Governing elderly health care in Uganda: policy gaps, institutional capacity, and service delivery challenges.
DOI:
https://doi.org/10.51168/sjhrafrica.v7i2.2673Cuvinte cheie:
Elderly Healthcare, Geriatric Care, Health Policy, Institutional Determinants, Bibliometric Review, Digital Health, Uganda, Global HealthRezumat
This paper presents a bibliometric review and comparative analysis of elderly healthcare service delivery, focusing on the institutional and administrative determinants in Uganda, contextualized against global trends from 2020 to 2026. The study systematically maps academic literature and policy documents. Findings reveal that while Uganda faces a critical challenge rooted in institutional failure, evidenced by critically low readiness scores in Leadership & Governance (13.49%) and Financing (19.29%), global reforms are converging on rights-based legislation, dedicated long-term care financing, and digital health integration. The paper contrasts Uganda's administrative fragmentation and workforce deficit with continental and global best practices, such as Australia's rights-based Aged Care Act 2024, Singapore's multi-billion dollar Age Well SG initiative, and Germany's fast-track approval for prescribable digital therapeutics (DiGAs). The analysis strongly justifies the need for a localized study to bridge the gap between national policy and administrative deficits at the district level in Uganda.
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