For the first time in Uganda, managers and district officials now have factual weekly information to properly manage public health facilities and take corrective action where needed. They can enforce compliance with standard of care clinical regimens such as taking vital signs, maintaining up-to-date patient files, and improving patient treatment times. What gets measured gets done! With league tables and rankings, KPIs such as staff attendance, clinician productivity, and medicine stockouts are being measured and managed to improve performance.
Doctors and nurses like the HCE program because they have the diagnostic tools and patient information needed to do their jobs. Patients like the new system because they are getting treated more professionally and leave with a copy of their diagnosis and treatment record to share with family members. Managers like it because they can now manage with facts rather than anecdotes. The HCE program changes the status quo in Uganda by providing critical data to clinics, hospitals, and district officials on a weekly and monthly basis. As one Sheema doctor summarized it, “The HCE Program is a game-changer!”