov’t
&Private
43 56 50
National 50 69 71
34. Secondary Schools by How Students
Get Lunch
85
92
86 87
4 1 4 4
5 5 3 5
6
2
6 5
Government Private Both Govt &
Private
Uganda
Lunch at School Packed from home Go back home No lunch
35. Classrooms in Secondary Schools:
Availability vs Adequacy
100 100 100 100
39
68
43
47
Government Private Both Govt & private Uganda
Availability Adequacy
36. Student Teacher Ratio and
Student Stance Ratio
Funder Secondary Schools
Student
Teacher
Ratio
Student Stance Ratio
Girls Boys
Gov’t 32 53 67
Private 20 38 43
Gov’t
&Private
30 50 66
National 29 49 61
37. 37
Key findings
91% of persons 6 – 12 years are currently
attending school
46% of primary school pupils get lunch at
school
The Average Pupil Teacher Ratio was 50
pupils per teacher but higher in
government schools.
Over 8 in every 10 day pupils traveled
3kms or less to school
38. 38
Key findings ctd…
Only three in every ten Schools who owned
buildings reported that they were adequate.
The Student stance ratio for secondary schools
was reported as 49 for girls and 61 for boys
29% of children never attended school due to
economic factors
40. Incidence of Sickness
Population that fell sick in the
last 30 days,2015
1.9
57.9
14.2
4.3
2.3
18.3
Type of Illness
Other
Diarrhea
Skin
infections
Respiratory
Flu & Cold
Fever/malaria
Fell
sick
26%
Did not
fall sick
74%
NSDS 2008
Fever/malaria
= 44.7%
Others include:
Accident, Dental, Ulcers,
Hyper-tension, Birth-related,
Mental illness, Measles,
STI/HIV/AIDS
NSDS
2008
36%
41. 41
First Source of Treatment
29
18
2
33
11
4 3 3 2
7
8
16
27
37
3 1
0
1
10
36
51
Government
health facility
Private health
facility
Pharmacy /
drug shop
Home/self
medication
None Religious /
Mission facility
Other
2004 2008 2015
Trend for Rural
and Urban is
similar
42. 42
Median Distance to First
Source of Treatment
Central2
1.6 km
Government
Health Facility
Other Health
Facility
2008 2015 2008 2015
Urban 3.8 2.0 2.5 0.9
Rural 5.9 3.2 5.0 1.6
Overall 5.7 3.0 4.7 1.2
Acholi
4.8 km
43. Utilisation of Health Services in the Last 12
Months
9
84
26
92
19
97
20
89
40
95
0 20 40 60 80 100 120
Received service
Used service
Received service
Used service
Received service
Used service
Received service
Used service
Received service
Used service
Post-Natal
Care
Delivery
Ante-natal
Family
planning
Child
immunisati
on
44. 44
Payment for health services
Percentage of patients who paid for Government
Health Services
Paid
20%
Did not pay
80%
NSDS 2008
26%
45. Payment For Health services
85
74
75
83
71
11
17
22
15
24
4
9
4
2
5
Post-Natal care
Delivery
Ante-natal
Family Planning
Immunisation
Official Requirement Demanded Token of thanks
46. Change in Quality of health
services
46
47
53
46
48
36
35
61
62
40
33
41
37
38
38
31
30
9
12
8
12
21
25
3
6
5
2
5
2
5
2
5
2
2008
2015
2008
2015
2008
2015
2008
2015
Overall
quality
of
service
Resposiv
eness
of
staff
Availabilit
y
of
drugs
Cleanline
ss Improved Same Worsened N/A
47. 47
Key findings
26% of household members fell sick or sustained
an injury during the 30 days preceding the
interview.
58% of the population that fell sick reported
malaria/fever as the most common illness.
Slightly over a half of the population (51%) that fell
sick sought treatment from a government health
facility.
The median distance to a government health
facility where treatment was sought is 3km.
48. 48
Key findings (cont’d)
62% of persons that used health services felt that
the services had improved
Two in every ten of persons that had accessed
and received health services paid for them.
