ArticleInternational journal for equity in health2018
Government resource contributions to the private-not-for-profit sector in Uganda: evolution, adaptations and implications for universal health coverage.
Article in International journal for equity in health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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The trial behind it
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- Health financing for universal health coverage in Sub-Saharan Africa: a systematic review.Global health research and policy · 2021Pooled it
- Facilitators and barriers of public-private partnerships for universal health coverage in sub-Saharan Africa: a scoping review.Health policy and planning · 2026Article
- Factors affecting private sector engagement in achieving universal health coverage: a scoping review.Global health action · 2024Article
- Factors associated with utilization of oral health services among adults aged 18-70 years in Lira district, Northern Uganda: a community based cross-sectional study.BMC oral health · 2024Article
- Regulation and participation of the private sector in the pursuit of universal health coverage: Challenges and strategies for health systems.Journal of family medicine and primary care · 2024Article
- Experiences of membership in munno mubulwadde (your friend indeed) - a novel community-based health insurance scheme in Luwero district in rural central Uganda.BMC health services research · 2024Article
- Do private health providers help achieve Universal Health Coverage? A scoping review of the evidence from low-income countries.Health policy and planning · 2023Article
- Recovering lost tax to meet the health financing gap for universal public sector health systems in East and Southern Africa.BMJ global health · 2023Article
- A critical review of literature on health financing reforms in Uganda - progress, challenges and opportunities for achieving UHC.African health sciences · 2023Review
- Applying the Strategic Health Purchasing Progress Tracking Framework: Lessons from Nine African Countries.Health systems and reform · 2022Article
- 'Writing budgets for meetings and teas?': a multitheoretical analysis of intragovernmental coordination for multisectoral action for health in Uganda.BMJ global health · 2022Article
- Transitioning health workers from PEPFAR contracts to the Uganda government payroll.Health policy and planning · 2021Article
- Does decentralization of health systems translate into decentralization of authority? A decision space analysis of Ugandan healthcare facilities.Health policy and planning · 2021Article
- Community-funded integrated care outreach clinics as a capacity building strategy to expand access to health care in remote areas of Uganda.Global health action · 2021Article
- A qualitative study of the perspectives of health workers and policy makers on external support provided to low-level private health facilities in a Ugandan rural district, in management of childhood infections.Global health action · 2021Article
- Fitting Health Financing Reforms to Context: Examining the Evolution of Results-Based Financing Models and the Slow National Scale-Up in Uganda (2003-2015).Global health action · 2021Article
- Use of antibiotics to treat humans and animals in Uganda: a cross-sectional survey of households and farmers in rural, urban and peri-urban settings.JAC-antimicrobial resistance · 2020Article
- The differential impacts of PEPFAR transition on private for-profit, private not-for-profit and publicly owned health facilities in Uganda.Health policy and planning · 2020Article
- (How) does RBF strengthen strategic purchasing of health care? Comparing the experience of Uganda, Zimbabwe and the Democratic Republic of the Congo.Global health research and policy · 2019Article
- Leveraging the lessons learned from financing HIV programs to advance the universal health coverage (UHC) agenda in the East African Community.Global health research and policy · 2019Review
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
Abstract
backgroundA case study was prepared examining government resource contributions (GRCs) to private-not-for-profit (PNFP) providers in Uganda. It focuses on Primary Health Care (PHC) grants to the largest non-profit provider network, the Uganda Catholic Medical Bureau (UCMB), from 1997 to 2015. The framework of complex adaptive systems was used to explain changes in resource contributions and the relationship between the Government and UCMB.
methodsDocuments and key informant interviews with the important actors provided the main sources of qualitative data. Trends for GRCs and service outputs for the study period were constructed from existing databases used to monitor service inputs and outputs. The case study's findings were validated during two meetings with a broad set of stakeholders.
resultsThree major phases were identified in the evolution of GRCs and the relationship between the Government and UCMB: 1) Initiation, 2) Rapid increase in GRCs, and 3) Declining GRCs. The main factors affecting the relationship's evolution were: 1) Financial deficits at PNFP facilities, 2) advocacy by PNFP network leaders, 3) changes in the government financial resource envelope, 4) variations in the "good will" of government actors, and 5) changes in donor funding modalities. Responses to the above dynamics included changes in user fees, operational costs of PNFPs, and government expectations of UCMB. Quantitative findings showed a progressive increase in service outputs despite the declining value of GRCs during the study period.
conclusionsGRCs in Uganda have evolved influenced by various factors and the complex interactions between government and PNFPs. The Universal Health Coverage (UHC) agenda should pay attention to these factors and their interactions when shaping how governments work with PNFPs to advance UHC. GRCs could be leveraged to mitigate the financial burden on communities served by PNFPs. Governments seeking to advance UHC goals should explore policies to expand GRCs and other modalities to subsidize the operational costs of PNFPs.
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Registered trials
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