Hospice Africa Uganda, P.O Box 7757, Kampala, Uganda.
East and Southern African Management Institute, P.O Box 3030, Arusha, Tanzania.
BMC Palliat Care. 2019 Jun 5;18(1):48. doi: 10.1186/s12904-019-0434-5.
Sustainable funding is key for ensuring the quality and coverage of palliative care services. This study examined the sources of funding for stand-alone palliative care services in Uganda as well as their services financial sustainability plans.
Researchers conducted a cross sectional survey of all stand-alone palliative care organizations that have operated for five or more years. Researchers administered a questionnaire survey and interviews on the audited financial statements, services provided and sustainability plans.
Nine of the stand-alone palliative care organizations surveyed had operated for five to 25 years. 93% of the funding for palliative care services comes from donations; while 7% is from income generating activities. 94% of the donations are from external sources. The Government of Uganda's major contribution is in the form of medicines, training and payment of taxes. All the organizations had good financial records. Six of the fifteen Hospices/palliative care providers had sustainability plans included in their operational manuals. The older organizations (those that had been operational for more than 10 years) had better resource mobilization capacity and strategies.
The majority of stand-alone palliative care organizations in Uganda are largely donor funded. They have considerable financial sustainability and fund-raising capacity. Government support is in the form of medicines and training. Based on this study findings, the capacity of the stand-alone palliative care services to raise funds should be increased. The Government of Uganda should include palliative care in the national health system and increase funding for these services.
可持续的资金是确保姑息治疗服务质量和覆盖范围的关键。本研究调查了乌干达独立姑息治疗服务的资金来源及其服务财务可持续性计划。
研究人员对所有运营五年或以上的独立姑息治疗组织进行了横断面调查。研究人员通过问卷调查和对经审计的财务报表、提供的服务和可持续性计划进行访谈来收集数据。
在接受调查的 9 个独立姑息治疗组织中，有 9 个组织已经运营了 5 到 25 年。姑息治疗服务资金的 93%来自捐款，而 7%来自创收活动。94%的捐款来自外部来源。乌干达政府的主要贡献形式是提供药品、培训和纳税。所有组织都有良好的财务记录。15 家临终关怀/姑息治疗提供者中有 6 家在其操作手册中包含了可持续性计划。较老的组织（那些已经运营超过 10 年的组织）具有更好的资源动员能力和策略。
乌干达的大多数独立姑息治疗组织主要依赖捐赠者提供资金。他们具有相当的财务可持续性和筹款能力。政府支持的形式是药品和培训。基于这项研究的发现，应该提高独立姑息治疗服务的筹款能力。乌干达政府应该将姑息治疗纳入国家卫生系统，并增加对这些服务的资金投入。
