[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-109314-en":3,"doc-seo-109314-105":31,"detail-sidebar-cat-0-en-105":93},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":4,"category_id":11,"category_name":12,"doc_title":13,"doc_description":14,"doc_content":15,"file_id":16,"file_url":17,"file_type":18,"file_size":19,"view_count":20,"is_deleted":4,"is_public":21,"is_downloadable":21,"audit_status":21,"page_count":22,"language":23,"language_code":24,"site_id":25,"html_lang":24,"table_of_contents":26,"faqs":27,"seo_title":28,"seo_description":14,"update_tm":29,"read_time":30},109314,3848291630094,"Emma Wilson","https://eur-avatar.wpscdn.com/davatar_085a072bc5b1113ac321206ff7593b45",8,"Research & Report","Uganda Health Sector Financing - Adequacy, Efficiency, and Equity - Technical Report - July 2026","Technical analysis of Uganda’s health sector financing examines how adequacy and composition of health spending shape service delivery. The report evaluates efficiency across budgeting, procurement and supply chains, medicines use, workforce productivity, distribution, absenteeism, and hospital performance. It also assesses equity by measuring catastrophic health spending, impoverishment risks, benefit incidence, geographic workforce distribution, and district-level public primary health care spending. Findings inform policy directions for improved fiscal allocation, execution, and reforms under a constrained financing environment.","Uganda Health Sector Financing,  \nblisclosure Authorized u li iD sc os re Authorized Public Disclosure Authorized  \nDisc losure Authorized  \nADEQUACY, EFFICIENCY, AND EQUITY  \nTechnical Report and Background Note to the Uganda Public Finance Review  \nJULY 2026  \nPublic  \n© 2026 International Bank for Reconstruction and Development / The World Bank 1818 H Street NW, Washington DC 20433  \nTelephone: 202-473-1000; [Internet: www.worldbank.org](Internet: www.worldbank.org)  \n[Some rights reserved.](Some rights reserved.)  \nThis work is a product of The World Bank. The findings, interpretations, and conclusions expressed in this work do not necessarily reflect the views of the Executive Directors ofThe World Bank or the governments they represent.  \nThe World Bank does not guarantee the accuracy, completeness, or currency of the data included in this work and does not assume responsibility for any errors, omissions, or discrepancies in the information, or liability with respect to the use of or failure to use the information, methods, processes, or conclusions set forth. The boundaries, colors, denominations, links/footnotes and other information shown in this work do not imply any judgment on the part of The World Bank concerning the legal status of any territory orthe endorsement or acceptance of such boundaries. The citation of works authored by others does not mean the  \nWorld Bank endorses the views expressed by those authors or the content of their works.  \nNothing herein shall constitute or be construed or considered to be a limitation upon or waiver of the privileges and immunities of The World Bank, all of which are specifically reserved.  \nRights and Permissions  \nThe material in this work is subject to copyright. Because The World Bank encourages dissemination of its knowledge, this work may be reproduced, in whole or in part, for noncommercial purposes as long as full attribution to this work is given.  \nAttribution—Please cite the work as follows: “World Bank. 2026. Uganda Health Sector Financing Adequacy, Efficiency, and Equity, technical report. Washington, D.C. © World Bank.”  \nAny queries on rights and licenses, including subsidiary rights, should be addressed to World Bank Publications, The World Bank, 1818 H Street NW, Washington, DC 20433, USA; [email: pubrights@worldbank.org](email: pubrights@worldbank.org).  \n i  \nUganda Health Sector Financing Adequacy, Efficiency, and Equity  \nTechnical Report  \nJuly 2026  \nii  \nAcknowledgments  \nThe health background note to the Uganda Public Finance Review (PFR) was prepared by a World Bank team comprising Rogers Ayiko, Senior Health Specialist and Munirat Iyabode Ayoka Ogunlayi, Senior Health Specialist (HAEH2); Mariam Ally, Senior Economist (WKHH1); Angellah Irene Nakyanzi, Consultant (WKHHF); Antoine Pierre Michel Lacroix, Consultant; and Damalie Evalyne Nyanja, Senior Program Assistant (AEMUG) .  \nThe review was prepared under the supervision of Ronald Upenyu Mutasa, Practice Manager (HAEH2) and received technical input from Peter Okwero, Senior Health Specialist and Faith Makhosazana Phelakwakhe Mamba, Senior Economist (HAEH2), and Owen K. Smith, Lead Economist (HAWH3) .  \nThe team appreciates the excellent collaboration with the Government of Uganda and gratefully acknowledges technical input from the following Ministry of Health Officials: John Kauta (Commissioner), Kabagambe Richard (Assistant Commissioner), and Aliyi Walimbwa (Principal Planner) .  \nThe 2026 Uganda Public Finance Review can be accessed at the link below:  \n[https://documents.worldbank.org/en/publication/documents-reports/documentdetail/099062626073561730](https://documents.worldbank.org/en/publication/documents-reports/documentdetail/099062626073561730)  \niii  \nTable of Contents  \nAcknowledgments ii  \nList of Acronyms v  \nExecutive Summary vi  \n1. Context 1  \n2. Adequacy and composition of health spending 5  \n2.1 Synopsis of Overall Health Spending 5  \n2.2 Trends in Government Health Expenditure 5","cbCaivd6fMB42zzi","https://ap.wps.com/l/cbCaivd6fMB42zzi","pdf",3066934,7,1,60,"English","en",105,"# Acknowledgments\n# Executive Summary\n# Context\n# Adequacy and composition of health spending\n## Synopsis of Overall Health Spending\n## Trends in Government Health Expenditure\n## Composition of Domestic Government Health Expenditure\n## Contribution of Public Spending to Current Health Expenditure\n## External Financing\n## Recent Cuts in Development Assistance for Health: Impacts, Government Response, and the New USG–GoU MoU\n## Medium-Term Fiscal Outlook for Government Health Spending\n## Findings and Policy Directions\n# Efficiency of Health Spending\n## Overview of Health Spending Efficiency in Uganda\n## Benchmarking Health Spending Efficiency Against Peer Countries\n## Medicines Procurement, Supply Chain, and Rational Use\n## Health Workforce Productivity, Distribution, and Absenteeism\n## Hospital Efficiency, Bed Utilization, Length of Stay, and Patient Flow\n## Budget Execution\n## Findings and Policy Directions\n# Financial Hardship and Equity of Health Spending\n## Introduction\n## Financial Hardship: Catastrophic Health Spending and Impoverishment\n## Benefit Incidence Analysis: Who Benefits from Public Health Spending in Uganda\n## Equity of Public PHC Spending Across Districts\n## Geographic Distribution of the Health Workforce\n## Government Reforms Addressing Financing Equity\n# Conclusions And Policy Agenda\n# References\n# Annex Figure","[{\"question\":\"What dimensions of health spending does the report assess?\",\"answer\":\"It evaluates adequacy and spending composition, efficiency across systems and service delivery, and equity through measures of financial hardship and distribution of benefits and health workers.\"},{\"question\":\"How does the report analyze efficiency in Uganda’s health sector?\",\"answer\":\"Efficiency is examined through medicines procurement and supply chains, rational use, health workforce productivity and absenteeism, hospital performance indicators, and budget execution performance.\"},{\"question\":\"Which equity and financial hardship outcomes are covered?\",\"answer\":\"The report covers catastrophic health spending and impoverishment, benefit incidence of public health spending, district-level equity in primary health care spending, and the geographic distribution of the health workforce.\"}]","Uganda Health Sector Financing - 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