Dr. Freddie Ssengooba MD, MPH Makerere University School of Public Health.Dr. Ssengooba, is a lecturer in the Department of Health Policy, Planning and Management at the School of Public Health, College of Health Sciences, Makerere University-Kampala.He is a seasoned researcher in health systems and policy. In the last 12 years, Dr. Ssengooba has led a program of research on the organizational reforms like decentralization of health services; autonomy and efficiency of hospitals; performance-based contracting and its impacts on health system in general and on the workforce in particular.