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

Volumn 102, Issue 11, 2008, Pages 1067-1074

  Kiwanuka, S N ^a   Ekirapa, E K ^a   Peterson, S ^a,b   Okui, O ^a   Rahman, M Hafizur ^c   Peters, D ^c   Pariyo, G W ^a  

^a MAKERERE UNIVERSITY SCHOOL OF PUBLIC HEALTH   (Uganda)

^b KAROLINSKA INSTITUTE   (Sweden)

^c JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTH   (United States)

Author keywords

Access; Disparities; Equity; Health services; Inequality; Utilisation

Indexed keywords

ANTIMALARIAL AGENT; HUMAN IMMUNODEFICIENCY VIRUS VACCINE;

ACQUIRED IMMUNE DEFICIENCY SYNDROME; CHILDHOOD MORTALITY; DIARRHEA; HEALTH CARE ACCESS; HEALTH CARE AVAILABILITY; HEALTH CARE COST; HEALTH CARE FACILITY; HEALTH CARE POLICY; HEALTH CARE QUALITY; HEALTH CARE UTILIZATION; HEALTH EDUCATION; HEALTH PERSONNEL ATTITUDE; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; KAPOSI SARCOMA; MALARIA; MALNUTRITION; MATERNAL MORBIDITY; MATERNAL MORTALITY; MORBIDITY; PATIENT REFERRAL; POVERTY; PREVALENCE; RESPIRATORY TRACT INFECTION; REVIEW; SEXUALLY TRANSMITTED DISEASE; SOCIOECONOMICS; SYSTEMATIC REVIEW; UGANDA; VULNERABLE POPULATION;

ADULT; CHILD; CHILD HEALTH SERVICES; DEVELOPING COUNTRIES; FEMALE; HEALTH SERVICES ACCESSIBILITY; HEALTHCARE DISPARITIES; HIV INFECTIONS; HUMANS; MALE; MATERNAL HEALTH SERVICES; POVERTY; QUALITY OF HEALTH CARE; SOCIOECONOMIC FACTORS; UGANDA;

EID: 53349146414     PISSN: 00359203     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.trstmh.2008.04.023     Document Type: Review

References (57)

