This assessment and proposal is based on improving access to effective
health care for the estimated 1.3 million people living in the Acholi
sub-region of Northern Uganda. Stakeholders highlighted inadequate
supplies of basic medicines as the greatest problem inhibiting access to
effective health care. Public sector providers are active in the region
but there is a concern amongst both providers and politicians that the
existence of patient fees at these units acts as an access barrier to
the poor and vulnerable. It is evident that many providers would like to
reduce or eliminate fees but this would not be feasible given their
limited financial resources.
It is therefore recommended that DFID Uganda invests in a dual track
approach to improving access to health services in the Acholi
sub-region. The main objectives of this programme would be to:
(1) Improve the availability of essential medicines in both Government
and PNFP health facilities
(2) Enable public sector providers to eliminate fees at the point of
delivery, either for the entire population or at least for pregnant
women and children.
Yates, R. Assignment Report: Centre for Progressive Health Financing Scoping Mission. Improving the Access of Poor and Vulnerable Communities to Health Services in Northern Uganda. HDRC, UK (2010) 14 pp.