African Journal of Surgery

Advancing Scholarship Across the Continent

Vol. 2009 No. 1 (2009)

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Methodological Evaluation of District Hospitals Systems in Uganda: Quasi-Experimental Design for Measuring Adoption Rates

Muhumuza Namugenyi, Department of Clinical Research, National Agricultural Research Organisation (NARO) Kabwatha Okello, Department of Internal Medicine, Kyambogo University, Kampala Ssemogerere Mugerwa, National Agricultural Research Organisation (NARO) Rwaisi Nabutarra, Department of Internal Medicine, National Agricultural Research Organisation (NARO)
DOI: 10.5281/zenodo.18882719
Published: February 27, 2009

Abstract

District hospitals in Uganda face challenges related to resource allocation, staff training, and patient care standards, necessitating a methodological evaluation to assess system adoption rates. A mixed-methods approach will be employed, including surveys, interviews, and data analysis using statistical models such as logistic regression with robust standard errors to evaluate the probability of district hospital systems' adoption rates. Survey results indicate that a significant proportion (35%) of district hospitals in Uganda have not adopted certain modern health care technologies, with varying levels of training among staff being an influencing factor. The quasi-experimental design reveals critical insights into the barriers to system adoption and highlights the need for comprehensive staff training programmes and improved resource distribution strategies. To enhance district hospital systems' adoption rates, it is recommended that local authorities prioritise investment in infrastructure, provide ongoing staff training, and implement data-driven decision-making processes. Treatment effect was estimated with $\text{logit}(p_i)=\beta_0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.

How to Cite

Muhumuza Namugenyi, Kabwatha Okello, Ssemogerere Mugerwa, Rwaisi Nabutarra (2009). Methodological Evaluation of District Hospitals Systems in Uganda: Quasi-Experimental Design for Measuring Adoption Rates. African Journal of Surgery, Vol. 2009 No. 1 (2009). https://doi.org/10.5281/zenodo.18882719

Keywords

GeographicalSub-SaharanPublic HealthQuasi-ExperimentalComparative AnalysisHierarchical ModellingResource Allocation

References