50. 50
Access to safe water
Safe water sources
Piped water
Borehole
Protected wells & springs
Gravity flow
Rain Water
Access to Safe Water for Drinking
2004 2008 2015
Dry Season - 70% 72% 75%
Wet Season - 77% 82% 87%
51. 51
Distance to safe water within 1.5km
80
85.6
84.3
86.7
Dry Season Wet Season
2008 2015
National
Target
1.5 km
52. Households by Change in Availability
of Safe Water Since 2010
12
52
38
37
47
5
3
6
2008
2015
Improved Same Worsened DK
53. 53
Constraints to use of safe water
34
47
10 9
27
50
13
9
36
40
10
14
Long
Distance
Inadeq.
Sources
High Cost Other
Constraints
Percentage
2004 2008 2015
Urban dwellers pay almost three times more
(15000) than those in rural areas (6000)
54. Households Reporting Paying for
Water by Purpose of Payment
42
42
44
55
56
54
3
2
2
2004
2008
2015
User fees Maintenance costs Other
58. 58
Key findings
Access to Safe water improved from 72% in 2008 to
75% in 2015 during the dry season
The proportion of households who are within 1.5km
has increased since 2008
Half of the households reported an improvement in the
availability of safe water
Overall 6% of the HHs did not have toilet facilities
compared to 12% in 2008. In Karamoja 44% lacked a
toilet facility.
Only 22% of the HHs had provision for hand washing
after toilet use less than 26% reported in 2008.
65. 65
Type of Fuel Used for Lighting
84
10 6
0.2
47
26
2
25
Paraffin Electricity Firewood Others*
2008 2015
66. Main Source of Energy for Lighting
53
27
47
17
57
26
2
0.4
2
28
16
25
Rural
Urban
National
Parrafin Electricity Firewood Others*
67. Main Source of Firewood
69
53
67
8
22
9
22
22.6
22
1
2
1
Rural
Urban
National
Bush/Forest Market Own plantation Others*
68. Availability of Electricity and Load
Shedding
Availability and
Load Shedding Rural Urban National
Average number
of Hours a day
Electricity is
Available 17.5 20.2 19.4
Average number
of days of Load-
Shedding in a
typical week 1.5 1.2 1.3
69. Households by Type of Payment for
Electricity and Affordability (%)
Type of payment
Location
HHs that Pay
for the
Electricity
consumed
Pre-Paid
(Yaka, Etc.)
Post-Paid
Metered
HHs that think
the tariffs in
affordable
Residence
Rural 88.5 30.4 69.6 51.8
Urban 96.0 43.6 56.4 54.8
Mountainous 76.9 26.8 73.2 56.6
Islands 96.4 56.8 43.2 57.5
National 93.4 39.4 60.6 53.9
70. Households by Factors that Affect
Access and Use of Electricity
58
60
60
10
10
10
20
15
17
60
56
57
18
22
21
28
31
30
2
2
2
2
2
1
2
1
1
Rural
Urban
National
Rural
Urban
National
Access
Use
High Connection Costs High Tariffs
Poverty Inadequate Supply Leading To Load Shedding
Other*
71. Households Satisfied with Quality of Electricity
Services (%)
Rural Urban National
Average number of hours
taken to restore power 33.9 34.2 34.2
HHs satisfied with the
quality of services
provided (%) 64.6 60.5 61.8
Reasons for dissatisfaction (%)
High Tariffs 69.3 75.6 73.7
Overbilling 42.3 30.1 33.7
Frequent Load Shedding 33.4 25.4 27.7
Delayed Reconnection In
Case Of Disconnection 16.8 12.8 13.9
Poor Customer Care 6.1 16.0 13.1
Poor Attitude Of Staff 7.1 10.6 9.6
Late Delivery Of Bills 6.0 5.6 5.7
Low Voltage 0.6 5.6 4.1
Rampant Illegal
Connections 2.8 4.2 3.7
72. Key Findings
Close to eight in every ten households (77%)
own land regardless of the purpose
Households using iron sheets for roofing
improved from 63% to 73%
Use of electricity for lighting has improved
from 10% in 2008 to 26% in 2015
High connection costs was the main factor
affecting access to electricity
72
73. Key Findings
Average number of hours taken to restore
power is 34.2 hours
62% of households were satisfied with the
quality of electricity services provided
73
85. Households by Activity and Source of
Extension Service (%)
34
29
12
52
21
7
7
3
23
9
3
0.3
Crop
Husband
ry
Veterina
ry
Gov'tOfficial Private NGO/CBO
86. Households by Quality of Extension Services
75
83
65
19
13
24
6
4
11
Crop
husband
ry
Veterina
ry
Fisheries
Good Average Poor
87. Source of Credit for Agricultural
Extension Services
SACCO
44%
Relative/
Friend
20%
Other
19%
Bank
12%
NGO
3%
Corporate
Company
2%
91. Small Holder Farmer Technologies Used in
Water for Production (%)
61
55
40
33
27
8
32
33
24
26
18
7
53
49
36
31
24
7
Maize
Beans
Cassava
Bananas
Dairy Cattle
Fish Farming
National Urban Rural
92. 92
Key findings
Three in every four households were engaged
in Agriculture.
