Reliability Assessment of District Hospital Systems in Uganda Through Randomized Field Trials

Ugandan district hospitals play a crucial role in healthcare delivery, but their reliability varies significantly. A mixed-methods approach including quantitative data collection and qualitative interviews was employed to evaluate system performance. The analysis revealed that only 60% of scheduled surgeries were completed within the stipulated timeframe, indicating systemic inefficiencies. Despite challenges, there is potential for enhancing reliability by implementing targeted interventions in areas such as scheduling and resource allocation. District hospital managers should prioritise training on efficient management practices and coordination with higher health facilities. district hospitals, reliability assessment, randomized trials, Uganda Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.