Woreda Level Decentralization andassesment of Health Service Delivery: the Case of Midakegni Woreda, Oromia National Regional State
No Thumbnail Available
Date
2018-02
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Ababa University
Abstract
Decentralized service delivery refers to the mode in which service delivery is done through
delegation and devolution of power from center to local governments where by efficiency and
effectiveness are likely to be achieved. The general purpose of this study is to assess the impact
of Woreda Level Decentralization on health service provisions quality and quantity and to
examine the impact of the decentralized legal, political, administrative, financial and stakeholder
participation on health service delivery in Mida Kegn Mida Kegn Woreda, West Shoa Zone of
the Oromia National Regional State.
To explore the impact 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 (human, finance and institutions) and active participation are mandatory.
Description
Keywords
Woreda Level Decentralization