Community-funded integrated care outreach clinics as a capacity building strategy to expand access to health care in remote areas of Uganda

Most Ugandans live in rural, medically underserved communities where geography and poverty lead to reduced access to healthcare. We present a novel low-cost approach for supplemental primary care financing through 1) pooling community wealth to cover overhead costs for outreach clinic activities and...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Rebecca G. Kinney, Henry Zakumumpa, Joseph Rujumba, Kevin Gibbons, Anna Heard, Omar Galárraga
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2021
Materias:	health equity hiv healthcare financing sub-saharan africa community health planning Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/28b7c4d13f9d44cd93d02b72fb02f28f
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:28b7c4d13f9d44cd93d02b72fb02f28f
record_format	dspace
spelling	oai:doaj.org-article:28b7c4d13f9d44cd93d02b72fb02f28f2021-11-11T14:23:41ZCommunity-funded integrated care outreach clinics as a capacity building strategy to expand access to health care in remote areas of Uganda1654-988010.1080/16549716.2021.1988280https://doaj.org/article/28b7c4d13f9d44cd93d02b72fb02f28f2021-01-01T00:00:00Zhttp://dx.doi.org/10.1080/16549716.2021.1988280https://doaj.org/toc/1654-9880Most Ugandans live in rural, medically underserved communities where geography and poverty lead to reduced access to healthcare. We present a novel low-cost approach for supplemental primary care financing through 1) pooling community wealth to cover overhead costs for outreach clinic activities and 2) issuing microfinance loans to motorcycle taxi entrepreneurs to overcome gaps in access to transportation. The intervention described here, which leverages community participation as a means to extend the reach of government health service delivery, was developed and implemented by Health Access Connect (HAC), a non-governmental organization based in Uganda. HAC began its work in August 2015 in the Lake Victoria region and now serves over 40 sites in Uganda across 5 districts, helping government health-care workers to provide over 1,300 patient services per month (and over 35,000 since the program’s inception) with an average administrative cost of $6.24 per patient service in 2020. In this article, we demonstrate how integrated and appropriately resourced monthly outreach clinics, based on a microfinance-linked model of wealth pooling and government cooperation, can expand the capacity of government-provided healthcare to reach more patients living in remote communities. This scalable, sustainable, and flexible model is responsive to shifting needs of patients and health systems and presents an alternative approach to healthcare financing in low-resource settings. More rigorous evaluation of health outcomes stemming from such community-based models of service delivery is warranted.Rebecca G. KinneyHenry ZakumumpaJoseph RujumbaKevin GibbonsAnna HeardOmar GalárragaTaylor & Francis Grouparticlehealth equityhivhealthcare financingsub-saharan africacommunity health planningPublic aspects of medicineRA1-1270ENGlobal Health Action, Vol 14, Iss 1 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	health equity hiv healthcare financing sub-saharan africa community health planning Public aspects of medicine RA1-1270
spellingShingle	health equity hiv healthcare financing sub-saharan africa community health planning Public aspects of medicine RA1-1270 Rebecca G. Kinney Henry Zakumumpa Joseph Rujumba Kevin Gibbons Anna Heard Omar Galárraga Community-funded integrated care outreach clinics as a capacity building strategy to expand access to health care in remote areas of Uganda
description	Most Ugandans live in rural, medically underserved communities where geography and poverty lead to reduced access to healthcare. We present a novel low-cost approach for supplemental primary care financing through 1) pooling community wealth to cover overhead costs for outreach clinic activities and 2) issuing microfinance loans to motorcycle taxi entrepreneurs to overcome gaps in access to transportation. The intervention described here, which leverages community participation as a means to extend the reach of government health service delivery, was developed and implemented by Health Access Connect (HAC), a non-governmental organization based in Uganda. HAC began its work in August 2015 in the Lake Victoria region and now serves over 40 sites in Uganda across 5 districts, helping government health-care workers to provide over 1,300 patient services per month (and over 35,000 since the program’s inception) with an average administrative cost of $6.24 per patient service in 2020. In this article, we demonstrate how integrated and appropriately resourced monthly outreach clinics, based on a microfinance-linked model of wealth pooling and government cooperation, can expand the capacity of government-provided healthcare to reach more patients living in remote communities. This scalable, sustainable, and flexible model is responsive to shifting needs of patients and health systems and presents an alternative approach to healthcare financing in low-resource settings. More rigorous evaluation of health outcomes stemming from such community-based models of service delivery is warranted.
format	article
author	Rebecca G. Kinney Henry Zakumumpa Joseph Rujumba Kevin Gibbons Anna Heard Omar Galárraga
author_facet	Rebecca G. Kinney Henry Zakumumpa Joseph Rujumba Kevin Gibbons Anna Heard Omar Galárraga
author_sort	Rebecca G. Kinney
title	Community-funded integrated care outreach clinics as a capacity building strategy to expand access to health care in remote areas of Uganda
title_short	Community-funded integrated care outreach clinics as a capacity building strategy to expand access to health care in remote areas of Uganda
title_full	Community-funded integrated care outreach clinics as a capacity building strategy to expand access to health care in remote areas of Uganda
title_fullStr	Community-funded integrated care outreach clinics as a capacity building strategy to expand access to health care in remote areas of Uganda
title_full_unstemmed	Community-funded integrated care outreach clinics as a capacity building strategy to expand access to health care in remote areas of Uganda
title_sort	community-funded integrated care outreach clinics as a capacity building strategy to expand access to health care in remote areas of uganda
publisher	Taylor & Francis Group
publishDate	2021
url	https://doaj.org/article/28b7c4d13f9d44cd93d02b72fb02f28f
work_keys_str_mv	AT rebeccagkinney communityfundedintegratedcareoutreachclinicsasacapacitybuildingstrategytoexpandaccesstohealthcareinremoteareasofuganda AT henryzakumumpa communityfundedintegratedcareoutreachclinicsasacapacitybuildingstrategytoexpandaccesstohealthcareinremoteareasofuganda AT josephrujumba communityfundedintegratedcareoutreachclinicsasacapacitybuildingstrategytoexpandaccesstohealthcareinremoteareasofuganda AT kevingibbons communityfundedintegratedcareoutreachclinicsasacapacitybuildingstrategytoexpandaccesstohealthcareinremoteareasofuganda AT annaheard communityfundedintegratedcareoutreachclinicsasacapacitybuildingstrategytoexpandaccesstohealthcareinremoteareasofuganda AT omargalarraga communityfundedintegratedcareoutreachclinicsasacapacitybuildingstrategytoexpandaccesstohealthcareinremoteareasofuganda
_version_	1718439016010874880

Community-funded integrated care outreach clinics as a capacity building strategy to expand access to health care in remote areas of Uganda

Ejemplares similares