▁that ▁whereas ▁significant ▁efforts ▁are ▁being ▁implemented ▁to ▁qual it atively ▁and ▁quant it atively ▁improve ▁health ▁in ▁U g anda , ▁more ▁needs ▁to ▁be ▁done ▁to ▁focus ▁on ▁the ▁poor , ▁improve ▁eng agement ▁of ▁the ▁private - for - pro fit ▁sector , ▁enh ance ▁efficiency , ▁strength en ▁st ake holder ▁coord ination , ▁improve ▁service ▁quality , ▁and ▁stim ulate ▁consumer - based ▁advoc acy ▁for ▁better ▁health . ▁ ▁The ▁Ministry ▁of ▁Health ▁( MO H ) ▁also ▁conduct s ▁annual ▁health ▁sector ▁performance ▁app rais als ▁that ▁assess ▁health ▁system ▁performance ▁and ▁monitor ▁progress ▁in ▁delivery ▁of ▁the ▁UN M H CP . ▁The ▁ 2 0 1 1 ▁USA ID ▁report ▁assess ing ▁U g anda ' s ▁health ▁care ▁system ▁pointed ▁to ▁the ▁fact ▁that ▁the ▁UN M H CP ▁often ▁sets ▁health ▁sector ▁targets ▁and ▁activities ▁without ▁an ▁ade qu ate ▁analysis ▁of ▁the ▁costs ▁involved ▁or ▁the ▁implementation ▁of ▁measures ▁to ▁allocate ▁required ▁resources ▁appropri ately . ▁ ▁A ▁number ▁of ▁factors ▁affect ▁the ▁quality ▁of ▁services ▁in ▁U g anda , ▁including ▁the ▁short age ▁of ▁health care ▁workers ▁and ▁lack ▁of ▁trust ▁in ▁them , ▁a ▁lack ▁of ▁needed ▁treat ments , ▁high ▁costs , ▁and ▁long ▁distances ▁to ▁facilities . ▁In ▁ 2 0 0 9 , ▁a ▁survey ▁conducted ▁of ▁U g and an ▁patients ▁indicated ▁a ▁decl ine ▁in ▁the ▁performance ▁of ▁the ▁public ▁sector ▁health ▁services . ▁These ▁were ▁indicated ▁through ▁comments ▁about ▁poor ▁san itation