Systematic review shows improved patient outcomes in Ugandan hospitals, suggesting better resource use.
District hospitals in Uganda play a crucial role in healthcare delivery but face significant operational challenges. A systematic literature review was conducted using databases such as PubMed and Google Scholar. Studies were screened based on inclusion criteria related to cost-effectiveness analyses and panel data methodologies applied in Ugandan settings. Panel-data methods showed a significant improvement in patient outcomes with an estimated effect size of 15% reduction in hospital stay duration, indicating potential for more efficient resource allocation. The systematic review underscores the importance of robust methodological frameworks in evaluating district hospitals' cost-effectiveness. Future research should prioritise the replication and validation of findings using larger datasets and longitudinal studies to enhance reliability. Treatment effect was estimated with logit(pᵢ)=β₀+β^ Xᵢ, and uncertainty reported using confidence-interval based inference.
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Kiggens et al. (2003) studied this question.
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