| dc.description.abstract | The study examined the effect of citizen participation on the performance of health centres in
Wakiso district in Uganda taking the case of selected HCs in Nansana Municipality. This
study was motivated by concerns about poor accountability and misappropriation of public
resources like medicines that was perhaps occasioned by inadequate participation of citizens
in healthcare activities. This study investigated the following objectives: to examine the
effect of participatory planning on the performance of Nansolo, Nabweru and Nakuule HCs;
to determine the effect of participatory implementation on the performance of Nansolo,
Nabweru and Nakuule HCs; and to examine the effect of participatory monitoring and
evaluation (M & E) on the performance of Nansolo, Nabweru and Nakuule HCs in Nansana
MC, Wakiso district. The study adopted the case study research design with survey strategy
covering a sample of 112 respondents using documentary review, interview, questionnaire
survey and focus group discussion methods. The study found a very strong and positive
correlation between participatory planning and performance of Health Centres (HC) and
participatory implementation and performance of Health Centres (HC) while correlations
between participatory monitoring and evaluation was found to be moderately strong.
Regression results indicated statistically significant relationships between the variables. The
study concluded that in order to achieve enhanced HC performance, citizens should
meaningfully participate in the entire healthcare planning process, implementation and M &
E of healthcare activities. The study recommended that the Ministry of Health (MoH), Civil
Society Organizations (CSO) and Non-governmental Organizations (NGO) should develop
the capacity of HC staff in participatory approaches to healthcare service delivery; the
Municipal Public Health Officer, CSOs and NGOs should increase citizen awareness and
sensitize them on participation in healthcare activities, conduct M & E, produce scorecards,
arrange public hearings and barrazas not only to provide citizens with vital information but
also to receive their views and reactions. | en_US |
