African Oncology Nursing | 21 October 2010
Methodological Assessment and Clinical Outcomes Evaluation of Community Health Centres in Uganda Using Difference-in-Differences Approach
A, m, o, s, K, i, w, a, n, u, k, a, ,, T, e, m, i, t, o, p, e, R, w, a, k, a, m, w, a, ,, E, z, r, a, N, a, b, i, r, y, a, ,, P, a, t, r, i, c, k, O, k, e, l, l, o
Abstract
Community health centres (CHCs) in Uganda have been established to improve access to healthcare services, particularly for rural populations. However, their effectiveness and sustainability are not well understood. A systematic review was conducted to identify relevant studies. The DiD model with robust standard errors was applied to assess changes in clinical outcomes between pre- and post-intervention periods for CHCs compared to control groups. The analysis revealed a statistically significant improvement in vaccination coverage among children under five years old (p<0.05, 95% CI: [0.12, 0.48]) following the establishment of CHCs. The DiD model provided robust evidence for the positive impact of CHCs on clinical outcomes in Uganda. Further research should focus on long-term sustainability and cost-effectiveness of CHCs to ensure they continue to provide essential healthcare services. Treatment effect was estimated with $\text{logit}(p<em>i)=\beta</em>0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.