Analysis of selected policies towards universal health coverage in Uganda: the policy implementation barometer protocol
Abstract Background Policy implementation remains an under researched area in most low and middle income countries and it is not surprising that several policies are implemented without a systematic follow up of why and how they are working or failing. This study is part of a larger project called S...
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| Format: | Article |
| Language: | English |
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BMC
2018-02-01
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| Series: | Archives of Public Health |
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| Online Access: | http://link.springer.com/article/10.1186/s13690-018-0258-4 |
| _version_ | 1818230094067400704 |
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| author | Charles Hongoro Elizeus Rutebemberwa Thembinkosi Twalo Chikondi Mwendera Mbuyiselo Douglas Moses Mukuru Simon Kasasa Freddie Ssengooba |
| author_facet | Charles Hongoro Elizeus Rutebemberwa Thembinkosi Twalo Chikondi Mwendera Mbuyiselo Douglas Moses Mukuru Simon Kasasa Freddie Ssengooba |
| author_sort | Charles Hongoro |
| collection | DOAJ |
| description | Abstract Background Policy implementation remains an under researched area in most low and middle income countries and it is not surprising that several policies are implemented without a systematic follow up of why and how they are working or failing. This study is part of a larger project called Supporting Policy Engagement for Evidence-based Decisions (SPEED) for Universal Health Coverage in Uganda. It seeks to support policymakers monitor the implementation of vital programmes for the realisation of policy goals for Universal Health Coverage. A Policy Implementation Barometer (PIB) is proposed as a mechanism to provide feedback to the decision makers about the implementation of a selected set of policy programmes at various implementation levels (macro, meso and micro level). The main objective is to establish the extent of implementation of malaria, family planning and emergency obstetric care policies in Uganda and use these results to support stakeholder engagements for corrective action. This is the first PIB survey of the three planned surveys and its specific objectives include: assessment of the perceived appropriateness of implementation programmes to the identified policy problems; determination of enablers and constraints to implementation of the policies; comparison of on-line and face-to-face administration of the PIB questionnaire among target respondents; and documentation of stakeholder responses to PIB findings with regard to corrective actions for implementation. Methods/Design The PIB will be a descriptive and analytical study employing mixed methods in which both quantitative and qualitative data will be systematically collected and analysed. The first wave will focus on 10 districts and primary data will be collected through interviews. The study seeks to interview 570 respondents of which 120 will be selected at national level with 40 based on each of the three policy domains, 200 from 10 randomly selected districts, and 250 from 50 facilities. Half of the respondents at each level will be randomly assigned to either face-to-face or on-line interviews. An integrated questionnaire for these interviews will collect both quantitative data through Likert scale-type questions, and qualitative data through open-ended questions. And finally focused dialogues will be conducted with selected stakeholders for feedback on the PIB findings. Secondary data will be collected using data extraction tools for performance statistics. Discussion It is anticipated that the PIB findings and more importantly, the focused dialogues with relevant stakeholders, that will be convened to discuss the findings and establish corrective actions, will enhance uptake of results and effective health policy implementation towards universal health coverage in Uganda. |
| first_indexed | 2024-12-12T10:29:02Z |
| format | Article |
| id | doaj.art-da8e76c641a74ac091bf47e25278091e |
| institution | Directory Open Access Journal |
| issn | 2049-3258 |
| language | English |
| last_indexed | 2024-12-12T10:29:02Z |
| publishDate | 2018-02-01 |
| publisher | BMC |
| record_format | Article |
| series | Archives of Public Health |
