IDEAS home Printed from https://ideas.repec.org/a/bcp/journl/v5y2021i09p594-602.html
   My bibliography  Save this article

Decentralization and Service Delivery in the Health Sector of Kakanju Sub-County, Bushenyi District Local Government

Author

Listed:
  • Patience Kushaba

    (School of Graduate Studies and Research, Team University, Plot 446, Kabaka Ajagara.rd., Kampala-Uganda)

  • Dr. Henry Noel

    (School of Graduate Studies and Research, Team University, Plot 446, Kabaka Ajagara.rd., Kampala-Uganda)

Abstract

The study examined the relationship between decentralization and quality of service delivery in health sector of Kakanju Sub-County in Bushenyi District Local Government. The study was guided by the following specific objectives; relationship between accountability and quality of service delivery in health sector of Kakanju Sub-County, relationship between transparency and quality of service delivery in health sector of Kakanju Sub-County Local Government, and relationship between local participation in decision making and quality of service delivery in health sector of Kakanju Sub-County Local Government in Bushenyi district. The study adopted descriptive, correlational and cross sectional survey designs and a sample size of 384 respondents including LCIII Chairperson, Sub-County Chief/SAS, CDO, Local Councilors and community members who were selected using simple random and purposive sampling techniques. Data was collected using structured questionnaires and structured interviews. The data was analyzed using correlations and regression analysis to analyze and measure the degree of relationship between accountability, transparency, local participation in decision making and quality of service delivery and was run using SSPS Version 16.0. The major findings of the study revealed that there is a significant positive relationship between accountability and service delivery in health sector and accountability was a predictor of service delivery in health sector. Likewise, a significant positive relationship was observed between transparency and service delivery in health sector where transparency was seen to be a predictor of service delivery in health sector. Further still, the relationship between local participation in decision making and service delivery in health sector showed a significant positive relationship. In conclusion, transparency, accountability and local participation in decision making as dimensions of decentralization, determine service delivery in health sector of Kakanju Sub-County Local Government in Bushenyi District Local Government. The study recommends, therefore, there is need to strengthen the local governance structures to better understand and perform their roles, responsibilities and ensure accountability. There is need to promote transparency and systems that recognize participation, to incentivize citizens to take part actively in social and community health programs such as societies and associations, and mass immunization campaigns. The local communities should be at the core of the service delivery system by receiving the services and participating in designing of the agenda for public service delivery.

Suggested Citation

  • Patience Kushaba & Dr. Henry Noel, 2021. "Decentralization and Service Delivery in the Health Sector of Kakanju Sub-County, Bushenyi District Local Government," International Journal of Research and Innovation in Social Science, International Journal of Research and Innovation in Social Science (IJRISS), vol. 5(09), pages 594-602, September.
    • Handle: RePEc:bcp:journl:v:5:y:2021:i:09:p:594-602
    as

