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Browse Health Policy Project (2010-2016) Materials

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Uganda

  • The Millennium Development Goals (MDGs)—a set of eight important, time-bound goals ranging from reducing poverty in developing countries to providing universal primary education—represent a blueprint for global development agreed to by member states of the United Nations and international development institutions. Uganda has made significant progress in reducing maternal and child mortality, but areas such as improved sanitation coverage, malaria, and universal primary education have seen less improvement. This analysis by the USAID-funded Health Policy Project shows how one strategy— reducing the unmet need for family planning (FP) in line with Family Planning 2020 (FP2020) goals—can make achieving and sustaining the MDGs more affordable in Uganda, and directly contribute to further reducing child mortality and improving maternal health.

  • This is a copy of the presentation made when Uganda launched its Costed Implementation Plan (CIP) for Family Planning. Users can review this presentation as an example of the kind of information to present to stakeholders at the plan launch.

    This resource is part of the CIP Resource Kit, which can be accessed at http://www.familyplanning2020.org/cip.

  • Tackling undernutrition and achieving food security will require cross-sector collaboration, innovative approaches, and optimizing the use of all available interventions. In 2014, the USAID-funded Health Policy Project conducted two reviews of the empirical evidence on the impacts of one intervention—family planning—on food security and nutritional status, respectively. 

    This brief on nutrition shows that when women exercise their freedom and right to access voluntary family planning to meet their fertility intentions, there is a natural decline in the prevalence of high-risk and unintended pregnancies; and that by averting such pregnancies, improvements in key maternal, infant, and child nutrition outcomes can be achieved. 

    The accompanying report is available here, and a companion brief on food security is available here.

    Also see the companion desk review synthesizing the programmatic experiences of integrating family planning with food security and nutrition. It was conducted by the Food and Nutrition Technical Assistance III Project (FANTA) and is available here: http://www.fantaproject.org/focus-areas/food-security/desk-review-programs-integrating-family-planning-food-security-and-nutrition. 

  • This brief by Uganda’s National Planning Authority describes how Uganda and its people could benefit from the demographic dividend, based on results from DemDiv, a new modeling tool developed by the USAID-funded Health Policy Project. DemDiv shows that a combined scenario of investments in family planning, education, and economic policies would provide the strongest benefits in terms of health, investment, employment, and GDP per capita. Specific policy recommendations for the three sectors are included.

  • As part of the USAID-led PEPFAR Sustainable Financing Initiative to increase domestic resources for HIV, the USAID- and PEPFAR-funded Health Policy Project created 31 macro-fiscal and health financing profiles for 18 countries that are transitioning to a higher income status, have high HIV burdens, and/or rely heavily on donor funding. These country profiles assess past trends and future projections in key indicators related to a country's ability to grow economically and dedicate more financial resources to health, including HIV.

    The macro-fiscal profiles provide overviews of each country's economic growth, political economy, and government revenue and expenditure. The health financing profiles analyze government, external, and out-of-pocket spending on health; health financing functions, including revenue contribution and collection, pooling, and purchasing; and HIV financing trends.

    You may download individual briefs on this page.

  • Saving Mothers, Giving Life (SMGL) is five-year public-private partnership aiming to drastically reduce maternal mortality in sub-Saharan Africa. As part of the proof of concept, the USAID- and PEPFAR-funded Health Policy Project conducted an expenditure analysis to identify what additional expenditures were made to reduce maternal mortality in the eight SMGL pilot districts in Uganda and Zambia. The overall study findings showed that investments in infrastructure, transportation, training for healthcare workers, and demand creation for facility-based deliveries led to maternal mortality decreases in both countries in one year—30 percent in one, 35 percent in the other. HPP's expenditure analyses complement these evaluations, and help to inform budgeting and planning for scale-up of the district strengthening model.

  • In sub-Saharan Africa (SSA), expected national fertility levels and country-level observations demonstrate repeated mismatches in magnitude and/or direction.Thus there is an unfulfilled demand for better explaining, understanding, and communicating how fertility changes. Accurately predicting fertility is critical for understanding how populations may be expected to change, and for managing expectations about the possible impacts of TFR-affecting policy levers. The USAID-funded Health Policy Project produced this poster for the 2015 Population Association of America conference to determine to what extent can the accuracy of predicting fertility in SSA using the proximate determinants framework be improved by implementing revisions, with emphasis on the contraception index.

  • This policy brief  highlights (1) the advocacy process used to generate increased funding commitments for  family planning and reproductive health (FP/RH) commodities in Uganda, (2) the steps needed to ensure that the allocated funds fully translate into procurement of FP commodities, and (3) how advocates can sustain the momentum over the coming years. The information can be used to guide advocates in sub-Saharan Africa on addressing critical issues in the financing of FP/RH.

  • This policy brief is intended to guide Ugandan parliamentarians in addressing critical issues related to family planning and reproductive health (FP/RH) financing to ensure that increased budget commitments for RH commodities already realized are sustained over the coming years and that funds are disbursed and fully expended. Parliamentarians at the country level can fulfill three essential functions: (1) provide oversight to ensure that current allocations are maintained, (2) ensure that allocated funds from the World Bank RH Systems Strengthening Project are released and spent in FY 2013/14, and (3) track allocations to ensure the 100 percent expenditure of funds.

  • Ministries of health (MOHs) are largely responsible for achieving the commitments that their national governments have made as part of the FP2020 initiative, which aims to enable 120 million more women and girls to use contraceptives by 2020. However, MOHs’ ability to meet FP2020 goals depends on the strength of their stewardship functions, including the support they generate from and collaboration with other actors and sectors.This brief describes four skills that parliamentarians can develop and strengthen to become more effective at lobbying for, demanding, and securing additional funding for FP. It is part of a series of three briefs produced by the USAID-funded Health Policy Project to provide guidance to MOH officials and members of parliament (MPs) on three different approaches to strengthen MOHs’ stewardship functions for FP2020. The other briefs in the series are Stewardship for FP2020 Goals: Working with the Private Sector, and Stewardship for FP2020 Goals: MOH Role in Improving FP Policy Implementation.

  • In the past decade, PEPFAR has committed significant technical and financial resources to the fight against HIV, working with local partners in target countries to promote prevention programs, increase the number of patients receiving ART, and strengthen national coordination and monitoring of programs. As donor funding stagnates and developing economies grow, it is critical to identify long-term, sustainable sources of domestic funding for HIV to maintain and build upon the successes achieved by low- and middle-income-countries in partnership with PEPFAR.

    As part of PEPFAR’s Sustainable Financing Initiative to increase domestic resource for HIV, HPP created a baseline assessment of the current state of HIV financing in Uganda against which future achievements in domestic resource mobilization can be measured. The assessment analyzes current resource commitments against projected need, estimates future domestic resource needs, and examines efficiency and equity in the use of funds.

  • The Empowering Women Leaders for Country-Led Development program fostered yearly cadres of women champions from Ethiopia, Ghana, Kenya, Malawi, Tanzania, and Uganda to engage in family planning and reproductive health decision making and to advocate for policy change. The 70 alumnae represent civil society organizations, government ministries, faith-based organizations, and elected bodies at local and national levels and comprise a wide range of backgrounds and experience. The program included a three-week intensive skills-building workshop focused on personal leadership, advocacy, and networking skills; seed funds to implement local advocacy; one year of south-to-south coaching by a Plan USA-trained coach; and ongoing technical assistance and networking support. This brief explores the program's methods, approach, and results.