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Health Policy and Development
Department of Health Sciences of Uganda Martyrs University
ISSN: 1728-6107 EISSN: 1728-6107
Vol. 2, No. 1, 2004
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Bioline Code: hp04005
Full paper language: English
Document type: Research Article
Document available free of charge
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Health Policy and Development, Vol. 2, No. 1, 2004
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Uganda's minimum health care package: rationing within the minimum?
Ssengooba, Freddie
Abstract
Essential/minimum health care packages (MHCP) have appeared on the primary health care scene as a means of setting priorities for national health budgets. A technical approach of cost-effectiveness was sought to guide the political and group bargaining approaches. In Uganda, the application of the cost-effectiveness techniques seem not to have had an effect on the priority setting. A package of minimum services that is written into the sector plan has turnout to be more then the resources available in the medium term. At the operational level, the delivery of the minimum package has been rendered ineffective and inefficient, by trying to attain universal access with $ 8 per capita instead of $28. System capacity constraints for effective and equitable delivery of the MCHP are traced at the infrastructure-based planning and in explicit and implicit re-prioritization and rationing within the minimum package.
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