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Monitoring resource allocation at the district level in Uganda: implications and challenges

Includes bibliographical references.

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Main Author: Kamoga, Edward Nelson B
Format: Thesis
Language:English
Published: Department of Public Health and Family Medicine 2014
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access_status_str Open Access
author Kamoga, Edward Nelson B
author_browse Kamoga, Edward Nelson B
author_facet Kamoga, Edward Nelson B
author_sort Kamoga, Edward Nelson B
collection Thesis
description Includes bibliographical references.
format Thesis
id oai:open.uct.ac.za:11427/8632
institution University of Cape Town (South Africa)
language eng
last_indexed 2026-06-10T12:47:28.799Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2014
publishDateRange 2014
publishDateSort 2014
publisher Department of Public Health and Family Medicine
publisherStr Department of Public Health and Family Medicine
record_format dspace
source_str UCTD — University of Cape Town Open Access Repository
spelling oai:open.uct.ac.za:11427/8632 Monitoring resource allocation at the district level in Uganda: implications and challenges Kamoga, Edward Nelson B Health Economics Includes bibliographical references. Like most developing countries, Uganda works on a very tight health budget and the government has to ensure strict principles of efficiency and equity in the allocation and use of the minimal resources. One of the strategies in the process of improving delivery of public services has been to decentralise them. The district local government is responsible for the planning process, data management, resource allocation and co-ordination with the central government. However the capacity of the districts to stick to the principles of efficiency and equity is not a given. In Uganda, the health system has been further devolved with the creation of health sub- districts. Because there are no clear guidelines from both local and central governments on how to ensure equity in resource allocation at the district level there have been arguments that resources from the centre to the district are not necessarily equitably allocated at the sub- district. The principle of equity that would seem of relevance in this case is that of providing resources to those in most need (most deprived) given the minimal resources available. This study was done to assess how health resources are allocated between sub-districts relative to the level of need/deprivation in each sub district and in the process suggest a resource allocation formula for the district. Using mainly data from a rapid household hold survey and simple additive averaging to aggregate variables to create a deprivation index, the study showed that three sub-districts in Luwero district differed in the level of deprivation and the most deprived sub-district was actually under-resourced. The study therefore showed that there is room for using simple indices in a resource allocation formula at the district level so that budgets in the future are allocated to the most deprived areas hence maintaining the central government goal of ensuring equity in the use and allocation of minimal resources that are usually available. 2014-10-20T07:20:01Z 2014-10-20T07:20:01Z 2004 Master Thesis Masters MPH http://hdl.handle.net/11427/8632 eng application/pdf Department of Public Health and Family Medicine Faculty of Health Sciences University of Cape Town
spellingShingle Health Economics
Kamoga, Edward Nelson B
Monitoring resource allocation at the district level in Uganda: implications and challenges
thesis_degree_str Master's
title Monitoring resource allocation at the district level in Uganda: implications and challenges
title_full Monitoring resource allocation at the district level in Uganda: implications and challenges
title_fullStr Monitoring resource allocation at the district level in Uganda: implications and challenges
title_full_unstemmed Monitoring resource allocation at the district level in Uganda: implications and challenges
title_short Monitoring resource allocation at the district level in Uganda: implications and challenges
title_sort monitoring resource allocation at the district level in uganda implications and challenges
topic Health Economics
url http://hdl.handle.net/11427/8632
work_keys_str_mv AT kamogaedwardnelsonb monitoringresourceallocationatthedistrictlevelinugandaimplicationsandchallenges