Digitalization of health care to accelerate universal health coverage in Uganda

Abstract

This thesis investigates how digital health services can accelerate Uganda’s move closer to achieving Universal health coverage (UHC). The purpose of the study is to investigate how digitalization can accelerate Uganda’s progress towards achieving Universal Health Coverage (UHC). The objectives of the study were:1. To assess the status of digitalization of healthcare systems in Uganda. 2. To identify the key gaps in digitalization that hinder Uganda’s progress towards UHC. 3. To understand how Uganda’s digital health transformation aligns with global frameworks/guidelines. The study is based on both global and regional frameworks including the WHO’s global digital health strategy and Uganda’s health information and digital health strategic plan. A qualitative research method was applied to this study which included semi-structured interviews with six participants from government, healthcare institutions and digital health implementors. Thematic analysis using method was applied to identify valuable patterns and perceptions from the data. The finding indicated both positive developments and continuous challenges. Systems such as District health Information Software 2 (DHIS2), and mTrac, (a mobile software used to send data), have enhanced data management and disease surveillance, while private companies have expanded telemedicine services. However, infrastructure gaps, system fragmentation, restricted internet connection and shortage of workers continue to hinder digital health growth especially in rural areas and public health facilities. The study concluded that digital health has enormous potential, but it requires more coordinated implementation, improved infrastructure, sustainable funding, and enhanced support for frontline health professionals. Uganda’s health future is dependent not only on technology but also on inclusiveness and well supported systems that meets the needs of all beneficiaries.