Yıl 2019, Cilt 4 , Sayı 2, Sayfalar 131 - 144 2019-08-27

EFFICIENCY, EQUITY, AND EFFECTIVENESS OF MALARIA FUNDING IN UGANDA: MAKING THE CASE FOR REFORMING PUBLIC FINANCING FOR HEALTH

Vincent OKUNGU [1] , Janine MANS [2]


Decreasing external funding for malaria requires high burden countries such as Uganda to increase domestic public financing to control and eliminate malaria. The aim of this study was to examine how the Government of Uganda, in collaboration with development partners and private sources of funding, has directed public resources in the recent past to help address the malaria burden. Data search and collection included national, regional and global reports and global data-bases. Government reports including National Development Plans, national health accounts (NHAs), national demographic health surveys, and other reports such as the Uganda Medicines Price Monitor, were included in the review. The findings indicate that government funding for malaria is limited (10% of total budget for malaria programming). Households (67%) are the main source of funds which makes malaria control in Uganda unsustainable. Public allocations are also inefficient with only 30% of funds allocated for preventive services contrary to global and national malaria control priorities. Evidence of inequity in the implementation of malaria programming are closely linked to poverty and ownership of preventive materials such as ITNs. Poor regions also report high malaria case incidence. Unavailability of anti-malarials is reported in lower level facilities serving mainly the poor. Overall progress in improving key malaria indicators is poor. There is also no correlation between expenditure on malaria and availability of ITNs (R2=0.6631). In conclusion, public financing for primary services such as malaria require reforms to strengthen health sector performance in terms of sustainability, efficiency, effectiveness and equity.

Malaria, Public financing, Effectiveness, Uganda
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Birincil Dil en
Konular Sağlık Bilimleri ve Hizmetleri, Temel Sağlık Hizmetleri, Sağlık Politikaları ve Hizmetleri
Bölüm Article
Yazarlar

Orcid: 0000-0002-1359-2645
Yazar: Vincent OKUNGU (Sorumlu Yazar)
Kurum: University of Nairobi
Ülke: Kenya


Yazar: Janine MANS
Kurum: Nathan Associates, Inc
Ülke: United States


Tarihler

Başvuru Tarihi : 11 Haziran 2019
Kabul Tarihi : 26 Ağustos 2019
Yayımlanma Tarihi : 27 Ağustos 2019

Bibtex @araştırma makalesi { ijhsrp575194, journal = {International Journal of Health Services Research and Policy}, issn = {}, eissn = {2602-3482}, address = {Dicle Üniversitesi Teknokenti Silvan Bulvarı 222/3 21280 SUR/DİYARBAKIR}, publisher = {Rojan GÜMÜŞ}, year = {2019}, volume = {4}, pages = {131 - 144}, doi = {10.23884/ijhsrp.2019.4.2.07}, title = {EFFICIENCY, EQUITY, AND EFFECTIVENESS OF MALARIA FUNDING IN UGANDA: MAKING THE CASE FOR REFORMING PUBLIC FINANCING FOR HEALTH}, key = {cite}, author = {Okungu, Vincent and Mans, Janine} }
APA Okungu, V , Mans, J . (2019). EFFICIENCY, EQUITY, AND EFFECTIVENESS OF MALARIA FUNDING IN UGANDA: MAKING THE CASE FOR REFORMING PUBLIC FINANCING FOR HEALTH . International Journal of Health Services Research and Policy , 4 (2) , 131-144 . DOI: 10.23884/ijhsrp.2019.4.2.07
MLA Okungu, V , Mans, J . "EFFICIENCY, EQUITY, AND EFFECTIVENESS OF MALARIA FUNDING IN UGANDA: MAKING THE CASE FOR REFORMING PUBLIC FINANCING FOR HEALTH" . International Journal of Health Services Research and Policy 4 (2019 ): 131-144 <https://dergipark.org.tr/tr/pub/ijhsrp/issue/48345/575194>
Chicago Okungu, V , Mans, J . "EFFICIENCY, EQUITY, AND EFFECTIVENESS OF MALARIA FUNDING IN UGANDA: MAKING THE CASE FOR REFORMING PUBLIC FINANCING FOR HEALTH". International Journal of Health Services Research and Policy 4 (2019 ): 131-144
RIS TY - JOUR T1 - EFFICIENCY, EQUITY, AND EFFECTIVENESS OF MALARIA FUNDING IN UGANDA: MAKING THE CASE FOR REFORMING PUBLIC FINANCING FOR HEALTH AU - Vincent Okungu , Janine Mans Y1 - 2019 PY - 2019 N1 - doi: 10.23884/ijhsrp.2019.4.2.07 DO - 10.23884/ijhsrp.2019.4.2.07 T2 - International Journal of Health Services Research and Policy JF - Journal JO - JOR SP - 131 EP - 144 VL - 4 IS - 2 SN - -2602-3482 M3 - doi: 10.23884/ijhsrp.2019.4.2.07 UR - https://doi.org/10.23884/ijhsrp.2019.4.2.07 Y2 - 2019 ER -
EndNote %0 International Journal of Health Services Research and Policy EFFICIENCY, EQUITY, AND EFFECTIVENESS OF MALARIA FUNDING IN UGANDA: MAKING THE CASE FOR REFORMING PUBLIC FINANCING FOR HEALTH %A Vincent Okungu , Janine Mans %T EFFICIENCY, EQUITY, AND EFFECTIVENESS OF MALARIA FUNDING IN UGANDA: MAKING THE CASE FOR REFORMING PUBLIC FINANCING FOR HEALTH %D 2019 %J International Journal of Health Services Research and Policy %P -2602-3482 %V 4 %N 2 %R doi: 10.23884/ijhsrp.2019.4.2.07 %U 10.23884/ijhsrp.2019.4.2.07
ISNAD Okungu, Vincent , Mans, Janine . "EFFICIENCY, EQUITY, AND EFFECTIVENESS OF MALARIA FUNDING IN UGANDA: MAKING THE CASE FOR REFORMING PUBLIC FINANCING FOR HEALTH". International Journal of Health Services Research and Policy 4 / 2 (Ağustos 2019): 131-144 . https://doi.org/10.23884/ijhsrp.2019.4.2.07
AMA Okungu V , Mans J . EFFICIENCY, EQUITY, AND EFFECTIVENESS OF MALARIA FUNDING IN UGANDA: MAKING THE CASE FOR REFORMING PUBLIC FINANCING FOR HEALTH. IJHSRP. 2019; 4(2): 131-144.
Vancouver Okungu V , Mans J . EFFICIENCY, EQUITY, AND EFFECTIVENESS OF MALARIA FUNDING IN UGANDA: MAKING THE CASE FOR REFORMING PUBLIC FINANCING FOR HEALTH. International Journal of Health Services Research and Policy. 2019; 4(2): 131-144.