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Assessment of the Extent to which Resources Allocated to the Health Sector Affect Access to Medicines in Uganda. Project rationale;. Uganda is a low income country with a GDP per capita of US $ 430 and 31% of the population leaves below the poverty line.
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Assessment of the Extent to which Resources Allocated to the Health Sector Affect Access to Medicines in Uganda
Project rationale; • Uganda is a low income country with a GDP per capita of US $ 430 and 31% of the population leaves below the poverty line. • Demand for Essential Medicines and Health Supplies far exceeds supply. Less than half of the population obtains their medicines in the public sector • HSSP III has prioritised increase in access tomedicines and other health supplies. • The National Medical Stores (NMS) is to be strengthening during the implementation of HSSP III. This is guided by the National Pharmaceutical Sector Strategic Plan (NPSSP II). • Glaring infrastructural and human resource constraints exist: • Limited monitoring and supervision, poor record management, infrastructural challenges in transport, communication and access to basic utilities at health centres • UNHCO and HEPS will assess the extent to which resources allocated to the health sector affect delivery of medicines Performance Indicators Needs Analysis Internal & External Environment Consultation
Proposed methods; • Qualitative Service Delivery Survey (QSDS) tool • Qualitative approaches include in-depth interviews; Key informant interviews and exit interviews with patients. • The methodology measures the quality of health service delivery with various dimensions . • The quantitative methods include; semi-structured questionnaires, document review and analysis of budgets allocations • The sample population shall be drawn from both national and district level • 30 public health facilities shall be randomly sampled from each of the two districts.
Research questions; • The study will examine budgeting process, budgets, allocations, and actual deliveries from records at health facility level • It will also examines other components/pillars of the health system that enable effective delivery of medicines
Long-term objectives. • Improve the effectiveness of public spending on health and in particular medicines, so that government resources are reaching and improving the lives of those who need those most. • Consolidate, strengthen and ensure an effective and harmonized procurement and supplies management system for medicines