Strategic Purchasing Arrangements in Uganda and Their Implications for Universal Health Coverage

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dc.contributor.authorEkirapa-Kiracho, Elizabeth
dc.contributor.authorSsennyonjo, Aloysius
dc.contributor.authorCashin, Cheryl
dc.contributor.authorGatome-Munyua, Agnes
dc.contributor.authorOlalere, Nkechi
dc.contributor.authorSsempala, Richard
dc.contributor.authorMayora, Chrispus
dc.contributor.authorSsengooba, Freddie
dc.date.accessioned2023-07-10T14:56:13Z
dc.date.available2023-07-10T14:56:13Z
dc.date.issued2022
dc.description.abstractSeveral purchasing arrangements coexist in Uganda, creating opportunities for synergy but also leading to conflicting incentives and inefficiencies in resource allocation and purchasing functions. This paper analyzes the key health care purchasing functions in Uganda and the implications of the various purchasing arrangements for universal health coverage (UHC). The data for this paper were collected through a document review and stakeholder dialogue. The analysis was guided by the Strategic Health Purchasing Progress Tracking Framework created by the Strategic Purchasing Africa Resource Center (SPARC) and its technical partners. Uganda has a minimum health care package that targets the main causes of morbidity and mortality as well as specific vulnerable groups. However, provision of the package is patchy, largely due to inadequate domestic financing and duplication of services funded by development partners. There is selective contracting with private-sector providers. Facilities receive direct funding from both the government budget and development partners. Unlike government-budget funding, payment from output-based donor-funded projects and performance-based financing (PBF) projects is linked to service quality and has specified conditions for use. Specification of UHC targets is still nascent and evolving in Uganda. Expansion of service coverage in Uganda can be achieved through enhanced resource pooling and harmonization of government and donor priorities. Greater provider autonomy, better work planning, direct facility funding, and provision of flexible funds to service providers are essential elements in the delivery of high-quality services that meet local needs and Uganda’s UHC aspirations.en_US
dc.identifier.citationEkirapa-Kiracho, E., Ssennyonjo, A., Cashin, C., Gatome-Munyua, A., Olalere, N., Ssempala, R., ... & Ssengooba, F. (2022). Strategic purchasing arrangements in Uganda and their implications for universal health coverage. Health Systems & Reform, 8(2), 2084215.https://doi.org/10.1080/23288604.2022.2084215en_US
dc.identifier.issn2084215
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/9048
dc.language.isoenen_US
dc.publisherHealth Systems & Reformen_US
dc.subjectUHCen_US
dc.subjectHealth financingen_US
dc.subjectPurchasing functionsen_US
dc.subjectStrategic purchasingen_US
dc.titleStrategic Purchasing Arrangements in Uganda and Their Implications for Universal Health Coverageen_US
dc.typeArticleen_US
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