PMID- 27225791
OWN - NLM
STAT- MEDLINE
DCOM- 20170105
LR  - 20220408
IS  - 1654-9880 (Electronic)
IS  - 1654-9716 (Print)
IS  - 1654-9880 (Linking)
VI  - 9
DP  - 2016
TI  - Empowering districts to target priorities for improving child health service in 
      Uganda using change management and rapid assessment methods.
PG  - 30983
LID - 10.3402/gha.v9.30983 [doi]
AB  - BACKGROUND: Local health system managers in low- and middle-income countries have 
      the responsibility to set health priorities and allocate resources accordingly. 
      Although tools exist to aid this process, they are not widely applied for various 
      reasons including non-availability, poor knowledge of the tools, and poor 
      adaptability into the local context. In Uganda, delivery of basic services is 
      devolved to the District Local Governments through the District Health Teams 
      (DHTs). The Community and District Empowerment for Scale-up (CODES) project aims 
      to provide a set of management tools that aid contextualised priority setting, 
      fund allocation, and problem-solving in a systematic way to improve effective 
      coverage and quality of child survival interventions. DESIGN: Although the 
      various tools have previously been used at the national level, the project aims 
      to combine them in an integral way for implementation at the district level. 
      These tools include Lot Quality Assurance Sampling (LQAS) surveys to generate 
      local evidence, Bottleneck analysis and Causal analysis as analytical tools, 
      Continuous Quality Improvement, and Community Dialogues based on Citizen Report 
      Cards and U reports. The tools enable identification of gaps, prioritisation of 
      possible solutions, and allocation of resources accordingly. This paper presents 
      some of the tools used by the project in five districts in Uganda during the 
      proof-of-concept phase of the project. RESULTS: All five districts were trained 
      and participated in LQAS surveys and readily adopted the tools for priority 
      setting and resource allocation. All districts developed health operational work 
      plans, which were based on the evidence and each of the districts implemented 
      more than three of the priority activities which were included in their work 
      plans. CONCLUSIONS: In the five districts, the CODES project demonstrated that 
      DHTs can adopt and integrate these tools in the planning process by 
      systematically identifying gaps and setting priority interventions for child 
      survival.
FAU - Odaga, John
AU  - Odaga J
AD  - Liverpool School of Tropical Medicine, Kampala, Uganda.
FAU - Henriksson, Dorcus K
AU  - Henriksson DK
AD  - Health Systems and Policy (HSP) Research Group, Department of Public Health 
      Sciences, Karolinska Institutet, Stockholm, Sweden.
AD  - International Maternal and Child Health Department, Uppsala University, Uppsala, 
      Sweden; Dorcus.Kiwanuka@ki.se.
FAU - Nkolo, Charles
AU  - Nkolo C
AD  - Liverpool School of Tropical Medicine, Kampala, Uganda.
FAU - Tibeihaho, Hector
AU  - Tibeihaho H
AD  - ChildFund International, Kampala, Uganda.
FAU - Musabe, Richard
AU  - Musabe R
AD  - ChildFund International, Kampala, Uganda.
FAU - Katusiime, Margaret
AU  - Katusiime M
AD  - ChildFund International, Kampala, Uganda.
FAU - Sinabulya, Zaccheus
AU  - Sinabulya Z
AD  - ChildFund International, Kampala, Uganda.
FAU - Mucunguzi, Stephen
AU  - Mucunguzi S
AD  - ChildFund International, Kampala, Uganda.
FAU - Mbonye, Anthony K
AU  - Mbonye AK
AD  - Ministry of Health, Kampala, Uganda.
AD  - School of Public Health, College of Health Sciences, Makerere University, 
      Kampala, Uganda.
FAU - Valadez, Joseph J
AU  - Valadez JJ
AD  - Liverpool School of Tropical Medicine, Kampala, Uganda.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20160524
PL  - United States
TA  - Glob Health Action
JT  - Global health action
JID - 101496665
SB  - IM
MH  - Child
MH  - Child Health Services/*standards
MH  - Delivery of Health Care/*organization & administration
MH  - Humans
MH  - Lot Quality Assurance Sampling/*methods
MH  - *Organizational Innovation
MH  - *Power, Psychological
MH  - *Quality Improvement
MH  - Resource Allocation
MH  - Surveys and Questionnaires
MH  - Uganda
PMC - PMC4880621
OTO - NOTNLM
OT  - Bottleneck analysis
OT  - CODES
OT  - LQAS
OT  - priority setting
EDAT- 2016/05/27 06:00
MHDA- 2017/01/06 06:00
PMCR- 2016/05/24
CRDT- 2016/05/27 06:00
PHST- 2016/01/13 00:00 [received]
PHST- 2016/03/23 00:00 [revised]
PHST- 2016/04/13 00:00 [accepted]
PHST- 2016/05/27 06:00 [entrez]
PHST- 2016/05/27 06:00 [pubmed]
PHST- 2017/01/06 06:00 [medline]
PHST- 2016/05/24 00:00 [pmc-release]
AID - 30983 [pii]
AID - 10.3402/gha.v9.30983 [doi]
PST - epublish
SO  - Glob Health Action. 2016 May 24;9:30983. doi: 10.3402/gha.v9.30983. eCollection 
      2016.