Quality of Care in Uganda

Improving the quality of health services is a priority in Uganda, with the country developing a Health Sector Quality Improvement Framework and Strategic Plan that covers the period 2015/16-2019/20.

As a first-wave country in the QoC Network, the Ministry of Health has selected 6 districts (Hoima Kamuli, Kasese, Kiryandongo, Nwoya and Sheema) from among 29 districts which were piloting MNH quality of care work to be the learning districts.

The criteria for selecting the learning districts and facilities were:

  • Districts where the MMR and NMR were relatively high compared to the other pilot districts
  • District and stakeholder willingness to implement and support quality of care initiative
  • The districts which had facilities that are high volume sites for deliveries

The targets in the learning districts are aligned with that of the Network which is to reduce MMR by 50% and improve client satisfaction. The Ministry of Health together with key partners – USAID, UNFPA,WHO and UNICEF are providing support to the learning districts to set up the quality management teams, carry out hospital assessments and develop and implement quality mini-projects in the learning districts. Quality projects implemented in the learning facilities that have included improving quality of intra -partum care, improve the use of the partograph ,postnatal care,  ensuring that asphyxiated newborns are successfully resuscitated, improving provision of essential newborn care and strengthening implementation of MPDSR.

Other key partners for the Ministry of health supporting QoC implementation include KOICA, World Bank, BTC, and JICA.

Photo: A mother and her child in Molo village, Tororo district, in 2013. ©UNICEF/Nakibuuka