The effect of decentralization on quality of health care service delivery at local level in Addis Ababa: the case of Kirkos sub-city
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Date
2020-06
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A.A.U
Abstract
The main objective of this study was to examine the effect of Decentralization on Quality of Health Care Service Delivery in Kirkos Sub-city, Addis Ababa. The study used an explanatory research design and employed only quantitative data. Both primarily and secondary sources of data were applied. Data were collected from 189 respondents selected through convenience sampling technique. Descriptive statistical, correlation and multiple regressions are used in analyzing the data collected. The findings reviled that all the independent variables (institutional health care framework development, Financial health care framework development, accountability health care framework development, Health care Capacity Development Frame work, Health care Communications and Coordination frame work) have a statistically significant effect on the dependent variable (quality of health care service delivery). Based on the findings, the possible recommendations are Health centers should give much emphasis for essential capacity at health care frameworks required for efficient and effective decentralized health service delivery and budget allocation can be alleviated by allocation of budget based on office requirement and plan.
Description
A Thesis Submitted to the Department of Public Administration and Development Management of Addis Ababa University in Partial Fulfillment of the Requirements for the Degree of Masters in Public Management and Policy (MPMP)
Keywords
Decentralization, Quality of health care, financial health care framework and accountability framework, Institutional health care framework