DOCSLIB.ORG

Identification of Priority Research Questions Within the Areas Of: Health Financing; Human Resources for Health and the Role of Non-State Sector

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Identification of Priority Research Questions Within the Areas Of: Health Financing; Human Resources for Health and the Role of Non-State Sector Final Report – 6 August 2008 IDENTIFICATION OF PRIORITY RESEARCH QUESTIONS WITHIN THE AREAS OF: HEALTH FINANCING; HUMAN RESOURCES FOR HEALTH AND THE ROLE OF NON-STATE SECTOR Prepared by Delius Asiimwe Senior Research Fellow, MISR Supported by Alliance for Health Policy and Systems Research Reproduced with permission Priority Research Questions Study 1 Makerere Institute of Social Research Final Report – 6 August 2008 Priority Research Questions Study 2 Makerere Institute of Social Research Final Report – 6 August 2008 TABLE OF CONTENTS ACKNOWLEDGEMENTS ....................................................................................................................................... 5 EXECUTIVE SUMMARY ........................................................................................................................................ 6 Background....................................................................................................................................................... 6 Study Description and Methods..................................................................................................................... 6 Findings ............................................................................................................................................................. 7 Policy Concerns – Health Financing .......................................................................................................... 7 Policy concerns – Human Resource for Health........................................................................................ 7 Policy Concerns – Non-state Sector .......................................................................................................... 7 Priority Research Questions ....................................................................................................................... 7 ABBREVIATIONS .................................................................................................................................................. 9 1.0 STUDY CONTEXT ................................................................................................................................... 11 1.1 Objectives of the Study ................................................................................................................... 12 2.0 METHODOLOGY ..................................................................................................................................... 12 2.1 Scope.................................................................................................................................................. 12 2.2 Selection of organizations and respondents................................................................................. 12 2.3 Methods of Data Collection ............................................................................................................. 12 2.3.1 Literature Search and Review .................................................................................................... 12 2.3.2 Pre-visits ........................................................................................................................................ 13 2.3.3 In-depth interviews with Key Informants................................................................................. 13 2.4 Data Analysis..................................................................................................................................... 14 3.0 LITERATURE REVIEW ........................................................................................................................... 14 3.1 Introduction....................................................................................................................................... 14 3.1.1 Health Care Financing ................................................................................................................. 15 3.1.2 Human Resource for Health ....................................................................................................... 16 3.1.3 Non-State Sector.......................................................................................................................... 17 4.0 FINDINGS FROM KEY INFORMANT INTERVIEWS ............................................................................ 19 4.1 Policy Concerns - Health financing ................................................................................................ 19 Priority Research Questions Study 3 Makerere Institute of Social Research Final Report – 6 August 2008 4.1.1 Budgeting and Resource allocation for the health sector..................................................... 19 4.1.2 Public financing of the private sector........................................................................................ 19 4.1.3 Alternative source of financing................................................................................................... 20 4.2 Research Priority Questions - Health Financing........................................................................... 22 4.3 Policy Concerns – Human Resource for Health............................................................................ 23 4.3.1 Numbers, deployment and attrition .......................................................................................... 23 4.3.2 Record Keeping and Data Management ................................................................................... 23 4.3.3 Human Resource for Health Training........................................................................................ 