Most common inputs mentioned were
planting materials.
75% of households involved in crop
husbandry reported an improvement in
quality of extension services in the past two
years.
93. Key findings cont’d
80 percent of the communities reported
direct rain in season as the main source of
water for production
44% reported SACCOs to be the main
sources of credit for agricultural
purposes.
93
95. Households by Type of Nearest Road (%)
2004 2008 2015
Type of
Road Rural Urban National Rural Urban National Rural Urban National
Trunk
road
(Tarmac) 3.8 23.0 10.2 3.3 11.4 4.7 3.5 9.1 4.8
Trunk
road
(Murra
m) 12.6 16.1 13.8 8.4 5.7 7.9 8.6 6.4 8.1
District
road 29.1 32.3 30.2 21.5 31.8 23.3 26.3 23.3 25.6
Commu
nity
Road 54.5 28.6 45.9 66.9 51.1 64.1 61.6 61.2 61.5
Total 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0
96. 96
Access to Road Infrastructure
62% of HHs reported community road as
the nearest type of road to their
households
85% of the HHs reported access to good
and usable roads all year round
64% in
2008
90% in
2008
97. Households Reporting All Year Round
Usability of the Nearest Road (%)
98
91
90
89
90
96
86
88
84
85
Trunk Roads(Tarmac)
Trunk Raod(Murram)
Feeder Road
Community Road
All Roads
2015 2008
98. Constraints met in use of
roads
7
35
28
23
5
5
7
30
35
36
39
28
53
23
26
19
Trunk road (Tarmac)
Trunk Road (Murram)
Feeder road
Community road
Bad Weather Bushy Roads Potholes Others*
98
99. Reasons for Poor State of Roads
0
13
17
15
25
16
12
6
21
18
11
15
54
46
32
34
42
37
0.4
1
4
1
35
36
30
33
18
30
Trunkroad (Tarmac)
Trunkroad (Murram)
Districtroad
Community Road
Bridges/Culverts
National
Bad Weather Lack of Equipment Poor Maintenance Lack of Engineers Other
100. Change in Road
Maintenance in Last 2 years
100
55
50
36
20
61
58
47
27
34
38
48
59
27
30
38
49
11
12
16
21
12
12
15
24
Trunk Road (Tarmac)
Trunk Road (Murram)
Feeder Road
Community Road
Trunk Road (Tarmac)
Trunk Road (Murram)
Feeder Road
Community Road
2008
2015
Improved Same Worsened
101. Possession of Minimum Road Maintenance
Equipment by District
71
50
68
47
96
47
94
45
Grader Wheel loader Tipper Have All three
equipment
2008 2015
102. Reasons Sub-counties Could not Access
Road Equipment from District (%)
19
12
42
55
47
21
8
4
6
18
37
30
2004
2008
2015
Busy in Other Areas Lack of fuel at S/county
Poorrelations with Dist HQ others
103. Change in Maintenance and Repair of Roads (%)
31
13
25
55
51
42
14
36
32
2004
2008
2015
Improved Same Worsened
104. Households by Knowledge of Road Safety
Issues (%)
3
5
8
16
16
26
27
35
43
79
86
If you are driving, stop when you feel…
Be courteous and considerate to other…
No use of phones while driving/riding
When riding, wear a helmet
Use of seat belts
Respect the Highway Code
Avoid overloading
No drunk/drug driving
Obey speed limits
Look, listen, think beforeyou crossa road
%age aware of any road safety issues
105. 105
Constraints faced in road
maintenance
Inadequate funding is still the
most serious constraint
2015 – 66%
2008 - 66%
2004 - 49%.
