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    Org Health

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    Mehul Vadgama
    The document summarizes the organization and structure of Uganda's National Health System. It is comprised of public and private sectors. The public sector is led by the Ministry of Health and includes various levels of public health centers and hospitals. The private sector includes private health practitioners, private not-for-profit organizations, and traditional/complementary medicine practitioners. The Ministry of Health provides leadership and policy guidance for the sector. Health services have been decentralized to districts and health sub-districts, with facilities structured in a hierarchy from national referral hospitals down to village health teams. The private sector delivers about half of all health services in Uganda.

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    Org Health

    Uploaded by

    Mehul Vadgama
    36 views3 pages
    The document summarizes the organization and structure of Uganda's National Health System. It is comprised of public and private sectors. The public sector is led by the Ministry of Health and includes various levels of public health centers and hospitals. The private sector includes private health practitioners, private not-for-profit organizations, and traditional/complementary medicine practitioners. The Ministry of Health provides leadership and policy guidance for the sector. Health services have been decentralized to districts and health sub-districts, with facilities structured in a hierarchy from national referral hospitals down to village health teams. The private sector delivers about half of all health services in Uganda.

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    The document summarizes the organization and structure of Uganda's National Health System. It is comprised of public and private sectors. The public sector is led by the Ministry of Health and includes various levels of public health centers and hospitals. The private sector includes private health practitioners, private not-for-profit organizations, and traditional/complementary medicine practitioners. The Ministry of Health provides leadership and policy guidance for the sector. Health services have been decentralized to districts and health sub-districts, with facilities structured in a hierarchy from national referral hospitals down to village health teams. The private sector delivers about half of all health services in Uganda.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    36 views3 pages

    Org Health

    Uploaded by

    Mehul Vadgama
    The document summarizes the organization and structure of Uganda's National Health System. It is comprised of public and private sectors. The public sector is led by the Ministry of Health and includes various levels of public health centers and hospitals. The private sector includes private health practitioners, private not-for-profit organizations, and traditional/complementary medicine practitioners. The Ministry of Health provides leadership and policy guidance for the sector. Health services have been decentralized to districts and health sub-districts, with facilities structured in a hierarchy from national referral hospitals down to village health teams. The private sector delivers about half of all health services in Uganda.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 3

    BACKGROUND

    The National Health System (NHS) in Uganda constitutes of all institutions, structures and actors whose actions have the primary purpose of achieving and sustaining good health. It is made up of the public and the private sectors. The public sector includes all Government health facilities under the MoH, health services of the Ministries of Defense (army) and Ministry of Local Government (MoLG). The private health delivery system consists of Private Health Providers (PHPs), Private Not for Profit (PNFPs) providers and the Traditional and Complimentary Medicine Practitioners (TCMPs).

    Sector organization, function and management


    A) Public Sector health care delivery system The MoH provides leadership for the health sector: it takes a leading role and responsibility in the delivery of curative, preventive, promotive, palliative and rehabilitative services to the people of Uganda. The provision of health services in Uganda has been decentralized with districts and health sub-districts (HSDs) playing a key role in the delivery and management of health services at district and health sub district (HSD) levels, respectively. The health services are structured into National Referral (NRHs) and Regional Referral Hospitals (RRHs), general hospitals, health centre IVs, HC III and HC II. The HC I has no physical structure but a team of people (the Village Health Team (VHT)) which works as a link between health facilities and the community. 1) The Ministry of Health and national level institutions The core functions of the MoH headquarters are: Policy analysis, formulation and dialogue; Strategic planning; Setting standards and quality assurance; Resource mobilization; Advising other ministries, departments and agencies on health-related matters; Capacity development and technical support supervision; Provision of nationally coordinated services including health emergency preparedness and response and epidemic prevention and control; Coordination of health research; and Monitoring and evaluation of the overall health sector performance.

    2) National, Regional and General Hospitals NRHs provide care for a population of 30 million people3, RRHs for 2 million people while general hospitals provide for 500,000 people. All hospitals are supposed to provide support supervision to lower levels and to maintain linkages with communities Currently, there are 56 public hospitals: 2 NRHs, 11 RRHs and 43 general hospitals. 3) District health systems To plan, budget and implement health policies and health sector plans. The Local Governments have the responsibility for the delivery of health services, recruitment, deployment, development and management of human resource (HR) for district health services, development and passing of health related by-laws and monitoring of overall health sector performance. 4) Health sub-district (HSD) system The HSDs is a lower level after the district in the hierarchy of district health services organization. 5) Health centers III, II and I HC IIIs provide basic preventive, promotive and curative care and provides support supervision of the community and HC II under its jurisdiction. The HC IIs provide the first level of interaction between the formal health sector and the communities. A network of VHTs has been established in Uganda which is facilitating health promotion, service delivery, community participation and empowerment in access to and utilization of health services. The VHTs are responsible for: Identifying the communitys health needs and taking appropriate measures; Mobilizing community resources and monitoring utilization of all resources for their health. Maintaining birth and death registration. Serving as the first link between the community and formal health providers. VHTs have been established in 75% of the districts in Uganda but only 31% of the districts have trained VHTs in all the villages.

    B) The private sector health care delivery system The private sector plays an important role in the delivery of health services in Uganda covering about 50% of the reported outputs. The private health system comprises of the Private Not for Profit Organisations (PNFPs), Private Health Practitioners (PHPs) and the Traditional and Complementary Medicine Practitioners (TCMPs).

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