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Year 2019, Volume: 4 Issue: 2, 131 - 144, 27.08.2019
https://doi.org/10.23884/ijhsrp.2019.4.2.07

Abstract

References

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  • [11] President's Malaria Initiative, "PMI Malaria Operational Plan FY2018," PMI. Available: https://www.pmi.gov/docs/default-source/default-document-library/malaria-operational-plans/fy-2018/fy-2018-uganda-malaria-operational-plan.pdf?sfvrsn=112018.
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  • [32] T. Bright, L. Felix, H. Kuper, and S. Polack, "A systematic review of strategies to increase access to health services among children in low and middle income countries," BMC Health Serv Res, vol. 17, no. 1, p. 252, Apr 5 2017.
  • [33] A. Cameron, M. Ewen, D. Ross-Degnan, D. Ball, and R. Laing, "Medicine prices, availability, and affordability in 36 developing and middle-income countries: a secondary analysis," Lancet, vol. 373, no. 9659, pp. 240-9, Jan 17 2009.
  • [34] K. M. Leisinger, L. F. Garabedian, and A. K. Wagner, "Improving access to medicines in low and middle income countries: corporate responsibilities in context," South Med Rev, vol. 5, no. 2, pp. 3-8, Dec 2012.
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EFFICIENCY, EQUITY, AND EFFECTIVENESS OF MALARIA FUNDING IN UGANDA: MAKING THE CASE FOR REFORMING PUBLIC FINANCING FOR HEALTH

Year 2019, Volume: 4 Issue: 2, 131 - 144, 27.08.2019
https://doi.org/10.23884/ijhsrp.2019.4.2.07

Abstract

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 (R
2=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.

