Annex 1. Country case studies: Health provinces/ regions and districts visited in 2005

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1 Annex 1. Country case studies: Health provinces/ regions and districts visited in 2005 Country Province / Region Districts South Africa Eastern Cape Province Alfred Nzo Free State Mofutsaruyana North West Province Odi Sub-District Togo Savanes Tone Kara Kozah Centrale Sotoboua Plateaux Kloto Maritime District des Lacs Lomé-Commune District III Uganda Central Mpigi Central Mukono Eastern Busia Eastern Jinja Western Masindi 32 MANAGING THE HEALTH MILLENNIUM DEVELOPMENT GOALS

2 Annex II. UGANDA: Monitoring the health sector strategy at the district level INPUTS FUNCTIONS INTERMEDIATE GOALS OUTCOMES OUTCOMES Total public allocation to health per capita Financing Disaggregated Indicators Health measures Provision Proportional morbidity due to Health Unit Income % of facilities without any stock; malaria expressed as a out of chloroquine, measles percentage of malaria cases vaccine, ORS and cotrimoxazole attendance per year over the total OPD % of population residing within (Prevalence and death rates 5km of a health facility (public or associated with malaria) not for profit NGO) providing the Number of Guinea Worm new basic package of health services cases RISK FACTORS % of villages without access to safe water all year Total gov't. and NGO OPD utilisation by level and age group (define) (PEAP Indicator) No indicators reported Hospital utilization Effective coverage % of children under 1 receiving 3 doses of DPT (PEAP indicator) % of children fully immunized (% of 1 yr olds immunized against measles) Contraceptive prevalence rate Uptake of family planning Uptake of ANC %of deliveries taking place at a facility public or NGO Deliveries by trained active CHWs (percentage of births attended by skilled personnel) Deliveries by trained active traditional birth attendants Number of acute flaccid paralysis new cases Summary indicators that are possible Health District life expectancy Resource Generation % of health centres with at least the minimum staffing norms by level Health inequalities Health inequalities Inequalities in child survival Indicators used routinely for assessing district performance Millennium Development Goal indicator PEAP = Poverty Eradication Action Plan Stewardship % of districts submitting completed HMIS monthly returns to MOH on time % of districts displaying current user charge rates % of TB cases notified compared to the expected TB case load % of children under 1 registered (definition needed) Supervision provided to Health Units Provider Performance % of surveyed population expressing satisfaction with the health services Health facilities level number of C- Sec/1000 in the catchment area Total gov't. and NGO OPD utilization per person by level and age group (defin. needed) Hospital utilization Measures of non technical quality % of surveyed population expressing satisfaction with the health services Fairness in financial contribution Responsiveness If there is data from World Health Survey module Fairness in financial contribution % of households with catastrophic spending MANAGING THE HEALTH MILLENNIUM DEVELOPMENT GOALS 33

3 Annex III. Uganda: Direct Support to Strengthening District Health Systems by Development Agencies District Abim Adjumani Amolatar Amuria Apac EU EDF USAID DANIDA DFID GTZ IRELAND AID ITALIAN COOPERATI0N Arua Budaka Bugiri Bukwa Bulisa Bundibugyo Bushenyi Busia Busiki Butaleja Dokolo Gulu Hoima Ibanda Iganga Jinja Kaabong Kabale Kabarole Kaberamaido Kabingo Kalangala Kaliro Kampala Kamuli Kamwenge Kanungu Kapchorwa Kasese Katakwi Kayunga Kibale Kiboga Kilak WHO Source: Owarwo, V. et al, "Providing Support to District Health Services under Decentralisation and Sector-Wide Approaches" in 'Experiences in Providing Support to District Health Services'. District EU EDF USAID DANIDA DFID GTZ IRELAND AID ITALIAN COOPERATI0N WHO Kiruhura Kisoro Kitgum Koboko Kotido Kumi Kyenjojo Lira Luwero Manafwa Maracha Masaka Masindi Mayuge Mbale Mbarara Mityana Moroto Moyo Mpigi Mubende Mukono Nakapiripirit Nakaseke Nakasongola Nebbi Ntungamo Oyam Pader Pallisa Rakai Rukungiri Sembabule Sironko Soroti Tororo Wakiso Yumbe 26 districts receiving direct assistance from 1 agency 16 districts receiving direct assistance from more than 1 agency 35 districts not receiving any direct assistance 34 MANAGING THE HEALTH MILLENNIUM DEVELOPMENT GOALS

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5 World Health Organization Geneva