Browsing by Author "Mukundane, Moses"

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    Assessing the Management and Administration in Public Health Facilities of Uganda and the Implications for the Healthcare Service Delivery and Utilization Evidence from the CODES Project
    (ACODE Health Policy Research Series, 2016) Mukundane, Moses; Nannungi, Annet; Bataringaya, Dennis; Aryaija-Karemani, Adelaine; Ssesanga, Patrick; Muhwezi, Winstons W.
    ACODE is pleased to publish yet another policy research paper from the demand-side component of the ‘Community and District Empowerment for Scale-up (CODE) project which it implements under a consortium of the CODES project partners. We are very grateful to UNICEF for managing the funding of this project. The financial resources invested in the whole project and production of this research report is massive. To this end, ACODE Management and Board of Trustees are once again grateful to the Bill and Melinda Gates Foundation through the United States Fund for UNICEF and UNICEF Uganda for funding the CODES project. ACODE is heavily indebted to the Ministry of Health and the District Health Management Teams within each of the 13 CODES Project intervention districts, for their continued support and collaboration. In that same spirit, ACODE is grateful to the hundreds of individuals who participated in the baseline study and a series of community dialogues through offering candid views about their own experiences in seeking, receiving, and providing health services for children under-five years of age. During the course of research and production of this research paper, the authors were supported by a number of individuals, particularly Dr. Arthur Bainomugisha, Executive Director of ACODE; Dr. Flavia Mpanga Kaggwa, the Principal Investigator of the CODES project at UNICEF; and Robert Byabasheija, the CODES Project Manager at UNICEF. In a special way, the authors extend special thanks to Allen Elizabeth for the great insights she shared in the course of conceptualizing this paper. A vote of thanks also goes to Sherie Tumwebaze who was essential to the administrative activities of this study. We also offer a heartfelt thanks to the many district-based research assistants and dialogue facilitators from partner CSOs who were responsible for conducting the fieldwork that served as the basis for this report. While various people contributed to this study in essential ways, the views expressed here are those of the authors, who take sole responsibility for any errors or omissions. The authors hope that this health policy research paper will contribute to improvements in Uganda’s health sector by providing new insights and setting the agenda for further research, policy, and advocacy.
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    Community Participation to Improve Health Services for Children: a methodology for a community dialogue intervention in Uganda
    (African Health Sciences, 2019) Muhwezi, Wilson Winstons; Palchik, Elizabeth Allen; Kiwanuka, Dorcus Henriksson; Mpanga, Flavia; Mukundane, Moses; Nanungi, Annet; Bataringaya, Denis; Ssesanga, Patrick; Aryaija-Karemani, Adelaine
    Like other developing countries, Uganda still struggles to meaningfully reduce child mortality. A strategy of giving information to communities to spark interest in improving child survival through inducing responsibility and social sanctioning in the health workforce was postulated. By focusing on diarrhea, pneumonia and malaria, a Community and District Empow- erment for Scale up (CODES) undertaking used “community dialogues” to arm communities with health system performance information. This empowered them to monitor health service provision and demand for quality child-health services. We describe a process of community dialoguing through use of citizen report cards, short-text-messages, media and post-dialogue monitoring. Each community dialogue assembled 70-100 members including health workers and community leaders. After each community dialogue, participants implemented activities outlined in generated community contracts. Radio messages promoted demand for child-health services and elicited support to implement accepted activities. The perception that community dialoging is “a lot of talk” that never advances meaningful action was debunked since participant-initiated actions were conceived and implemented. Potential for use of electronic communication in real-time feedback and stimulating discussion proved viable. Post-dialogue monitoring captured in community contracts facilitated pro- cess evaluation and added plausibility for observed effects. Capacitated organizations during post-dialogue monitoring guaran- teed sustainability.