Vol. 2010 No. 1 (2010)

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Methodological Assessment and Clinical Outcomes Evaluation of Community Health Centres in Uganda Using Difference-in-Differences Approach

Amos Kiwanuka, Kampala International University (KIU) Temitope Rwakamwa, Department of Public Health, Medical Research Council (MRC)/UVRI and LSHTM Uganda Research Unit Ezra Nabirya, Gulu University Patrick Okello, Department of Public Health, Medical Research Council (MRC)/UVRI and LSHTM Uganda Research Unit
DOI: 10.5281/zenodo.18904880
Published: November 25, 2010

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 $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.

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How to Cite

Amos Kiwanuka, Temitope Rwakamwa, Ezra Nabirya, Patrick Okello (2010). Methodological Assessment and Clinical Outcomes Evaluation of Community Health Centres in Uganda Using Difference-in-Differences Approach. African Oncology Nursing, Vol. 2010 No. 1 (2010). https://doi.org/10.5281/zenodo.18904880

Keywords

African geographyhealth systems researchquasi-experimental designsoutcome evaluationrandomized controlled trials

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Vol. 2010 No. 1 (2010)
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African Oncology Nursing

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