Early-phase Consultation of a Multi-agency Program for Strengthening Infectious Disease Response Capacity in Uganda: a Case Study
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= Abstract = Objective: This case study examines a three-year grant aid project supported by the Korea Foundation for International Healthcare that aimed to strengthen infectious disease management capacity in Uganda through a consulting-based approach. The project focused on improving response procedures by reinforcing the Public Health Emergency Operations Center (PHEOC), providing education and training for healthcare personnel, supporting the establishment and operation of infectious disease management facilities, and strengthening community-based hub laboratories. Methods: This study analyzed the initial context of the grant aid project, examined adjustments made during implementation, and identified key barriers in consulting process. Official documents, committee meeting minutes, field reports, equipment procurement records, and monitoring materials were reviewed. Project progress was assessed against Standard Operating Procedures, while dashboards were used to identify delays, monitor key outcome indicators, and track budget execution. Results: Major challenges included delays in equipment procurement, low budget execution rates, and human resource gaps. Specialized laboratories showed relatively high budget execution due to fewer technical barriers, whereas administrative organizations faced procurement delays stemming from limited technical expertise and the absence of dedicated procurement units. Dashboards and regular online and offline meetings supported progress tracking and facilitated strategic adjustments. Conclusion: Although grant aid projects for infectious disease capacity building in low- and middle-income countries typically define scope and target areas through feasibility or formative studies, this case demonstrates that consulting should extend beyond routine monitoring. Strategic consulting that enables adaptive adjustment of project scope and direction, combined with annual performance monitoring and the involvement of experts experienced in public health programs, is critical to improving the effectiveness and quality of international health assistance.
Abstract
= Abstract = Objective: This case study examines a three-year grant aid project supported by the Korea Foundation for International Healthcare that aimed to strengthen infectious disease management capacity in Uganda through a consulting-based approach. The project focused on improving response procedures by reinforcing the Public Health Emergency Operations Center (PHEOC), providing education and training for healthcare personnel, supporting the establishment and operation of infectious disease management facilities, and strengthening community-based hub laboratories. Methods: This study analyzed the initial context of the grant aid project, examined adjustments made during implementation, and identified key barriers in consulting process. Official documents, committee meeting minutes, field reports, equipment procurement records, and monitoring materials were reviewed. Project progress was assessed against Standard Operating Procedures, while dashboards were used to identify delays, monitor key outcome indicators, and track budget execution. Results: Major challenges included delays in equipment procurement, low budget execution rates, and human resource gaps. Specialized laboratories showed relatively high budget execution due to fewer technical barriers, whereas administrative organizations faced procurement delays stemming from limited technical expertise and the absence of dedicated procurement units. Dashboards and regular online and offline meetings supported progress tracking and facilitated strategic adjustments. Conclusion: Although grant aid projects for infectious disease capacity building in low- and middle-income countries typically define scope and target areas through feasibility or formative studies, this case demonstrates that consulting should extend beyond routine monitoring. Strategic consulting that enables adaptive adjustment of project scope and direction, combined with annual performance monitoring and the involvement of experts experienced in public health programs, is critical to improving the effectiveness and quality of international health assistance.
