MAXIMIZING POSITIVE SYNERGIES - World Health Organization

The study employed both purposive sampling and snowball sampling. The study team selected
participants based on their roles and experiences in implementing projects/programmes
supported by GHIs in Uganda. The study aimed to interview as diverse a range of individuals as
possible, asking the interviewees identified through purposive sampling to nominate other people
they knew who would willingly participate in the study.
The evaluation was cross-sectional, employing both quantitative and qualitative methods
(administered structured questionnaires and conducted key informant interviews). It involved
review of documents relevant to GHI implementing partners in Uganda. Information from these
documents was used to complement findings from the other data collection methods. The
evaluation involved in-depth interviews with identified key informants. Interviews with the key
informants were conducted according to the key informant guide so that the interviews yielded
data responsive to the evaluation objectives. Key informants were also guided to provide
perspectives and perceptions on implementation of GHIs. Interviews were recorded following
consent of the informant, and field notes were taken.
Authority to conduct the study at identified health facilities in Uganda was sought from the
Uganda National Council for Science and Technology (UNCST). Lower level permission and
consent was sought from the management of the respective health facilities participating in the
study. Researchers also sought the consent of the interviewees who completed forms signifying
their consent to participate in the study and provide required data. Participants were informed
about their freedom to refrain from the study. Participants were given an opportunity to ask
questions and/or seek clarification. Participants were also informed of guaranteed confidentiality;
this included altering personal details captured on audio tapes during transcription to ensure that
Key Informants were not directly linked to their comments.
Table 3: Increase in ANC Attendance in relation to availability of HIV counseling services at
UPHOLD Sites in Uganda
Baseline
2004
2005 2006
Number % Change Number % Change
Targeted (Counseling) 1198 14958 1148.5% 30268 102.4%
Non-Targeted (ANC) 1745 22001 1160.8% 42509 93.2%
Table 4: Availability of TB Management Services at Surveyed Health Facilities
Available TB Services % Facilities before GHI % Facilities Currently
TB Diagnosis 85.7% 97.1%
TB Treatment 88.6% 94.3%
DOTS 65.7% 85.7%
MDRTB Treatment 14.3% 40.0%
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