African Pharmaceutical Policy (Clinical/Public Health aspect) | 27 May 2004
Methodological Evaluation of District Hospitals Systems in Uganda Using Difference-in-Differences Approach for Cost-Effectiveness Analysis
K, a, b, a, s, i, r, a, M, u, s, o, k, e, ,, S, e, m, e, d, i, O, k, e, l, l, o, ,, K, a, t, w, a, g, a, l, a, N, a, k, i, b, u, a, c, l, e
Abstract
District hospitals in Uganda play a crucial role in healthcare delivery but face challenges related to resource allocation and efficiency. A systematic review was conducted using DiD regression analysis to compare pre- and post-intervention data from multiple districts. Uncertainty around estimates is quantified with robust standard errors. The DiD approach revealed a statistically significant improvement (p < 0.05) in patient recovery rates, indicating the effectiveness of system upgrades. The DiD model provided reliable insights into cost-effectiveness but requires further validation through longitudinal studies and broader geographic coverage. Future research should expand to include more districts and explore long-term sustainability impacts. DiD, District Hospitals, Cost-Effectiveness, Uganda 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.