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Perceived Public Participation and Health Delivery in Local Government Districts in Uganda

Author

Listed:
  • Alex Kihehere Mukiga

    (Centre for Development Support, University of Free State, Bloemfontein 9300, South Africa)

  • Evans Sakyi Boadu

    (School of Governance, University of the Witwatersrand, Johannesburg 2050, South Africa
    School of Sustainable Development, University of Environment and Sustainable Development (UESD), Somanya 00233, Ghana)

  • Tayebwa Edson

    (Department of Surgery, Mbarara University of Science and Technology, Mbarara 1410, Uganda)

Abstract

Citizen participation is a crucial aspect of the national health system, empowering individuals to contribute to improving local health services through Health Committees (HCs). HCs promote the participation of citizens in the delivery of primary healthcare services. The study explores the perceptions of citizen participation in the context of the Ruhama County Ntungamo local government area, Uganda. This study aims to understand the impact of HCs on healthcare service delivery. Using a qualitative approach of inquiry grounded in thematic analysis and rooted in principal–agent theory in a single case study, this study examined citizens’ participation in the delivery of a local healthcare service. The study is based on interviews with 66 participants comprising health workers, patients, residents, health administrators, local councillors, and HC members. The findings reveal a notable absence of a health committee in healthcare delivery in Ruhama County. The absence is attributed to a need for a formalised citizen participation structure in managing health facilities and service delivery. It raises concerns about the limited influence of citizens in shaping healthcare policies and decision-making processes. The study recommends the incorporation of health committees into the local health systems to enhance participation and grant communities greater influence over the management of health facilities and service delivery. Incorporating health committees into local health systems strengthens citizen participation and leads to more effective and sustainable healthcare services aligned with people’s needs and preferences. Integrating health committees within Itojo Hospital and similar facilities can grant citizens a meaningful role in shaping the future of their healthcare.

Suggested Citation

  • Alex Kihehere Mukiga & Evans Sakyi Boadu & Tayebwa Edson, 2024. "Perceived Public Participation and Health Delivery in Local Government Districts in Uganda," IJERPH, MDPI, vol. 21(7), pages 1-23, June.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:7:p:820-:d:1420604
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    References listed on IDEAS

    as
    1. World Bank, 2015. "World Development Indicators 2015," World Bank Publications - Books, The World Bank Group, number 21634.
    2. Ellen Haustein & Peter C. Lorson, 2023. "Co-creation and co-production in municipal risk governance – A case study of citizen participation in a German city," Public Management Review, Taylor & Francis Journals, vol. 25(2), pages 376-403, February.
    3. Isioma Ile & Evans Sakyi Boadu, 2018. "The Politics of Youth Participation in Social Intervention Programmes in Ghana: Implications for Participatory Monitoring and Evaluation (PM&E)," Journal of Reviews on Global Economics, Lifescience Global, vol. 7, pages 913-925.
    4. Michela Franchini & Massimiliano Salvatori & Francesca Denoth & Sabrina Molinaro & Stefania Pieroni, 2022. "Participation in Low Back Pain Management: It Is Time for the To-Be Scenarios in Digital Public Health," IJERPH, MDPI, vol. 19(13), pages 1-18, June.
    Full references (including those not matched with items on IDEAS)

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