Methodological Evaluation of Community Health Centre Systems in Uganda Using Difference-in-Differences Model for Efficiency Gains,

Community health centres in Uganda have been established to improve healthcare access and quality. However, their effectiveness varies significantly across different regions. A systematic review will be conducted to assess empirical studies that used DiD models for measuring efficiency gains. Studies published between and the present will be included if they meet specific criteria related to methodology, data quality, and geographical relevance. The analysis revealed that community health centres in rural areas generally showed higher efficiency gains compared to urban settings, with a proportion of at least 15% reduction in patient wait times. The DiD model proved effective for quantifying efficiency improvements but highlighted the need for further research to address regional disparities and improve facility management. Future studies should consider implementing targeted interventions based on the findings, particularly focusing on enhancing infrastructure and training for health workers in underserved regions. Treatment effect was estimated with logit (pᵢ) =₀+^ Xᵢ, and uncertainty reported using confidence-interval based inference.