Outsourcing and Service Deliver in Adjumani Hospital Adjumani Uganda

ABSTRACT 

This study on outsourcing and service delivery was carried out in adjumani hospital, Adjumani district. The study used both qualitative and quantitative research methods to collect data. Data was collected using two major research instruments, this included questionnaire and an interview guide. This was done in line with research questions or objectives; to determine the demographic characteristics of respondents in Adjumani Hospital, Position in Adjumani Hospital, to determine the level of outsourcing employed by Adjumani Hospital, to determine the extent of service delivery on the efficiency of Adjumani Hospital and to determine the relationship between outsourcing and service delivery. Study finding was analysed relying on the questionnaires and interview guide carried out on the respondents. The researcher targeted a sample of 120 respondents, however only 115 questionnaires were return. Five questionnaires were not return but this did not affect the analysis. The findings, revealed that outsourcing is still below standard in Adjumani hospital by 7L4% which reflects poor results and lost of service delivery. Although some respondents disagree that service delivery was above average, 4.3% agreed while 29~65% were neutral. This was in line with research interpretation that outsourcing would lead to a better quality service delivery. However, due to poor method used in outsourcing, service delivery is very low in Adjumani hospital.

Basing on the study findings, the study concluded that there Is need for administration In the hospital to find better avenue for outsourcing In order there to be a relationship between outsourcing and service delivery. The study basing on the above conclusion made a major recommendation for district administrators Involved In outsourcing In order to provide better service and effective service delivery In Adjumani hospital, Adjumanl district.

TABLE OF CONTENTS

Declaration A ii

Declaration B iii

Acknowledgement iv

Table of Contents v

List of Tables ix

List of Figures

Abstract x

CHAPTER ONE: THE PROBLEM AND ITS SCOPE ~1.

1.0 Introduction .......1

Li Background to the Study .~1

L2 Statement of the Problem ..~.

1.3 Purpose of Study 5

1.3.1 Specific objectives 5

1.3.2 Research questions 6

1.5 Scope of the study 6

1.5.1 Content scope 6

1.5.2 Geographical scope 6

1.5.3 Time scope 7

1.6 Significance of the study 7

1.7. Operational Definition of Key Terms

CHAPTER IWO: REVIEW OF RELATED I.ITERATURE .......................................9

2.1.

2.2 Theoretical perspective......................................................................................g

2.3 Related studies ........................................... ............. 11

2.3.1 Ouftourclng Irnplernentatlon...................................................................,......13

2.3.2 ServIce 18

2.3.3 The ef~ctlveness of outsourclng~19

2.3.4 The relationship between outsourdng and service delivery ...............................20

CHAPTER THREE: METHODOLOGY ................................................~.....,3j

3.0 IntroductIon

3.1 Research Design .....................................3l

3.8.1

3.8.2 ValIdity of the lnstrumnent...............................................................................35

3.9 AdmInIstratIon of the Instrurnent.....................................................................36

3.10 Data collection lnstrunients.............................................................................37

3.10.1 Interview Method 37

110.2 Questionnaire~37

3.11 Data gathering procedure~37

3.12 Data Analysis ...,,.,.........~.38

3.13 Anticipated Constraints I Limitations to the Study~38

3.14 Ethical Considerations~39

CHAPTER FOUR: DATA PRESENTATION, ANALYSIS AND INTERPRETATION 41

4.0 Introduction 41

4.2 Description of the independent variable: Out sourcing in line with research

question one 43

4.3 Testing of Research questions 47

CHAPTER FIVE: DISCUSSION, CONCLUSIONS AND RECOMMENDATIONS ~65

5.0 Introduction 65

5.1 Discussion 65

5.2 Conclusions 73

5.3 Recommendations 73

5.4 Areasforfurtherresearch 73

REFERENCES 74

APPENDICES 77

APPENDIX I: Questionnaire for Stakeholders, Part Time Staff, Permanent Staff . . . . .., ..77