Vol. 1 No. 1 (2024)

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Integrating Palliative Care into Uganda's Health System: A Policy Analysis and Stakeholder Perspectives, 2021–2026

David Mwesigwa, Kyambogo University, Kampala Robert Ssentongo, Medical Research Council (MRC)/UVRI and LSHTM Uganda Research Unit Grace Akello, Kyambogo University, Kampala Josephine Nakato, Department of Public Health, Kyambogo University, Kampala
DOI: 10.5281/zenodo.18362844
Published: January 24, 2026

Abstract

This study examines the policy landscape and stakeholder perspectives on integrating palliative care into Uganda’s national health system. Palliative care is critically needed to address the growing burden of non-communicable diseases and HIV/AIDS, yet its systematic integration remains inconsistent. A sequential, explanatory mixed-methods design was employed. First, a structured desk review analysed national health policies, strategic plans, and budgetary allocations (2021–2026) for palliative care content and commitments. Subsequently, a cross-sectional survey was administered to 150 purposively sampled stakeholders, including policymakers, healthcare providers, and civil society representatives, to capture their perspectives on barriers and enablers to integration. Quantitative survey data were analysed descriptively, while qualitative responses from open-ended questions underwent thematic analysis. Findings reveal that while palliative care is acknowledged in policy documents, implementation is hindered by inadequate dedicated funding, fragmented service delivery, and a severe shortage of trained personnel. Stakeholder surveys demonstrated strong consensus on the necessity of a dedicated national palliative care policy and increased domestic resource allocation. The study concludes that strategic integration requires moving beyond policy recognition to actionable, funded implementation plans. This research underscores the urgent need for Ugandan health systems to prioritise palliative care as a core component of universal health coverage, advocating for strengthened political commitment and sustainable financing to translate policy into equitable practice.

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How to Cite

David Mwesigwa, Robert Ssentongo, Grace Akello, Josephine Nakato (2026). Integrating Palliative Care into Uganda's Health System: A Policy Analysis and Stakeholder Perspectives, 2021–2026. African Journal of Public Health and Health Systems, Vol. 1 No. 1 (2024), 22-38. https://doi.org/10.5281/zenodo.18362844
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Keywords

Palliative care integrationHealth policy analysisSub-Saharan AfricaStakeholder perspectivesSurvey researchHealth systems strengtheningUniversal health coverage

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Vol. 1 No. 1 (2024)
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References

