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UGANDA

UGANDA. Education and Health Services in. Data for Results and Accountability. NOVEMBER 2013. SDI: An Africa-wide initiative. SOUTH AFRICA. Government of Uganda EPRC SDI Partnership: World Bank, AERC, AfDB. Acknowledgements.

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UGANDA

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  1. UGANDA Education and Health Services in Data for Results and Accountability NOVEMBER 2013

  2. SDI: An Africa-wide initiative SOUTH AFRICA

  3. Government of Uganda • EPRC • SDI Partnership: World Bank, AERC, AfDB Acknowledgements

  4. Process: Consultation, design and adaptation of survey materials • Instrument design: • Methodology underpinned by state-of-the-art research • Methodology piloted in Tanzania and Senegal • Adaptation of survey instruments to Uganda context through technical consultations • Consultations held prior to survey in Kampala with GoU, non-government stakeholders, and sector experts • Survey coverage: representative of health facilities and schools across the country and for each region • SDI did not include higher level health facilities such as HC4s and hospitals

  5. SDI aims to shed light onbehavior at service delivery units Inputs Maternal mortality ratio 438/100,000 (UDHS 2011) 6/10 P4 pupils cannot read sentence at P2 level (Uwezo 2011) Health: UGX 850 Bil (2011-12, 8% of budget) Education: UGX 1.6 Tr. (2011-12, 15% of budget) Behavior Expenditure Outcomes Value for Money, Quality, and Equity

  6. What does SDI measure?

  7. Education Findings

  8. Input availability Schools do well on infrastructure and equipment… …except for textbooks

  9. What teachers do • Teachers’ Effort • Out of 100 Ugandan primary teachers … Private school: 50% more instruction

  10. What teachers know • Teachers’ test scores • Minimum Knowledge Teachers score much lower on teaching skills assessment …. according to the Uganda SDI data, students performance is strongly enhanced by teacher’s knowledge

  11. Regional disparities Students per class Time spent teaching per day (minutes) Northern students receive 2.5 times less teaching time Northern classes 3 times larger than Kampala’s

  12. SDI: Uganda vs Kenya What teachers know: minimum knowledge What teachers do: absenteeism

  13. Education summary Ugandan primary schools do well in terms of infrastructure and equipment … but textbook use is a challenge Teacher’s absenteeism both from school and classroom is a concern and is more serious in public schools and rural areas Only a small share of teachers in public and private schools alike master the curriculum they are supposed to teach There are large regional disparities

  14. Health Findings

  15. Infrastructure Availability

  16. Drugs and equipment availability

  17. What health providers do Absence by location and facility type Reason for absence

  18. What health providers know A large gap between diagnostic and treatment

  19. Regional disparities Infrastructure availability Diagnostic accuracy: competence

  20. What providers do and know UGANDA VS KENYA

  21. Health summary Ugandan health facilities do well in terms of infrastructure and equipment but … availability of drugs, especially for mothers, is a challenge Absenteeism of health providers is a cause for concern, and is more serious in public facilities 1 out of 10 health providers did not manage to diagnose any of 5 conditions. A correct diagnosis is no guarantee for full treatment, the knowledge gap is large There are large regional disparities in equipment, infrastructure, and providers’ competence

  22. Conclusion Uganda has made tremendous progress in access to basic education and health services but there are serious quality issues to be addressed Addressing quality of education and health services is crucial if Uganda is to build the healthy and educated workforce necessary to achieve Vision 2040 Improving quality will also ensure value for money by increasing efficiency and effectiveness of services Improving quality will require better management, a focus on providers’ incentives, and enhanced accountability

  23. UGANDA Education and Health Services in Data for Results and Accountability NOVEMBER 2013

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