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July 23, 2026Health Economics Policy and LawOpen Access

Redesigning national health service delivery: the case for community-based health service providers in Uganda

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Authors

MRMegha RaoSMSakshi MohanCMChrispus Mayora

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Overview

Randomized trial demonstrates improved health outcomes in Uganda, suggesting community providers enhance healthcare delivery.

Key Points

  • This research aims to evaluate the potential health impacts of integrating community-based health service providers into Uganda's healthcare system.
  • Applied a linear constrained optimisation model to estimate health impacts and trade-offs.
  • Compared facility-only delivery strategy to an integrated strategy with Village Health Teams and medicine retailers.
  • Estimated average cost-effectiveness and optimal service expansion.
  • Integrating community-based providers could avert an additional 4.7 million net disability-adjusted life years (DALYs).
  • Village Health Teams achieved health gains at $42 per net DALY averted, cost-effective up to $3,423 per provider.
  • Medicine retailers remained cost-effective up to $19,792 per provider.

Cite This Study

Rao et al. (2026) studied this question.

synapsesocial.com/papers/6a61b076faa9903c5116b090https://doi.org/10.1017/s1744133126100644
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