24 4.3.4 Management of Human Resource for Health........................................................................... 24 4.4 Research Priorities Areas – Human Resource for Health ........................................................... 25 4.5 Policy Concerns – Non-State Sector .............................................................................................. 26 4.6 Research Priorities Areas – Non-State Sector .............................................................................. 26 5.0 DISCUSSION........................................................................................................................................... 27 5.1 Uganda’s Health Policy Environment............................................................................................. 27 5.2 Health Financing............................................................................................................................... 27 5.3 Human Resource for Health............................................................................................................ 28 5.4 Non-State Sector .............................................................................................................................. 28 5.5 Strength of the study Methodology ............................................................................................... 29 5.6 Short Comings of the Study Methodology .................................................................................... 29 6.0 REFERENCES .......................................................................................................................................... 30 Annexes:........................................................................................................................................................... 31 1: List of Key Informants .............................................................................................................................. 31 2: Key Informant Tools ................................................................................................................................. 31 Priority Research Questions Study 4 Makerere Institute of Social Research 5 ACKNOWLEDGEMENTS This report was prepared by Makerere Institute of social Research, Makerere University as part of the collaborative study with Faculty of Arts and Social Sciences, University of Dar es Salaam Tanzania. The author would like to thank Alliance for Health Policy and Systems Research, WHO, Geneva for supporting this study. He also wishes to extend his gratitude to Sara Bennett, Manager and Michael Kent Ranson, Consultant both of Alliance HPSR for their input that shaped the outcome of this study. I am also grateful for the thoughtful guidance of the Dr. Francis Runumi, Commissioner Health Service Planning and Dr. Basaaza, Senior Planner, Ministry of Health, Kampala during the preparatory stages of the study. On behalf of Makerere Institute of Social Research, I would especially like to thank the informants that participated in the study – policy makers and program staff from the various government ministries, leaders of NGOs providing health care and providers’ associations as well as private providers who freely gave in their time to answer questions and provided reflections on policy concerns and priority research questions. Special tribute goes to the leadership of the health consumer and users organization in championing the communities’ voices in health care and hope that these findings will contribute to improving the health and quality care of the people of Uganda and the region. Priority Research Questions Study 5 Makerere Institute of Social Research 6 EXECUTIVE SUMMARY Background Uganda is among the twenty poorest countries in the world with a per capita GDP of about $300 with about 31 percent of Ugandans still living below the poverty line
Load more

Recommended publications
  • Report from Microresearch Curriculum Development Meeting April 28-30, 2014 Halifax, Canada
    This report may be presented as received by IDRC from Dr MacDonald and Robert Bortolussi. It has not been subjected to peer review or other review processes. This work is used with the permission of Robert Bortolussi and Noni MacDonald. © 2014, Robert Bortolussi and Noni MacDonald. Report from MicroResearch Curriculum Development Meeting April 28-30, 2014 Halifax, Canada Eisha Grant in Halifax presenting outcomes of her research in Uganda 1 Funding and “In Kind” contributions for MicroResearch Curriculum Development Meeting • International Development Research Council (IDRC) Canada • Global Health Research Initiative (GHRI) Canada • Department Foreign Affairs, Trade and Development (DFATD) Canada • IWK Health Centre & Foundation, Halifax, Canada • Department of Paediatrics, Dalhousie University, Halifax, Canada • Tanzanian Training Centre International Health (TTCIH) Tanzania • Mbarara University for Science and Technology (MUST) Uganda • University of Nairobi (UoN) Kenya • With ongoing support to MicroResearch from: Canadian Child Health Clinician Scientist Program Healthy Child Uganda Dalhousie Medical Research Foundation Dalhousie University Makerere University University of Alberta University of Calgary BC Women’s and Children’s Hospital Foundation Canadian Paediatric Society Society of Obstetricians and Gynaecologists of Canada Process Pathways Private donations 2 Background: Poverty, hunger, illiteracy, maternal and child deaths in lower income developing countries (LIDC) are social and health issues that the world began to address in 2000 by pledging to achieve eight Millennium Development Goals (MDGs) by 2015. Building on MDG achievements, the United Nations proposed the Action Agenda for Sustainable Development (2013), including further actions to improve health outcomes. Developing local capacity to sustain and improve on health gains is a challenge since resource limited LIDC bear 25% of the globe’s disease burden with less than 1% of its healthcare professionals (HCP).
