Community Participation and Health Service Delivery in Makindye Division, Kampala Uganda

TABLE OF CONTENTS

ACKNOWLEDGEMENT

APPROVAL

DECLARATION .

iv

CHAPTER ONE 9

INTRODUCTION 9

1.0 Introduction 9

1.1 Background of the Study 9

1.1.1 Historical Perspective 9

1.1.2 Theoretical Perspective 14

1.1.3 Conceptual Perspective 15

1.1.4 Contextual Perspective 16

1.2 Problem Statement 17

1.3 Purpose of the Study 17

1.4 Objectives of the study 17

1.5 Research Questions

1.7 Scope of the Study 18

1.7.1 Geographical Scope 18

1.7.2 Content Scope 18

1.7.3 Time Scope 18

1.8 Significance of the Study 18

CHAPtER TWO 20

LITERATURE REVIEW 20

V

2.0 Introduction .20

2.1 Theoretical Review 20

2.3. Related literature review 22

2.3.1 Effect of community participation and I-Iealth service delivery 22

2.3.2 Effect of Social Inclusion on Health service delivery 24

2.3.3 Effect of Financial Protection on Health service delivery 25

2.5 Related Studies 27

2.6Research gaps 29

CHAPTER THREE 30

METHODOLOGY 30

3.0 Introduction 30

3.1 Research Design 30

3.2 Study Population 30

3.3 Sample Size 30

n=~171 30

3.4Sampling Procedure 31

3.5 Data Sources 31

The study used both primary and secondary data 31

3.5.1 Primary Data 31

3.5.2 Secondary Data 31

3.6 Data Collection Instruments 31

The study used mainly questionnaires 31

3.6.1 Questionnaire 31

vi

3.7Validity and Reliability of the instrument 32

3.7.1 Validity 32

3.8 Data Collection Procedures 33

3.9 Data Analysis 34

3.11 Ethical Considerations 34

CHAPTER FOUR 36

DATA PRESENTATION, ANALYSIS AND INTERPRETATION 36

4.0 Introduction 36

4.1 Profile of respondents 36

4.4 objective one; impact of community participation on the health service delivery 44

4.5 Objective two; the effect of social inclusion on health service delivery 45

4.6 Objective three; effect of financial protection on health service delivery 46

CHAPTER FIVE 47

DISCUSSION, CONLUSIONS AND RECOMMENDATIONS 47

5.0 introduction 47

5.1 Discussion of findings 47

5.2 Conclusions 49

5.3 Recommendations 50

5.4 Areas for further research 50

REFERENCES

SECTION A: DEMOGRAPHIC CHARACTERISTICS OF THE RESPONDENTS 56

ABSTRACT The study assessed the effect of community participation on the health service delivery in Makyindye division, Kampala Uganda. It was guided by three specific objectives, that included i) establish the impact of community participation on the health service delivery in Makyindye division, Kampala Uganda; ii) determine the effect of social inclusion on the health service delivery in Makyindye division, Kampala Uganda; iii) assessing the effect of financial protection and the health service delivery in Makyindye division, Kampala Uganda. This research employed descriptive research design to describe the variables and the questionnaire and interview guide were used as the research instruments. Descriptive statistics used in this study included frequencies, means and regression analysis on variables. The findings revealed the following: there existed a positive and significant effect of people’s mobilization capacity on health service delivery in Makyindye division Kampala Uganda, social inclusion significantly affected the health service delivery, the findings of this study proved a positive significant effect of financial protection on health service delivery in Makyindye division, Kampala Uganda. Still the conclusions were that; people’s mobilization capacity can highly increase the health service delivery in Makyindye division, Kampala Uganda, social inclusion can lead to an improvement in the health service delivery in Makyindye division Kampala Uganda, and finally financial protection significantly affectsthe health service delivery in Makyindye division, Kampala Uganda. The researcher recommended that the community resource mobilization groups in Makyindye division, Kampala Uganda should establish recruitment, deployment, and retention strategies to ensure a consistent and sustainable supply of trained health workers. They should also put in place strategies such that people living with HIV and AIDS can live a positive and productive life. The Ministry of l-Iealth should organize counseling and emotional support for people with HIV and AIDS and their families.