Browsing by Author "Tashobya Christine Kirunga"

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The Effort to Achieve the Millennium Development Goals in Uganda: Reaching for the Sky?
(Uganda Martyrs University, Department of Health Sciences, 2004-04) Tashobya Christine Kirunga; Ogwal Peter Ogwang
At the United Nations Millennium Summit in September 2000, world leaders placed development at the heart of the global agenda by adopting the Millennium Development Goals (MDGs). The Government of Uganda is a signatory to this and the Poverty Eradication Action Plan (PEAP), which is also the Country's Poverty Reduction Strategy Paper (PRSP), is Uganda's national development framework and medium-term planning tool to achieve the MDGs. In the health sector, targets are not yet being met.
Primary Health Care and Health Sector Reforms in Uganda
(Uganda Martyrs University, Department of Health Sciences, 2004-04) Tashobya Christine Kirunga
The health system in Uganda has undergone a number of changes since independence in 1962 and the PHC concept as a timely innovation, and very welcome in Uganda. And also as a response to the global economic decline of the 1970s and 1980s, the World Bank and IMF introduced Structural Adjustment Programmes (SAPs) in some developing countries and accordingly a package of reforms was proposed to address problems in the health sector, and these were called health sector reforms (HSR). Both PHC and HSR have faced similar and dissimilar challenges.
Public Private Partnership for health in Uganda: will HSSP II deliver on the expectations?
(Uganda Martyrs University Press, 2007-04) Tashobya Christine Kirunga; Musoba Nelson; Lochoro Peter
At the inception of Uganda's second 5-year Health Sector Strategic Plan (HSSP II), this paper traces the history of the public - private partnership for health (PPPH) in Uganda, giving its justification and mandate. It also gives its current state of the art, outlining the successes scored, the challenges still faced in its implementation and current efforts being made to make it comprehensively institutionalized. The successes include the bilateral acceptance of the principle and need for partnership by both the public and private partners, the overt gestures by the public partner through direct funding of the private providers, the ceding of some responsibilities to private players, the acceptance by the private players to take on some public responsibilities using their own resources etc. The challenges include the slow formalization of the partnership, skepticism about autonomy, the stagnation of government funding, the poor understanding of the partnership at sub-national levels and poor sharing of information, among others. These challenges are now further compounded by the recent introduction of new policy reforms like fiscal decentralisation to the same local officials who do not fully appreciate the partnership and are therefore not likely to support it. The paper concludes with some useful suggestions on how these challenges may be tackled.