Department of Management and Administration Scienceshttps://hdl.handle.net/20.500.12504/392024-03-29T11:23:03Z2024-03-29T11:23:03ZCommunity participation and health service delivery in selected health units in Mukono municipalityShirley, Marachtohttps://hdl.handle.net/20.500.12504/16202024-02-26T12:56:07Z2016-01-01T00:00:00ZCommunity participation and health service delivery in selected health units in Mukono municipality
Shirley, Marachto
The overall objective of this study was to investigate how "Community Participation impacts
Health Service Delivery in selected Mukono Municipality Health Centres". This was guided by the following specific objectives to; examine the influence of participative decision making on health service delivery in Mukono Municipality, assess the effect of information sharing on health service delivery in Mukono Municipality and evaluate how consistent community feedback leads to health service delivery in Mukono municipality.
The study adopted a case study research design. A sample size of 195 respondents comprising of health workers (doctors, nurses, medical assistants, clinic officers and midwives) were selected from two Health Centres and one hospital (health centre IV, Kyungu health centre III and Mukono Church of Uganda Hospital) and community members living in Kauga village, Nassuti village and Mukono centre, chairpersons of village Health Committees (VHCs), Community
Health Workers (CI-IWs), councilors and the Municipality Medical Officer. Both primary and secondary data were used for this research. Qualitative and quantitative data was used for the study. Both primary and secondary data was collected using self-administered questionnaires, focused group discussions and an interview guide. Qualitative data was analysed by transcribing it into the major themes which emerged. Quantitative data was analysed using Statistical Packages for Social Sciences (SPSS).
The findings of the study revealed there was a strong positive correlation between community participation and health service delivery (r = 0.883; p <0.005). The study findings were that low community participation resulted into shortage of skilled health personnel, lack of equipment, stock outs of drugs and low budgetary allocation which hampered delivery of primary health care. This attributed to obstacles in accessing health care services. The study concludes that, there is Relationship between participative decision making, information sharing and consistent community feedback (r =.925 *; p= O< 0.' 035<0.05). The study results therefore show that participative decision making had a positive effect on health service delivery. This is explained by the positive correlation co-efficient between the two variables (r = 0.303). Low levels of participation in decision making made health service insignificant within the Mukono Municipality community; this resulted into high level of mortality and morbidity due to preventable and treatable diseases. There is a strong relationship between information sharing and health service delivery (r =.052; p = 0.73> 0.05). community participation (Participative Decision Making (P dm), Information Sharing (Is) & Feedback(F) explain 62.5% of variations in health service delivery. Results show a significant model (F=7.002, sig=0.003) to explain a multi regression equation of health service delivery (y) = 1.172+0.326(P dm) + 0.260(ls) + 0.458F.
The study recommends that, the number of primary health care facilities be increased and human resources management and administration should be strengthened to avert staff shortages in health facilities. A contingency plan for the supply of drugs and equipment to health facilities should be developed. Budgetary allocation to health facilities should be increased as well as scaling up on community health system strengthening.
ix, 79 p. ;
2016-01-01T00:00:00ZMonitoring and performance of church based projects in Uganda: a case study of Compassion InternationalGodfrey, Katohttps://hdl.handle.net/20.500.12504/15902024-02-06T00:17:25Z2015-01-01T00:00:00ZMonitoring and performance of church based projects in Uganda: a case study of Compassion International
Godfrey, Kato
The purpose of the study was to establish the effects of monitoring on the Performance of church based projects funded by Compassion International Uganda. Specifically, the study assessed the effect of checking project outputs, project reports scrutiny and project reports examination on the performance of projects. Primary data was collected from a sample of 80 respondents which included 70 project employees and I0 project managers. Data from employees was collected using a structured questionnaire while an interview guide was used to collect data from project managers. Data was analyzed using descriptive, inferential and qualitative methods.
The findings revealed that checking project outputs and project records scrutiny have a significant positive effect on project performance, (r = 0.724, Adjusted r2 = 0.685; p-value < 0.05). Regularly checking operations of all staff to ensure that project resources are only used to pursue project goals and ensuring that employees give reasons for all their decisions and activities and operations of all employees are clearly understood by stakeholders has increased the performance of projects. While examination of project records and giving feedback to employees on the performance of projects was found essential in the performance of projects, little emphasis was placed on it. Project managers had little time to examine project reports and employees were given little opportunities to know how they are performing and any improvements they needed to make. Therefore, aspects of projects monitoring that started in profit making organization are essential to the performance of NGOs.
