Matthew Hamilton, MPH Candidate
I went to Uganda in Summer 2008 to produce a cost effectiveness evaluation of the Output-Based Aid (OBA) HealthyLife pilot program for non-HIV STIs, and to assist in the planning an randomized evaluation of the forthcoming OBA HealthyBaby safe maternal delivery program. OBA is a voucher-based, fee-for-service mechanism for delivering targeted subsidies for health services through the existing private-sector provider network. Using data from the claims forms submitted by providers, I devised metrics for several dimensions of the quality of healthcare given during the HealthyLife program and compared these with program costs. I also helped devise a questionnaire and randomized sampling frame for the baseline population survey, conducted in the Fall 2008, to evaluate the HealthyBaby program. My 12-week internship period was split between Kampala, the capital city of 3 million people, and rural Mbarara town in the southwest countryside. I was fortunate to work closely with the reproductive health NGO Marie Stopes International and faculty members of the Mbarara University of Science and Technology.