Aspirations for Quality Health Care in Uganda: How Do We Get There?

Overview

Journal Hum Resour Health

Publisher Biomed Central

Specialty Health Services

Date 2013 Mar 26

PMID 23521859

Citations 16

Authors

Clare I R Chandler

James Kizito

Lilian Taaka

Christine Nabirye

Miriam Kayendeke

Deborah DiLiberto

Sarah G Staedke

Affiliations

Soon will be listed here.

Abstract

Background: Despite significant investments and reforms, health care remains poor for many in Africa. To design an intervention to improve access and quality of health care at health facilities in eastern Uganda, we aimed to understand local priorities for qualities in health care, and factors that enable or prevent these qualities from being enacted.

Methods: In 2009 to 2010, we carried out 69 in-depth interviews and 6 focus group discussions with 65 health workers at 17 health facilities, and 10 focus group discussions with 113 community members in Tororo District, Uganda.

Results: Health-care workers and seekers valued technical, interpersonal and resource qualities in their aspirations for health care. However, such qualities were frequently not enacted, and our analysis suggests that meeting aspirations required social and financial resources to negotiate various power structures.

Conclusions: We argue that achieving aspirations for qualities valued in health care will require a genuine reorientation of focus by health workers and their managers toward patients, through renewed respect and support for these providers as professionals.

Citing Articles

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Ssetaala A, Nabawanuka J, Matovu G, Nakiragga N, Namugga J, Nalubega P BMC Health Serv Res. 2020; 20(1):901.

PMID: 32993644 PMC: 7526094. DOI: 10.1186/s12913-020-05739-9.

Accessibility of healthcare in rural Zimbabwe: The perspective of nurses and healthcare users.

Mangundu M, Roets L, Janse van Rensberg E Afr J Prim Health Care Fam Med. 2020; 12(1):e1-e7.

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Examining Intervention Design: Lessons from the Development of Eight Related Malaria Health Care Intervention Studies.

Chandler C, Burchett H, Boyle L, Achonduh O, Mbonye A, DiLiberto D Health Syst Reform. 2019; 2(4):373-388.

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Understanding women's motivations to participate in MTN-003/VOICE, a phase 2b HIV prevention trial with low adherence.

Katz A, Mensch B, Woeber K, Musara P, Etima J, van der Straten A BMC Womens Health. 2019; 19(1):18.

PMID: 30683103 PMC: 6347781. DOI: 10.1186/s12905-019-0713-6.

Two decades of antenatal and delivery care in Uganda: a cross-sectional study using Demographic and Health Surveys.

Benova L, Dennis M, Lange I, Campbell O, Waiswa P, Haemmerli M BMC Health Serv Res. 2018; 18(1):758.

PMID: 30286749 PMC: 6172797. DOI: 10.1186/s12913-018-3546-3.

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