|
|
Makerere University Research Repository >
College of Health Sciences >
School of Health Sciences >
Research Articles (Health-Sciences) >
Please use this identifier to cite or link to this item:
http://hdl.handle.net/123456789/1459
|
| Title: | Access to and utilisation of health services for the poor in Uganda: a systematic review of available evidence |
| Authors: | Kiwanuka, S. N
Ekirapa, E.K.
Peterson, S.
Okui, O.
Rahman, M. Hafizur
Peters, D.
Pariyo, G.W. |
| Keywords: | Health services
Access
Utilisation
Equity
Inequality
Disparities
Uganda |
| Issue Date: | 2008 |
| Publisher: | Elsevier |
| Citation: | Kiwanuka, S.N., Ekirapa, E.K., Peterson, S., Okui, O., Rahman, M.H., Peters, D., Pariyo, G.W. (2008). Access to and utilisation of health services for the poor in Uganda: a systematic review of available evidence. Transactions of the Royal Society of Tropical Medicine and Hygiene, 102 |
| Abstract: | Inequalities in the burden of disease and access to health care is a prominent
concern in Uganda and other sub-Saharan African countries. This is a systematic review of
socio-economic differences in morbidity and access to health care in Uganda. It includes published
studies from electronic databases and official reports from surveys done by government,
bilateral and multilateral agencies and universities. The outcome measures studied were: the
distribution of HIV/AIDS; maternal and child morbidity; and access to and utilisation of health
services for people belonging to different socio-economic and vulnerability groups. Forty-eight
of 678 identified studies met our inclusion criteria. Results indicate that the poor and vulnerable
experience a greater burden of disease but have lower access to health services than the
less poor. Barriers to access arise from both the service providers and the consumers. Distance
to service points, perceived quality of care and availability of drugs are key determinants of
utilisation. Other barriers are perceived lack of skilled staff in public facilities, late referrals,
health worker attitude, costs of care and lack of knowledge. Longitudinal and controlled studies
are needed to see if strategies to improve access to services reach the poor. |
| URI: | http://hdl.handle.net/123456789/1459 |
| ISSN: | 0035-9203 |
| Appears in Collections: | Research Articles (Health-Sciences)
|
Files in This Item:
| File |
Description |
Size | Format |
|---|
| kiwanuka-chs-res.pdf | | 294Kb | Adobe PDF | View/Open |
|
All items in DSpace are protected by copyright, with all rights reserved.
|
