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Postwar Uganda: A review of health services in Kabarole District
Author(s) -
Kipp Walter,
Kielmann Arnfield,
Kwered Eric
Publication year - 1991
Publication title -
the international journal of health planning and management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.672
H-Index - 41
eISSN - 1099-1751
pISSN - 0749-6753
DOI - 10.1002/hpm.4740060306
Subject(s) - attendance , government (linguistics) , agency (philosophy) , medicine , baseline (sea) , health services , community health , business , environmental health , public health , nursing , political science , population , sociology , social science , philosophy , linguistics , law
This article summarizes the results of a comprehensive baseline survey of health services, conducted in Kabarole District, Western Uganda, in March 1989. The purpose of this survey was to obtain baseline data in order to facilitate planning, monitoring and evaluation of the Basic Health Services Programme, sponsored by the German Agency for Technical Cooperation, which started in October 1988. The survey was carried out in 12 randomly selected health facilities and in 43 adjacent households, where 435 persons were interviewed. The health service delivery system was characterized by the following score (maximum possible score 100): staff positions filled, 63; presence of staff in health facilities, 59; supervision, 39; management, 17; medical knowledge, 62; skills, 53; drug supply, 80; community participation, 8. The average attendance rate at the health facilities was calculated as 0.8 visits per head per year. The low utilization of health facilities in Kabarole District reflects the quality of government services after a civil war of 15 years, which ended in 1986. The importance of data collection is stressed, as is the methodology employed.