Table 1.

Health sector performance in Uganda during reforms⁴

Aspect of performance	Expected outcome	Actual outcome
Access	Increased physical access; increased economic access	Increased physical access through private sector. Reduced economic access.
Equity	Increased equity	Reduced equity
Quality	Increased technical quality, reduced consumer based quality	Same or reduced overall quality of health services
Efficiency	Increased output/outcome for a given input	No evidence for better efficiency
Sustainability	Increasing proportion of internal financing of public services	Over 50% dependence on donors. More dependence on external support expected
Health status	Improved nutrition and reduced mortality	Persistently high mortality and childhood malnutrition