| dc.description.abstract | The study aimed at assessing the effectiveness of
decentralization in health service delivery in Mpigi District
a case of Buwama Health Centre III in Buwama Sub County. The
study objectives were; To find out how the delegation of
hospital administration has led to access to drugs in Buwama
Sub County; To evaluate how fiscal decentralization has led to
delivery of health services in Buwama Sub County and to assess
how the devolution of authority on decision making has led to
health facility utilization in Buwama Sub County.
The study employed a case study design approach using
qualitative research paradigm in which data was collected from
30 (thirty) respondents using questionnaires, and interviews
The study found out that Even though decentralization has
faced challenges in Buwama Sub County characterized by
shortage of drugs and limited infrastructure, overall the
researcher concludes that decentralization policy has had a
number of positive effects in the delivery of health services
in Mpigi District. This is based on the fact that health
centers are beginning to be self-sustaining through fiscal
decentralization, in that they can generate their own revenue
for operations. Furthermore devolution and delegation have
enabled important decisions to be made quicker such as
purchase of health needs, recruitment of staff for the health
centers and involvement of the local community in decision
making.
It was recommended that Fiscal decentralization should be
enhanced in order to increase on the revenue generated at
local government health facilities if sustainability is to be
realized. It was also recommended that monitoring of health
workers activities and attendance needs to be addressed. For
instance by availing an attendance registers and punishing
absenteeism. This will ensure the local population have better
health care | en_US |
