Paper ID: TAGJ30072514

The Contribution of Community Participation in Planning of Health Service Delivery in Mbarara City

Mugabe Arthur Kanyonyi, Fred Sheldon Mwesigwa, Robert Turyamureeba

Faculty of Business, Economics, and Governance (FBEG)

Bishop Stuart University, Uganda.

Abstract

This study investigates the contribution of community participation in the planning of health service delivery in Mbarara City, Uganda. Community participation is recognized as a vital component of effective health governance, enhancing the relevance and responsiveness of health services to local needs. Despite the decentralization of health services in Uganda, Mbarara City faces significant challenges, including drug shortages, inadequate waste management, and high rates of child and maternal mortality. This research employs a mixed-methods approach, utilizing both qualitative and quantitative data from a sample of 210 respondents, including community members and health officials. The findings reveal a weak positive correlation (r = 0.469, p < 0.01) between community participation in planning and health service delivery, indicating that increased community involvement is associated with improved health outcomes. The study underscores the importance of inclusive planning processes that empower community members and enhance accountability in health service delivery.  The study recommends the establishment of policies mandating community involvement in health planning and the development of participatory frameworks to guide health institutions in engaging with local populations effectively.

Key Words: Community Participation, Health Service Delivery, Mbarara City, Uganda, Decentralization, Mixed-Methods Research.

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