Woreda Level Decentralization and Assesment of Health Service Delivery: The Case of Midakegni Woreda, Oromia National Regional State
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Date
2018-02
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Addis Ababa University
Abstract
Decentralized service deliver:v refers In the mode in which sel1' ;ce de/ivel~v is done through
de/ego/ion and devo/ulion ~f power frum cenler 10 local governments where by eJliciel1cy and
eifixliveness are likely 10 be achieved. the general purpose of this sludy is 10 assess Ihe impaCI
of Woreda Level Decenlralizalion on heallh service provisions qualily and qllanlily and 10
examine Ihe impaci oflhe decenlralized legal, polilical, adminislralive, financial and stakeholder
parlicipalion on healrh service delivery in Mida Kegn Mida Kegn Woreda, Wesl Shoa Zone of
the Oromia National Regional Slate.
To explore the impaci of Woreda Level Decentralization on health services delivery mixed
research approach was employed. Data were collected from Regional Health Bureau, Zonal
Health office, Woreda Health Offices, Health centers, Health center Directors, health experts ,
kebele managers and beneficiaries through questionnaire, interviews and document analysis.
The study found that local communities have participated in health services delivery mainly in
identifYing local problems, planning, management, monitoring, control and evaluation of their
also found that there has been weak and incoherent vertical or horizontal coordination between
the health institutions.
In order to manage and sustain decentralization for effective delivery of health services, strong
capacities in resources (hwnan,finance and institutions) and active participation are mandatory.
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Law