| dc.description.abstract | 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. | en_US |
