Methodological Assessment of Community Health Centre Systems in Uganda Using Panel Data for Cost-Effectiveness Evaluations

Community health centers in Uganda face challenges in delivering effective healthcare services. Panel-data estimation was employed to evaluate the operational efficiency and cost-effectiveness of community health centers, addressing potential biases due to temporal correlation within subjects. The analysis revealed that community health centers in rural areas served approximately 80% of their target population with a significant reduction in healthcare costs per capita compared to urban settings. The study provides evidence supporting the efficiency and cost-effectiveness of community health centre systems in Uganda, particularly in rural regions, offering insights for policy development. Further research should focus on improving service delivery and resource allocation strategies to enhance overall healthcare outcomes. Treatment effect was estimated with logit(pᵢ)=β₀+β^ Xᵢ, and uncertainty reported using confidence-interval based inference.