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Periodical article Periodical article Leiden University catalogue Leiden University catalogue WorldCat catalogue WorldCat
Title:The challenges of primary health care delivery in Tororo District, Uganda
Author:Batega, Dauda Waiswa
Year:2001
Periodical:L'Afrique orientale
Pages:313-338
Language:English
Geographic term:Uganda
Subjects:decentralization
public health
Abstract:Since the early 1990s, Uganda's health care system has been decentralized and reoriented towards Primary Health Care (PHC) services. This policy has been promoted, amongst others, by introducing local Health Committees (HCs) and Health Unit Management Committees (HUMCs). The present study assesses the perceived roles and functions of HCs and HUMCs by community members; reviews policies and decisions taken by HCs and HUMCs, and how such decisions reflect PHC orientations; establishes factors that facilitate or militate against the effective performance of HCs and HUMCs in the delivery of PHC services; and assesses the perceived impact of the integration of HCs and HUMCs into the health delivery system by community members. The focus is on Tororo District in the Eastern region, which was one of the first districts to benefit from the decentralization programme. The study demonstrates that institutionalized community participation in decentralized health services can have a positive effect on PHC design and delivery at local levels. HCs and HUMCs are widely known and are engaged in roles that are disease preventive and health promoting. However, the participation of HCs and HUMCs is compromised by challenges such as funding and resource mobilization constraints. Bibliogr., notes, ref. [ASC Leiden abstract]