PRIVATE AND THE PUBLIC SECTORS & HEALTHCARE SERVICES BY ROBERT BASAZA

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PRIVATE AND THE PUBLIC SECTORS & HEALTHCARE SERVICES BY ROBERT BASAZA THE LESSONS THE PRIVATE AND THE PUBLIC SECTORS HAVE LEARNT IN PROVIDING HEALTHCARE SERVICES IN THE HIV/AIDS ERA IN UGANDA Dr. Robert Basaza (PhD) Public Health Physician and Health Economist International Health Sciences University/Makerere University School of Medicine +256 701 428474, rbasaza@gmail.com/rbasaza@ihsu.ac.ug 12/2/2018 PRIVATE AND THE PUBLIC SECTORS & HEALTHCARE SERVICES BY ROBERT BASAZA

PRIVATE AND THE PUBLIC SECTORS & HEALTHCARE SERVICES BY ROBERT BASAZA Introduction The operational frame work for HIV/AIDS healthcare services is Uganda is headed by Uganda Aids Commission as the central policy body and line ministries with HIV/AIDS control Programs. Uganda government has a private public partnership law and various sector policies. The health sector has a private public partnership for health policy. 12/2/2018 PRIVATE AND THE PUBLIC SECTORS & HEALTHCARE SERVICES BY ROBERT BASAZA

PRIVATE AND THE PUBLIC SECTORS & HEALTHCARE SERVICES BY ROBERT BASAZA Key lessons The lessons learnt in Uganda case are discussed along two dimensions: 1.The policy formulation and 2.Implementation frameworks. 12/2/2018 PRIVATE AND THE PUBLIC SECTORS & HEALTHCARE SERVICES BY ROBERT BASAZA

PRIVATE AND THE PUBLIC SECTORS & HEALTHCARE SERVICES BY ROBERT BASAZA 1.1The establishment of Uganda AIDS Commission (UAC) and multi sectoral response This has given credence to HIV/AIDS multi sectoral action rather than the HIV/AIDS control program originally based in MOH which had a narrow coverage of only healthcare. 12/2/2018 PRIVATE AND THE PUBLIC SECTORS & HEALTHCARE SERVICES BY ROBERT BASAZA

PRIVATE AND THE PUBLIC SECTORS & HEALTHCARE SERVICES BY ROBERT BASAZA 1.2 The Presidents’ office serving as the line Ministry for Uganda AIDS Commission: This has provided the Presidential guidance and power for engagement of other sectors. 12/2/2018 PRIVATE AND THE PUBLIC SECTORS & HEALTHCARE SERVICES BY ROBERT BASAZA

1.3 Partnership coordination: The HIV/AIDS Partnership Mechanism is used to coordinate programs and activities around a unified National Strategic Plan, and an integrated Monitoring and Evaluation Framework. 12/2/2018 PRIVATE AND THE PUBLIC SECTORS & HEALTHCARE SERVICES BY ROBERT BASAZA

PRIVATE AND THE PUBLIC SECTORS & HEALTHCARE SERVICES BY ROBERT BASAZA 1.4 Partnership fund Is a pooled source of funds from AIDS Development Partners to support HIV/AIDS coordination. 12/2/2018 PRIVATE AND THE PUBLIC SECTORS & HEALTHCARE SERVICES BY ROBERT BASAZA

Decentralized response Through this system, the Commission is equipping local authorities to ably mobilize local resources for HIV interventions, as well as to ensure that all resources are efficiently used to better the lives of communities. 12/2/2018 PRIVATE AND THE PUBLIC SECTORS & HEALTHCARE SERVICES BY ROBERT BASAZA

2.1 Infrastructure, Governance and Leadership (1) Establishing public-private referral partnerships with the local private health service providers like drug shops, medical clinics, pharmacies and maternity centers is serving as an effective means of increasing the number of PLHIV who enroll and access care, support and treatment services. 12/2/2018 PRIVATE AND THE PUBLIC SECTORS & HEALTHCARE SERVICES BY ROBERT BASAZA

2.1 Infrastructure, Governance and Leadership (2) The private Units have been accredited and access provide free Anti- retrovial treatment. Most of the National NGOs working from an existing infrastructure. This has facilitated sustainability and integration of the programs. 12/2/2018 PRIVATE AND THE PUBLIC SECTORS & HEALTHCARE SERVICES BY ROBERT BASAZA

PRIVATE AND THE PUBLIC SECTORS & HEALTHCARE SERVICES BY ROBERT BASAZA 2.2 Civil society fund Operates separately from Uganda government system but with integrated and common arrangements has provided competition and alternative to the public system and boarder coverage. 12/2/2018 PRIVATE AND THE PUBLIC SECTORS & HEALTHCARE SERVICES BY ROBERT BASAZA

2.3 Focus on prevention and institution of prevention committees: The National HIV Message Clearance and Harmonization The Most At Risk Populations - MARPs Steering Committee The Cultural Task Team The Information Education, Communication/Behavior Change Communication - IEC/BCC 12/2/2018 PRIVATE AND THE PUBLIC SECTORS & HEALTHCARE SERVICES BY ROBERT BASAZA