Uganda : Does Information Matter?
Uganda has made important progress toward meeting the Millennium Development Goals, including halving its poverty rate to around 20 percent from more than 50 percent in the early 1990s. But healthcare, especially in the rural areas, is generally of...
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okr-10986-233422021-04-23T14:04:14Z Uganda : Does Information Matter? World Bank NEW COMMUNITIES COMMUNITIES CLINICAL GUIDELINES INFANT MORTALITY TREATMENT PREGNANCY COMPLICATIONS WORKERS FETUS PARTICIPATION CARE MEDICINE HEALTH OUTCOMES INFORMATION SERVICES PUBLIC SERVICES HEALTH CARE DEATH DEATH RATE HEALTH HEALTH CLINICS HEALTH WORKERS PROJECTS PROJECT NUTRITION ECONOMICS HEALTH FACILITIES MANAGEMENT COMMUNITY PARTICIPATION OUTPATIENT CARE WEIGHT HEALTH RECORDS PREGNANT WOMEN HEALTH CARE DELIVERY CHILDREN EDUCATION CLINICS EVALUATION DISPENSARIES HOUSEHOLDS PATIENTS PATIENT HEALTH PROVIDERS RURAL AREAS POVERTY INTERVENTION HEALTH INDICATORS INFANTS LOCAL PARTICIPATION ALL POPULATION FACILITIES NURSES HEALTH CARE SERVICES FUNDING VISION INTERVENTIONS USE OF HEALTH SERVICES COMMUNITY HEALTH CARE QUALITY WOMEN RESEARCH COMMUNITY INVOLVEMENT DEVELOPMENT PROJECTS HEALTH SERVICES IMPLEMENTATION PREGNANCY SERVICE DISTRICTS MORTALITY POSTERS NURSING DESIGN Uganda has made important progress toward meeting the Millennium Development Goals, including halving its poverty rate to around 20 percent from more than 50 percent in the early 1990s. But healthcare, especially in the rural areas, is generally of poor quality. Small clinics, known as dispensaries, provide care to Uganda’s rural residents. The clinics offer preventive, maternity, and outpatient care, as well as lab services. All services are supposed to be free. Six to 10 people staff most clinics, including a trained medical worker, nurses, nursing aides, and others. But roughly 50 percent of the staff are absent on a typical day and patients’ average wait time exceeds two hours. Uganda’s health sector is decentralized and Health Unit Management Committees are supposed to be the link between the community and the facility. In practice, there’s little action on the part of the committees in terms of supervision or support. In 2005, a World Bank supported team decided to test the impact of a program to encourage rural residents to get involved in local health care delivery. Community members and health staff were given report cards grading the quality of local clinics, including information about specific clinic operations, absences and the quality of care. Meetings were facilitated between community members and health facilities to allow them to draw up a shared vision of what was needed and make a plan to achieve this. A year later, the evaluation found that the quality of healthcare improved, as reflected in lower child mortality and improved child weight. In 2007, the team expanded the project in order to test whether just bringing people together with health providers for meetings and encouraging community monitoring processes, without providing report cards, could be as effective. 2015-12-14T22:24:54Z 2015-12-14T22:24:54Z 2015-09 Brief http://documents.worldbank.org/curated/en/2015/11/25485734/uganda-information-matter http://hdl.handle.net/10986/23342 English en_US From evidence to policy; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank Washington, DC Publications & Research :: Brief Publications & Research Africa Uganda |
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Digital Repository |
institution_category |
Foreign Institution |
institution |
Digital Repositories |
building |
World Bank Open Knowledge Repository |
collection |
World Bank |
language |
English en_US |
topic |
