Administrative Decentralisation and Health Service Delivery in Ibanda District Local Government, Uganda

  • Happy Herbert Mayanja Teams University
  • Doreen Akunda Teams University
Keywords: Health Service Delivery, Quality, Accessibility, Coverage
Share Article:


While research on public service delivery in the Ibanda administrative area is abundant, there is a notable dearth of studies addressing the shortcomings in public health services. This investigation is specifically concerned with examining the influence of governance on the quality and accessibility of public health services in Ibanda District, as well as the impact of administrative decentralization on these services. A cross-sectional research design was employed for this study, involving data collection from 574 participants through self-administered surveys and interviews. Quantitative data were subjected to descriptive and inferential statistical analysis, while qualitative data underwent content analysis. The study's findings and conclusions reveal a positive correlation between governance and the quality of public health services, as well as a favorable association between governance management and these services. Additionally, administrative management was found to have a positive impact on public health services. Consequently, the study offers recommendations for the central government, urging consistent vigilance in supporting district performance and allocating adequate resources for drug distribution and medical equipment to bolster healthcare within the district. Furthermore, the study advocates for a continued emphasis on effective administration, encouraging public involvement in decision-making processes, open communication through public hearings, and grassroots participation in financial planning, all aimed at enhancing public health services. In conclusion, this study underscores the need for greater attention to public health services within the Ibanda administrative area, as it contributes to the existing body of research on public service delivery


Download data is not yet available.


Amin, M.E. (2005) Social Science Research: Conception, Methodology and Analysis. Makerere University Press, Kampala.

Anokbonggo, W. W., Ogwal-Okeng, J. W., Obua, C., Aupont, O., & Ross-Degnan, D. (2004). Impact of decentralisation on health services in Uganda: a look at facility utilisation, prescribing and availability of essential drugs. East African Medical Journal, S2-7.

Creswell, J. W. (2014). Research Design: Qualitative, Quantitative and Mixed Methods Approaches (4th ed.). Thousand Oaks, CA: Sage

Creswell, J.W. (2003) Research Design: Qualitative, Quantitative, and Mixed Method Approaches. Sage Publications, Thousand Oaks

Hinchcliff, R., Greenfield, D., Moldovan, M., Westbrook, J. I., Pawsey, M., Mumford, V., & Braithwaite, J. (2012). Narrative synthesis of health service accreditation literature. BMJ quality & safety, 21(12), 979-991.

Kothari, C.R. (2004) Research Methodology: Methods and Techniques. 2nd Edition, New Age International Publishers, New Delhi

Ministry of Health (1999). Uganda National Health Policy National Health Policy.

MOH (2005). Facing the Health System and Implications for Educational Reform.

Mollah, A. S. (2007). Testing weak-form market efficiency in emerging market: evidence from Botswana Stock Exchange. International Journal of Theoretical and Applied Finance, 10(06), 1077-1094.

Mollah, M. A. H. (2007). Administrative decentralisation in Bangladesh: Theory and practice. International Journal of Organization Theory & Behavior, 10(1), 1-34.

Muriisa, R. K. (2008). Decentralisation in Uganda: prospects for improved service delivery. Africa development, 33(4).

O’Leary, Z., & Hunt, J. (2016). Workplace research. (Vols. 1-0). SAGE Publications Ltd,

Ondoa, C. J., Basheka, B. C., & Basaasa, M. M. (2013). Institutional dynamics and health service delivery in regional referral hospitals in Uganda: What lessons from a case of Jinja Regional Hospital? African Journal of Governance and Development, 2(1), 40-56.

Peters, K., & Kashima, Y. (2007). From social talk to social action: shaping the social triad with emotion sharing. Journal of personality and social psychology, 93(5), 780.

UBOS (2006). 2006 Uganda Demographic and Health Survey

Villadsen, S., & Lubanga, F. (1996). Democratic decentralisation in Uganda: A new approach

World Health Organisation (2010). World Health Statistics 2010.

World Health Organisation (2018). Delivering Quality Health Services: A Global Imperative for Universal Health Coverage.

Yin, R.K. (2013) Case Study Research: Design and Methods. Sage Publications, Thousand Oaks.

24 October, 2023
How to Cite
Mayanja, H., & Akunda, D. (2023). Administrative Decentralisation and Health Service Delivery in Ibanda District Local Government, Uganda. East African Journal of Health and Science, 6(1), 450-459.