id okr-10986-23342
recordtype oai_dc
spelling 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
repository_type 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