To what extent does recurrent government health expenditure in Uganda reflect its policy priorities 英文参考文献.docVIP

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To what extent does recurrent government health expenditure in Uganda reflect its policy priorities 英文参考文献.doc

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To what extent does recurrent government health expenditure in Uganda reflect its policy priorities 英文参考文献

MugishaandNabyonga-OremCostEffectivenessandResourceAllocation2010,8:19 /content/8/1/19 RESEARCH OpenAccess Towhatextentdoesrecurrentgovernment healthexpenditureinUgandareflectitspolicy priorities? FrederickMugisha1*,JulietNabyonga-Orem2 Abstract Background:TheNationalHealthPolicy2000-2009andHealthsectorstrategicplansIIIemphasizedthat PrimaryHealthCare(PHC)wouldbethemainstrategyfornationaldevelopmentandwouldbeoperationalized throughprovisionoftheminimumhealthcarepackage.Commitmentwastospendanincreasingproportionof thehealthbudgetfortheprovisionofthebasicminimumpackageofhealthserviceswhichwasinterpretedto meanincreasingspendingathealthcentrelevel.Thisanalysiswasundertakentogainabetterunderstandingof changesinthewayrecurrentfundingisallocatedinthehealthsectorinUgandaandtowhatextentithasbeen inlinewithagreedpolicypriorities. Methods:Governmentrecurrentwageandnon-wageexpenditures-basedonannualreleasesbytheUganda MinistryofFinance,PlanningandEconomicDevelopmentwerecompiledfortheperiod1997/1998tofinancial year2007/2008.AdditionaldatawasobtainedfromaseriesofMinistryofHealthannualhealthsectorreportsas wellasotherreports.DatawasverifiedbykeygovernmentofficialsinMinistryofFinance,PlanningandEconomic DevelopmentandMinistryofHealth.Analysisofexpenditureswasdoneatsectorlevel,bythedifferentlevelsin thehealthcaresystemandthedifferentlevelsofcare. Results:Therewasapronouncedincreaseintheamountoffundsreleasedforrecurrentexpenditureoverthe reviewperiodfueledmainlybyincreasesinthewagecomponent.PHCservicesshowedthegreatestincrease, increasingmorethan70timesintenyears.Athospitallevel,expendituresremainedfairlyconstantforthelast 10yearswithaslightreductioninthewagecomponent. Conclusion:ThepolicyaspirationofincreasingspendingonPHCwasattainedbutkeyaspectsthatwould facilitateitsrealizationwerenotaddressed.Atanygivenleveloffundingforthehealthsector,thereisneedto workoutanoptimalbalanceininvestmentinthedifferentinputstoensureefficiencyinhealthspending.Equally importantisthebalanceininvestmen