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Cross border healthcare access (CBH-Access) study

Rationale: Despite many countries working hard to attain Universal Health Coverage, health service delivery for all remains challenging for local health systems at national borders. Unlike health systems in the center, those at the peripheral are often less prioritized by policy makers. The existence of different state and territorial sovereignty makes health service delivery even more complex in border communities.

Study Purpose: To strengthen health systems for improved access to healthcare among border resident communities in the East African Community.

Study objectives

  1. To explore the current legal institutional context and how it facilitates or constrains access to healthcare services for communities residing along the borders in EAC.
  2. To explore the health systems constraints and implications for serving border communities.
  3. To determine how border resident communities, navigate the legal institutional and health systems constraints to health service access.
  4. To explore feasible solutions to advance the access and coverage agenda to services for the communities residing along East African Community borders

Significance of the study

  • A better understanding of the implications for serving border communities: The findings of this study will be used to increase understanding of the legal-institutional and the health systems implications for serving border communities among the different actors/stakeholders at the different levels.
  • Ability to analyze and resolve own problems: The gaps and opportunities identified by the study will be used by the stakeholders (health systems stakeholders, public authorities, policy makers and funders) to action plan. This in turn will strengthen the capacity of stakeholders to analyze and resolve their own problems.
  • Stakeholder collaboration: The study aims to stimulate stakeholder collaboration within and across borders through the planned joint stakeholder engagement activities at the different levels.
  • Consequences of inaction: Without giving special attention to local health systems at national borders; access to healthcare for all and the attainment of the Universal Health Coverage goal will remain a challenge.

Period of performance: March 2018- Feb 2020

Study PI: Assoc. Freddie Ssengooba, Makerere University | sengooba@musph.ac.ug

Co-PIs: Assoc. Prof. Mabel Nangami, Moi University, Assoc. Prof. Leon Mutesa, University of Rwanda, & Prof. Severine Rugumamu, University of Dar es Salaam.

Study Coordinator: Ms. Susan Babirye, Makerere University School of Public Health | babiryes@musph.ac.ug

Funder: MRC/Welcome Trust, UK Study countries: Uganda, Kenya, Tanzania and Rwanda

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