Providing Safe Delivery Services With Vouchers: The Reproductive Healthcare Voucher Project in Western and Southern Uganda
GPOBA presented key lessons learned in the Reproductive Healthcare Voucher Project (RHVP) in Uganda through the International Finance Corporation (IFC) SmartLessons, a World Bank Group awards program which enables development practitioners to share lessons in development operations.
In 1999, Uganda had achieved a national teledensity (fixed and mobile) of about one telephone per 100 inhabitants, slightly above the average for Sub- Saharan Africa (excluding South Africa). But with most phone lines concentrated in the Kampala area, rural teledensity was far lower. Indeed, only 380 of the 920 subcounties in Uganda were expected to have any kind of telephone service by 2001.
Performance-based contracting in health is an example of an output-based approach to improving health service delivery. In 2003 and 2004, GPOBA supported the design of three output-based aid (OBA) schemes using performance-based contracting in Uganda, the Democratic Republic of Congo, and Rwanda.
In Uganda small private companies have been operating water supply systems since 2001. A pilot output-based aid (OBA) project is expanding this approach. The project is leveraging private sector finance and expertise to provide access to piped water for an estimated 45,000 people in small towns and rural growth centers while increasing efficiency and accountability in the use of funds.
En Ouganda, de petites entreprises privées exploitent les réseaux d’approvisionnement en eau depuis 2001. Un projet pilote d’aide basée sur les résultats (OBA) s’efforce de développer cette approche.
In small towns and rural areas of Uganda, where 90 percent of the population lives, water shortages are part of daily life. In these areas, 60 percent of the population lacks access to safe water, and water borne diseases and infant mortality are widespread. To help the
According to a 2003 study, about 435 women die per 100,000 live births in Uganda because of lack of access to health service facilities and professional health care. The loss of a mother can shatter a family and threaten the well-being of surviving children.
The OBA facility supported provision of over 105,000 grid connections for poor households (525,000 residents) in urban, peri-urban, and rural areas, representing about 10 percent of new connections country-wide from 2013–2016.
The GPOBA grant, which was fully utilized four months before the closing date of June 2017, supported about 40,000 connections.