SUSTAINABILITY, EQUITY AND EFFECTIVENESS IN PUBLIC FINANCING FOR HEALTH IN UGANDA: AN ASSESSMENT OF MATERNAL AND CHILD HEALTH SERVICES

Year 2019, , 233 - 246, 13.12.2019

Vincent Okungu , Marshal Mweu Janine Mans

https://doi.org/10.23884/ijhsrp.2019.4.3.08

Cited By: 1

Abstract

The aim of this assessment was to
understand whether financing for maternal, child health and immunization
services are sustainable, efficient, effective and equitable. Data
sources included various national and international reports related to
financing maternal and child health services. The results show that funding for
maternal and child health (MCH) services are unsustainable over the long term
because the main financing source are out-of-pocket (67% of total for MCH).
However, Uganda shows higher efficiency in delivery as it has the lowest
average cost per delivery (USD 50) compared to USD 70 (Kenya) and USD 95
(Ghana). Overall, MCH interventions being financed show some levels of
effectiveness; e.g. maternal mortality rates dropped from 420/100000 live
births in 2010 to 343/100000 live births in 2016; under-5 mortality rates
reduced from 151/1000 live births in 2000 to 64/1000 live births in 2016. There
are however, inequities by region, age, education status and wealth index; e.g.
37% in the poorest quintile have unmet family planning needs compared to only
23% in the wealthiest quintile. In conclusion, public financing for primary
services such as MCH requires reforms to strengthen health sector performance.
The reforms should address sustainable financing, efficiency, effectiveness and
equity in service delivery.  

Keywords

Uganda, Public financing, Maternal Health, Effectiveness

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