    [Show full text]
  • The Status of Clinical Diagnostic Imaging Services in Uganda's Regional Referral Hospitals
    THE STATUS OF CLINICAL DIAGNOSTIC IMAGING SERVICES: 9(1) 27-36 UMU Press 2011 THE STATUS OF CLINICAL DIAGNOSTIC IMAGING SERVICES IN UGANDA’S REGIONAL REFERRAL HOSPITALS Hillary Onziga*, Everd Maniple# and Vincent Bwete# *Corresponding author. P.O. BOX 10952, Kampala, Uganda or 126, Arua, Uganda. E-mail: [email protected] #Faculty of Health Sciences, Uganda Martyrs University, P.O. Box 5498, Kampala, Uganda Abstract Background: Clinical imaging is an essential component of health care which supports and improves the effectiveness of clinical decision-making. Quality care saves lives and resources of both the patient and the health system. However, many developing countries have neglected diagnostics, especially clinical imaging. Non-use of or poor imaging services lead to wrong diagnosis and treatment, unnecessary health expenditures, and poor health outcomes. Regional Referral Hospitals should have good diagnostic imaging services to provide expert care and bridge the continuum of care by stemming the flow of uncomplicated cases from general hospitals to National Referral Hospitals. Aim: To determine the situation of diagnostic imaging services at regional referral hospitals in Uganda. Methods: A descriptive cross-sectional survey of all the nine Regional Referral Hospitals of Uganda was done in 2007. Environmental inspection of the imaging units, process observation and exit interviews with 156 patients present on the day of the visit were done to assess their satisfaction with the imaging services. Staff were also interviewed. However, quality validation of the imaging outputs was not done. Selected health facilities in the capital Kampala were visited to obtain data on patients referred from upcountry. Five-year hospital records were reviewed for outputs.
    [Show full text]
  • Crocs September 05.Indd
    HOMES & CONSTRUCTION SATURDAY VISION, September 5, 2015 49 BUSINESS MANHOLE COVERS MOTORS SALE ALUMINIUM Paints RITVER PAINTS CRANE ROOFINGS SALE COFFEE SHOP FOR SALE LOANS **Special o er** in Garden City QUICK LOANS Cast-Iron Manhole Covers FOR SALE 0790-563925. O753787238 for Full Bowler/ Floor Traps Isuzu ELF UAK 0787-428943. NOTICES QUICK LOANS 0754761024 LOST ALUMINIUM, STEEL & AMIR ISSAH ALUMINIUM FABRICATION NO. 1 Giant Alluminium Lost Driving Permit Profi le manufacturer in No: 10497364/2/1 East Africa 0756-600400. LOST DRIVING PERMIT 7th Street Industrial Area ARCE ENGINEERING No. 10000769/6/2 0772570973, WORKS Nabende Stephen # 1 Producer of 0701-487955. 0702726184, Aluminium & Steel Texture Coatings 0712989498, Fabricators VIJAY ENTERPRISES LTD LOST PASSPORT Decorative Coatings 0793938429, For: Stone Finishing Specialized in Aluminium +250733154731 • Doors & Windows No. B0627734 Fabrication of: • Cladding, Curtain walling Ocircan Spinage Davis Gypsum Ceilings 0772-768017. • Curtain Wall & Aluminium • Shop fronts Cornices SOFA REPAIR • Display counters, Cladding LOST DRIVING PERMIT • Doors & Windows • Acoustic Ceiling & MODERN IMAGE • Roller shutters, Gates, No. 10363301/3/1 • Offi ce Partitions INTERIOR DESIGNERS Collapsible Burglar proofs. Magezi Peter • Gypsum Ceiling for Home Plot 81-85, 7th Street, 0753-855542. & O ce Before Industrial Area • Sheet Metal Engineering Tel: 0312-262 472, LOST DRIVING PERMIT Work 0753-710055 No. 10360359/1/1 Plot 201, 6th Street 0772-419695 Senoga G. Kizito Industrial Area, Kampala. Tel: 0751-747480, 0751-747482 INFORMATION SERVICE EMERGENCY Iganga Hospital: Tel. 242022, POLICE AND FIRE BRIGADE: 242045 Code 043 After Ring: 999 or 342222/3. Jinja Hospital: Tel. 122000/1/2/3/4/5, PACKAGING BOXES Code 043 Africa Air Rescue (AAR) 258527, Kabale Hospital: Tel.
