Monitoring resource allocation at the district level in Uganda: implications and challenges

 

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dc.contributor.author Kamoga, Edward Nelson B en_ZA
dc.date.accessioned 2014-10-20T07:20:01Z
dc.date.available 2014-10-20T07:20:01Z
dc.date.issued 2004 en_ZA
dc.identifier.citation Kamoga, E. 2004. Monitoring resource allocation at the district level in Uganda: implications and challenges. University of Cape Town. en_ZA
dc.identifier.uri http://hdl.handle.net/11427/8632
dc.description Includes bibliographical references. en_ZA
dc.description.abstract Like most developing countries, Uganda works on a very tight health budget and the government has to ensure strict principles of efficiency and equity in the allocation and use of the minimal resources. One of the strategies in the process of improving delivery of public services has been to decentralise them. The district local government is responsible for the planning process, data management, resource allocation and co-ordination with the central government. However the capacity of the districts to stick to the principles of efficiency and equity is not a given. In Uganda, the health system has been further devolved with the creation of health sub- districts. Because there are no clear guidelines from both local and central governments on how to ensure equity in resource allocation at the district level there have been arguments that resources from the centre to the district are not necessarily equitably allocated at the sub- district. The principle of equity that would seem of relevance in this case is that of providing resources to those in most need (most deprived) given the minimal resources available. This study was done to assess how health resources are allocated between sub-districts relative to the level of need/deprivation in each sub district and in the process suggest a resource allocation formula for the district. Using mainly data from a rapid household hold survey and simple additive averaging to aggregate variables to create a deprivation index, the study showed that three sub-districts in Luwero district differed in the level of deprivation and the most deprived sub-district was actually under-resourced. The study therefore showed that there is room for using simple indices in a resource allocation formula at the district level so that budgets in the future are allocated to the most deprived areas hence maintaining the central government goal of ensuring equity in the use and allocation of minimal resources that are usually available. en_ZA
dc.language.iso eng en_ZA
dc.subject.other Health Economics en_ZA
dc.title Monitoring resource allocation at the district level in Uganda: implications and challenges en_ZA
dc.type Master Thesis
uct.type.publication Research en_ZA
uct.type.resource Thesis en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Department of Public Health and Family Medicine en_ZA
dc.type.qualificationlevel Masters
dc.type.qualificationname MPH en_ZA
uct.type.filetype Text
uct.type.filetype Image
dc.identifier.apacitation Kamoga, E. N. B. (2004). <i>Monitoring resource allocation at the district level in Uganda: implications and challenges</i>. (Thesis). University of Cape Town ,Faculty of Health Sciences ,Department of Public Health and Family Medicine. Retrieved from http://hdl.handle.net/11427/8632 en_ZA
dc.identifier.chicagocitation Kamoga, Edward Nelson B. <i>"Monitoring resource allocation at the district level in Uganda: implications and challenges."</i> Thesis., University of Cape Town ,Faculty of Health Sciences ,Department of Public Health and Family Medicine, 2004. http://hdl.handle.net/11427/8632 en_ZA
dc.identifier.vancouvercitation Kamoga ENB. Monitoring resource allocation at the district level in Uganda: implications and challenges. [Thesis]. University of Cape Town ,Faculty of Health Sciences ,Department of Public Health and Family Medicine, 2004 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/8632 en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Kamoga, Edward Nelson B AB - Like most developing countries, Uganda works on a very tight health budget and the government has to ensure strict principles of efficiency and equity in the allocation and use of the minimal resources. One of the strategies in the process of improving delivery of public services has been to decentralise them. The district local government is responsible for the planning process, data management, resource allocation and co-ordination with the central government. However the capacity of the districts to stick to the principles of efficiency and equity is not a given. In Uganda, the health system has been further devolved with the creation of health sub- districts. Because there are no clear guidelines from both local and central governments on how to ensure equity in resource allocation at the district level there have been arguments that resources from the centre to the district are not necessarily equitably allocated at the sub- district. The principle of equity that would seem of relevance in this case is that of providing resources to those in most need (most deprived) given the minimal resources available. This study was done to assess how health resources are allocated between sub-districts relative to the level of need/deprivation in each sub district and in the process suggest a resource allocation formula for the district. Using mainly data from a rapid household hold survey and simple additive averaging to aggregate variables to create a deprivation index, the study showed that three sub-districts in Luwero district differed in the level of deprivation and the most deprived sub-district was actually under-resourced. The study therefore showed that there is room for using simple indices in a resource allocation formula at the district level so that budgets in the future are allocated to the most deprived areas hence maintaining the central government goal of ensuring equity in the use and allocation of minimal resources that are usually available. DA - 2004 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2004 T1 - Monitoring resource allocation at the district level in Uganda: implications and challenges TI - Monitoring resource allocation at the district level in Uganda: implications and challenges UR - http://hdl.handle.net/11427/8632 ER - en_ZA


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