Evidence map›Paper›PMID 34194218›Full record

ArticleHealth and human rights2021

Decolonizing Health Governance: A Uganda Case Study on the Influence of Political History on Community Participation.

Moses Mulumba, Ana Lorena Ruano, Katrina Perehudoff, Gorik Ooms

Abstract read
In one paragraph

Article in Health and human rights, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Article
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  8. Perceived Public Participation and Health Delivery in Local Government Districts in Uganda.International journal of environmental research and public health · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Moses MulumbaExecutive Director of the Center for Health, Human Rights and Development, Kampala, Uganda, and a doctoral researcher at the Faculty of Medicine and Health Sciences, Ghent University, Belgium.
Ana Lorena RuanoAssociate Professor at the Center for International Health, Department of Global Public Health and Primary Care, University of Bergen, Norway, and a researcher at the Center for the Study of Equity and Governance in Health Systems, Guatemala City, Guatemala.
Katrina PerehudoffSenior Research Fellow and Co-Director of the Law Centre for Health and Life at the University of Amsterdam, Netherlands; a Post-Doctoral Assistant at the International Centre for Reproductive Health at Ghent University, Belgium; and a Fellow at the Amsterdam Institute for Global Health and Development, Netherlands.
Gorik OomsProfessor in the Department of Public Health and Primary Care, Ghent University, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This paper presents a case study of how colonial legacies in Uganda have affected the shape and breadth of community participation in health system governance. Using Habermas's theory of deliberative democracy and the right to health, we examine the key components required for decolonizing health governance in postcolonial countries. We argue that colonization distorts community participation, which is critical for building a strong state and a responsive health system. Participation processes grounded in the principles of democracy and the right to health increase public trust in health governance. The introduction and maintenance of British laws in Uganda, and their influence over local health governance, denies citizens the opportunity to participate in key decisions that affect them, which impacts public trust in the government. Postcolonial societies must tackle how imported legal frameworks exclude and limit community participation. Without meaningful participation, health policy implementation and accountability will remain elusive.

Indexed as

Community ParticipationHuman RightsHealth PolicyHumansSocial ResponsibilityUganda

Identifiers

PMID34194218
PMCPMC8233017

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.