Good Governance and Performance of Health Centers in Local Governments of Uganda: A case of Ndejje Health Centre IV, Wakiso District Local Government

Abstract

Introduction: The study examined the relationship between governance and performance of health centers in Local Governments of Uganda, taking a case of Ndejje Health centre IV. Specifically, the study examined the relationship between citizen participation; transparency; and accountability on the performance of Ndejje health center IV. Methodology: The study adopted a cross sectional survey research design that employed both qualitative and quantitative approaches. Data was collected using a structured questionnaire, an interview guide and documentary review check list. Whereas quantitative data was analyzed using descriptive and inferential statistics, qualitative data was analyzed using content analysis and thematic methods. Findings: The study established that there was significant positive relationship between citizen participation and the performance of Ndejje health center, that there is a significant positive relationship between transparency and the performance of Ndejje health center and finally that there is a significant positive relationship between accountability and the performance of Ndejje health center. Conclusion: The study concludes that citizen participation as a component of governance is essential for making effective health care a reality. It is necessary for improving the quality health-care service delivery and aligning systems for improvements to occur. Involvement of stakeholders improves planning as health policies are tailored to what really matters for them in health service provision. Recommendations: The study recommends for MOH enhances capacity building among the citizens to be able assess health systems with a governance module for the assessment of governance in the health system into either rules-based or outcome-based indicators or topics essential for key health sector governance.