Decentralization and health service delivery in Lira Municipal Council
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Date
2018-07
Authors
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Journal ISSN
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Publisher
Kampala International University.College of Humanities and social science
Abstract
The purpose of the study is to assess the contribution of decentralization towards health service
delivery. The study objectives was to establish whether decentralization had led to Personnel
availability in health service delivery, assess whether decentralization has led to stock
availability in health service delivery in Lira municipality and determine the extent to which
decentralization has led to and improved operational environment. The study was conducted
from Lira municipality from the employees using the research questionnaires; the sample was 60
respondents who provided the data. The study adopted a descriptive research design; the analysis
was done based on frequency and percentages.
Overall it was realized that decentralization ensures effective health staff recruitment had 80% of
the respondents who strongly agreed and agreed. Overall the findings indicate that most (55%)of
the respondents were in support that that there are reasonable contributions brought when the
stock is decentralized in health service delivery in Lira municipality decentralization Overall,
most respondents (60%) of respondents agree that the operations environment has enables the
municipality to have sufficient equipment availability from central government
The study was set to establish the effect of decentralization on health service delivery in Lira
Municipality, Lira district, northern Uganda. It should be noted that decentralization ensures
effective health staff recruitment; the municipality effectively appraises the performance of the
health staff. Due to decentralization there is direct remunerations provided to health staff by the
municipality, the study conclude that avenues for personnel management effectiveness need to
be comprehensibly addressed in the decentralized management and environment. On the third
objective the study conclude that decentralization had a low effect on operational environment in
health service delivery in Lira municipality
The study recommends that there is need for improving the prevalence of decentralized
administratiim improvement and enhancement for the purpose of improving the status of the
personnel management. There is need for improving access to the stock of health supplies
through improving provisions and management of the stock and the need for improvement of the
state of affairs require employing more supervision mechanisms intended to generate workforce
improvelTient.
Description
Research report submitted to the Department of Political and Administrative Studies College of Humanities and Social Sciences in partial fulfilment of the requirements for the award of bachelors degree of Public Administration of Kampala International University
Keywords
Decentralization, Health, Service delivery, Lira