Have systems reforms resulted in a more efficient and equitable allocation of resources in the Ugandan health sector?
One of the claims of the sector-wide approach (SWAp) in the health sector is that improved coordination mechanisms should lead to a better allocation of resources within the sector. In particular, it is argued that the pooling of financial resources, in order to fund a coherent sector-wide plan, should lead to improved efficiency. This paper explores whether or not there is any evidence to support this assertion in the case of the Ugandan health systems reforms since 2000. It also asks if the reforms are addressing another vital performance measure, that of improving the equitable allocation of health care resources.
In: Tashobya, C.; Ssengooba, F.; Oliveira-Cruz, V. (eds), Health systems reforms in Uganda: processes and outputs, London: Health Systems Development Programme, LSHTM, chp 7 pp 109-119, ISBN: 0 902657 77 1, 2006.