1. Arinaitwe J. Utilisation of Health Unit Maternity Services Among Women who Attend Antenatal Clinics in Tororo District (2001), Institute of Public Health, Makerere University, Kampala, Uganda
2. Bingi A. Factors Influencing Measles Immunisation Turn Up for Outreach Services in Katabi Parish. Entebbe Sub-district (2004), Institute of Public Health, Makerere University, Kampala, Uganda
3. Bwera A. Factors Influencing Choice of Delivery Site by Pregnant Mothers in Rakai District, Uganda (1997), Institute of Public Health, Makerere University, Kampala, Uganda
4. Glasziou P., Irwig L., Bain C., and Colditz G. Finding relevant studies, in: Systematic Reviews in Health Care: A Practical Guide (2001), Cambridge University Press, UK pp. 16-31
5. GoU. Uganda National Health Policy (1999), Government of Uganda, Ministry of Health, Kampala, Uganda
6. GoU. Annual Health Sector Performance Report (AHSPR) (2003), Government of Uganda, Ministry of Health, Kampala, Uganda
7. GoU. Poverty Eradication Action Plan (PEAP) (2004), Government of Uganda, Ministry of Finance Planning and Economic Development, Kampala, Uganda
8. GoU. Health Sector Performance Report (2005), Government of Uganda, Ministry of Health, Kampala, Uganda
9. GoU. Uganda HIV/AIDS Sero-behavioural Survey 2004-2005 (2006), Government of Uganda, Ministry of Health, Kampala, Uganda/ORC Macro, Calverton, MD, USA
10. Gwatkin D.R., and Guillot M. The burden of disease among the global poor. Current situation, future trends and implications for strategy. Global Forum for Health Research: Promoting Research to Improve the Health of the Poor (2000), World Bank, Washington, D.C.
11. Gwatkin D.R., Bhuiya A., and Victora C.G. Making health systems more equitable. Lancet 364 (2004) 1273-1280
12. Hutchinson P. Health Care in Uganda: Selected Issues (1999), World Bank, Washington, D.C.
13. Kaye D., Mirembe F., Aziga F., and Namulema B. Maternal mortality and associated near-misses among emergency intrapartum obstetric referrals in Mulago Hospital, Kampala, Uganda. East Afr. Med. J. 80 (2003) 144-149
14. Kirunga C. Socio-economic determinants of HIV sero-status: a study of Rakai District (1996), Makerere University, Kampala, Uganda
15. Kyomuhendo G.B. Low use of rural maternity services in Uganda: impact of women's status, traditional beliefs and limited resources. Reprod. Health Matters 11 (2003) 16-26
16. Lukwago L. Utilisation of post natal services by mothers in Jinja District (1998), Master of public health thesis, Institute of Public Health, Mulago Medical School, Makerere University, Kampala, Uganda
17. Mast T.C., Kigozi G., Wabwire-Mangen F., Sewankambo N., Serwadda D., Gray R., Wawer M., and Black R. Immunisation coverage among children born to HIV-infected women in Rakai District, Uganda: effect of voluntary testing and counselling (VCT). AIDS Care 18 (2006) 755-763
18. Mbonye A.K. Prevalence of childhood illnesses and care-seeking practices in rural Uganda. ScientificWorldJournal 3 (2003) 721-730
19. Mbulaiteye S.M., Mahe C., Ruberantwari A., and Whitworth J.A. Generalizability of population-based studies on AIDS: a comparison of newly and continuously surveyed villages in rural southwest Uganda. Int. J. Epidemiol. 31 (2002) 961-967
20. Mugyenyi P. Utilisation of sexually transmitted diseases services in Jinja District, Uganda (1999), Master of public health thesis, Institute of Public Health, Mulago Medical School, Makerere University, Kampala, Uganda
21. Mulogo E.M., Witte K., Bajunirwe F., Nabukera S.K., Muchunguzi C., Batwala V.K., Bagenda F., Farr C., and Barry C. Birth plans and health facility based delivery in rural Uganda. East Afr. Med. J. 83 (2006) 74-83
22. Nabiwemba L.E. Health seeking behaviour of caretakers for diarrhoea and acute respiratory infection among under 5s in Busiro north, (Mpigi district) (1999), Institute of Public Health, Makerere University, Kampala, Uganda
23. Namusabi K. Factors associated with low immunisation coverage of children under five in Nakalama sub-county, Iganga district (2003), Institute of Public Health, Makerere University, Kampala, Uganda
24. Nassanga J. Utilisation of peripheral government health services in a rural population of Uganda: Hoima District (1996), Master of public health thesis, Institute of Public Health, Mulago Medical School, Makerere University, Kampala, Uganda
25. Ndyomugyenyi R., Neema S., and Magnussen P. The use of formal and informal services for antenatal care and malaria treatment in rural Uganda. Health Policy Plan 13 (1998) 94-102
26. Nuwaha F. Risk factors for recurrent sexually transmitted infections in Uganda. East Afr. Med. J. 77 (2000) 138-142
27. Nuwaha F., Kabatesi D., Muganwa M., and Whalen C.C. Factors influencing acceptability of voluntary counselling and testing for HIV in Bushenyi District of Uganda. East Afr. Med. J. 79 (2002) 626-632
28. Nuwaha F., Okware J., and Timbyetaho M. Community chloroquine distribution for malaria control in Bushenyi District of Uganda. East Afr. Med. J. 80 (2003) 569-574
