Assessment on challenges of good governance in health centers of jijiga: a case of karamara public hospital in Somali regional state
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Date
2019-06
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Addis Ababa University
Abstract
This study was conducted to assess the challenges that health centers of Jijiga are facing on good governance practices by taking the variables responsiveness and transparency. Provision of effective, efficient and quality service to the clients or users is an indication of improving good governance practices. For this rationale, the Karamara general public hospital was purposively selected. A total of 445 set of questionnaires were distributed to both in-patients and out-patients of the hospital, the number of questionnaires used for data analysis was 384 with probability simple random sampling technique of the respondents from the selected hospital of Jijiga city. In order to gather the necessary data from the sample respondents, questionnaire and interview were used as data collection tools. In this regard descriptive statistics of central tendency with mean, percentages were employed to analyze the data obtained via questionnaire. Both qualitative and quantitative data analysis techniques were used accordingly. The findings of the study show that there is lack of accessibility of information, limited Capacity (competence) of the hospital towards human power, lack of sufficient capacity of the hospital to handle all the patients, increasing number of patients year after year, shortage of material resources, administrative, financial and political challenges, lack of openness and low satisfaction from the service users and irresponsiveness are considered the main hindrances‘ of good governance in the city in general and the selected public hospital in particular. Thus, generally the research outcome indicates: assessment of needs and demands of the society, installation of Hospital management system, improving attitudes and skill of staff through leadership, training and commitment is pertinent to responsiveness and transparency of the hospital.
Description
A thesis submitted to Addis Ababa university, faculty of business & economics department of public administration and development management in partial fulfillment of the
Requirements for the award of a master’s degree in
Public management & policy
Keywords
Challenges of good governance, Health service provision, Transparency and responsiveness