Subgranting And Effectiveness of Health Projects; A case Of Aids Relief Services-Nsambya in Kampala District, Uganda

ABSTRACT 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, crosssectional and expos-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; 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 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.

 TABLE OF CONTENTS

PRELIMINARIES

DECLARATION A I

DECLARATION B II

APPROVAL III

DEDICATION IV

ACKNOWLEDGEMENT V

ABSTRACT VI

TABLE OF CONTENT VII

ACRONYMS X

LIST OF TABLES XI

LIST OF FIGURES XII

Chapter Page

One THE PROBLEM AND ITS SCOPE 1

Background of the Study 1

State ment of the Problem 3

Purpose of the Study 4

Research Objectives 4

Research Questions 4

Scope 5

Significance of the Study 6

Operational Definitions of Key Terms 7

Two REVIEW OF RELATED LITERATURE 9

Concepts, Ideas, Opinions from Authors/Experts 9

Theoretical Perspectives 15

Related Studies 15

Three METHODOLOGY 29

Research Design 29

Research Population 29

Sample Size 29

Sampling Procedure 30

Research Instrument 31

Reliability 31

Validity 32

Data Gathering Procedures 32

Data Analysis 33

Ethical Considerations 34

Limitations of the Study 34

Four DATA INTERPRETATION, PRESENTATION AND ANALYSIS 36

Demographic profile of the respondents 36

Level of successful Subgranting management 39

Levels of effectiveness of health projects 43

Relationship between subgranting and effectiveness of Health

projects 55

Five FINDINGS AND RECOMMENDATIONS 57

Introduction 57

Summary findings 57

Conclusion 58

Recommendations 59

Area for further research 61

References 62

Appendices 67

Appendix I A - Transmittal Letter from CHDR 67

APPENDIX lB - Transmittal Letter for the Respondents 68

Appendix II - Clearance from Ethics Committee 69

Appendix III - Informed Consent 70

Appendix IVA - Demographic characteristics of the respondents 71

Appendix IVB-Questionnaires to determine the level of successful

subgranting in health projects 72

Appendix IVC-Questionnaires to determine the effectiveness of Health

projects 73

Appendix V - Sample size determination 76

APPENDIX IX: Sketch map showing the location of the study area 77

Researcher~s Curriculum Vitae 78