Browsing by Author "Mugisha, Frederick"

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    The health system cost of post-abortion care in Uganda
    (Health Policy and Planning, 2014) Vlassoff, Michael; Mugisha, Frederick; Sundaram, Aparna; Bankole, Akinrinola; Singh, Susheela; Amanya, Leo; Kiggundu, Charles
    This article presents estimates based on the research conducted in 2010 of the cost to the Ugandan health system of providing post-abortion care (PAC), filling a gap in knowledge of the cost of unsafe abortion. Thirty-nine public and private health facilities were sampled representing three levels of health care, and data were collected on drugs, supplies, material, personnel time and out-of-pocket expenses. In addition, direct non-medical costs in the form of overhead and capital costs were also measured. Our results show that the average annual PAC cost per client, across five types of abortion complications, was $131. The total cost of PAC nationally, including direct non-medical costs, was estimated to be $13.9 million per year. Satisfying all demand for PAC would raise the national cost to $20.8 million per year. This shows that PAC consumes a substantial portion of the total expenditure in reproductive health in Uganda. Investing more resources in family planning programmes to prevent unwanted and mistimed pregnancies would help reduce health systems costs.
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    Reaching the last 10 percent out of school children: the role of AIDS
    (African Journals Online (AJOL), 2016) Okumu, Ibrahim Mike; Mugisha, Frederick
    This paper investigates the role of AIDS on children being out of school. Put differently, whether it is because of AIDS that children are out of school. The main data source was the Northern Uganda Survey of 2004 conducted by Uganda Bureau of Statistics (UBOS) between July and December 2004. The survey was meant to provide indicators to guide the monitoring and evaluation function of the NUSAF project period in 18 districts of Northern Uganda. We defined and identified ‘aids affected households’, used descriptive analysis as well as a multinomial specification. We further explored the role of poverty using changes in household asset value between 1992 and 2004. There is no conclusive evidence that children are out of school due to AIDS. AIDS has a marginal effect on children failing to continue in school but this is not statistically significant. However there is strong evidence that children are out of school because of a decline in household asset value. To reach children who have never attended school, rather than focusing on ‘AIDS affected households’, a much greater impact is expected from preventing major decline in ‘household asset value’.