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Background Essential medicines and health supplies (EMHS) are fundamental to providing quality health care that is critical for saving lives. Ensuring that medicines of good quality are available, accessible, affordable, and appropriately used is a key objective of the Uganda National Medicines Policy [1]. Central to achieving this objective are good medicines management practices at all health facilities. Despite Uganda’s long-standing commitment to its medicines policy, the pharmaceutical supply chain has faced many well-documented constraints [2–5].

Costs and effectiveness of the supervision, performance assessment and recognition (SPARS) strategy for medicines management in Uganda