NU Health Lessons Learned Report II 2015

Authors: HPI International
Document Type: Reports
Publication Date: 2015

This report summarises lessons learned in the implementation of the Department for International Development (DFID) funded study Northern Uganda Health Programme (NU Health).

Key findings that are presented in the report include the following:

  • The district health officials continued to report a positive view of the support provided by the NU Health programme both at the district and facility levels.
  • In most districts NU Health filled critical staffing gaps at the district health office by seconding staff to support maternal, newborn and child health (MNCH) related activities.
  • NU Health supported each DHT to draw its Capacity Strengthening Plan (CSP) outlining the support that each DHT would require to enhance its ability to play its expected supervisory role
  • Many of the health officials interviewed reported that they had used the NU Health supervision tools with facilities outside the NU Health study area.

Overall, the district health officials were supportive and enthusiastic about government implementing the RBF model. However, some of the district health officials interviewed commented that the central Ministry of Health (MoH) was not fully engaged with the programme. They felt that had they been more engaged and therefore witnessed some of the changes that the programme has influenced in the facilities, there would be greater support for government to push for RBF at a policy level. District health officials have found the interventions and tools introduced by NU Health useful, and expressed a willingness to use them beyond the life of the programme.

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Tags: Service delivery, Maternal health, Child health, Quality improvement, Access to health services, Monitoring and evaluation, Health information, Performance-based financing, Quality of care, NU Health, Uganda, Results-based financing, Operations research, health financing, RBF, Controlled trial, Health systems strengthening,