References

  • [1] Government of Uganda, "Second National Development Plan (NDPII) 2015/16 – 2019/20: Uganda Vision 2040- A Transformed Ugandan Society from a Peasant to a Modern and Prosperous Country within 30 years," Government of Uganda (GOU), Kampala2015.
  • [2] Uganda Bureau of Statistics, "Statistical abstract," Uganda Bureau of Statistics, Kampala2017.
  • [3] WHO, "World Malaria Report," World Health Organization, Geneva2017.
  • [4] WHO, "World Malaria Report," World Health Organization, Geneva2018.
  • [5] Ministry of Health, "Malaria Control Program," Minstry of Health, Kampala. Available: http://health.go.ug/programs/national-malaria-control-program2018.
  • [6] Ministry of Health, "Malaria Indicator Survey (MIS) 2014-15," Government of Uganda, Kampala2015.
  • [7] Ministry of Health, "National Health Accounts: Financial Years 2010/11 & 2011/12," Government of Uganda, Kampala2012.
  • [8] Ministry of Health, "Uganda Health Accounts: National Health Expenditure- Financial Years 2010/11 and 2011/12," Government of Uganda, Kampala2014.
  • [9] Ministry of Health, "National Health Accounts: Financial Years 2012/13 & 2013/14," Government of Uganda, Kampala2015.
  • [10] Ministry of Health, "National Health Accounts 2015/16," Government of Uganda, Kampala2017.
  • [11] President's Malaria Initiative, "PMI Malaria Operational Plan FY2018," PMI. Available: https://www.pmi.gov/docs/default-source/default-document-library/malaria-operational-plans/fy-2018/fy-2018-uganda-malaria-operational-plan.pdf?sfvrsn=112018.
  • [12] WHO, "World Malaria Report," World Health Organization, Geneva2009, vol. Available: http://www.who.int/malaria/world_malaria_report_2009/mal2009_rep_chap6_0041.pdf.
  • [13] Coalition for Health Promotion & Social Development (HEPS), "Cost and Pricing: An Assessment of Private Health Facilities in Uganda " Cardno Emerging Markets USA, Ltd. Available: http://uhfug.com/wp-content/uploads/2017/04/An-assessment-Of-Private-Health-Facilities-In-Uganda.pdf2014.
  • [14] WHO, "Medicine Price Monitor for Uganda No. 13: May-June 2015," World Health Organization. Available: http://apps.who.int/medicinedocs/en/m/abstract/Js22317en/2015.
  • [15] The Global Fund, "Audit Report: Global Fund Grants to the Republic of Uganda," Global Fund, Geneva2016.
  • [16] Ministry of Health, "Uganda Malaria Quarterly Bulletin," Government of Uganda2016, vol. Issue 14.
  • [17] National Malaria Control Programme & INFORM Project, "An epidemiological profile of malaria and its control in Uganda," in "Available: http://www.inform-malaria.org/wp-content/uploads/2014/05/Uganda-Epi-Report-060214.pdf," 2013.
  • [18] Uganda Bureau of Statistics and ICF, "Uganda Demographic and Health Survey 2016: Key Indicators Report," Uganda Bureau of Statistics (UBOS) and ICF, Kampala, Uganda and Rockville, Maryland, USA:2017.
  • [19] Uganda Bureau of Statistics, "The 2016/17 Uganda National Household Survey " Uganda Bureau of Statistics (UBOS), Kampala2017.
  • [20] G. Stedman-Bryce, F. Schatz, C. Hodgkin, and P. Balogun, "Medicines Transparency Alliance (MeTA) Evaluation: Testing MeTA’s underlying intervention logic," e-PACT. , Available: http://haiweb.org/wp-content/uploads/2016/11/Medicines-Transparency-Alliance-MeTA-Evaluation.pdf2015.
  • [21] WHO, "Medicine Price Monitor for Uganda No. 11: July - September 2013," World Health Organization. Available: http://apps.who.int/medicinedocs/documents/s21906en/s21906en.pdf2013.
  • [22] WHO, "Medicine Price Monitor for Uganda Uganda No. 12 July-September 2014," World Health Organization. Available: http://apps.who.int/medicinedocs/documents/s22316en/s22316en.pdf2014.
  • [23] IHME, "Assessing Facility Capacity, Costs of Care, and Patient Perspectives," University of Washington, Seattle: Available: https://www.healthdata.org/sites/default/files/files/policy_report/2014/ABCE/Uganda/ABCE_Uganda_full_report_2014.pdf2014.
  • [24] D. McIntyre and J. Kutzin, "Health financing country diagnostic: a foundation for national strategy development," in "Health Financing Guidance No. 1: WHO/HIS/HGF/HFGuidance/16.1," World health Organization, Geneva2016.
  • [25] WHO, "Sustainable health financing, universal coverage and social health insurance. World Health Assembly Resolution WHA58.33," World Health Organization, Geneva2005.
  • [26] G. Carrin and C. James, "Reaching universal coverage via social health insurance: key design features in the transition period [Discussion paper no. 2]," World Health Organization, Geneva2004.
  • [27] D. McIntyre, "Pay the piper and call the tune: changing health care financing mechanisms to address public-private health sector mix inequities," (The economics of health equity. Cambridge: Cambridge University Press, 2007, p.^pp. Pages.
  • [28] WHO, "Domestic resource mobilization for sustainable financing for health in Africa African Region. Working Paper prepared by the WHO Regional Office for Africa," World Health Organization, Geneva2017.
  • [29] R. Tamarappoo, P. Pooja, R. Muthu, and F. Jincy, "Analysis of the linkage between domestic revenue mobilization and social sector spending: Phase 1 Final Report Leadership in Public Financial Management II (LPFM II)," Nathan Associates Inc.2016.
  • [30] R. Busse, J. Figueras, R. Robinson, and E. Jakubowski, "Strategic purchasing to improve health system performance: Key issues and trends " in Healthcare Papers, ed, 2006.
  • [31] RESYST. (2014). What is strategic purchasing for health? Available: https://resyst.lshtm.ac.uk/sites/resyst/files/content/attachments/2018-08-22/What%20is%20strategic%20purchasing%20for%20health.pdf
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  • [33] A. Cameron, M. Ewen, D. Ross-Degnan, D. Ball, and R. Laing, "Medicine prices, availability, and affordability in 36 developing and middle-income countries: a secondary analysis," Lancet, vol. 373, no. 9659, pp. 240-9, Jan 17 2009.
  • [34] K. M. Leisinger, L. F. Garabedian, and A. K. Wagner, "Improving access to medicines in low and middle income countries: corporate responsibilities in context," South Med Rev, vol. 5, no. 2, pp. 3-8, Dec 2012.
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There are 35 citations in total.

Details

Primary Language English
Subjects Health Policy, Primary Health Care, Health Care Administration
Journal Section Article
Authors

Vincent Okungu 0000-0002-1359-2645

Janine Mans This is me

Publication Date August 27, 2019
Submission Date June 11, 2019
Acceptance Date August 26, 2019
Published in Issue Year 2019 Volume: 4 Issue: 2

Cite

IEEE V. Okungu and J. Mans, “EFFICIENCY, EQUITY, AND EFFECTIVENESS OF MALARIA FUNDING IN UGANDA: MAKING THE CASE FOR REFORMING PUBLIC FINANCING FOR HEALTH”, IJHSRP, vol. 4, no. 2, pp. 131–144, 2019, doi: 10.23884/ijhsrp.2019.4.2.07.

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