| dc.description.abstract | This study aimed to examine the impact of health sector financing on medical care service delivery in Uganda, using Mulago National Referral Hospital as a case study. The study was premised on three objectives: to establish the major sources of health sector funding in Uganda, to determine the different medical care services offered in Uganda, and to establish the relationship between health sectors financing and medical care services delivery.
The study employed a cross-sectional, descriptive, and exploratory research design with a mixed study approach, which involved collecting both numerical data from 186 respondents out of a sample of 207 Mulago hospital staff using a survey questionnaire and qualitative data from three Top medical officer in the same institution to get an in-depth understanding of the medical service delivery in Uganda. Data was analysed using the statistical package for social science (SSPS Version 23) for quantitative data and Atlas ti Version 9.2 for qualitative data.
From the results, the study found government funding as the highest ranked source of health sector funding in Uganda, followed by donor funding, cash payment and household Direct Payments as another source of health sector funding in Uganda. It was also discovered that Public-Private Partnerships is a source of health sector funding in Uganda among others.
The Study revealed the different medical care services offered in Uganda, which included, Orthopaedic services, primary Care (diagnosis, prevention, and management), emergency, specialist care, treatment of minor health issues, sexual and reproductive health services and maternal and Child Health among others. Furthermore. The study established that there is a positive relationship between health sector financing and medical care services in Uganda.
The study concluded that the major source of Health sector funding is the Government, followed by donor funding, cash payments, and household Direct Payments. Public-Private Partnerships were also identified as a source of funding. The medical care services offered are; orthopedics, primary care, emergency care, specialist care, and maternal and child health. The study found a positive correlation between health sector financing and medical care service delivery in Uganda.
Recommendations made are; that government increases the total health sector budget to meet the national and international targets, government allocates more funds to primary health care, which is the foundation of a functional health system. There is need to explore alternative sources of health sector financing, such as health insurance.
Areas put forward for further studies are; the effect of salary enhancements for the health workers on medical care services delivery to a Country; the effect of Medical Insurance Scheme on Medical care service delivery in Uganda | en_US |
