Open funding:
Open funding:

Governance, citizenship, and accountability: A study of people-centered development in the Ugandan health sector

In Uganda, communication gaps between local politicians and their constituents are a contributing factor for improved accountability in health service delivery by monitoring local government health centers. Challenges such as citizen transportation difficulties and politicians' limited knowledge further hinder effective engagement. This project implemented two interventions: Citizen-Politician Meetings to enhance civic engagement by providing a platform for citizens to hold local politicians accountable, and Politician Training to improve politicians' skills in monitoring and enforcing quality standards at health facilities.

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By empowering both communities and local politicians, the project aimed to improve health service quality, increase service utilization, and enhance maternal and child health outcomes. Building on a successful pilot trial showing substantial stakeholder participation and feasibility, and with support from the Office of the Prime Minister and Progressive Health Partnership, this initiative aims to foster sustained citizen participation and political engagement, improving healthcare quality and equity, and offering a scalable model for strengthening health systems in low-resource settings.

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Related publications

  • (BMC Public Health) Community perceptions of health accountability meetings with local politicians to improve healthcare quality: a qualitative study in Western Uganda
← Supported Projects

Start Date

July 1, 2022

End Date

August 1, 2024

Location

Uganda

Project Investigators

Elisa Maffioli, PhD, MA, MS

Assistant Professor

School of Public Health
Health Management and Policy
Joshua (Josh) Greenberg, MD, PhD

Medical Science Training Program Fellow

Medical School
HaEun Lee, PhD

Assistant Professor

School of Nursing
Systems, Populations, and Leadership
Jody Lori, PhD, CNM, FACNM, FAAN

Professor

School of Nursing
Health Behavior and Biological Sciences
Dean Yang, PhD

Professor

Literature, Science, and the Arts
Economics

Collaborating Organizations

Office of the Prime Minister, Republic of Uganda
Uganda
Makerere University
Uganda
Progressive Health Partnership
Uganda

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