    [Show full text]
  • List of Bonded Warehouses in Uganda
    List of Bonded Warehouses in Uganda 1.Atlas Cargo Systems BONDED WAREHOUSES Plot 1 Kireka Road/Sabuni Road, Mbuya Opp. Shell & Gaz Petro Stations P.O. Box 7765 Kampala 0414245 861/236 704/6/7/8 [email protected] 2. Space Registration BONDED WAREHOUSES Plot 2 Kyadondo Road Nakasero P.O. Box 3842 Kampala 0312276555, 0772640358 3. Cadam Enterprises Ltd BONDED WAREHOUSES Plot 4-6 Naguru Road Naguru P.O. Box 27627 Kampala 0414340 347/438, 0772412 704 4. Symbion Uganda Ltd. BONDED WAREHOUSES Plot 14 Parliament Avenue Jubilee Insurance Plaza, 7th Floor P.O. Box 7671 Kampala 0312260252, 0414251142 5. General Agencies (U) Ltd BONDED WAREHOUSES Plot 1 7th Street, Industrial Area P.O. Box 23013 Kampala 414255 52/95 6. Bureau Veritas Uganda BONDED WAREHOUSES Plot 30 Lugogo By pass P.O BOX 40323 Kampala 0792280280, 0792280281 http://www.bureauveritas.com 7. Multiple ICD BONDED WAREHOUSES Plot M612 Ntinda RoadNtinda Industrial Area P.O. Box 28884 Kampala 414288 35/71 [email protected] 8. Intertek International Ltd BONDED WAREHOUSES Plot 3-5 port bell road 0414230990, 0414231990 info@[email protected] http://www.intertek.com 9. SDV Transami (U) Ltd BONDED WAREHOUSES Plot M-611 Ntinda Road Ntinda Industrial Area P.O. Box 5501 Kampala 0414336 000, 0312-211 000 [email protected] 10. Uganda National Bureau of Standards (UNBS) BONDED WAREHOUSES Bweyogelele Branch P.O BOX 6329 Kampala 0414222367, 0414505995 [email protected] http://www.unbs.go.ug 11. Maersk Uganda Ltd BONDED WAREHOUSES 5th Street, Industrial Area P.O. Box 28687 Kampala 414433 7/8 [email protected] 12.
    [Show full text]
  • Atomic Energy Council Annual Report 2012/2013
    Atomic Energy Council 1 Annual Report 2012/2013 ATOMIC ENERGY COUNCIL ANNUAL REPORT FOR 2012/2013 “To regulate the peaceful applications and management of ionizing radiation for the protection and safety of society and the environment from the dangers resulting from ionizing radiation” Atomic Energy Council 2 Annual Report 2012/2013 FOREWARD The Atomic Energy Council was established by the Atomic Energy Act, 2008, Cap. 143 Laws of Uganda, to regulate the peaceful applications of ionizing radiation in the country. The Council consists of the policy organ with five Council Members headed by the Chairperson appointed by the Minister and the full time Secretariat headed by the Secretary. The Council has extended services to various areas of the Country ranging from registering facilities that use radiation sources, authorization of operators, monitoring occupational workers, carrying out inspections in facilities among others. The Council made achievements which include establishing the Secretariat, gazetting of the Atomic Energy Regulations, 2012, developing safety guides for medical and industrial practices, establishing systems of notifications, authorizations and inspections, establishing national and international collaborations with other regulatory bodies and acquisition of some equipment among others. The Council has had funding as the major constraint to the implementation of the Act and the regulations coupled with inadequate equipment and insufficient administrative and technical staff. The Council will focus on institutional development, establishing partnerships and collaborations and safety and security of radioactive sources. The Council would like to thank the government and in particular the MEMD, the International Atomic Energy Agency, United States Nuclear Regulatory Commission and other organizations and persons who have helped Council in carrying out its mandate.
