Project Control System and Public Health Service Delivery in Uganda: A case Study of the Malaria Control Programme in Kabale District

Abstract

The purpose of the study was to determine the effect of project control system on public health service delivery in Uganda with particular reference to the Malaria Control Programme (MCP) in Kabale District. The specific objectives were to find out the effect of project quality control on public health service delivery, to determine the effect of project risk management on public health service delivery and to establish the effect of project resource control on public health service delivery. The study was guided by the Theory of Constraints (TOC). A case study design and cross-sectional survey were adopted under which both quantitative and qualitative methods were applied in data collection and analysis. The target sample was 99 respondents but the actual sample that participated in the study was 84 respondents. Simple random method was used to select staff in non-managerial positions of the MCP in Kabale District while purposive sampling was used to select staff in managerial positions. Quantitative data analysis mainly consisted of descriptive statistics (frequencies and percentages) and inferential statistics (Spearman correlation and regression). Content analysis was used to analyze qualitative data. Findings revealed a moderate positive significant correlation between project quality control and health service delivery, a strong positive significant correlation between project risk management and health service delivery and a moderate positive significant correlation between project resource control and health service delivery. It concluded that project quality control, project risk management and project resource control as measure of project control system play an important role in the MCP health service delivery. It is recommended to enhance health service delivery that priority should be put on project quality assurance, project risk assessment and non-financial resource control given that these significantly effected health service delivery of the MCP in Kabale in Uganda.