The impacts of decentralization on health care seeking behaviors in Uganda
Loading...
Date
2006
Journal Title
Journal ISSN
Volume Title
Publisher
The International Journal of Health Planning and Management
Abstract
This paper examines the impacts of a public sector decentralization program on health care seeking behaviors in Uganda in the 1990s. Shifting priorities by local governments in Uganda’s decentralized health system away from provision of primary health care, in particular the provision of public goods or goods with substantial consumption externalities, and toward provision of private health goods such as curative care are linked to shifts in individual-level care utilization behaviors. This analysis finds that, while the country has been undergoing a multitude of changes in recent years, decentralization appears to have led to
increases in the use of curative services with largely private benefits, perhaps at the expense of the use of primary health care services and services with consumption externalities. A longer period of analysis is required to determine the persistence of these effects
Description
Keywords
decentralization, Uganda, impact evaluation
Citation
Hutchinson, P., Akin, J., & Ssengooba, F. (2006). The impacts of decentralization on health care seeking behaviors in Uganda. The International Journal of Health Planning and Management, 21(3), 239-270.