| dc.description.abstract | Performance management system was introduced by the Ministry of public of Uganda in 2007. It
was rolled out in the health sector by the Uganda Capacity Programme (UCP) with the goal of
improving performance through enhancement of management of an individual’s performance.
Whereas some health facilities have better health facility performance outputs, others experience
poor health facility performance outputs. The purpose of this study was to establish the
contributions of performance management processes to health facility performance outputs.
The study was cross sectional, employing both qualitative and quantitative
approaches. In qualitative design, facility managers of H/C III and H/C IV were interviewed and
the responses recorded with audio recorder as well as documentation on paper. Quantitative
approach involved use of researcher developed self-administered questionnaire given to health
workers at the selected health centre IV, III and IIs. Data were analyzed with descriptive and
analytical statistical tests.
Health centre IV and IIIs conduct performance planning, planning reviewing,
performance feedback, performance appraisal and performance rewarding (performance
management processes) though poorly. Health facilities implementing performance management
processes were performing better than those without. Most health facilities had high standard
unit of output and the staff productivity at health centre IIs was higher than at health centre IIIs.
A Correlation of performance appraisal with standard unit of out showed no significant
relationship. The study findings revealed that other factors influencing health facility
performance apart from performance management were; leadership and management, medical
supplies, understaffing.
Performance management processes are implemented poorly at selected health
facilities. The facilities showed a performance disparity as reflected by the standard unit of
output. There was knowledge gap among the facility managers in the context of performance
management that needs attention if the performance of the facilities is to be revamped. Staffing
and improvement in working conditions should be given attention.
Recommendations: Facility managers should be supported by District Health Officer (DHO) for
training in performance management/ improvement, strengthen use of Health Management
Information Systems (HMIS) data at health facilities; improve on staffing and working
conditions. | en_US |
