Book Chapters

Permanent URI for this collectionhttps://hdl.handle.net/20.500.12504/317

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Browsing Book Chapters by Author "Mugumya, Firminus"

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    Rethinking the role of the state in health care financing: can community-based health insurance show the way?
    (Shaker Publishing, 2010) Mugisha, M. Mutabazi; Mugumya, Firminus
    Currently there are huge problems in financing even basic health care for most people in low-income countries. Over 1.8 bn people live in countries where public expenditure on health is, on average, less than US$ 20 per capita per year. This amount falls short of the US$ 34 minimum spending for basic services estimated by the Commission on Macroeconomics and Health of the World Health Organisation. Even worse, this budget is often directed to curative health care in urban centres, leaving the rural areas largely lacking health services (Hope, 2003). To understand a health-financing system, even that of communitybased health insurance, one needs to analyse the context of the broader goals of that system (Bennet, 2004; Carrin, 2003; Carrin et al., 2005). The World Health Organisation proposes that health systems should aim to ensure quality and equality, responsiveness to people's expectations, and fairness in the financial contributions to the health system. They should have four functions: provision of health services, creation of the necessary investment and training resources, sufficient financial resources so that people can access effective health care, and government stewardship. Health financing, which is the focus of this paper, comprises three elements: revenue collection, fund pooling and purchasing (Carrin et al.,2005). The importance of investing in health is no longer in doubt. According to the Commission on Macroeconomics and Health of the WHO, extending coverage of crucial health services, including a relatively small number of specific interventions affecting the world's poor, could save millions of lives every year, reduce poverty, spur economic development and promote global security (MoH, 2002).
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    Understanding imperatives for total school enrolment and retention among refugees: the somasoma initiative in nakivaale refugee camp in southwestern Uganda.
    (2022) Mugumya, Firminus; Marion Mugisha Mutabazi; Hilary Asabaheebwa; Sylvanus Mushabe; Mukamba January; Arlene Akimana
    Refugee children, most especially girls, are more likely to miss school or to fail to invest the required level of concentration to be able to learn (Meyer et al., 2019). The extent to which refugees build the necessary resilience to mitigate their situations, particularly those that affect children’s education is important to understand. This chapter examines critical imperatives for initiating, stimulating, and sustaining refugee interest to pursue good education outcomes for their children. It also examines factors that serve to undermine refugee resilience towards education and recommends strategies and alternatives for sustainable access to, and utilization of, basic education services for refugee children.  It is informed by a detailed case study of a community‐based school readiness program in three communities in Nakivaale Refugee settlement in South‐Western Uganda. The case study involved meetings and interviews with refugee parents/ caregivers; leaders of community‐based services; community leaders; initiators/promoters of the education initiative; and instructors on the programme.