Methodological Evaluation of District Hospitals Systems in Uganda: Quasi-Experimental Design to Measure Adoption Rates

This study aims to evaluate the operational efficiency of district hospitals in Uganda by assessing how well they have adopted recommended healthcare protocols. A quasi-experimental design will be employed, utilising survey data collected from both hospitals and their patients. Key variables include the implementation frequency of recommended protocols and patient feedback scores. A preliminary analysis indicates that while 72% of hospitals reported implementing at least one recommended protocol, there was a notable variation in adoption rates between different districts (e. g. , urban vs rural areas). The study concludes with an assessment of the current system's strengths and weaknesses, providing insights for future improvements. Specific recommendations include targeted training programmes tailored to address identified gaps in knowledge and skills, as well as enhanced communication strategies between hospitals and community health workers. Treatment effect was estimated with logit (pᵢ) =₀+^ Xᵢ, and uncertainty reported using confidence-interval based inference.