Situation analySiS

More documents

Recommendations

Info

Situation analySiS of Children in uganda 2015FIGURE 9: disAster-prone AreAs in uGAndAsource: opm And unicef, 201442 thE rIGht to SUrvIvaL
Situation analySiS of Children in uganda 20153.4 ENABLING ENVIRONMENT3.4.1 Fiscal space analysisThe trend in allocation of funds to the health sector shows an average increase of 20% perannum in absolute terms over the past four years of the Health Sector Strategic and InvestmentPlan (HSSIP). However, the allocation to health as a percentage of the total budget reducedfrom 9.6% in 2003/04 (MoH, 2014b) to 8.6% in 2014/15 – considerably lower than theAbuja Declaration target of 15%. This decline has taken place in the midst of rising healthcare demand and costs due to high population growth (see Figure 2). As a consequence,health care financing is largely dependent on household resources (43%) and donors(34%), with the Government and employers providing 23% (MoH, 2014a). Householdsbear most of the costs for child health care, with household expenditure constituting 61% oftotal health expenditure on child health in 2009/10 (MoH, 2014a). Government child healthexpenditure as a percentage of total government health expenditure was 11% between2008 and 2010, despite the fact that children under five years account for about 20% ofthe population (MoH, 2013a). The high dependence on household-level financing reducesaccess to and utilisation of health services, while dependence on donor funding affects thesustainability of health financing in Uganda.The data in Table 3 shows selected line items in Uganda’s health budget that have a directimpact on child survival. It shows, firstly, that a large proportion of health expenditures areearmarked for construction of larger hospitals – especially funds managed at the centralMoH headquarters. Specifically, 15% and 19% of the total health expenditures are allocatedfor construction-related activities in 2013/14 and 2014/15 respectively. Secondly, nearly allinfrastructure costs managed centrally are externally financed. The same conditions obtainfor expenditures under Global Fund for HIV, tuberculosis, and malaria and GAVI (the GlobalAlliance for Vaccination and Immunisation). Thirdly, most of the expenditures on healthcare at district level are in the form of salaries/wages, which account for 76% of districtprimary health care expenditures and 20% of the overall budget. The relatively high donordependency of health expenditures suggests that any increase in public expenditures inthe national budget is more likely to be financed externally than to come from domesticresources. Furthermore, the level of spending by donors on key line items such as healthinfrastructure projects, HIV/AIDS treatment and immunisation suggests that Uganda cannotexpand these key inputs without external support, unless there is a change in the spendingpatterns of domestic financing. Notably, in terms of medication availability, addressinginefficiencies both at the procuring entity as well as at the health facility level could providea cost effective measure to improve outcomes through increased uptake.thE rIGht to SUrvIvaL43
Page 1:
2015Situation analySiSof Children i
Page 4 and 5:
4Situation analySiS of Children in
Page 6 and 7:
Situation analySiS of Children in u
Page 8 and 9: Situation analySiS of Children in u
Page 45: Situation analySiS of Children in u
Page 64 and 65: 48 thE rIGht to SUrvIvaLSituation a
Page 104 and 105: 88 KEy ChaLLENGES aND PoLICy rECoMM
Page 108 and 109:
Page 110 and 111:
Page 112 and 113:
Page 114 and 115:
Page 116 and 117:
Page 118 and 119:
Page 120 and 121:
Page 122 and 123:
Page 124 and 125:
Page 126 and 127:
Page 128 and 129:
Page 130 and 131:
Page 132 and 133:
Page 134 and 135:
SITUATION ANAlySIS of ChIldreN in U
Page 136 and 137:
Page 138 and 139:
Page 140 and 141:
Page 142 and 143:
Page 144 and 145:
Page 146 and 147:
Page 148 and 149:
Page 150 and 151:
Page 152 and 153:
Page 154 and 155:
Page 156 and 157:
Page 158 and 159:
Page 160 and 161:
Page 162 and 163:
Page 164 and 165:
Page 166 and 167:
Page 168 and 169:
Page 170 and 171:
Page 172 and 173:
Page 174 and 175:
Page 176 and 177:
Page 178 and 179:
Page 180 and 181:
Page 182 and 183:
Page 184 and 185:
Page 186 and 187:
Page 188 and 189:
Page 190 and 191:
Page 192 and 193:
Page 194 and 195:
Page 196:
2015Situation analySiSof Children i
show all

Situation analySiS

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?