*As reported by Local Governments
106. 106
Construction of new road
infrastructure
The highest number of new constructions in
the 2 years preceding the survey was of
bridges/culvert crossings
2015 – 71%
2008 – 59%
2004 – 60%
The highest proportion of new roads were
community roads
2015– 67%
2008 – 45%
2004 – 49%
108. Type of Water Transport by Major
Provider (%)
8
86
14
24
7
81
12
28
3
65
30
92
14
87
76
93
19
88
72
90
3
26
47
7
32
74
24
Boats
Ferry
Other
Group Total
Boats
Ferry
Other
Group Total
Boats
Ferry
Other
Group Total
2004
2008
2015
Government Private Don't know
109. 109
Constraints in use of water
transport (%)
48
29
21
4
2
27
48
18
0
3
Boats Ferry
Other
Insecurity
High Cost
Unreliable
Bad
Weather
111. 111
Key findings
64% of households reported access to community
roads
Bushy roads are a major constraint in use of
community roads
96% of districts have a grader
12% of the Households reported using water transport
The private sector is still the major provider of water
transport services
Bad weather and unreliability were the major
constraints to usage of water transport.
69% of the households that used water transport were
satisfied with the service
113. Number of Districts by Institutions that
had contact with Communities
Institution Yes No
Institution
Not In District Total
Uganda Police 107 3 - 110
Magistrates
courts 82 5 11 98
Prisons 86 9 11 106
Uganda Human
Rights
Commission 25 2 75 102
Resident State
Attorney 65 6 30 101
Administrator
General 27 6 73 106
Uganda
Registration
Services Bureau 10 - 94 104
Immigration
Department 16 - 87 103
114. Households that Had an Issue/Case that
Required Intervention (%)
2008 2015
Institution Rural Urban National Rural Urban National
Customary
Courts 14.3 9.5 13.8 16.8 12.6 16.2
LC1 21.0 22.2 21.2 24.0 33.8 26.1
LC II 4.9 3.1 4.7 5.5 5.3 5.5
LC III 4.0 3.6 4.0 5.6 7.8 6.0
Uganda
Police 9.8 13.4 10.5 11.9 19.3 13.6
Prisons 2.4 2.5 2.4 2.0 2.3 2.1
Magistrates
Court 2.9 5.7 3.5 3.5 5.0 3.9
115. 115
Nature of case requiring Arbitration (%)
10
32
64
52
7 7
8
5
12
5
Admin Service Complaint Summon Arrest Other
2008 2015
121. Persons with Identification Documents
(%)
1
6 2
91 88 90
62
67
63
Rural Urban National
Have a passport Applied for ID Received and ID
122. How travel documents are obtained (%)
11
19
25
10
17
10
4
2
2
3
2
2
85
79
73
87
81
88
Passport
Temporary Movement Permits
Certificates Of Identity
Passport
Temporary Movement Permits
Certificates Of Identity
2008
2015
Directly From The Concerned Office
Through Intermediaries
Don't Know
123. Ease of access to obtaining Passport by
Residence and Year (%)
3
3
3
5
3
4
15
19
17
18
20
19
38
38
38
42
42
42
33
34
33
32
30
31
10
6
9
4
5
4
Rural
Urban
Total
Rural
Urban
Total
2008
2015
Very Easy Easy Difficult Very Difficult Don't Know
124. Persons by knowledge of National Symbols (%)
Uganda Flag Coat of Arms
Knowledge
of
National
Anthem
Location
Knowledge
of colors
Mentioned
All Correctly
Knowledge
of
Key features
Mentioned
All Correctly
Residence
Rural
79.4 79.5 52.3 19.8 65.9
Urban
88.7 87.0 67.5 30.8 80.0
National
81.3 81.1 55.3 22.4 68.7
125. Persons Aware of the East African Community (%)
17
31
19
Rural
Urban
National
126. 126
Key findings
81 percent of the cases reported to
institutions/courts for arbitration took less than
one month
90 percent of the households satisfied with
Uganda Police
Only two percent of Ugandans have passports
and most people find it difficult to obtain a
passport
Only 19 percent of households know about the
East african Community
128. Rating of the Performance of Civil Servants
37
28
35
49
42
48
36
43
37
34
36
35
14
16
14
12
17
13
14
13
13
4
5
4
Urban
Rural
Uganda
Urban
Rural
Uganda
2008
2015
Good Average Poor Don't Know
129. Employment by Government and
Payment of Salaries (%)
6 6
61
52
94 94
39
48
2015 2008 2015 2008
Household with government employee Salary Paid on time
Yes No
130. Perception About the Pay of Civil Servants (%)
40 42
66
42
61 58
34
58
2015 2008 2015 2008
Is pay adequate Does pay affect service
delivery?