    [Show full text]
  • The Status of Social Security Systems in Uganda: Challenges and Opportunities
    THE STATUS OF SOCIAL SECURITY SYSTEMS IN UGANDA: CHALLENGES AND OPPORTUNITIES Paul Bukuluki John-Bosco Mubiru REALITY CHECK THE STATUS OF SOCIAL SECURITY SYSTEMS IN UGANDA: CHALLENGES AND OPPORTUNITIES Paul Bukuluki John-Bosco Mubiru Makerere University School of Social Sciences, College of Humanities and Social Sciences,Makerere University, Kampala, Uganda November 2014 The views expressed in this publication do not necessarily reflect the views of the Konrad-Adenauer-Stiftung but rather those of the author. CHALLENGES AND OPPORTUNITIES i REALITY CHECK THE STATUS OF SOCIAL SECURITY SYSTEMS IN UGANDA: CHALLENGES AND OPPORTUNITIES ISBN: 978 9970 477 03 6 Authors Paul Bukuluki John-Bosco Mubiru Konrad-Adenauer-Stiftung, Uganda Programme 51A, Prince Charles Drive, Kololo P.O. Box 647, Kampala Tel. +256 414 25 46 11 www.kas.de © Konrad-Adenauer-Stiftung e.V. 2014 All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, without prior written permission on the Konrad-Adenauer- Stiftung. ii THE STATUS OF SOCIAL SECURITY SYSTEMS IN UGANDA CONTENTS Foreword ............................................................................ vi List of acronyms and abbreviations ................................... vii 1.0.Introduction ..................................................................1 1.1.Background about Uganda ................................................ 2 1.2.Poverty and Vulnerability Context in Uganda ........................ 4 1.2.1.Income inequality
    [Show full text]
  • Annual Report 2013-2014
    ATOMIC ENERGY COUNCIL ANNUAL REPORT 2013/2014 JULY 1, 2013 - JUNE 30, 2014 “To regulate the peaceful applications and management of ionizing radiation for the protection and safety of society and the environment from the dangers resulting from ionizing radiation.” FOREWORD The Atomic Energy Council (AEC) is an Independent government regulatory body established by Atomic Energy Act, No. 24 of 2008, with a mandate to regulate the peaceful applications and management of ionizing radiation for the protection and safety of society and the environment from dangers resulting from ionizing radiation; to regulate the peaceful applications of ionizing radiation in the country. AEC has a number of regulatory functions which include among others; Development of Safety guides, Review & Assessment of documentation; Inspection and Enforcement, Registration, authorization and Licensing; Monitoring of occupationally exposed workers; Radioactive waste management; Environmental monitoring; Formation of a Radiological Emergency and Response Committee; Nuclear Security. Other than performing its regulatory functions, the Council made achievements which included; Establishment of cooperation with USNRC and TAEC, development of a strategic plan for Council, Radioactive contamination testing among others. The Council’s major constraint to the implementation of its regulatory functions is funding, coupled ZLWK LQDGHTXDWH HTXLSPHQW DQG LQVXIÀFLHQW QXPEHU RI DGPLQLVWUDWLYH DQG WHFKQLFDO VWDII7KH Council will focus onstrengthening its regulatory infrastructure, enhancing
    [Show full text]
  • PROTECTION of WORKERS and HUMAN RIGHTS DEFENDERS from INTIMIDATION!! ­ Legal Aid Service Provider's …
    12/9/2016 PRESS STATEMENT: PROTECTION OF WORKERS AND HUMAN RIGHTS DEFENDERS FROM INTIMIDATION!! ­ Legal Aid Service Provider's … PRESS STATEMENT: PROTECTION OF WORKERS AND HUMAN RIGHTS DEFENDERS FROM INTIMIDATION!! 10 November 2016 ­ Hits: 310 PRESS STATEMENT: PROTECTION OF WORKERS AND HUMAN RIGHTS DEFENDERS FROM INTIMIDATION!! Page 2 All Pages 9th November 2016 Mengo, Kampala For Immediate Release LASPNET, a National network of 52 Legal Aid Service Providers in Uganda, in concerned about the alleged violation of workers' rights by a Flower farm called Royal Van Zanten and condemns the act of intimidation of Human Rights Defenders particularly FIDA­Uganda and others who are making efforts to offer support to the workers that were allegedly poisoned by the chemicals. As has been continuously reported in the press since 14th October 2016, 82 workers at the farm were allegedly affected after being forced to enter a greenhouse within a few minutes of spraying with chemicals which caused them headaches, dizziness, skin and eye irritation, difficulty in breathing, abdominal pain and vomiting. Many collapsed and were rushed to the farm clinic. The reports indicate that when the symptoms persisted they were referred to a clinic outside the farm although denied to collect personal medical forms on instructions of RVZ, despite interventions by Uganda Horticulture Industrial Service Providers and Allied Workers Union (UHISPAWU). Subsequently, the workers contacted the Uganda Association of Women Lawyers (FIDA­U) and Uganda Horticulture Industrial Service Providers and Allied Workers Union (UHISPAWU), the two organizations later transferred 46 women workers to a private hospital for tests and treatment and later to Kadic Hospital The predicament of the workers of Royal Van Zanten, and others working in similar circumstances especially low skilled workers are not isolated incidences.
