Effectiveness of Official Development Assistance in the Health Sector in Africa: A Case Study of Uganda.

IF 1.3 Q2 Social Sciences International Quarterly of Community Health Education Pub Date : 2021-04-01 Epub Date: 2020-05-22 DOI:10.1177/0272684X20918045

Cyriaque Rene Sobtafo Nguefack

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引用次数: 1

Abstract

This qualitative explanatory case study assessed the influence of Official Development Assistance on selected health development indicators in Uganda between 2005 and 2013 by reviewing development partners' perceptions. Key health indicators included the following: (a) under 5-year-old mortality rates, (b) infant mortality rates, and (c) maternal mortality ratio. Results indicated slow progress in reducing infant mortality and under-5 mortality rates and almost no progress in the maternal mortality ratio despite the disbursement of a yearly average of nearly $400 million USD in the last 7 years to the health sector in Uganda. Five bottlenecks in the influence of development assistance on health indicators were identified: (a) poor governance and accountability framework in the country, (b) ineffective supply chain of health commodities, (c) negative cultural beliefs, (d) insufficient government funding to health care, and (e) insufficient alignment of development assistance to the National Development Plan and noncompliance with the Paris Declaration on Aid Effectiveness.

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非洲卫生部门官方发展援助的有效性:乌干达案例研究。

这一定性解释性案例研究通过审查发展伙伴的看法，评估了2005年至2013年期间官方发展援助对乌干达选定卫生发展指标的影响。主要健康指标包括:(a) 5岁以下儿童死亡率、(b)婴儿死亡率和(c)产妇死亡率。结果表明，在降低婴儿死亡率和5岁以下儿童死亡率方面进展缓慢，在降低产妇死亡率方面几乎没有进展，尽管在过去7年中向乌干达卫生部门平均每年支付了近4亿美元。确定了发展援助对卫生指标影响方面的五个瓶颈:(a)该国治理和问责框架不佳;(b)卫生商品供应链无效;(c)消极的文化信仰;(d)政府对卫生保健的供资不足;(e)发展援助与国家发展计划不一致，不遵守《巴黎援助实效宣言》。

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International Quarterly of Community Health Education PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

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期刊介绍： The International Quarterly of Community Health Education is committed to publishing applied research, policy and case studies dealing with community health education and its relationship to social change. Since 1981, this rigorously peer-referred Journal has contained a wide selection of material in readable style and format by contributors who are not only authorities in their field, but can also write with vigor, clarity, and occasionally with humor. Since its introduction the Journal has considered all manuscripts, especially encouraging stimulating articles which manage to combine maximum readability with scholarly standards.