This paper analyses the evolution of the SWAp, as one of the key reforms undertaken in Uganda since 2000, describing the structures and processes involved. Benefits of this reform include the establishment of a platform for coalition building and policy learning among stakeholders and improved donor coordination. However, the SWAp faces important challenges including the burden of persistent under-funding to the health sector and the renewed interest in vertical approaches to health sector funding arising from the introduction of new global health initiatives. These may adversely affect the SWAp objectives and risk destabilising the significant progress made in the health system in Uganda since 2000.
In: Tashobya, C.; Ssengooba, F.; Oliveira-Cruz, V. (eds), Health systems reforms in Uganda: processes and outputs, London: Health Systems Development Programme, LSHTM, chp 2, pp 29-44, ISBN: 0 902657 77 1, 2006.
Is the sector-wide approach (SWAp) improving health sector performance in Uganda?