Woreda Level Decentralization and Assesment of Health Service Delivery: The Case of Midakegni Woreda, Oromia National Regional State

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Addis Ababa University


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.