    [Show full text]
  • CIC Approved Medical Service Providers
    CIC GROUP COUNTY NAME OF SERVICE PROVIDER PHYSICAL ADDRESS TELEPHONE NO. SERVICES OFFERED CATEGORY A Nairobi County THE NAIROBI HOSPITAL Argwings Kodhek Road, Hurlingham 2722160 / 2845000/0722-204-114 OUTPATIENT/INPATIENT Nairobi County Nairobi Hospital-Warwick Centre UN Avenue- Warwick 0729 110 202/2718822 OUTPATIENT Nairobi County Nairobi Hospital Galleria Mall Galleria Mall along langata road near bomas of kenya 0788 715 433/8895000 OUTPATIENT Nairobi County THE MATER HOSPITAL South B 0732 163 000/0722 828 629 OUTPATIENT/INPATIENT Nairobi County Mater Hospital-Development Clinic (branch) Development house, 1st floor 0719-333-222 / 0206903600 OUTPATIENT Nairobi County Mater Buruburu Clinic Fairlane,above Uchumi Supermarket 0719-888-444 / 020-690-3700 OUTPATIENT Nairobi County Mater Hospital-Westlands Clinic Westlands square,above uchumi supermarket,1st floor 0714-660-862 / 0734-778-800 OUTPATIENT Nairobi County Mater hospital Kasarani Clinic Thika road mall2nd floorjuction of Thika , Kamiti road 0726-433-179 / 0731-000-994 OUTPATIENT Nairobi County Mater Embakasi Clinic TAJ MALL,2nd floor above Uchumi 0734-300-333 / 020-690-3500 OUTPATIENT Kiambu County Mater Thika Clinic Tuskys 3rd floor, Thika town 07122-299-880 OUTPATIENT Nairobi County GERTRUDES CHILDREN’S HOSPITAL Muthaiga Road 722898948 OUTPATIENT/INPATIENT Nairobi County Gertrudes Embakasi Clinic Airport road 0721-394-306, 0731-333-301/020 820 784 OUTPATIENT Nairobi County Gertrudes Nairobi west Clinic Kodi Road 0721-394-306, 0735-639-063 OUTPATIENT Nairobi County Gertrudes Lavington
    [Show full text]
  • Situation Analysis to Determine the Acceptability and Feasibility of Male Circumcision Promotion in Uganda
    Situation Analysis to Determine the Acceptability and Feasibility of Male Circumcision Promotion in Uganda FINAL REPORT DRAFT 1.1 Principal Investigator: Dr. Sebastian Olikira Baine Makerere University School of Public Health Room 322, Mulago Hospital Complex Kampala, Uganda Co-Investigator: Dr. Alex Opio Ministry of Health Kampala, Uganda Co-Investigator: Dr. Nazarius Mbona Tumwesigye Makerere University School of Public Health PO box 7072 Kampala, Uganda Technical Monitor: Dr. Sarah Thomsen Behavioral and Biomedical Sciences Family Health International Research Triangle Park, NC 27709 USA Project Director: Angela Akol Family Health International Plot 6, Kafu Road Kampala, Uganda 1 ACRONYMS FGD Focus group discussion FHI Family Health International HIV/AIDS Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome HCIV Health Center IV MC Male circumcision MMC Medical male circumcision MUSPH Makerere University School of Public Health NGO Non-governmental organization PSU Primary sampling unit SSU Secondary sampling unit STI Sexually transmitted infection SWOT Strengths, weaknesses, opportunities, threats UNAIDS The Joint United Nations Program on HIV/AIDS WHO World Health Organization 2 INTRODUCTION Results from three randomized trials in South Africa, Kenya, and Uganda provide evidence that male circumcision reduces the sexual transmission of HIV from women to men by at least 50%. Based on this compelling data, the WHO and UNAIDS have issued a set of recommendations for the use of male circumcision (MC) in HIV prevention efforts.
