The public-private mix health care resources distribution implications for equity : Kampala district, Uganda

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dc.contributor.advisorMcIntyre, Dien_ZA
dc.contributor.authorMubangizi, Deus Baziraen_ZA
dc.date.accessioned2014-11-09T15:51:56Z
dc.date.available2014-11-09T15:51:56Z
dc.date.issued2002en_ZA
dc.descriptionBibliography: leaves 93-97.en_ZA
dc.description.abstractWhile in sociology, choice and equity have always co-existed; this has not been a subject of attention in the health care market. Following promotion of the public- private mix in the health care sector, there have been concerns that the pursuit of efficiency might compromise equity in accessing health care services. The main concern for this study was that the resulting relative health care resources distribution following public-private interaction has equity implications at the household level. Kampala district in Uganda was used to investigate this concern. Data collected from a household survey, key informant interviews and secondary data on health care resources distribution, was analyzed using STATA statistical package. The study findings indicated that the private health care sector in Uganda has grown in size and that it caters for more people in Kampala district than the public health care sector. The findings further indicated that households use private services due to the perceived high quality of services, availability of drugs, availability of doctors and other health workers and the nearness of private providers. On the other hand, public health services where used or preferred was due primarily to availability of doctors. Other findings indicated that there was a relationship between provider choice/use and the distribution of health care resources particularly; health workers and health care facilities. This applied both at household level and geographically. Utilization of health services also varied with distribution of the same resources. Private provider use was not solely dependent on income and hence ability to pay, but on other factors related to service characteristics such as perceived quality. The findings further show that there are inequities in financing health care services with low-income groups paying relatively more than high- income groups. The study proposes to policy makers a monitoring mechanism of the variables and outcome measures, both at household and sectoral level, in order to minimize inequities in access to health care. The study also recommends that a comprehensive regulatory framework needs to be set up to promote and control the activities of the private health sector in Uganda.en_ZA
dc.identifier.apacitationMubangizi, D. B. (2002). <i>The public-private mix health care resources distribution implications for equity : Kampala district, Uganda</i>. (Thesis). University of Cape Town ,Faculty of Health Sciences ,Health Economics Unit. Retrieved from http://hdl.handle.net/11427/9447en_ZA
dc.identifier.chicagocitationMubangizi, Deus Bazira. <i>"The public-private mix health care resources distribution implications for equity : Kampala district, Uganda."</i> Thesis., University of Cape Town ,Faculty of Health Sciences ,Health Economics Unit, 2002. http://hdl.handle.net/11427/9447en_ZA
dc.identifier.citationMubangizi, D. 2002. The public-private mix health care resources distribution implications for equity : Kampala district, Uganda. University of Cape Town.en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Mubangizi, Deus Bazira AB - While in sociology, choice and equity have always co-existed; this has not been a subject of attention in the health care market. Following promotion of the public- private mix in the health care sector, there have been concerns that the pursuit of efficiency might compromise equity in accessing health care services. The main concern for this study was that the resulting relative health care resources distribution following public-private interaction has equity implications at the household level. Kampala district in Uganda was used to investigate this concern. Data collected from a household survey, key informant interviews and secondary data on health care resources distribution, was analyzed using STATA statistical package. The study findings indicated that the private health care sector in Uganda has grown in size and that it caters for more people in Kampala district than the public health care sector. The findings further indicated that households use private services due to the perceived high quality of services, availability of drugs, availability of doctors and other health workers and the nearness of private providers. On the other hand, public health services where used or preferred was due primarily to availability of doctors. Other findings indicated that there was a relationship between provider choice/use and the distribution of health care resources particularly; health workers and health care facilities. This applied both at household level and geographically. Utilization of health services also varied with distribution of the same resources. Private provider use was not solely dependent on income and hence ability to pay, but on other factors related to service characteristics such as perceived quality. The findings further show that there are inequities in financing health care services with low-income groups paying relatively more than high- income groups. The study proposes to policy makers a monitoring mechanism of the variables and outcome measures, both at household and sectoral level, in order to minimize inequities in access to health care. The study also recommends that a comprehensive regulatory framework needs to be set up to promote and control the activities of the private health sector in Uganda. DA - 2002 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2002 T1 - The public-private mix health care resources distribution implications for equity : Kampala district, Uganda TI - The public-private mix health care resources distribution implications for equity : Kampala district, Uganda UR - http://hdl.handle.net/11427/9447 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/9447
dc.identifier.vancouvercitationMubangizi DB. The public-private mix health care resources distribution implications for equity : Kampala district, Uganda. [Thesis]. University of Cape Town ,Faculty of Health Sciences ,Health Economics Unit, 2002 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/9447en_ZA
dc.language.isoengen_ZA
dc.publisher.departmentHealth Economics Uniten_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.subject.otherHealth Economicsen_ZA
dc.titleThe public-private mix health care resources distribution implications for equity : Kampala district, Ugandaen_ZA
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationnameMPHen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceThesisen_ZA
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