How To Support Private Health Facilities in the Slums of Kampala to Reduce MNH Prices and Increase Affordability for MNH Services for Urban Poor Mothers


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In 2018, Population Services International (PSI) and Kampala Capital City Authority (KCCA), received funding from the United States Agency for International Development (USAID), for an implementation research project–the Kampala Slum Maternal and Newborn Health (MaNe) Project. The aim of MaNe was to develop and test innovative interventions to address demand and supply side barriers to quality maternal and newborn health (MNH) care for urban poor women in Kampala, Uganda.

The healthcare sector in Kampala is dominated by private health facilities. However, the majority of MNH care is shouldered by public facilities which are overloaded and congested with clients. Findings from a formative study conducted by the MaNe Project in 2019 revealed that although urban poor women perceived MNH services in the private sector to be of higher quality in terms cleanliness, care, and timeliness, they were concerned by the lack of regulatory control of standards of care and pricing at private facilities. Women also expressed concern about the skill and training of private providers and questioned whether they could handle obstetric complications.

Other findings from the formative research included lack of commitment by private proprietors to invest in MNH; lack of essential MNH infrastructure, supplies, drugs, and commodities in private facilities; and high MNH service costs for the urban poor. Findings also indicated that women were willing to pay a reasonable fee for care in private facilities they could be assured that the services would be high quality.


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