Decentralization And Health Service Delwery: A Case Study Of Mukono District Local Government

TABLE OF CONTENTS

DECLARATION.ii

APPROVAL iii

DEDICATION iv

TABLE OF CONTENTS v

CHAPTER ONE I

GENERAL INTRODUCTION 1

1.0 Introduction 1

1.1 Background of the Study I

1.2 Statement of the problem 2

1.3 Objectives of the study 3

1.3.1 General Objective 3

1.3.2 Specific Objectives 3

1.4 Research questions 3

1.5 Scope of the Study 4

1.5.1 Geographical Scope 4

1.5.2 Content Scope 4

1.5.3 Time Scope 4

1.6 Significance of the Study 4

1.7 Conceptual Framework showing independent and dependent variables 5

1.8 Definition of key terms 6

CHAPTER TWO 8

LITERATURE REVIEW 8

2.0 Introduction 8

2.1 Roles played by Decentralization in regard to Health Service Delivery in Mukono District

Local Government 8

2,2 Challenges faced by decentralised system in health service delivery in Mukono District Local

Government 11

2.3 The relationship between Decentralization and Health Service Delivery in Mukono District

Local Government 15

V

~HAPTER THREE .20

~4ETHODOLOGY .20

~.0Introduction’2°

.1 Research design 20

3.2 Study population 20

3,3 Sample size 20

3.4 Sampling Techniques 21

3.5 Data Sources 21

3.6 Data collection instruments 22

3.7 Validity and reliability of the instrument 23

3.8 Data analysis 23

Quantitative data analysis 23

Qualitative data analysis 24

3.9 Data Processing 24

3.10 Ethical Consideration 24

3.11 Limitations and problems encountered 25

CHAPTER FOUR 26

DATA PRESENTATION, ANALYSIS AND DISCUSSION OF FINDINGS 26

4.0 Introduction 26

4.1 Demographic Characteristics of Respondents 26

4.1.1 Gender of respondents 26

4.1.2 Age bracket of the respondents 27

4.1.3 Educational level of respondents 27

4.1.4 Work experience of the respondents 28

4.2 Descriptions of Responses to Items of the Questionnaire 29

4.2.1 Roles played by Decentralization in regard to Health Service Delivery in Mukono District

Local Government 29

4.2.2 Challenges faced by decentralised system in health service delivery in Mukono District

Local Government 32

4.2.3 Relationship between Decentralization and Health Service Delivery in Mukono District

Local Government

vi

HAPTER FIVE .40

)ISCUSSION OF FINDINGS, CONCLUSIONS AND RECOMMENDATIONS .40

5.0 Introduction 40

5.1 Discussion of findings 5.1.1 Demographic Characteristics of Respondents 40

5.1.2 Roles played by Decentralization in regard to Health Service Delivery in Mukono District

Local Government 41

5.1.3 Challenges faced by decentralised system in health service delivery in Mukono District

Local Government 42

5.2 Conclusions 43

5.3 Recommendations 43

5,4 Areas for further research 44

REFERENCES 45

APPENDICES 49

APPENDIX I: QUESTIONNAIRE 49

APPENDIX Ii: TABLE FOR DETERMINiNG SAMPLE SIZE FROM A GIVEN

POPULATION 53