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Report Release - HealthCLIR: Uganda

The U.S. Agency for International Development BizCLIR project is pleased to announce the publication of the “HealthCLIR: Uganda” report. Through guided analysis, this report provides specific recommendations for donors, the government, and stakeholders to help reduce regulatory inefficiencies and improve investment in the private health sector in order to strengthen the quality, quantity, and dispersion of health services and goods throughout urban and rural Uganda.

Building on the 2008 BizCLIR Uganda Agenda for Action, this assessment specifically looks at five subject matter areas impacting the private health sector: Delivering Goods (supply chain for pharmaceuticals, medical supplies, and devices); Developing Human Capacity; Accessing Finance; Providing and Maintaining Facilities, and Governing the System.

A six-member team of international consultants, facilitated by a member of the Ugandan health community, conducted over 120 interviews with local stakeholders in the private health system, including public and private health service providers, governmental and quasi-governmental facility and health professional regulators, bankers, pharmacists and medical goods importers and producers, educators, legal professionals, health policy professionals, consumer groups, and others to examine the Legal Framework, Implementing and Supporting Institutions, and Social Dynamics surrounding each subject matter area.

The findings from the diagnostic point to a system that appears strong on paper but is lacking in implementation. The greatest needs for regulatory reform exist in the subject matter areas of Governing the System and Accessing Finance, while the regulatory framework for Delivering Goods throughout Uganda was the strongest. The diagnostic found that the Legal Framework for all five subject matter areas was relatively strong; however, the institutions charged with implementing or enforcing the Legal Framework were weak.

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Expert Opinions

Do Legislatures Matter for Economic Growth?


Matthew Kroenig and Meral Karan-Delhaye - Assistant Professor, Political Economy Specialist, Georgetown University, DAI
Scholars have recently demonstrated that political institutions are an important (some would argue the most important) determinant of long-run rates of economic growth. They argue that countries with "broad-based" political institutions are more likely to adopt good economic institutions, such as those that protect property rights and foster a transparent business environment, which, over the long run, contribute to greater levels of national income. Yet, although scholars have identified political institutions as a primary determinant of long-run rates of economic growth, they have not examined the effect of specific political institutions on economic performance. This working paper provides a new and arguably more fruitful way to think about the way that political institutions affect economic growth, one that examines the power of specific offices. In particular, it focuses on the strength of the national legislature and its effect on economic development. We argue, and the evidence confirms, that countries with more powerful national legislatures enjoy higher long-run rates of economic growth.

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