The challenge to restoring basic health care in Uganda.
This paper presents the results of a health facility survey conducted in Uganda between June 1992 and December 1993.
The survey covered both government and non-government organisation (NGO) facilities from 10 districts in the five regions of the country.
The main objective of the survey was to assess resource use, costs and financing of health facilities.
The survey found differences between resource levels of NGOs and government facilities.
Government facilities were inadequately maintained, and mostly in a state of disrepair.
The user fee scheme that had been recently introduced in some government units to meet running costs was not only inadequate, but was not being used to meet the needs of consumers.
In addition, most available resources, including human resources, were concentrated in hospitals.
As a result, there was heavy demand for hospital services and less use of services in the lower level facilities.
And furthermore, staff in government facilities were paid much less than staff working for NGOs, who not only got better pay but also in-kind forms of rewards, which made them better motivated to work.
The number of qualified staff, particularly for primary health care, was grossly inadequate, and most of the work in local facilities was being done by unqualified employees, such as ward maids and dressers. (...)
Mots-clés Pascal : Système santé, Service santé, Soin santé primaire, Ouganda, Afrique, Enquête, Etude longitudinale, Evaluation, Economie santé, Pays en développement, Organisation santé, Gouvernement, Etude comparative, Financement, Utilisation, Organisation non gouvernementale
Mots-clés Pascal anglais : Health system, Health service, Primary health care, Uganda, Africa, Survey, Follow up study, Evaluation, Health economy, Developing countries, Public health organization, Government, Comparative study, Financing, Use
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0102297
Code Inist : 002B30A01B. Création : 22/06/1998.