COMMUNITY PARTICIPATION AND HEALTH SERVICE DELIVERY IN UGANDA A CASE STUI)Y OF MAKINDYE DIVISION

TABLE OF CONTENTS

DECLARATION

APPROVAL

DEDICATION

ACKNOWLEDGEMENT iv

ABSTRACT

CHAPTER ONE 1

INTRODUCTION 1

1.0 Introduction

I Background of the study

1.1.1 Historical Perspective 1

1.1.2 Conceptual Perspective 4

1.3 Contextual Perspective 4

1.2 Statement of the Problem 5

1.3 Purpose of the Study 6

1.4 Objectives of the study 6

1.5 Research Questions 6

1.6 Scope of the Study 6

1.6.1 Time scope 6

1.6.2 Geographical Scope 7

1.6.3 Subject Scope .7

1.7 Significance ofthe study .7

1.8 Conceptual Frarnevvork 9

CHAPTER ONE 10

INTRODUCTION   10

2.0 Introcluction 10

2.1 Role of community participation in health service delivery in communities 10

2.2.1 Health service delivery 15

22 Challenges associated with community participation in service 16

2.3 Strategies for improving community participation in service delivery 19

CHAPTER THREE .23

METHODOLOGY

3.0 Introduction 23

3.1 Research design

3.2 Study Population 23

3.3 Saniple size 23

3.3.2 Sampling techniques 24

3.4 Sources of data

3.4.1 Primary Data .25

3.4.2 Secondary Data .25

3.5 Data collection tools 25

3.5.1 Questionnaire 25

3.5.2 Interview Guide 25

3.6Data Processing 25

3.7 M4easurement of variables 26

3.8.1 Data presentation and analysis 27

3.8 Data collection Procedures 27

3.9Ethical Considerations 27

3.10 Limitations and Solutions 28

CHAPTER FOUR 29

PRESENTATION, INTERPRETATION AND ANALYSIS OF FiNDINGS 29

4.0 Introduction 29

4.1 Demographic Profile ofrespondents 29

4.1.1 Findings on Gender ofrespondents 29

4.12 Findings on Age categories ofrespondents 30

4.1.3 Findings on educational qualifications ofrespondents 30

4.1.4 Findings on Marital status ofrespondents 31

4.1.5 Findings on duration respondent’s stay in Makindye division 32

4.1.6 Occupation ofrespondents 33

4.2 Role of community participation in health service delivery in communities in Makindye division 33

4.2.1 Whether community encourage others to go for immunization 34

4.2.2 Whether community members provide resources for health services 34

4.2.3 Whether community members involved in the implementation of health services 35

4.2.4 Does community members contribute ideas and tools to use in health service delivery..36

4.2.5 Do the leaders share information about health to the community in Makindye division .36

4.2.6 Does the community provide land for setting up health facilities 37

4.3 Challenges faced by the community in health service delivery in Makindye division 38

4.3.l Community does not participate in health service delivery due to low resource basis 38

4.3.2 Limited information on health service restricts community participation 38

4.3.3 Lack of knowledge on health promotion restrict community in participating in service delivery 39

4.3.4 Poor resource mobilization restricts us from participating in the health services delivery 40

4.4 Strategies for improving community participation in service delivery in Makindye division 41

4.4.1 There is community self mobilization for resources to support hospitals 41

4.4.2 The community with health information is encouraged to share it with others 41

4.4.3 Community members are widely consulted on health related issues 42

CHAPTER FiVE

SUMMARY, CONCLUSIONS AND RECOMMENDATIONS 44

5.0 Introduction 44

5.1 Summary of findings 44

5.2 Conclusions 46

5.3 Recommendations 46

5.4 Areas of further research 47

REFERENCES 48

APPENDICES 52

ABSTRACT 

The purpose of the study was to investigate the influence of community participation and health service delivery in Uganda with focus on Makindye division. The study objectives were (i) to examine the role of community participation in health service delivery in communities in Makindye division (ii)To examine the challenges faced by the community in health service delivery in Makindye division and (iii) to establish the strategies for improving community participation in service delivery in Makindye division. The study was conducted based on a descriptive research design based on quantitative data. The data collection was done using the research questionnaires which were provided to 80 respondents, they filled and provided oral answers to the respondents in the study. The study findings revealed that community participation had low contribution to health service delivery. There were a series of changes that • hindered community participation into health service delivery that included low resource ownership, low information prevalence and lack of knowledge on health services by the community. The study also established that there is need for provision of information, resource mobilization and community consultations on service delivery. The study concluded community participation had a low contribution to health service delivery coupled with low participation in health service delivery, limited information sharing and contribution of ideas and tools by community, limited resources for health. The study further conclude that the challenges faced by the community in health service delivery in Makindye division were low resources limit community contribution to resources, lack of knowledge restrict community, lack of information hinder community participation and hence community health service delivery is highly constrained and finally conclude that strategies for community resource mobilization, consultations with the community members and community information sharing in the country as suggested plus making community health monitoring are fbndamental for the management health service delivery with the community. The study recommend 1kw the need on the leadership to community health plans for the community members, the government established health services need to provide own resources but just involve the community in the resources. The study recommends that the community resources mobilization and consultations to community can be done to enhance the community work values. The study recommends that there is need for provision of mechanisms that can enhance the management of the health services by community for instance consultations for community information and suggestions to health projects in order to have them be part and partial ofthe health services.