29. Odaga J. Health inequality in Uganda - the role of financial and non-financial barriers. Health Policy and Development 2 (2004) 192-208
30. Okello D.O., Lubanga R., Guwatudde D., and Sebina-Zziwa A. The challenge to restoring basic health care in Uganda. Soc. Sci. Med. 46 (1998) 13-21
31. Okuonzi S.A. Learning from failed health reform in Uganda. Br. Med. J. 329 (2004) 1173-1175
32. Omaswa F., Burnham G., Baingana G., Mwebesa H., and Morrow R. Introducing quality improvement management methods into primary health care services in Uganda. QA Brief 5 (1996) 12-15
33. Owor M., Tumwine J.K., and Kikafunda J.K. Socio-economic risk factors for severe protein energy malnutrition among children in Mulago Hospital, Kampala. East Afr. Med. J. 77 (2000) 471-475
34. Oywa R. Poverty creates the greatest risk for women in Uganda. Special report: women and HIV. AIDS Anal. Afr. 5 (1995) 11
35. Pariyo G.W., Gouws E., Bryce J., and Burnham G. Improving facility-based care for sick children in Uganda: training is not enough. Health Policy Plan. 20 Suppl. 1 (2005) i58-i68
36. Pearson L., and Shoo R. Availability and use of emergency obstetric services: Kenya, Rwanda, southern Sudan, and Uganda. Int. J. Gynaecol. Obstet. 88 (2005) 208-215
37. Peters, D.H., Garg, A., Bloom, G., Walker, D.G., Brieger, W.R., Rahman, H.M., 2007. Poverty and access to health care in developing countries. Annals of New York Academy of Science, Special Issue on Scientific Approaches to Understanding and Reducing Poverty. http://www.annalsnyas.org/cgi/content/abstract/annals.1425.011v1 [accessed April 2008].
38. Peterson S., Nsungwa-Sabiiti J., Were W., Nsabagasani X., Magumba G., Nambooze J., and Mukasa G. Coping with paediatric referral - Ugandan parents' experience. Lancet 363 (2004) 1955-1956
39. Rassjo E.B., Kambugu F., Tumwesigye M.N., Tenywa T., and Darj E. Prevalence of sexually transmitted infections among adolescents in Kampala, Uganda, and theoretical models for improving syndromic management. J. Adolesc. Health 38 (2006) 213-221
40. Reynolds H.W., Wong E.L., and Tucker H. Adolescents' use of maternal and child health services in developing countries. Int. Fam. Plan. Perspect. 32 (2006) 6-16
41. Ssengooba F. Uganda's minimum health care package: rationing within the minimum?. Health Policy and Development 2 (2004) 14-23
42. Taylor L., Seeley J., and Kajura E. Informal care for illness in rural southwest Uganda: the central role that women play. Health Transit. Rev. 6 (1996) 49-56
43. Tugumisirize F., Tumwine J.K., and Mworozi E.A. Missed opportunities and caretaker constraints to childhood vaccination in a rural area in Uganda. East Afr. Med. J. 79 (2002) 347-354
44. Tumwesigire S.G., and Barton T. Environmental risk factors for acute respiratory infections among children of military personnel in Uganda. East Afr. Med. J. 72 (1995) 290-294
45. Twesigye R. Factors affecting antenatal care visits in Hoima District, Uganda (2004), Institute of Public Health, Makerere University, Kampala, Uganda
46. UBoS. Uganda Demographic Health Survey 2000-2001 (2001), Uganda Bureau of Statistics/ORC-Macro, Calverton, MD, USA
47. UBoS. Report on the Socio-economic Survey (2002), Uganda Bureau of Statistics, Entebbe, Uganda
48. UBoS. Uganda Demographic Health Survey 2000-2001 (2002), Uganda Bureau of Statistics, Kampala, Uganda
49. UBoS, 2005. Statistical abstract, in: Uganda Population and Housing Census. Uganda Bureau of Statistics, Kampala, Uganda, p. 256.
50. Vella V., Tomkins A., Nviku J., and Marshall T. Determinants of nutritional status in south-west Uganda. J. Trop. Pediatr. 41 (1995) 89-98
51. Wamani H., Tylleskar T., Astrom A.N., Tumwine J.K., and Peterson S. Mothers' education but not fathers' education, household assets or land ownership is the best predictor of child health inequalities in rural Uganda. Int. J. Equity Health 3 (2004) 9
52. Weeks A., Lavender T., Nazziwa E., and Mirembe F. Personal accounts of 'near-miss' maternal mortalities in Kampala, Uganda. BJOG 112 (2005) 1302-1307
53. Witter S. An unnecessary evil? User fees for healthcare in low-income countries (2005), Save the Children, London, UK
54. World Bank. World Bank World Development Report (1993), Oxford University Press/World Bank, Oxford, UK
55. World Bank, 2005. Improving Health Outcomes for the Poor in Uganda: Current Status and Implications for Health Sector Development. African Region Human Development Working Paper Series. World Bank, Kampala, Uganda.
56. Xu K., Evans D., Kawabata K., Zeramdini R., Klavus J., and Murray C. Household catastrophic health expenditure: a multi-country analysis. Lancet 362 (2003) 111-116
57. Ziegler J.L., Newton R., Katongole-Mbidde E., Mbulataiye S., DeCock K., Wabinga H., Mugerwa J., Katabira E., Jaffe H., Parking D.M., Reeves G., Weiss R., and Beral V. Risk factors for kaposi's sarcoma in HIV-positive subjects in Uganda. AIDS 11 (1997) 1619-1626