UTILIZATION OF REPRODUCTIVE, MATERNAL AND CHILD
HEALTH SERVICES : THE PUBLIC AND PRIVATE
SECTOR ANALYSIS FOR JINJA AND KAMPALA DISTRICTS

DISH II PROJECT
PLOT 20 KAWALYA KAGGWA CLOSE
KAMPALA, UGANDA

USAID COOPERATIVE AGREEMENT NUMBER 617-A-00-00-00001-00

This technical report is made possible by support from USAID under the terms of Cooperative Agreement 617-A-00-00-00001-00. The opinions expressed are those of the authors and do not necessarily reflect the views of USAID

JANUARY 2001

Table of Contents

Executive Summary

1. INTRODUCTION

1.1 MONITORING DISH II Project

1.2 Trends reported from the 80 sites

1.3 The Private Sector Study

1.3.1 Objectives
1.3.2 Methodology

2. MAJOR FINDINGS

   2.1 Service statistics comparison between DISH 80 sentinel sites and other institutions providing reproductive, maternal and child health services

   2.1.1 Comparison with a non-DISH district

   2.2 Private Sector Facility Interviews

   2.2.1 Reproductive Health Services in the private sector

   2.2.2 Record Keeping in the Private sector

   2.2.3 Trends in client load 1997 to 2000

   2.3 Client-Exit Interviews

   2.3.1 Shifting from Government, NGO to Private sector facilities

   2.3.2 Reasons for shifting

   2.3.3 Quality of Services

   2.3.4 Cost of services

   2.3.5 Ideal source of services

3. CONCLUSION

3.1 Clients’ shift from public to private sector.

3.2 Reasons for shifting to the private sector

3.3 The cause of declines in service utilisation at public facilities

4. Recommendations