Guest exploration · Health · Uganda
District health data that changes decisions
A worked example showing how a familiar training problem becomes a transformation plan.
Result wanted
Cut essential-medicine stock-outs from 38% to 19% within 18 months.
Teams were trained twice and reports were filed, but the data did not change staffing or stock decisions.
Binding constraint
Authority sits above the people holding the evidence.
More training alone cannot solve a decision-rights problem.
Prioritized plan
Three connected moves
01Institution
Delegate stock reallocation authority to district level
Removes the approval bottleneck.
02Organisation
Monthly review with a standing decision agenda
Turns each report into a recorded decision.
03Team
Coach supervisors using their own stock data
Builds judgement through real practice.
What the team can verify
Costed plan: USD 167,200
Stock-outs tracked quarterly
Decisions recorded after every review