跳至主要内容

Challenges Faced by Village Health Teams (VHTs) in Amuru, Gulu and Pader Districts in Northern Uganda

Read full paper at:
http://www.scirp.org/journal/PaperInformation.aspx?PaperID=50276#.VDNjRVfHRK0

Primary health care provision through innovative community level interventions such as the Village Health Team (VHT) concept in Uganda can be a rational way of achieving universal access to healthcare. This cross-sectional study interviewed 150 VHT members and 16 key informants in three districts in Northern Uganda to establish the roles of VHTs, the service gaps encountered and the measures in place to address these gaps. Quantitative data were analyzed using SPSS 16.0. Direct content analysis of themes of transcribed qualitative data was conducted manually for common codes. The majority of the respondents 64.29% (n = 72) reported to have been VHT volunteers for more than 5 years. Among the roles were community mobilization reported by 99.1% (n = 111) and home visiting of individuals reported by 97.3% (n = 109). Lack of transport, motivation, adequate skills and community appreciation with nearly no measures in place to counteract the challenges was reported by almost all respondents. Although the VHT concept can be a significant means of achieving universal access to primary health care, extensive community involvement and motivation of the volunteers are highly needed for a maximum benefit.
Cite this paper
Kimbugwe, G. , Maghanga, M. , Denis, O. , Olivia, N. , Joseph, K. , Stella, Z. , Uthuman, K. , Munanura, T. , Louis, N. , Fred, W. and Julius, G. (2014) Challenges Faced by Village Health Teams (VHTs) in Amuru, Gulu and Pader Districts in Northern Uganda. Open Journal of Preventive Medicine, 4, 740-750. doi: 10.4236/ojpm.2014.49084
 

[1] Uganda Village Project (2012) Village Health Teams. Kampala, Uganda.
[2] Uganda Program Brochure (2012) Health in Uganda. Retrieved on 16th Feb 2012 at 10:00 p.m.
http://www.omnimed.org/clients/omnimed/pdfs/Uganda_brochure.pdf
[3] Village Health Team Training Manual (2012) A Village Health Team Collection. Retrieved on 16th Feb 2012 at 10:08 p.m.
http://www.omnimed.org/docs/VHTManual.pdf
[4] Ministry of Health (MoH) (2012) VHT Strategy and Operational Guidelines (March 2010). Retrieved on 18th Feb 2012 at 12:20 p.m.
[5] Bender, D.E. and Pitkin, K. (1987) Bridging the Gap: The Village Health Worker as the Cornerstone of the Primary Health Care Model. Social Science & Medicine, 24, 515-528.
[6] Gillam, S.S. (2008) Is the Declaration of Alma Ata Still Relevant to Primary Health Care? British Medical Journal, 336, 536-538.
http://dx.doi.org/10.1136/bmj.39469.432118.AD
[7] World Health Organization (WHO) (1978) International Conference on Primary Health Care. Retrieved on 15 February 2012.
http://www.who.int/hpr/NPH/docs/declaration_almaata.pdf
[8] Nyasuna, A.J.-F. (2011) The Ugandan Government’s Commitment to the Right to Health: A Focus on Village Health Teams (VHT) and the Rural Poor. Graduate School of Development Studies, International Institute of Social Studies, The Hague, Netherlands.
[9] Innocent, K. (2007) The Village Health Team Strategy Is a “Most Innovative Community Practice” Award Winner: The Experience Of a Village Volunteer Programme in Yumbe District, Uganda. Health Policy and Development, 5, 23-29.
[10] Ministry of Health (MoH) (2010) Health Sector Strategic Plan III 2010/2011-2014/15. Kampala, Uganda. Retrieved on 10th Feb 2012 at 11:45 a.m.
http://health.go.ug/docs/HSSIP_2010_15.pdf
[11] Kiwanuka, S., Ekirapa, E., Peterson, S., Okui, O., Rahman, M.H., Peters, D., et al. (2008) Access to and Utilisation of Health Services for the Poor in Uganda: A Systematic Review of Available Evidence. Transactions of the Royal Society of Tropical Medicine and Hygiene, 102, 1067-1074.
http://dx.doi.org/10.1016/j.trstmh.2008.04.023
[12] Rhode, J. and Wyon, J. (2002) Community Based Health Care: Lessons from Bangladesh to Boston. Management Science for Health, Boston, USA.
[13] Ministry of Health (MoH) (2007) Annual Health Sector Performance Report. Ministry of Health, Kampala, Uganda.
[14] Fritzen, S.A. (2007) Strategic Management of the Health Workforce in Developing Countries: What Have We Learned? Human Resources for Health, 5, 4.
http://dx.doi.org/10.1186/1478-4491-5-4
[15] United Nations International Children’s Emergency Fund (UNICEF) (2009) Situational Analysis on VHTs in Uganda.                    eww141007lx

评论

此博客中的热门博文

Does Immigration Promote the Investment of the Monopolistic Firm?

In the present paper, we examine the effect of increasing uncertainty of immigrants’ growth on the optimal timing of investment of a firm that has a monopolistic power over the labor market. It is revealed that when the uncertainty of immigrants’ growth is more than a threshold level, increasing uncertainty of immigrants’ growth accelerates the optimal timing of firms’ investment and enhances the economic growth, even if the uncertainty of immigrants’ growth is formulated by the geometric Brownian motion, which is in sharp contrast to the standard result that an increase in the uncertainty postpones the optimal timing. With an increase in the immigrants over the past ten years, workforces in the host countries have been growing significantly to the extent that the immigrants represent 70% of the increase in the workforce in Europe, and 47% in the United States as OECD indicates. In the present paper, we attempted to investigate the effect of increased uncertainty caused by the growi...

Education Policy Implementation: A Mechanism for Enhancing Primary Education Development in Zanzibar

Education is one of the fundamental rights of individuals; therefore, the government of a country needs to develop and strengthen educational policy and quality as well as to ensure that everyone has equal access to basic education. The improvement of access and quality of education in the world is becoming as an essential factor in development, whereas the basic education (primary school), is acknowledged as a foundation of the higher educational development for every country. To fulfill this goal, governments introduce several policies and procedures; however, it requires some reforms and participation from the politician, policymakers, and other stakeholders to re-examine educational policy so that it can lead to multiplication and betterment of the reforms. Educational reforms actually focus on accountability. A positive educational development and reform is very challenging and needs more effort and strategy on how to use and utilize the resources effectively as such it can achie...