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Civil Society Organizations and medicines policy change: A case study of registration, procurement, distribution and use of misoprostol in Uganda

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  • Atukunda, Esther Cathyln
  • Brhlikova, Petra
  • Agaba, Amon Ganafa
  • Pollock, Allyson M.

Abstract

Misoprostol use for postpartum haemorrhage (PPH) has been promoted by Civil Society Organizations (CSOs) since the early 2000s. Yet, CSOs' role in improving access to misoprostol and shaping health policy at global and national levels is not well understood. We document the introduction of misoprostol in Uganda in 2008 from its registration, addition to treatment guidelines and national Essential Medicines List (EML), to its distribution and use. We then analyse the contribution of CSOs to this health policy change and service provision. Policy documents, procurement data and 82 key informant interviews with government officials, healthcare providers, and CSOs in four Ugandan districts of Kampala, Mbarara, Apac, Bundibugyo were collected between 2010 and 2013.

Suggested Citation

  • Atukunda, Esther Cathyln & Brhlikova, Petra & Agaba, Amon Ganafa & Pollock, Allyson M., 2015. "Civil Society Organizations and medicines policy change: A case study of registration, procurement, distribution and use of misoprostol in Uganda," Social Science & Medicine, Elsevier, vol. 130(C), pages 242-249.
    • Handle: RePEc:eee:socmed:v:130:y:2015:i:c:p:242-249
    DOI: 10.1016/j.socscimed.2015.02.022
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    Cited by:

    1. Bridget O'Laughlin & Jasmine Gideon & Fenella Porter, 2016. "Forum 2016," Development and Change, International Institute of Social Studies, vol. 47(4), pages 782-797, July.
    2. Ouedraogo, Ramatou & Juma, Kenneth, 2020. "From the shadows to light. Perceptions of women and healthcare providers of post-abortion care in Burkina Faso," Social Science & Medicine, Elsevier, vol. 260(C).
    3. Han, Lu & Koenig-Archibugi, Mathias & Opsahl, Tore, 2018. "The social network of international health aid," Social Science & Medicine, Elsevier, vol. 206(C), pages 67-74.
    4. Suh, Siri, 2015. "“Right tool,” wrong “job”: Manual vacuum aspiration, post-abortion care and transnational population politics in Senegal," Social Science & Medicine, Elsevier, vol. 135(C), pages 56-66.

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