Basic Health Care And Community Development in Oyam District Local Government.

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Kampala International University, College of Humanities and Social Sciences.
This study, analyzed the extent to which basic health care influence development of the community in Oyam district in Lango sub region. It examined the pattern of delivery of basic health services in Oyam District in Lango sub region; challenges faced in basic health .care delivery in Oyam district in Lango sub- region and effects of basic health care on development in Oyam district. To address these issues, a field survey of four sub counties in the district was conducted using structured questionnaires, review of reports and in-depth interviews. Descriptive analysis using the thematic content Approach was applied to achieve study objectives. The study was underpinned on Rogerian model with the assumption that 'no one can make decisions for another, act for them or solve their problems - because these are matters of personal responsibility and choice' (cited in Lane 2000, p. 311). Study findings revealed that the worsening indices of health status in Oyam district demand a fresh look at the way health systems are organized and, how these systems address the complex causal pathways that lie beyond the influence of the formal health sector. All stakeholders in the basic health participatory structures require training and orientation in skills such as communication, leadership and relationship building to ensure effective joint action for health, starting with what is possible and expanding to what is needed. Further, the study found that it is necessary to mobilize such stakeholders as individuals, households, communities, the private sector, the public sector, and research and learning institutions to be partners in the improvement of health systems performance. The researcher recommends that Ministry of health of Uganda should adopt participatory management structures at lower levels of the health system. This will help strengthen evidence-based and all inclusive management leading to health reforms that can be sustainable.
A dissertation presented to the School of Post Graduate Studies and Research in Partial Fulfillment of the Requirements for the Award of the Masters Degree in Public Administration and Management of Kampala International University.
Community Development, Basic Health Care, Oyam District Local Government.