The Assessment Of Provision Of Health Services In Government Hospitals: A Case Of Dodoma Regional Referral Hospital

ABSTRACT

Assessment of provision of health services in government hospitals is a study that was conducted at Dodoma Regional Referral Hospital as a study case, and it was mainly focused on assessing various aspects associated with the general provision of health services and the way clients of such services perceived. Perceptions of health service providers about non-salary incentives they receive from the government and managerial capacity in ensuring the provision of reliable health service. A sample of 90 (ninety) respondents was used and these were randomly obtained from Dodoma Regional Referral Hospital. The methods used in data collection were interviews, questionnaire, documentary review and focus group discussion. The statistical package for social science (SPSS Version 21) was used for management of data and analysis. The study reveals that health provision practices are done through two service provision options namely fast track and non fast track. The study also unveils that the former option is delivered in relatively high quality than the latter. Besides, this analysis further divulges that some service providers prefer fast track more than non fast track service because it has been found that service providers are given some incentives from the money that patients pay for the fast track service. The perceptions of service providers on non salary incentives showed that all workers are not satisfied with the currently provided incentives. In addition the study revealed that managerial capacity for the administrative organ for Dodoma Regional Referral Hospital has not been able to discover and hence execute disciplinary measures to any worker for a long period of time which indicates low managerial capacity in handling service provision malpractices. Given these findings, the study recommends that the government increases subsidies to hospitals which provide fast track service so that the costs associated with providing such service be reduced and increase an opportunity for more people to receive fast track service.