PMID- 31286950
OWN - NLM
STAT- MEDLINE
DCOM- 20191115
LR  - 20200225
IS  - 1472-6963 (Electronic)
IS  - 1472-6963 (Linking)
VI  - 19
IP  - 1
DP  - 2019 Jul 8
TI  - Priority setting for maternal, newborn and child health in Uganda: a qualitative 
      study evaluating actual practice.
PG  - 465
LID - 10.1186/s12913-019-4170-6 [doi]
LID - 465
AB  - BACKGROUND: Despite continued investment, Maternal, Newborn and Child Health 
      (MNCH) indicators in low and middle income countries have remained relatively 
      poor. This could, in part, be explained by inadequate resources to adequately 
      address these problems, inappropriate allocation of the available resources, or 
      lack of implementation of the most effective interventions. Systematic priority 
      setting and resource allocation could contribute to alleviating these 
      limitations. There is a paucity of literature that follows through MNCH 
      prioritization processes to implementation, making it difficult for policy makers 
      to understand the impact of their decision-making on population health. The 
      overall objective of this paper was to describe and evaluate priority setting for 
      maternal, newborn and child health interventions in Uganda. METHODS: Fifty-four 
      key informant interviews and a review of policies and media reports were used to 
      describe priority setting for MNCH in Uganda. Kapiriri and Martin's conceptual 
      framework was used to evaluate priority setting for MNCH. RESULTS: There were 
      three main prioritization exercises for maternal, newborn and child health in 
      Uganda. The processes were participatory and were guided by explicit tools, 
      evidence, and criteria, however, the public and the districts were insufficiently 
      involved in the priority setting process. While there were conducive contextual 
      factors including strong political support, implementation was constrained by the 
      presence of competing actors, with varying priorities, an unequal allocation of 
      resources between child health and maternal health interventions, limited 
      financial and human resources, a weak health system and limited institutional 
      capacity. CONCLUSIONS: Stronger institutional capacity at the Ministry of Health 
      and equitable engagement of key stakeholders in decision-making processes, 
      especially the public, and implementers, would improve understanding, 
      satisfaction and compliance with the priority setting process. Availability of 
      financial and human resources that are appropriately allocated would facilitate 
      the implementation of well-developed policies.
FAU - Wallace, Lauren J
AU  - Wallace LJ
AD  - Department of Health, Aging and Society, McMaster University, KTH-236, Main 
      Street West 1280, Hamilton, ON, Canada.
FAU - Kapiriri, Lydia
AU  - Kapiriri L
AUID- ORCID: 0000-0002-1237-6369
AD  - Department of Health, Aging and Society, McMaster University, KTH-236, Main 
      Street West 1280, Hamilton, ON, Canada. kapirir@mcmaster.ca.
LA  - eng
GR  - Grant# 10558616/Canadian Institutes of Health Research/Canada
PT  - Journal Article
DEP - 20190708
PL  - England
TA  - BMC Health Serv Res
JT  - BMC health services research
JID - 101088677
SB  - IM
MH  - Child
MH  - *Child Health
MH  - Female
MH  - Health Care Rationing
MH  - *Health Priorities
MH  - Health Services Research
MH  - Humans
MH  - *Infant Health
MH  - Infant, Newborn
MH  - *Maternal Health
MH  - Maternal-Child Health Services/*organization & administration
MH  - Pregnancy
MH  - Qualitative Research
MH  - Uganda
PMC - PMC6615092
OTO - NOTNLM
OT  - Low income countries
OT  - Maternal
OT  - Newborn and child health
OT  - Priority setting evaluation
COIS- LK is a member of the editorial board of this journal. LW has no competing 
      interest to declare.
EDAT- 2019/07/10 06:00
MHDA- 2019/11/16 06:00
PMCR- 2019/07/08
CRDT- 2019/07/10 06:00
PHST- 2018/12/14 00:00 [received]
PHST- 2019/05/20 00:00 [accepted]
PHST- 2019/07/10 06:00 [entrez]
PHST- 2019/07/10 06:00 [pubmed]
PHST- 2019/11/16 06:00 [medline]
PHST- 2019/07/08 00:00 [pmc-release]
AID - 10.1186/s12913-019-4170-6 [pii]
AID - 4170 [pii]
AID - 10.1186/s12913-019-4170-6 [doi]
PST - epublish
SO  - BMC Health Serv Res. 2019 Jul 8;19(1):465. doi: 10.1186/s12913-019-4170-6.