On the basis of the findings, it was recommended that Compassion International maintains the good practices of checking project outputs and records to ensure that they conform to project goals and improve her feedback process so as maintain good performance of her projects.
x, 59 p. ;
2015-01-01T00:00:00ZParticipatory planning and delivery of health care services in public hospitals in Uganda: a case of Mulago hospitalJavan, Kagendahttps://hdl.handle.net/20.500.12504/15892024-02-03T00:16:52Z2015-01-01T00:00:00ZParticipatory planning and delivery of health care services in public hospitals in Uganda: a case of Mulago hospital
Javan, Kagenda
The study sought to investigate the relationship between participatory planning and service delivery in public hospitals in Uganda a case of Mulago. The study specifically examined the relationship between participatory planning and the scope (coverage) of services delivered to clients at Mulago Hospital: and assessed the relationship between participatory planning and timely accessibility of services; as well as established the relationship between participatory planning and quality of service delivered.
The study adopted a descriptive and case study design to allow for in-depth data collection and analysis, contextual understanding and description of the research problem. Correlation techniques were also used to measure the relationship between participatory planning and service delivery management in Mulago Hospital. Data was collected using interviews and questionnaires to randomly selected Mulago Hospital staff. Collected data were analyzed using both qualitative and quantitative techniques of analysis. Results revealed a positive and significant relationship between participatory planning and service delivery in Mulago Hospital.
Findings of the study revealed a significant relationship between participatory planning and health service delivery in general at Mulago Hospital. Management therefore needs to appreciate joint planning involving key stakeholders, sufficient communication systems and inculcation of the spirit of team work across the entire hospital for improved service delivery.
xi, 62 p. ;
2015-01-01T00:00:00ZBudget alignment policy and realisation of organisational strategic goals: a case study of amnesty commission-Uganda.Ashudu, Masembehttps://hdl.handle.net/20.500.12504/15622024-01-23T00:20:29Z2016-12-01T00:00:00ZBudget alignment policy and realisation of organisational strategic goals: a case study of amnesty commission-Uganda.
Ashudu, Masembe
The study assessed the relationship between "Budget Alignment Policy and Realisation of
Organisational Strategic Goals; A Case Study of Amnesty Commission-Uganda". This was guided by the following specific objectives to; establish the extent to which Cost estimations based on plans influence achievement of Organizational strategic goals, assess how Translating plans into operational objectives affect achievement of Organizational strategic goals and examine whether aligning plans to financial targets affect achievement of Organizational strategic goals.
The methodology adopted a case study research design to carry out the study. This involved the use of qualitative and quantitative techniques for data collection. The target population was 85 respondents from the a sample size of 70 respondents were selected using Morgan and
Krejcie(l 970), sample size table. The research also used both primary and secondary data. The study tools used were questionnaire forms and interview guides to collect information from different respondents. The analysis was done using Special Package for Social Scientists (SPSS).
Findings from the test revealed that budget alignment positively influenced realization of strategic organisational goals at Amnesty Commission-Uganda. The results revealed that budget enables mobilization of resources and maximizes proper utilization of resources in the adequate and correct ways and that Amnesty Commission-Uganda was facing the problem of poor resource allocation mechanism characterized by both misappropriation and limited funding. According to the findings it is recommended that Amnesty Commission-Uganda should be careful in setting the goals for the financial year by making sure that those goals must be achievable in order to avoid wastage of resources. Also an effective management system should deal with all relevant aspects while an efficient financial management system does this with little use of resources by being integrated and focused on identified aspects including both risks and opportunities. A flexible management system should easily adapt to new requirements without losing effectiveness or efficiency.
The study recommended that, there is need for more enlightenment of community members about the benefits and importance of budget alignment in the public sector through carrying out seminars, workshops and effective sensitization. Thus, there is a need to integrate strategic management and budgeting. The study suggests that further research should be conducted to examine the impact of budgeting systems on financial management in financial institutions.
Amnesty Commission-Uganda highlights the importance of taking both the planning procedures and the budgeting framework of the country into consideration in the earliest stages of the budgetary planning process.
xi, 71 p. ;
2016-12-01T00:00:00Z