Provision of Health Care Facilities and Services in Ojwina Division Lira Municipality

Abstracts

The study was carried out in Ojwina division, Lira municipality with an aim of assessing the extent to which local government has succeeded in the provision of health care facilities and services.

The general objective was to assess the extent to which local government has succeeded in the provision of health care facilities and services. The specific objectives were however, to investigate the role of local government in the provision of health care facilities and services in Ojwina division, to identify challenges in health services provision and identify strategies to enhance improved health service delivery respectively. Qualitative method of data collection used was structured interviews and interview guide for both key informants and focused group discussions.

The target population was purposively selected from Ojwina division.

The findings included lack of land for expansion, no lighting provision at the health centre, conflict between the health centre in charge and some councilors, lack of transport, untimely release of funds, inadequate drug supply and some facilities like beds lacking.

The recommendations made to the District Health Authorities included urgent and immediate provision of lighting, improved transport system and availability of land.

TABLE OF CONTENTS

CHAPTER ONE

Introduction

1.0 Background information 1

1.1 The theoretical background 4

1.2 Statement ofthe problem 6

1.3 Research objectives 7

1.4 Specific objectives 7

1.5 Research questions 7

1.6 Scope ofthe study 8

1.7 Significance ofstudy 8

CHAPTER TWO

LITERATURE REVIEW

2.0 Social services 9

2.1 Types ofsocial services 9

2.11 Social couselling 9

2.1.2 Domiciliary services 9.

2.1.3 Personal assistance 10

2.1.4 Respite care ~10

2.1. SDay care centre and week care centre 10

2.1.6 Stays in homes for the elderly and homes for the people with learning disabilities 10

2.1. 7Protected and supported housing 11

2.1.8 Early interventin services 11

2.1.9 Shelter services 11

2.1.10 Half-way houses 12

2.1.llHostels 12

2.1.12 Emergency assistance (including crisis beds) 12

2.1.13 Outreach programmes 12

2.1.14 Low-threshold servicesfor children and minors 13

2.1.15 Services in contact centres for drug addicts 13

2.1.16 Therapeutic communities 14.

2.2 How are social services related to health services 14

2.3 Health service delivery at National level,.,,.. - ~ 14

2.4 Healthcare facilities and services in the decentralized setting 15

2.5 Roles and responsibilities oflocal governincut in the provision ofhealth care facilities and services 18

2.6 comparison ofhealth service delivery in Uganda 18

26.1 Village health services 19

2. 6.2 Dispensary services 19

2. 6.3Health centre 19

2. 6.4District hospitals 19

2.6.5 Regional hospitals 19

2.6.6 Referal/consuitant hospitals 20

2.6.7 Treatm cut abroad 20

2.6.8 Public education 20

2.6.9 Health professional training 20

2.6.10 Reproductive health 20

2.7 Health service structure at district level 21

2.8. Key areas 22

2.8.1. Setting a new vision 22

2.8.2 Resourcing health 22

2.8.3 Implementation 23

2.8.4. contracting out ofhealth care provision 24

2.9 challenges faced by local government in the provision ofhealth care facilities and services ~24

2.9.1 Managem cut 24

2.9.2 Lack ofresource 25

2.9.3 Capacity 26

2.10 Strategies that might be used to enhance improved health service deliveiy 28

2.10.1 participation 28

2.10.2 capacity building 29

2.10.3 Sensitization 30

2.10.4 Resource mobilization 31

2.11 conceptualframeivork 31

CHAPTER THREE

METHODOLOGY

3.0 Research design 33

3.1 Area ofstudy 33

3.2 Research population 34

3.3 Sample and sampling procedure 34

3.4 Research instruments 34

3.5 Validity and reliability 34

3.6 .Data analysis 34

3.7. Ethical consideration 35

3.8. Limitations 35.

CHAPTER F0UR.

4.0 lntroduction 36

4.1 Sample characteristics 36

4.2 Age37

4.3 Level ofeducation 38

4.4 Work experience 38

4.5 The role oflocal government in the provision ofhealth facilities in ojwina division..39

4.6 Challenges faced by the local government in the provision ofhealth care facilities and services 39

4.7 Strategies that might be used to enhance improved health service deliveiy in ojwina division 41

CHAPTER FIVE

5.0 Introduction 43

5.1 General recommendations 43

5.2 Conclusion 44

References 45

Appendices 48

Introductory letter 48

Questionnaire 49

Map ofLira district 53

Map ofOjwina division