Primary Health Care Services Delivery (PHCSD) Under Revenue Autonomy: Proposed Innovative Options Within Own Source Revenue
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Date
2017-08
Journal Title
Journal ISSN
Volume Title
Publisher
Academic Affairs Directorate, Kampala International University (KIU), Uganda, East Africa Institute for Social Research, KIU
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.
Description
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Keywords
Innovative options, Primary health care services delivery, Revenue autonomy