Factors influencing the performance of both government and private health sector units in Uganda : A case study of Mbarara District

Abstract

The thesis study was aimed at the analyzing the performance of both non and governmental health sector units in Uganda, case study of Mbarara District. It was backed by the other different objectives that included: examine the effect of human resources for health on health sector performance in Mbarara District, assess the effect of health infrastructure on health sector performance in Mbarara District and establish the extent to which health care consumables affect health sector performance in Mbarara District. The researcher used mainly questionnaires, interview guides and secondary data from various annual reports of Ministry of Health and the collected data were analyzed using SPSS and Microsoft excel packages. The various conclusions were made after testing the different hypothesis to give a correct and true analysis of the performance of Health Sector units in Mbarara District. The key findings indicate that although the Health sector has tried to improve its performance in the District, Mbarara district has no enough Health Centres. Most of the areas in the district do not have health centres and more than 80% of the people in Mbarara District are not in proximity where they can reach for health services in case of an emergence in a short time and most of the people can only access private clinics and drug shops which are expensive. The findings further revealed that there are no health workers enough for the population of Mbarara District. Most of the government health centres which are mainly health centres III and IV don’t have enough health workers. The researcher recommends that: more government funding especially in the field of drugs and community health should be emphasized so as to enable the sector record some achievements and be able to get enough budget for the funding of all health needs. The government should encourage teaching subjects and courses leading to the career development of doctors so that doctors can be enough to match with the increasing population of the people especially in district away from the city centre of Mbarara. The researcher further recommends that. Emphasis should also be directed at putting in place enough infrastructures so as to house all the requirements of health like construction of enough houses and quarters and hospital blocks which will reduce congestion and improve performance in the health sector and more pay increments should be accorded to health workers as a motivation package for them to work harder and encourage others to join the sector which surely improves performance in the health sector.