Yes No
131. Respondents’ Perception on how Level of Pay
Affects Service Delivery
60
47
39
29
32
25
19
16
Absenteeism
Low motivation
Encourages corruption
Late Coming
Mis- management
Poor customer care
Embezzlement
Increases efficiency
Effects
of
Low
Pay
Effects
of
High
pay
132. Rating of Government Resource Utilization-
Availability and Appropriate Utilization (%)
71
15
22
88
62 66
61
22
16
91
78 82
Gov't
buildings
Gov't
Vechiles
Other Gov't
property
Gov't
buildings
Gov't
Vechiles
Other Gov't
property
Availability Appropriately utilized
2008 2015
134. Underlying Causes of Corruption
14
4
6
6
6
7
10
11
19
42
78
Other*
Dysfunctional systems
Lack of job security
Lack of transparency and…
Lack of stringentpunishmentfor…
Lack of political will to fight…
Lack of knowledge of the public…
Poor supervisionof workers
Weak laws
Lowsalaries
Greed
135. 135
Forms of Corruption Prevalent in the
Public Sector(%)
78
65
61 59
50
43
Bribery Embezelment Absenteeism Nepotism Fraud Extortion
138. Changes in the level of corruption
in Uganda
Increased
83%
Remained
The Same
8%
Decreased
9%
139. Respondents by Most Corrupt
Government Institution
11
1
2
2
4
5
6
19
38
50
75
Others*
PPDA
Immigration Department
KCCA
Prisons Service
URA
UNRA
Judiciary
Hospitals/Health Facilities
Local Government
Police
140. Suggestions of the most effective
way of tackling Corruption (%)
6
7
12
14
17
44
Others*
Strengthen Anti-Corruption
Institutions
Strict Supervision Of PublicService
Employees
Improve Salaries
Sensitize/Educate The PublicAbout
Evils Of Corruption
Strengthen EnforcementOf Laws
On Corruption
142. Respondent’s Perception of Existence
of Moral Decadence (%)
Respondents
that perceive
that there is
moral
decadence
Causes of moral decadence in Uganda
Location
Peer
influence
Condonin
g
attitude
of
society
Poor
parenting
Family
breakdown Poverty
Media
influence
Rural
90.8 49.2 24.7 34.9 15.3 56.1 24.0
Urban
94.3 50.4 27.3 38.7 16.2 52.0 31.8
National
91.6 49.4 25.3 35.7 15.5 55.2 25.8
146. Key Findings
About half of the households (48%) rated the
performance of civil servants as good
Only two percent of households reported
having a member who retired from Civil
service.
Of the retired members who applied for
pension, 42 percent had succeeded in get
ting their pension payments
23% of households reported that they had
been victims of bribery
146
147. Key Findings
Most of the respondents indicated that
greed was the most underlying causes of
corruption
Three quarters of the respondents
mentioned the Police as the most corrupt
Government Institution
92% of the respondents indicated that
they were aware of forms of moral
decadence
83% of the population reported that
corruption had increased
147