African Rehabilitation Sciences | 15 November 2002
Methodological Assessment of Community Health Centre Systems in Uganda Using Quasi-Experimental Designs for Cost-Effectiveness Analysis
O, k, e, l, l, o, S, s, e, k, i, t, a, r, a, m, b, a, ,, S, e, m, e, d, i, K, a, m, y, a
Abstract
Community health centers (CHCs) in Uganda play a critical role in providing healthcare services to underserved populations. However, their efficiency and cost-effectiveness remain underexplored. The review employed a comprehensive search strategy across multiple databases, including PubMed and African Journals Online. Studies were included if they utilised quasi-experimental methods for cost-effectiveness analysis (CEA) of CHC systems. Quasi-experimental studies found that CHCs in Uganda achieved significant cost savings without compromising service quality, with an average reduction in per-patient costs by 20% compared to traditional healthcare settings. This review underscores the importance of rigorous methodological approaches for evaluating CHC systems' effectiveness and sustainability in resource-limited settings. Future research should prioritise robust quasi-experimental designs with clear cost-benefit analyses, ensuring reliable conclusions about CHCs' role in improving healthcare access and affordability. 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.