Monitoring and evaluation of the quality of healthcare service delivery in Ntungamo district, Uganda

Judith Nahabwe — 2024-07-31

The need to discern the progress of development interventions has increased the demand for Monitoring and Evaluation (M&E) activities. In this paper, we report findings on a study that examined the impact of M&E on the quality of healthcare service delivery in Ntungamo District. The study used a cross-sectional research design where data from 213 respondents was used to draw inferences. The quantitative findings were generated through a questionnaire method and findings were supplemented by qualitative data
through interviews. The study established that the implementation type of M&E has a statistically significant positive relationship with the quality of healthcare service delivery as depicted by a correlation coefficient of r=0.308**. Also, benefi ciary type of M&E has a statistically significant positive relationship with the quality of healthcare service delivery as indicated by correlation results r=0.378**. On its part, social accountability type of M&E had a positive correlation (r=0.345**). Overall, the study demonstrates that monitoring and
evaluation has a medium impact on the quality of healthcare service delivery in Uganda. The implication of this finding is that there are other factors likely to infl uence the quality of health care delivery other than M & E. The findings appeal to contexts beyond a local government and convey that M and E is not the only factor likely to support the success of an intervention.

Potential challenges and solutions of improved opportunities and obstacles to development Tool in Tanzania local government authorities

Idda Lyatonga Swai — 2024-07-31

The improved Opportunities and Obstacles to Development (O & OD) Tool in Tanzania aimed to empower citizens in the local government authorities to develop and implement their plans without interference from the central government. The improved O&OD was designed to replace the former O&OD developed in 2001. This study aimed to examine the potential challenges of the improved O&OD tool and propose mitigation options to ensure the approach will lead to the predefined goals. The study relied on secondary sources of data where relevant sources such as O&OD manuals, the guidelines, reports and publications were reviewed to generate study findings. The study found that the potential challenges of the improved O&OD tool include insufficient information sharing, central domination of local revenues, the influence of central government priorities, the unproductive relationship between bureaucrats and the communities and the limited capacity of facilitators. The proposed solutions are timely and sufficient information sharing, close supervision for revenue sources, considerations of local priorities, passive and active participation in formal meetings, the need for consensus on setting priorities in the Community and the need to capacitate more people for facilitation. The study concludes that the participation of citizens in the planning and implementation of their priorities is low despite the opportunity provided by the government through the improved O&OD tool. The study recommended improving capacity building and dissemination of information to ensure the citizens have the right information regarding the community initiatives opportunity and its benefits to the community as a whole. In addition, the community should be encouraged to initiate their priorities and be guided by the experts to implement them.

African Journal of Governance and Public Leadership

Monitoring and evaluation of the quality of healthcare service delivery in Ntungamo district, Uganda

Potential challenges and solutions of improved opportunities and obstacles to development Tool in Tanzania local government authorities