Assessment of Institutional Capacity in the Implementation of Health policy: the Case of Bishoftu City Health Office/General Hospital
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Date
2016-10
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Addis Ababa University
Abstract
The objective of this paper is to investigate the institutional capacity of health in the
implementing national policy of EthThe objective of this paper is to investigate the institutional capacity of health in the
implementing national policy of Ethiopian Health, in case of Bishoftu town. Survey questionnaire
was administered for 133 sample respondents that were selected using multistage cluster sampling . In
doing this, both qualitative and quantitative data were used in order to explore and describe the
capacity of local government in Bishoftu town. The study found out that despite the commitment
of the government to implement the policy in all tiers of health institution, the government failed
to effectively institutionalize the national policy in the local government in the way that could
respond to the users need. As such health institutions in the Town have failed to address the
problem of health service delivery due to a number of capacity challenges and problems in their
jurisdiction. The health institution in Bishoftu town suffer from limited institutional capacity such
as shortage of human resource professionals and experts; lack of adequate material resource
such as finance, office equipment’s and building for permanent office; limited policy knowledge
and understanding, lack of institutional experience are among the capacity problems faced by
the governments in the town in discharging their responsibilities. This in turn resulted in poor
quality service to the community in general. In order to improve the capacity of the actor in the
town government must consider and reconsider the local levels in the national policy and
establish strong institution at the grass root level to make the service more responsive to the
community.
Key words: Institutional Capacity, Institution, Health Policy and Policy Implementationiopian Health, in case of Bishoftu town. Survey questionnaire
was administered for 133 sample respondents that were selected using multistage cluster sampling . In
doing this, both qualitative and quantitative data were used in order to explore and describe the
capacity of local government in Bishoftu town. The study found out that despite the commitment
of the government to implement the policy in all tiers of health institution, the government failed
to effectively institutionalize the national policy in the local government in the way that could
respond to the users need. As such health institutions in the Town have failed to address the
problem of health service delivery due to a number of capacity challenges and problems in their
jurisdiction. The health institution in Bishoftu town suffer from limited institutional capacity such
as shortage of human resource professionals and experts; lack of adequate material resource
such as finance, office equipment’s and building for permanent office; limited policy knowledge
and understanding, lack of institutional experience are among the capacity problems faced by
the governments in the town in discharging their responsibilities. This in turn resulted in poor
quality service to the community in general. In order to improve the capacity of the actor in the
town government must consider and reconsider the local levels in the national policy and
establish strong institution at the grass root level to make the service more responsive to the
community.
Key words: Institutional Capacity, Institution, Health Policy and Policy Implementation
Description
Keywords
Institutional capacity, Institution, Health Policy and Policy implementation