Le SIDA en Afrique subsaharienne (serveur d'exploration)

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<fileDesc>
<titleStmt>
<title xml:lang="en">Delivering on a gendered definition of health needs in local government budgeting: experiences and concepts</title>
<author>
<name sortKey="Buyana, K" sort="Buyana, K" uniqKey="Buyana K" first="K" last="Buyana">K. Buyana</name>
</author>
</titleStmt>
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<idno type="wicri:source">PMC</idno>
<idno type="pmid">20589113</idno>
<idno type="pmc">2877289</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2877289</idno>
<idno type="RBID">PMC:2877289</idno>
<date when="2009">2009</date>
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<analytic>
<title xml:lang="en" level="a" type="main">Delivering on a gendered definition of health needs in local government budgeting: experiences and concepts</title>
<author>
<name sortKey="Buyana, K" sort="Buyana, K" uniqKey="Buyana K" first="K" last="Buyana">K. Buyana</name>
</author>
</analytic>
<series>
<title level="j">African Health Sciences</title>
<idno type="ISSN">1680-6905</idno>
<idno type="eISSN">1729-0503</idno>
<imprint>
<date when="2009">2009</date>
</imprint>
</series>
</biblStruct>
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<textClass></textClass>
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<front>
<div type="abstract" xml:lang="en">
<sec>
<title>Background</title>
<p>Local governments are granted budgetary power in the
<italic>Local Governments Act of the Republic of Uganda</italic>
<xref rid="R2" ref-type="bibr">2</xref>
, which allows for local-level participation and flexibility in the allocation of financial grants channelled annually from central to local governments. The act prescribes a legal mandate to allocate public resources based on local priorities including the health needs of women compared with men. This study investigated the responsiveness of local government budgeting to the health needs of women as compared to men.</p>
</sec>
<sec sec-type="methods">
<title>Methodology</title>
<p>A qualitative study was conducted in Mpigi district using a set of data collection methods including: a) three (3) focus group discussions with 8 female and 8 male respondents in each group; b) face-to-face interviews with a random sample of 120 households, 75% of which were male-headed and 25% female-headed ; c) key informant interviews with a sample of 10 administrative officers in Mpigi district ; and d) desk-review of the Mpigi district
<italic>Budget Framework Paper</italic>
<xref rid="R4" ref-type="bibr">4</xref>
.</p>
</sec>
<sec sec-type="results">
<title>Results</title>
<p>Health needs consist of the daily requirements, which, arise out of common disease infections and the socioeconomic constraints that affect the well-being of women and men. However, the primary concern of the district health sector is disease control measures, without emphasis on the differing socio-economic interests of women as compared to men. Local government budgeting, therefore, does not reflect the broad community-wide understanding of health needs.</p>
</sec>
<sec sec-type="conclusions">
<title>Conclusion</title>
<p>Local government budgeting should be informed by a two-fold framework for the gendered definition of health needs. The two-fold framework combines both disease-based health needs and socio-economic needs of women as compared to men.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Afr Health Sci</journal-id>
<journal-id journal-id-type="iso-abbrev">Afr Health Sci</journal-id>
<journal-title-group>
<journal-title>African Health Sciences</journal-title>
</journal-title-group>
<issn pub-type="ppub">1680-6905</issn>
<issn pub-type="epub">1729-0503</issn>
<publisher>
<publisher-name>Makerere Medical School</publisher-name>
<publisher-loc>Kampala, Uganda</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">20589113</article-id>
<article-id pub-id-type="pmc">2877289</article-id>
<article-id pub-id-type="publisher-id">jAFHS.v9.i2.pgS90</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Articles</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Delivering on a gendered definition of health needs in local government budgeting: experiences and concepts</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Buyana</surname>
<given-names>K</given-names>
</name>
</contrib>
</contrib-group>
<aff>Social Sciences, Cavendish University Uganda</aff>
<author-notes>
<corresp>
<bold>Correspondence author:</bold>
Buyana Kareem Head of Professional Grouping Social Sciences Cavendish University, Kampala, Uganda P.O Box 33145 Plot 81 Bombo Road Tel: 256414531700 Email:
<email>buyana@ss.mak.ac.ug</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>10</month>
<year>2009</year>
</pub-date>
<volume>9</volume>
<issue>Suppl 2</issue>
<fpage>S90</fpage>
<lpage>S96</lpage>
<permissions>
<copyright-statement>Copyright © Makerere Medical School, Uganda 2009</copyright-statement>
<copyright-year>2009</copyright-year>
</permissions>
<abstract abstract-type="executive-summary">
<sec>
<title>Background</title>
<p>Local governments are granted budgetary power in the
<italic>Local Governments Act of the Republic of Uganda</italic>
<xref rid="R2" ref-type="bibr">2</xref>
, which allows for local-level participation and flexibility in the allocation of financial grants channelled annually from central to local governments. The act prescribes a legal mandate to allocate public resources based on local priorities including the health needs of women compared with men. This study investigated the responsiveness of local government budgeting to the health needs of women as compared to men.</p>
</sec>
<sec sec-type="methods">
<title>Methodology</title>
<p>A qualitative study was conducted in Mpigi district using a set of data collection methods including: a) three (3) focus group discussions with 8 female and 8 male respondents in each group; b) face-to-face interviews with a random sample of 120 households, 75% of which were male-headed and 25% female-headed ; c) key informant interviews with a sample of 10 administrative officers in Mpigi district ; and d) desk-review of the Mpigi district
<italic>Budget Framework Paper</italic>
<xref rid="R4" ref-type="bibr">4</xref>
.</p>
</sec>
<sec sec-type="results">
<title>Results</title>
<p>Health needs consist of the daily requirements, which, arise out of common disease infections and the socioeconomic constraints that affect the well-being of women and men. However, the primary concern of the district health sector is disease control measures, without emphasis on the differing socio-economic interests of women as compared to men. Local government budgeting, therefore, does not reflect the broad community-wide understanding of health needs.</p>
</sec>
<sec sec-type="conclusions">
<title>Conclusion</title>
<p>Local government budgeting should be informed by a two-fold framework for the gendered definition of health needs. The two-fold framework combines both disease-based health needs and socio-economic needs of women as compared to men.</p>
</sec>
</abstract>
<kwd-group>
<kwd>Gender</kwd>
<kwd>Health Needs and Local Government Budgeting</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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