NEW COMMUNITIES COMMUNITIES CLINICAL GUIDELINES INFANT MORTALITY TREATMENT PREGNANCY COMPLICATIONS WORKERS FETUS PARTICIPATION CARE MEDICINE HEALTH OUTCOMES INFORMATION SERVICES PUBLIC SERVICES HEALTH CARE DEATH DEATH RATE HEALTH HEALTH CLINICS HEALTH WORKERS PROJECTS PROJECT NUTRITION ECONOMICS HEALTH FACILITIES MANAGEMENT COMMUNITY PARTICIPATION OUTPATIENT CARE WEIGHT HEALTH RECORDS PREGNANT WOMEN HEALTH CARE DELIVERY CHILDREN EDUCATION CLINICS EVALUATION DISPENSARIES HOUSEHOLDS PATIENTS PATIENT HEALTH PROVIDERS RURAL AREAS POVERTY INTERVENTION HEALTH INDICATORS INFANTS LOCAL PARTICIPATION ALL POPULATION FACILITIES NURSES HEALTH CARE SERVICES FUNDING VISION INTERVENTIONS USE OF HEALTH SERVICES COMMUNITY HEALTH CARE QUALITY WOMEN RESEARCH COMMUNITY INVOLVEMENT DEVELOPMENT PROJECTS HEALTH SERVICES IMPLEMENTATION PREGNANCY SERVICE DISTRICTS MORTALITY POSTERS NURSING DESIGN |
spellingShingle |
NEW COMMUNITIES COMMUNITIES CLINICAL GUIDELINES INFANT MORTALITY TREATMENT PREGNANCY COMPLICATIONS WORKERS FETUS PARTICIPATION CARE MEDICINE HEALTH OUTCOMES INFORMATION SERVICES PUBLIC SERVICES HEALTH CARE DEATH DEATH RATE HEALTH HEALTH CLINICS HEALTH WORKERS PROJECTS PROJECT NUTRITION ECONOMICS HEALTH FACILITIES MANAGEMENT COMMUNITY PARTICIPATION OUTPATIENT CARE WEIGHT HEALTH RECORDS PREGNANT WOMEN HEALTH CARE DELIVERY CHILDREN EDUCATION CLINICS EVALUATION DISPENSARIES HOUSEHOLDS PATIENTS PATIENT HEALTH PROVIDERS RURAL AREAS POVERTY INTERVENTION HEALTH INDICATORS INFANTS LOCAL PARTICIPATION ALL POPULATION FACILITIES NURSES HEALTH CARE SERVICES FUNDING VISION INTERVENTIONS USE OF HEALTH SERVICES COMMUNITY HEALTH CARE QUALITY WOMEN RESEARCH COMMUNITY INVOLVEMENT DEVELOPMENT PROJECTS HEALTH SERVICES IMPLEMENTATION PREGNANCY SERVICE DISTRICTS MORTALITY POSTERS NURSING DESIGN World Bank Uganda : Does Information Matter? |
geographic_facet |
Africa Uganda |
relation |
From evidence to policy; |
description |
Uganda has made important progress
toward meeting the Millennium Development Goals, including
halving its poverty rate to around 20 percent from more than
50 percent in the early 1990s. But healthcare, especially in
the rural areas, is generally of poor quality. Small
clinics, known as dispensaries, provide care to Uganda’s
rural residents. The clinics offer preventive, maternity,
and outpatient care, as well as lab services. All services
are supposed to be free. Six to 10 people staff most
clinics, including a trained medical worker, nurses, nursing
aides, and others. But roughly 50 percent of the staff are
absent on a typical day and patients’ average wait time
exceeds two hours. Uganda’s health sector is decentralized
and Health Unit Management Committees are supposed to be the
link between the community and the facility. In practice,
there’s little action on the part of the committees in terms
of supervision or support. In 2005, a World Bank supported
team decided to test the impact of a program to encourage
rural residents to get involved in local health care
delivery. Community members and health staff were given
report cards grading the quality of local clinics, including
information about specific clinic operations, absences and
the quality of care. Meetings were facilitated between
community members and health facilities to allow them to
draw up a shared vision of what was needed and make a plan
to achieve this. A year later, the evaluation found that the
quality of healthcare improved, as reflected in lower child
mortality and improved child weight. In 2007, the team
expanded the project in order to test whether just bringing
people together with health providers for meetings and
encouraging community monitoring processes, without
providing report cards, could be as effective. |
format |
Brief |
author |
World Bank |
author_facet |
World Bank |
author_sort |
World Bank |
title |
Uganda : Does Information Matter? |
title_short |
Uganda : Does Information Matter? |
title_full |
Uganda : Does Information Matter? |
title_fullStr |
Uganda : Does Information Matter? |
title_full_unstemmed |
Uganda : Does Information Matter? |
title_sort |
uganda : does information matter? |
publisher |
Washington, DC |
publishDate |
2015 |
url |
http://documents.worldbank.org/curated/en/2015/11/25485734/uganda-information-matter http://hdl.handle.net/10986/23342 |
_version_ |
1764453779023855616 |