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Institutionalising and Sustaining Social Change in Health Systems: the case for Uganda

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Hage, Jerald and Valadez, Joseph (2017) 'Institutionalising and Sustaining Social Change in Health Systems: the case for Uganda'. Health Policy and Planning, Vol 32, Issue 9, pp. 1248-1255.

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Abstract

The key to high impact Health Services is institutionalising and sustaining programme evaluation. Uganda represents a success story in the use of a specific programme evaluation method, Lot Quality Assurance Sampling. Institutionalization is defined by two C's, competent programme evaluators and control mechanisms that effectively use evaluation data to improve health services. Sustainability means continued training and funding for the evaluation approach. Social science literature researching institutionalization has emphasized ‘stability’, whereas in global health, the issue is how to improve the impact of services by ‘changing’ programmes. We measure the extent of institutionalization and sustainability of programme evolution that produced change in nine districts sampled to represent three largely rural regions and varying level of effective health programmes; we use the proportion of mothers with children 0-11 months who delivered in a health facility as the principal indicator measuring programme effectiveness. Interviews and focus groups were conducted among directors, evaluation supervisors, data collections in the district health office, and informant interviews alone at the central government level.

Item Type: Article
Subjects: W General Medicine. Health Professions > Health Services. Patients and Patient Advocacy > W 84 Health services. Delivery of health care
WA Public Health > WA 100 General works
WA Public Health > WA 105 Epidemiology
WA Public Health > WA 30 Socioeconomic factors in public health (General)
WA Public Health > Health Problems of Special Population Groups > WA 395 Health in developing countries
Faculty: Department: Clinical Sciences & International Health > International Public Health Department
Digital Object Identifer (DOI): https://doi.org/10.1093/heapol/czx066
Depositing User: Stacy Murtagh
Date Deposited: 04 Jul 2017 15:25
Last Modified: 11 May 2018 01:02
URI: https://archive.lstmed.ac.uk/id/eprint/7149

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