    Download full text from publisher

    File URL: https://www.rsisinternational.org/journals/ijriss/Digital-Library/volume-5-issue-9/594-602.pdf
    Download Restriction: no
    File URL: https://rsisinternational.org/virtual-library/papers/decentralization-and-service-delivery-in-the-health-sector-of-kakanju-sub-county-bushenyi-district-local-government/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Francis, Paul & James, Robert, 2003. "Balancing Rural Poverty Reduction and Citizen Participation: The Contradictions of Uganda's Decentralization Program," World Development, Elsevier, vol. 31(2), pages 325-337, February.
    2. Okidi, John A. & Guloba, Madina, 2006. "Decentralization and development: Emerging issues from Uganda's experience," Occasional Papers 93810, Economic Policy Research Centre (EPRC).
    3. Steiner, Susan, 2006. "Decentralisation in Uganda: Exploring the Constraints for Poverty Reduction," GIGA Working Papers 31, GIGA German Institute of Global and Area Studies.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Lessmann, Christian & Markwardt, Gunther, 2012. "Aid, Growth and Devolution," World Development, Elsevier, vol. 40(9), pages 1723-1749.
    2. Nicol, Alan & Odinga, W., "undated". "IWRM [Integrated Water Resources Management] in Uganda - progress after decades of implementation," Papers published in Journals (Open Access) H047822, International Water Management Institute.
    3. Nabukeera Madinah & Ali Boerhannoeddin & Raja Noriza Binti Raja Ariffin & Bwengye Michael, 2015. "Recentralization of Kampala City Administration in Uganda," SAGE Open, , vol. 5(3), pages 21582440155, July.
    4. Independent Evaluation Group, 2008. "Decentralization in Client Countries : An Evaluation of World Bank Support, 1990-2007," World Bank Publications - Books, The World Bank Group, number 6543.
    5. David Baguma, 2017. "Water Management and Child Health: a Cross-Country Comparison from 1950 to 2010," Journal of the Knowledge Economy, Springer;Portland International Center for Management of Engineering and Technology (PICMET), vol. 8(3), pages 845-858, September.
    6. Hao Chen & Yaying Xu & Evelyn Agba Tackie & Isaac Ahakwa, 2024. "Assessing the Impact of Asset-Based Community Development Approach on Rural Poverty Alleviation in Ghana: The Moderating Role of Government Policies," SAGE Open, , vol. 14(1), pages 21582440231, January.
    7. Khan, Qaiser & Faguet, Jean-Paul & Ambel, Alemayehu, 2017. "Blending Top-Down Federalism with Bottom-Up Engagement to Reduce Inequality in Ethiopia," World Development, Elsevier, vol. 96(C), pages 326-342.
    8. Michael Bernard Kwesi Darkoh & Mary Njeri Kinyanjui, 2015. "Industrialization and Rural Development in the Anglophone African Countries," Journal of Developing Societies, , vol. 31(3), pages 358-384, September.
    9. World Bank Group, "undated". "Africa's Pulse, No. 14, October 2016," World Bank Publications - Reports 25097, The World Bank Group.
    10. World Bank, 2010. "Uganda - Environmental Sanitation : Addressing Institutional and Financial Challenges," World Bank Publications - Reports 2882, The World Bank Group.
    11. Hickey, Sam, 2005. "The politics of staying poor: exploring the political space for poverty reduction in Uganda," World Development, Elsevier, vol. 33(6), pages 995-1009, June.
    12. Okojie, Christiana, 2009. "Decentralization and public service delivery in Nigeria," NSSP working papers 4, International Food Policy Research Institute (IFPRI).
    13. Stroh, Alexander, 2007. "Crafting Political Institutions in Africa. Electoral Systems and Systems of Government in Rwanda and Zambia Compared," GIGA Working Papers 43, GIGA German Institute of Global and Area Studies.
    14. Dewachter, Sara & Holvoet, Nathalie & Kuppens, Miet & Molenaers, Nadia, 2018. "Beyond the Short versus Long Accountability Route Dichotomy: Using Multi-track Accountability Pathways to Study Performance of Rural Water Services in Uganda," World Development, Elsevier, vol. 102(C), pages 158-169.
    15. Faguet, Jean-Paul & Sánchez, Fabio, 2008. "Decentralization's Effects on Educational Outcomes in Bolivia and Colombia," World Development, Elsevier, vol. 36(7), pages 1294-1316, July.
    16. Elliott Green, 2013. "The Rise and Fall of Decentralization in Contemporary Uganda," WIDER Working Paper Series wp-2013-078, World Institute for Development Economic Research (UNU-WIDER).
    17. Nunan, Fiona, 2006. "Empowerment and institutions: Managing fisheries in Uganda," World Development, Elsevier, vol. 34(7), pages 1316-1332, July.
    18. McCourt, Willy, 2013. "Models of public service reform : a problem-solving approach," Policy Research Working Paper Series 6428, The World Bank.
    19. Rose Pinnington, 2024. "To go with or against the grain? Politics as practice in the Budget Strengthening Initiative, Uganda," Global Policy, London School of Economics and Political Science, vol. 15(S4), pages 71-83, July.
    20. Antonio N. Bojanic, 2018. "The Impact of Fiscal Decentralization on Accountability, Economic Freedom, and Political and Civil Liberties in the Americas," Economies, MDPI, vol. 6(1), pages 1-20, February.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:bcp:journl:v:5:y:2021:i:09:p:594-602. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Dr. Pawan Verma (email available below). General contact details of provider: https://rsisinternational.org/journals/ijriss/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.