  • Block, S. (2025). Our Unrealized Imperative: Integrating Mental Health Care into Hospice and Palliative Care. Journal of Palliative Medicine. https://doi.org/10.1089/jpm.2024.0366
  • Bokinni, Y. (2025). How Uganda became an advanced nation in palliative care. BMJ. https://doi.org/10.1136/bmj.r2099
  • Buyinza, N., Ryan, C., Olet, D., Lwanga, O., & Acuda, W. (2025). Understanding the Need, Challenges and Opportunities for Integrating Palliative Care Services into Humanitarian Health Interventions Among Health Care Workers Serving Refugee Communities in Uganda. Nursing & Primary Care. https://doi.org/10.33425/2639-9474.1286
  • Dibie, R., Oboreh, J., & Uchie, C. (2025). HEALTH POLICY AND CHALLENGES IN UGANDA. Transforming Healthcare in Africa. https://doi.org/10.2307/jj.24751877.29
  • Downing, J., Namukwaya, E., Nakawesi, J., & Mwesiga, M. (2024). Shared-decision-making and communication in paediatric palliative care within Uganda. Current Problems in Pediatric and Adolescent Health Care. https://doi.org/10.1016/j.cppeds.2024.101556
  • Horvick, S., & Dias, N. (2024). Palliative Care Providers' and Administrators' Perspectives on Integrating Community-Based Palliative Care Using the Social Determinants of Health Framework. Palliative Medicine Reports. https://doi.org/10.1089/pmr.2023.0048
  • Kabunga, A., Namata, H., Kigongo, E., Musinguzi, M., Tumwesigye, R., Auma, A., Nabaziwa, J., Shikanga, E., Okalo, P., Nalwoga, V., & Udho, S. (2024). Exploring Effective Approaches: Integrating Mental Health Services into HIV Clinics in Northern Uganda. HIV/AIDS - Research and Palliative Care. https://doi.org/10.2147/hiv.s459461
  • Kwiringira, D., & Fiston, K. (2025). Exploring Barriers to Maternal and Child Health Care Access in Hoima Referral Hospital Catchment Area in Hoima District, Western Uganda. INOSR ARTS AND HUMANITIES. https://doi.org/10.59298/inosrah/2025/3439
  • Moses, L., & Susan, L. (2026). Health seeking behavior in Uganda: Are orphans more disadvantaged? Re-analysis of the 2019/20 Uganda National Household Survey. African Research Reports. https://doi.org/10.65221/0107
  • Mukamurera P., N. (2025). Integrating Patient Feedback into Personalized Care Strategies. Research Output Journal of Public Health and Medicine. https://doi.org/10.59298/rojphm/2025/521722
  • Murungi, H., Kiiza, N., Nkurunziza, G., Ssennono, V.F., & Aarakit, S.M. (2025). Why is there low grid electricity access in rural Uganda? Evidence from the Uganda National Household Survey. Energy Policy. https://doi.org/10.1016/j.enpol.2025.114652
  • Musoke, D., Nalinya, S., Namata, C., Ssemugabo, C., Ndejjo, R., & Ekirapa-Kiracho, E. (2025). Use of photovoice in health systems research: methodological considerations and experiences from Uganda. Health Research Policy and Systems. https://doi.org/10.1186/s12961-025-01420-x
  • Mutebi, P.E.S. (2024). The impact of integrating finance information systems within reproductive health Uganda operations. SSRN Electronic Journal. https://doi.org/10.2139/ssrn.4692580
  • Muthoni D., M. (2025). Hypertension and Cardiovascular Disease in Uganda: Epidemiological Insights and Health Policy Responses. Research Output Journal of Biological and Applied Science. https://doi.org/10.59298/rojbas/2025/515559
  • N. J., O. (2025). Policy and Governance Approaches to Strengthen Water and Food Safety Regulations for Typhoid Control in Uganda. Research Output Journal of Public Health and Medicine. https://doi.org/10.59298/rojphm/2025/53119122
  • Namatovu, A., Atwiine, B., Kamate Tukundane, A., Kembabazi, A., Wong, A.W., Kane, K., Stoltenberg, M., & Daubman, B. (2025). Development and Assessment of a Basic Palliative Care Training Course in Uganda. Journal of Palliative Medicine. https://doi.org/10.1089/jpm.2024.0219
  • Nates, J.L., Pène, F., Darmon, M., Mokart, D., Castro, P., David, S., Póvoa, P., Russell, L., Nielsen, N.D., Gorecki, G., Gradel, K.O., Azoulay, É., Bauer, P.R., & Investigators, T.N. (2024). Septic shock in the immunocompromised cancer patient: a narrative review. Critical Care. https://doi.org/10.1186/s13054-024-05073-0
  • Nkhoma, K., & Namisango, E. (2025). Nurse-led palliative care intervention for heart failure patients in Uganda. http://isrctn.com/. https://doi.org/10.1186/isrctn77379187
  • Ntakirutimana G, K... (2025). Integrating Herbal Medicine into Public Health Policy for Disease Management. Research Output Journal of Public Health and Medicine. https://doi.org/10.59298/rojphm/2025/52916
  • Ojera, S., Mulongo, M., Amongin, D., & Obaa, F. (2025). Trends And Predictors of Maternal Health Services Utilization Among Adolescent Mothers in Uganda; A Secondary Analysis Of 2000 – 2016 Uganda Demographic Health Surveys (Udhs). Journal of Medical and Clinical Nursing Studies. https://doi.org/10.61440/jmcns.2025.v3.83
  • Thalia, O.P. (2025). Precision Medicine: Integrating Genomics and Engineering. Research Output Journal of Public Health and Medicine. https://doi.org/10.59298/rojphm/2025/515056
  • Twesigye, V., Kagezi, G.H., Ssekamatte, D., Alinda, F., Ssembajwe, R., Kisembo, J.M., Kobusinge, J., Namara, E., Anyijuka, M., Amonyo, D., & Arinaitwe, G. (2025). Participatory Monitoring and Evaluation Practices for Enhancing Climate Change Adaptation, and their Limitations: A Case of Coffee Farming Households in Southwestern Uganda. International Journal of Current Science Research and Review. https://doi.org/10.47191/ijcsrr/v8-i12-45
  • Yusuf, M., Jawuhala, N., Muhammad, H., Alfred Koma, A., Muwanguzi, E., Isaac Eluma, O., Fred, S., Rudolf, B., Robert, G., Salome, N., Moses, O., Catherine, A., Kalyetsi, R., Frederick Nelson, N., & Emmanuel, B. (2025). Prevalence, Bacterial Profiles and Factors Associated with Surgical Site Infection among Post-Operative Mothers at Kawempe National Referral Hospital, Uganda. International Journal of Health Policy Planning. https://doi.org/10.33140/ijhpp.04.01.04
  • Yusuf, M., Jawuhala, N., Isaac Eluma, O., Muhammad, H., Alfred Koma, A., & Rogers, K. (2025). Antimicrobial Resistance Profiles of Bacterial Pathogens Causing Surgical Site Infections among Post-Operative Mothers at Kawempe National Referral Hospital, Uganda. Journal of Emergency Medicine: Open Access. https://doi.org/10.33140/jemoa.03.02.05
  • wa Inena Gaylord, I., & Igwe, M.C. (2025). Translational Epidemiology: Leveraging Disease Metrics for Policy and Action. Journal of Clinical Medicine & Health Care. https://doi.org/10.61440/jcmhc.2025.v2.37