Decentralization and performance of local government in social service delivery in Kagadi District

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Kampala International University.College of Humanities and social science
The study set out to establish the effect of decentralization and performance of local government in social service delivery in kagadi district. The study was to assess the contributions of decentralization in promoting health service delivery in Kagadi district, to explore the challenges encountered in implementing decentralization of health service delivery and explores measures for improving decentralization and, hence promotes efficient health service delivery in Kagadi district. The study was conducted based on descriptive research design, the study was based on the local leaders (politicians), civil servants at the district and health personnel in 3 government health centers of Kagadi district, these were 60 respondents. Data was collected using the closed ended questionnaires. The data collected was analyzed based on frequency and percentages. The ludy findings indicate that decentralization has low contribution to health service delivery, regarding the challenges to decentralization; the study established that funding, poor policy and administration constraints limit decentralization. The study found out that measures of funding, policy, administration are important enabling the local government function well. The study concludes that decentralization contributed to health services delivery, the contribution to the health services is low, and the mode of provision is quite low, hence, the need for more focus on the study. The study further concluded that decentralization for health service delivery is limited by policy, funding and regulatory issues that affect the provision and establishment of the means :~f work for the health service delivery in the country. The study concluded that the measures for improving decentralization and, hence, promote efficient health service delivery in Kagadi district there is need for determining a level of mechanisms through diversification, improved finding and necessary adjustments in policy that can determine the efficiency of the health sector in the environment of Kagadi district. The study recommended that decentralization system of governance seems to be working well and is a conect avenue for service extension an aspect of development for the people as seen from the respondents of Kagadi district council, therefore it should be strengthened, central government, the district officials should give all the necessary nelp to enable its operation with less inconveniences. The study further recommended for all the stakeholders involvement such as central government in giving advice for effective sensitization and prevention of corruption that is seen as a key impediment to development of local governments. Finally, the government should strengthen service delivery and improve social service accessibility even with direct provisions from central government
Research report submitted to the College of Humanities and Social Sciences in partial fulfilment of the requirements for the award of a bachelor’s degree in Public Administration of Kampala International University
Decentralization, Performance, Local government, Social service