IMPACT OF SHARED HEALTH SERVICES ON SERVICE QUALITY AT HEALTH CENTRES IN KAMPALA CAPITAL CITY AUTHORITY (KCCA)

Abstract

The study aimed to assess whether sharing of health services improved service quality in health centers in
Kampala Capital City Authority (KCCA). With multi-stage sampling, data was gathered by face to face interviews,
via translators from residents in the five divisions of KCCA, using a questionnaire. Schedules were made with
Local Council I chairmen, and support to fill in the questionnaire was given to the respondents. The statistical
methods used for analysis included a Chi-square, Spearman correlations and hierarchical regression.
The study found that regarding tangibility, sharing health services significantly determines the number of
modern medical equipments (p=0.000) and the number of medical personnel that had a neat and professional
appearance (p=0.000) but did not determine the number of visually appealing health facilities (p=0.386).
Recentralizing health care changed the mode of delivery. Health workers were responsive, reliable and provide
better care for patients. There was increased availability of basic medical equipment, and health workers
were neater in appearance with increased confidence and hence were better able to provide for the safety
of residents.