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Please use this identifier to cite or link to this item: http://hdl.handle.net/1807/6051

Title: AUTONOMY OF APEX HOSPITALS IN UGANDA: TOO LITTLE, TOO SLOW
Authors: Evelyn, Akello
Issue Date: 31-Dec-2004
Publisher: Department of Health Sciences of Uganda Martyrs University
Citation: Health Policy and Development (ISSN: 1728-6107) Vol 2 Num 2
Abstract: Hospital Autonomy, a sustained and purposeful change to improve the efficiency, equity and effectiveness of the health sector has been initiated to improve publicly-owned hospitals which, in many developing countries, consume large portions of scarce health sector resources and do not always use them effectively and efficiently. While the general consensus seems to be that public hospitals are in need of urgent reform, autonomy seems to be emerging in international debates as the main approach to be followed. Its central idea is the decentralization of management authority and responsibility away from the central or regional managers to a local level, focusing mainly on five main administrative and functional areas: Strategic/General Management, Financial Management, Human Resource Management, Procurement and Administration. In Uganda, the Ministry of Health (MOH) granted the two National Referral Hospitals, Mulago and Butabika, a very limited "self accounting" status of autonomy, with a view to extend greater autonomy to these two and ten other regional referral hospitals by 2003. The focus of this study was to assess the extent of implementation of the autonomy by the two that had been autonomous for over ten years.
URI: http://hdl.handle.net/1807/6051
Other Identifiers: http://www.bioline.org.br/abstract?id=hp04025
Rights: Copyright 2004 - Department of Health Sciences of Uganda Martyrs University
Appears in Collections:Bioline International Legacy Collection

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