    [Show full text]
  • Expansion of the Private Health Sector in East and Southern Africa
    Expansion of the private health sector in east and southern Africa Jane Doherty School of Public Health, University of the Witwatersrand With the Health Economics Unit University of Cape Town In the Regional Network for Equity in Health in East and Southern Africa (EQUINET) EQUINET DISCUSSION PAPER 87 August 2011 with support from IDRC (Canada) Table of contents Executive summary.................................................................................................... 2 1. Introduction ......................................................................................................... 4 2. Methods .............................................................................................................. 4 3. The IFC’s case for expanding the private health sector ...................................... 5 4. Opportunities for private investment in the health sector .................................... 5 5. Changing private sector investment patterns in East and Southern Africa......... 8 5.1 New private financing initiatives ............................................................................... 8 5.2 Increasing investment in profitable components of the health sector....................... 9 5.3 Overall trends in the region .................................................................................... 11 6. Issues in private sector expansion ................................................................... 12 6.1 Limited information on the impact of the for-profit private sector...........................
    [Show full text]
  • Incidence and Risk Factors for Delirium Among Mechanically Ventilated Patients in an African Intensive Care Setting: an Observational Multicenter Study
    Hindawi Publishing Corporation Critical Care Research and Practice Volume 2015, Article ID 491780, 7 pages http://dx.doi.org/10.1155/2015/491780 Research Article Incidence and Risk Factors for Delirium among Mechanically Ventilated Patients in an African Intensive Care Setting: An Observational Multicenter Study Arthur Kwizera,1 Jane Nakibuuka,2 Lameck Ssemogerere,1 Charles Sendikadiwa,2 Daniel Obua,1 Samuel Kizito,3 Janat Tumukunde,1 Agnes Wabule,1 and Noeline Nakasujja4 1 Department of Anaesthesia, Makerere University College of Health Sciences, Mulago National Referral Hospital, P.O. Box 7051, Kampala, Uganda 2Department of Internal Medicine, Mulago Hospital Complex, Mulago Hill, P.O. Box 7051, Kampala, Uganda 3Department of Clinical Epidemiology and Biostatistics, Makerere University College of Health Sciences, Mulago National Referral Hospital, P.O. Box 7051, Kampala, Uganda 4Department of Psychiatry, Makerere University College of Health Sciences, Mulago National Referral Hospital, P.O. Box 7051, Kampala, Uganda Correspondence should be addressed to Arthur Kwizera; [email protected] Received 4 March 2015; Revised 19 March 2015; Accepted 23 March 2015 AcademicEditor:MarcusJ.Schultz Copyright © 2015 Arthur Kwizera et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Aim. Delirium is common among mechanically ventilated patients in the intensive care unit (ICU). There are little data regarding delirium among mechanically ventilated patients in Africa. We sought to determine the burden of delirium and associated factors in Uganda. Methods. We conducted a multicenter prospective study among mechanically ventilated patients in Uganda.
    [Show full text]