Figures & Tables
Figures
A village health team member counts the respiratory rate of a child who has a cough with fast breathing. Photo credit: © 2013 Edmound Kertho
A supervisor shows village health team members how to fill in the iCCM register during a quarterly review meeting. Photo credit: © 2013 Edmound Kertho
- FIGURE 1.
Uganda’s Health and Administrative System Structure
Tables
- TABLE 1.
Profile of District Health Team and Local Government Members Interviewed on Institutionalizing Integrated Community Case Management, 9 Districts in Uganda
Readiness Study Group Interview Participants Buliisa Kibaale Kiboga Kyankwanzi Kyenjojo Kyegegwa Kiryandongo Masindi Hoima District health officer X X X X X X X X X District drug inspector X X X X X X District health inspector X X X X X X X District health educator X X X X X X X X X District surveillance focal person X X X Health facility in-charge X X X X X X X X X Health management information focal person X X X Malaria focal person X X X X X X X Medical superintendent X X District biostatistician X X X X Key informant follow-up studyab District health officer N Y N Y Y Y Y Y Y Malaria focal person Y Y N Y Y Y Y Y Y District biostatistician/HMIS focal person Y Y Y Y Y Y Y Y Y District planner N/A N/A N/A N/A N/A N/A N/A N/A N/A - TABLE 2.
World Health Organization Health System Building Blocks (Functions) Explored in 9 Districts in Uganda
Attributes Probed for in the Interview Guide Health financing Sources of funding for health care in general and specifically for iCCM
Percentage of the district budget allocated to iCCM
Type of providers of child health care services
Range of health services provided by both public and private providers and coverage of the health costs at the point of use
Most significant change in health financing for children
Service delivery Scope of child services offered within the district-by whom and when and presence of any performance linked payments
The most significant change in health service delivery
Health workforce Scope of health staffing levels and turnover in the district
Scope of VHT coverage and turning over
Scope of training, implementation partners, remuneration, motivation. and supervision for CHWs
Presence and awareness of iCCM guidelines
Most significant in the health workforce
Governance Extent to which health decisions are made by the DHTs
Budget priority setting exercises
Health worker and health technology regulation
Community participation in health decision making
Most significant changes in health governance
Medical products and technologies Available medicines and supplies for treatment of common childhood illnesses
Distribution of the medicines and supplies specifically iCCM medicines
Most significant change in distribution of medicines
Information Management of health data at the local and district level
Availability of standardized registers for collecting and submitting community level data
Available data submission platforms
Community-level indicators fitted into the national HMIS
Use of data for decision making at local and district level
Key challenges in reporting data at the local and district level
Most significant change in the HMIS
Abbreviations: CHW, community health worker; DHT, district health team; HMIS, health management information system, iCCM, integrated community case management; VHT, village health team.
