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Chapter Eighteen - Health Policy and Challenges in Uganda

Published online by Cambridge University Press:  17 June 2025

Robert Dibie
Affiliation:
Fort Valley State University, Georgia
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Summary

Introduction

This chapter investigates the nature of healthcare policy and administration effectiveness in Uganda. It also explores the extent to which the public sector uses healthcare policy and other means to influence the private sector's decision making and practices for the purpose of achieving a lesser burden of communicable and noncommunicable diseases. The chapter provides a detailed description of the key role of the public and private sectors with respect to effectively implementing healthcare policies to address the needs of the citizens and residents of Uganda. It argues that the Government of Uganda and its policies are crucial for the appropriate attainment of effective healthcare delivery services in the country. It uses data derived from primary and secondary sources to analyze the current healthcare system impact in Uganda. The findings indicate that while there have been past weaknesses in the relationship between government and business in the healthcare delivery system in Uganda due to inadequate enforcement of policies, the relationship in both sectors has improved over two decades. In addition, government policies have not been able to effectively address the disparity in healthcare delivery in both urban and rural regions of the nation. The chapter recommends that national and appropriate collaboration with the private sector could effectively impact healthcare administration and life expectancy in Uganda in the future.

Brief History of Uganda

Uganda is a landlocked country located in Eastern Africa. The country has a boundary with the Republic of South Sudan to the north, the Democratic Republic of the Congo to the southwest, Kenya, to the east, Tanzania to the south, and Rwanda to the southwest. The country's southern section is covered by Lake Victoria, which is also shared by the Republic of Tanzania, and Kenya. Uganda has a population of 47.3 million people (World Bank 2023).

The territory now called the Republic of Uganda was previously inhabited by farmers who migrated from central Sudan and the Kuliak-speaking ethnic people who were herders over 3,000 years ago. According to some history scholars, the Bantu ethnic group also migrated from the south to the region, while the Nilotic ethnic group also started migrating to the northeast region about 1,500 AD (Mwakikagile 2009; Schoenbrun 1993).

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Type
Chapter
Information
Transforming Healthcare in Africa
A Comparative Analysis
, pp. 305 - 320
Publisher: Anthem Press
Print publication year: 2025

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