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. 2025 Mar 5;16(1):697.
doi: 10.4102/jphia.v16i1.697. eCollection 2025.

Implications of COVID-19 pandemic and response approaches in Uganda: Stakeholder perspectives

Affiliations

Implications of COVID-19 pandemic and response approaches in Uganda: Stakeholder perspectives

Moses Ocan et al. J Public Health Afr. .

Abstract

Background: The coronavirus disease 2019 (COVID-19) pandemic significantly impacted health systems worldwide.

Aim: This study explored the effects of the COVID-19 cascade on health programmes in Uganda.

Setting: This study conducted in-depth interviews with key informants involved in Uganda's national COVID-19 response.

Methods: A cross-sectional exploratory study using qualitative approaches was carried out. A purposive sample of 30 key informants from the Ministry of Health (MoH) and implementing partners were interviewed (May 2023 - June 2023). Interviews were audio recorded and analysed using inductive thematic analysis with NVivo 14 software.

Results: Four themes emerged: (1) approaches and opportunities for successful COVID-19 response, (2) negative impacts of the pandemic on health services, (3) barriers to implementing response strategies and (4) suggestions for preparedness for future epidemics.

Conclusion: While the pandemic disrupted health programmes and access to care, it also revealed opportunities to strengthen healthcare delivery. Strengthening the dedicated Ministry of Health department for epidemic preparedness and response is recommended.

Contribution: This study identifies areas for improvement in Uganda's health system exposed by the COVID-19 pandemic. It informs public health preparedness efforts in Uganda and other African countries, aligning with the Journal's focus on strengthening health systems in Africa.

Keywords: COVID-19; Uganda; implication; key stakeholder; pandemic.

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Conflict of interest statement

The author reported that they received funding from the implementation science pillar of the Saving Lives and Livelihood programme, an initiative between Africa CDC and the Mastercard Foundation. The implementation science pillar was sub-granted through the Infectious Diseases Institute-Makerere University (IDI), thus funds were managed by the Makerere College of Health Sciences (MakCHS), which may be affected by the research reported in the enclosed publication. The author has disclosed those interests fully and has implemented an approved plan for managing any potential conflicts arising from their involvement. The terms of these funding arrangements have been reviewed and approved by the affiliated University in accordance with its policy on objectivity in research. The author, A.R.A., serves as an editorial board member of this journal. The peer review process for this submission was handled independently, and the author had no involvement in the editorial decision-making process for this manuscript. The author has no other competing interests to declare.

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