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Assessment of the Influence of Susta...

University of Pretoria (South Africa)., School of Health Systems and Public Health (SHSPH).

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Assessment of the Influence of Sustainable Development Goals Declaration on Health Financing Reforms for Universal Health Coverage in Uganda : A Stakeholders' Perspective.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Assessment of the Influence of Sustainable Development Goals Declaration on Health Financing Reforms for Universal Health Coverage in Uganda : A Stakeholders' Perspective./
Author:	Odoch, Walter Denis.
Published:	Ann Arbor : ProQuest Dissertations & Theses, : 2023,
Description:	215 p.
Notes:	Source: Dissertations Abstracts International, Volume: 85-05, Section: B.
Contained By:	Dissertations Abstracts International85-05B.
Subject:	Human immunodeficiency virus--HIV. -
Online resource:	https://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=30699953
ISBN:	9798380804691

Assessment of the Influence of Sustainable Development Goals Declaration on Health Financing Reforms for Universal Health Coverage in Uganda : A Stakeholders' Perspective.
Odoch, Walter Denis.

Assessment of the Influence of Sustainable Development Goals Declaration on Health Financing Reforms for Universal Health Coverage in Uganda : A Stakeholders' Perspective. - Ann Arbor : ProQuest Dissertations & Theses, 2023 - 215 p.

Source: Dissertations Abstracts International, Volume: 85-05, Section: B.

Thesis (Ph.D.)--University of Pretoria (South Africa), 2023.

BackgroundAchieving universal health coverage (UHC) requires health financing reforms (HFR) in many countries. Health Financing Reforms are inherently political. The sustainable development goals (SDG) declaration provides a global political commitment that can potentially influence HFR for UHC at national level. However, how the declaration has influenced HFR discourse at the national level and how ministries of health and other stakeholders are using the declaration to influence reforms towards UHC were yet to be explored. Therefore, this thesis explored how SDG declaration has influenced health financing reforms for UHC in Uganda and proposed a framework for examining such complex processes needing multidisciplinary lens of health systems financing, health policy analysis and policy transfers.Aims and objectivesThis thesis aimed at exploring the influence of the SDG declaration on health financing reforms in Uganda, and to develop a theory of change for desired health financing reforms for UHC.The study objectives were: -i. Exploring changes in health system financing towards UHC in Uganda between financial years 2000/2001 and 2019/2020.ii. Examining how the SDG declaration has influenced health financing reforms for UHC in Uganda.iii. Identifying factors that have facilitated or inhibited SDGs declaration in influencing health financing reforms for UHC in Ugandaiv. Developing a theory of change on how the SDG declaration influence health financing reforms for UHC.MethodsThis was an exploratory and explanatory qualitative study using a case study approach, with Uganda being the case. Detailed literature reviews were conducted and in doing literature reviews, document review guides were used for data collection. Key informant interviews (KIIs) with purposely selected respondents were also conducted to enrich the findings from the literature reviews and to refine the theory of change. Relevant theories, frameworks, and concepts especially Kutzin's health financing conceptual framework, Dolowitz and Marsh policy transfer theory and concepts from health policy analyses guided data collection and analysis.ResultsUganda has had a variation in the focus of health financing policy objectives over the four strategic plan periods running between 2000/2001 and 2019/2020 financial years, from equity and mobilizing more funding to financial risk protection and UHC. The variation in policy intentions over the four strategic plan periods were informed by low level of national health sector funding, global level discussions on SDGs and UHC, and financing reform discourse focusing on establishing a National Health Insurance Fund (NHIF). However, policy objectives were not followed by the necessary structural changes in the organization of the health financing functions and thus the health financing organization architecture have not changed much over the years. Some reforms such as the abolition of user fees in public health facilities, development of National Minimum Health Care Package (NMHCP) as the benefits package, Sector Wide Approach (SWAp), movement towards performance-based financing were noticeable. The policy objective statements, and the reforms were generally aligned to World Health Organization (WHO) policy principles of reforms that advance UHC.

ISBN: 9798380804691Subjects--Topical Terms:

3564909
Human immunodeficiency virus--HIV.

Assessment of the Influence of Sustainable Development Goals Declaration on Health Financing Reforms for Universal Health Coverage in Uganda : A Stakeholders' Perspective.
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500 $a Source: Dissertations Abstracts International, Volume: 85-05, Section: B.
500 $a Advisor: Hongoro, Charles;Senkubuge, Flavia.
502 $a Thesis (Ph.D.)--University of Pretoria (South Africa), 2023.
520 $a BackgroundAchieving universal health coverage (UHC) requires health financing reforms (HFR) in many countries. Health Financing Reforms are inherently political. The sustainable development goals (SDG) declaration provides a global political commitment that can potentially influence HFR for UHC at national level. However, how the declaration has influenced HFR discourse at the national level and how ministries of health and other stakeholders are using the declaration to influence reforms towards UHC were yet to be explored. Therefore, this thesis explored how SDG declaration has influenced health financing reforms for UHC in Uganda and proposed a framework for examining such complex processes needing multidisciplinary lens of health systems financing, health policy analysis and policy transfers.Aims and objectivesThis thesis aimed at exploring the influence of the SDG declaration on health financing reforms in Uganda, and to develop a theory of change for desired health financing reforms for UHC.The study objectives were: -i. Exploring changes in health system financing towards UHC in Uganda between financial years 2000/2001 and 2019/2020.ii. Examining how the SDG declaration has influenced health financing reforms for UHC in Uganda.iii. Identifying factors that have facilitated or inhibited SDGs declaration in influencing health financing reforms for UHC in Ugandaiv. Developing a theory of change on how the SDG declaration influence health financing reforms for UHC.MethodsThis was an exploratory and explanatory qualitative study using a case study approach, with Uganda being the case. Detailed literature reviews were conducted and in doing literature reviews, document review guides were used for data collection. Key informant interviews (KIIs) with purposely selected respondents were also conducted to enrich the findings from the literature reviews and to refine the theory of change. Relevant theories, frameworks, and concepts especially Kutzin's health financing conceptual framework, Dolowitz and Marsh policy transfer theory and concepts from health policy analyses guided data collection and analysis.ResultsUganda has had a variation in the focus of health financing policy objectives over the four strategic plan periods running between 2000/2001 and 2019/2020 financial years, from equity and mobilizing more funding to financial risk protection and UHC. The variation in policy intentions over the four strategic plan periods were informed by low level of national health sector funding, global level discussions on SDGs and UHC, and financing reform discourse focusing on establishing a National Health Insurance Fund (NHIF). However, policy objectives were not followed by the necessary structural changes in the organization of the health financing functions and thus the health financing organization architecture have not changed much over the years. Some reforms such as the abolition of user fees in public health facilities, development of National Minimum Health Care Package (NMHCP) as the benefits package, Sector Wide Approach (SWAp), movement towards performance-based financing were noticeable. The policy objective statements, and the reforms were generally aligned to World Health Organization (WHO) policy principles of reforms that advance UHC.
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