Strengthening accountability in strategic health purchasing arrangements for primary health care in Uganda

Effective Strategic Health Purchasing (SHP) is pivotal for making progress towards the achievement of Universal Health Coverage (UHC), as we implement Primary Health Care (PHC). This qualitative study examined accountability and SHP arrangements and how they influence PHC performance. Using document reviews, 43 key informant interviews, and insights from policy dialogs, the study analyzed accountability practices across financial management, contracting, performance monitoring, health benefit specification, and provider payment mechanisms.

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