ArticleBMC health services research2017
Enablers and barriers to evidence based planning in the district health system in Uganda; perceptions of district health managers.
Article in BMC health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Mid-level managers' perspectives on implementing isoniazid preventive therapy for people living with HIV in Ugandan health districts: a qualitative study.BMC health services research · 2024Trial
- How Central Ugandan HIV Clinics Adapted During COVID-19 Lockdown Restrictions to Promote Continuous Access to Care: A Qualitative Analysis.AIDS and behavior · 2023Trial
- Child health and the implementation of Community and District-management Empowerment for Scale-up (CODES) in Uganda: a randomised controlled trial.BMJ global health · 2021Trial
- Strengthening district health systems to achieve Malawi's decentralisation objectives: lessons learnt from Malawi's Blantyre Prevention Strategy.BMJ global health · 2026Review
- Leadership and management competencies and practices among health managers in Wakiso District, Uganda.PloS one · 2026Article
- Article
- Examining the variations in the implementation of interventions to address stillbirth from the national to subnational levels: experiences from Uganda.Health research policy and systems · 2022Article
- Does decentralization of health systems translate into decentralization of authority? A decision space analysis of Ugandan healthcare facilities.Health policy and planning · 2021Article
- COVID-19 information dissemination in Uganda: Perspectives from sub-national health workers.BMC health services research · 2021Article
- Institutionalization of Projects Into Districts in Low- and Middle-Income Countries Needs Stewardship, Autonomy, and Resources.Global health, science and practice · 2020Article
- District Health Teams' Readiness to Institutionalize Integrated Community Case Management in the Uganda Local Health Systems: A Repeated Qualitative Study.Global health, science and practice · 2020Article
- Face and content validity of a prospective multidimensional performance instrument for service delivery in district health systems in low-income countries: a Delphi study.International health · 2020Article
- Assessment of a novel scanner-supported system for processing of child health and immunization data in Uganda.BMC health services research · 2020Observational
- Impact of capacity building interventions on individual and organizational competency for HPSR in endemic disease control in Nigeria: a qualitative study.Implementation science : IS · 2020Article
- How Does District Health Management Emerge Within a Complex Health System? Insights for Capacity Strengthening in Ghana.Frontiers in public health · 2020Article
- Decision-making in district health planning in Uganda: does use of district-specific evidence matter?Health research policy and systems · 2019Article
- Who is in and who is out? A qualitative analysis of stakeholder participation in priority setting for health in three districts in Uganda.Health policy and planning · 2019Article
- Bottleneck analysis at district level to illustrate gaps within the district health system in Uganda.Global health action · 2017Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe District Health System was endorsed as the key strategy to achieve 'Health for all' during the WHO organized inter-regional meeting in Harare in 1987. Many expectations were put upon the district health system, including planning. Although planning should be evidence based to prioritize activities, in Uganda it has been described as occurring more by chance than by choice. The role of planning is entrusted to the district health managers with support from the Ministry of Health and other stakeholders, but there is limited knowledge on the district health manager's capacity to carry out evidence-based planning. The aim of this study was to determine the barriers and enablers to evidence-based planning at the district level.
methodsThis qualitative study collected data through key informant interviews with district managers from two purposefully selected districts in Uganda that have been implementing evidence-based planning. A deductive process of thematic analysis was used to classify responses within themes.
resultsThere were considerable differences between the districts in regard to the barriers and enablers for evidence-based planning. Variations could be attributed to specific contextual and environmental differences such as human resource levels, date of establishment of the district, funding and the sociopolitical environment. The perceived lack of local decision space coupled with the perception that the politicians had all the power while having limited knowledge on evidence-based planning was considered an important barrier.
conclusionThere is a need to review the mandate of the district managers to make decisions in the planning process and the range of decision space available within the district health system. Given the important role elected officials play in a decentralized system a concerted effort should be made to increase their knowledge on evidence-based planning and the district health system as a whole.
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