Subgranting and effectiveness of health projects; a case of aids relief services-Nsambya in Kampala District, Uganda

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Kampala International University. College of Humanities and Social Sciences
The study intended to establish the relationship between Sub-Granting and Effectiveness of Health Projects; the case of Aids Relief Services in Kampala, Uganda. The study was guided by the four objectives which included determining;- the demographic profile of the respondents ; level of successful Subgranting management; Level of effectiveness of health projects and significant relationship between level of successful subgranting and level of effectiveness of Health projects in Kampala. Researcher made questionnaire was used to collect data from 372 respondents selected purposively. A descriptive correlational, cross sectional and ex post-facto design were used. Data analysis was done using frequencies, percentages, means, and Pearson linear correlation coefficient (PLCC) were used to analyse data. More than half of the study participants were female (75.0%), Majority of the participants (33~O%) fall under the early adult stage of life (25-29 old), had Bachelor holder (37.4%),married (33.O%), clinical officers (37.4%), and had spend 3-4 years (30.9%). All aspects of subgranting were found to be positively and significantly correlated with effectiveness of Health projects. All aspects of subgranting were found to be High for example overall (mean=3.15). All aspects of Effectiveness of Health projects were found to be High for example overall (mean=3.24). The findings reveal that there is a significant correlation between subgranting and effectiveness of service delivery of health projects. The best way of subgranting is to have a manual for guiding and follow up of the process inflow and outflows. The researcher recommended that; the government of Uganda to strengthen the training programmes in effectiveness of health institutions; Physical inspection; gathering physical evidence; providing written requests ,examining documents, obtaining management and employees’ responses, strengthen the participation at community level, evaluate a general Contractor, compare the information contained in the document with other known information, improved feedback mechanisms among others. The staff must be skilled, transparent and be able to work as a team. In form of international system of contract management is required to ensure the rights, obligations and expectations are monitored, feedback mechanization should be set and followed at all levels. Lack of expired drugs in the store, good financial management, high community participation and prompt responsiveness of subcontractors indicate effectiveness of health projects in Kampala Central Division. Once the above aspects are attended to, the subgranting will be a very useful vice in improving service delivery of health projects.
A Thesis Presented to the College of Higher Degrees and Research of Kampala International University Kampala, Uganda In Partial Fulfillment of the Requirement for the Award of the Degree of Master of Project Planning and Management
Subgranting, Health projects