Primary Health Care Services Delivery (PHCSD) Under Revenue Autonomy: Proposed Innovative Options Within Own Source Revenue

Abstract

Through quantitative and qualitative account (mixed explanatory method), this empirical investigation portrayed a pragmatic perspective of the primary health care services in Mbale District, Uganda under the fiscal decentralization with revenue autonomy in particular. The evidence based data were elicited from the respondents selected through purposive sampling utilizing a researcher devised research tool tested scientifically for its validity and reliability. Quantitative measurements consisted of means and standard deviations elucidated by qualitative data from observations and interviews. The constructs of primary health care services under study were as follows: public education, maternal and child health care, proper nutrition, provision of accessible treatment and drugs, clean water and sanitation, immunization and local diseases control, accountability in service delivery. The general findings revealed existing challenges and gaps in these indicators. Therefore, this study advocated the need for improvement of health services delivery outcomes in rural and remote communities through improved access to health services while this study also recommended that progress can be made by reflecting on enhancing service access through the wider implementation of innovative options proposed in this study.