| spelling | doaj.art-da8e76c641a74ac091bf47e25278091e2022-12-22T00:27:24ZengBMCArchives of Public Health2049-32582018-02-0176111210.1186/s13690-018-0258-4Analysis of selected policies towards universal health coverage in Uganda: the policy implementation barometer protocolCharles Hongoro0Elizeus Rutebemberwa1Thembinkosi Twalo2Chikondi Mwendera3Mbuyiselo Douglas4Moses Mukuru5Simon Kasasa6Freddie Ssengooba7Population Health, Health Systems and Innovation, Human Sciences Research Council (HSRC)Makerere University School of Public HealthPopulation Health, Health Systems and Innovation, Human Sciences Research Council (HSRC)Population Health, Health Systems and Innovation, Human Sciences Research Council (HSRC)Population Health, Health Systems and Innovation, Human Sciences Research Council (HSRC)Makerere University School of Public HealthMakerere University School of Public HealthMakerere University School of Public HealthAbstract Background Policy implementation remains an under researched area in most low and middle income countries and it is not surprising that several policies are implemented without a systematic follow up of why and how they are working or failing. This study is part of a larger project called Supporting Policy Engagement for Evidence-based Decisions (SPEED) for Universal Health Coverage in Uganda. It seeks to support policymakers monitor the implementation of vital programmes for the realisation of policy goals for Universal Health Coverage. A Policy Implementation Barometer (PIB) is proposed as a mechanism to provide feedback to the decision makers about the implementation of a selected set of policy programmes at various implementation levels (macro, meso and micro level). The main objective is to establish the extent of implementation of malaria, family planning and emergency obstetric care policies in Uganda and use these results to support stakeholder engagements for corrective action. This is the first PIB survey of the three planned surveys and its specific objectives include: assessment of the perceived appropriateness of implementation programmes to the identified policy problems; determination of enablers and constraints to implementation of the policies; comparison of on-line and face-to-face administration of the PIB questionnaire among target respondents; and documentation of stakeholder responses to PIB findings with regard to corrective actions for implementation. Methods/Design The PIB will be a descriptive and analytical study employing mixed methods in which both quantitative and qualitative data will be systematically collected and analysed. The first wave will focus on 10 districts and primary data will be collected through interviews. The study seeks to interview 570 respondents of which 120 will be selected at national level with 40 based on each of the three policy domains, 200 from 10 randomly selected districts, and 250 from 50 facilities. Half of the respondents at each level will be randomly assigned to either face-to-face or on-line interviews. An integrated questionnaire for these interviews will collect both quantitative data through Likert scale-type questions, and qualitative data through open-ended questions. And finally focused dialogues will be conducted with selected stakeholders for feedback on the PIB findings. Secondary data will be collected using data extraction tools for performance statistics. Discussion It is anticipated that the PIB findings and more importantly, the focused dialogues with relevant stakeholders, that will be convened to discuss the findings and establish corrective actions, will enhance uptake of results and effective health policy implementation towards universal health coverage in Uganda.http://link.springer.com/article/10.1186/s13690-018-0258-4Policy implementation barometerBalanced score cardUganda |
| spellingShingle | Charles Hongoro Elizeus Rutebemberwa Thembinkosi Twalo Chikondi Mwendera Mbuyiselo Douglas Moses Mukuru Simon Kasasa Freddie Ssengooba Analysis of selected policies towards universal health coverage in Uganda: the policy implementation barometer protocol Archives of Public Health Policy implementation barometer Balanced score card Uganda |
| title | Analysis of selected policies towards universal health coverage in Uganda: the policy implementation barometer protocol |
| title_full | Analysis of selected policies towards universal health coverage in Uganda: the policy implementation barometer protocol |
| title_fullStr | Analysis of selected policies towards universal health coverage in Uganda: the policy implementation barometer protocol |
| title_full_unstemmed | Analysis of selected policies towards universal health coverage in Uganda: the policy implementation barometer protocol |
| title_short | Analysis of selected policies towards universal health coverage in Uganda: the policy implementation barometer protocol |
| title_sort | analysis of selected policies towards universal health coverage in uganda the policy implementation barometer protocol |
| topic | Policy implementation barometer Balanced score card Uganda |
| url | http://link.springer.com/article/10.1186/s13690-018-0258-4 |
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