Contents
DECLARATION
APPROVAL I
ACKNOWLEDGEMENTS Ii
DEDICATION
LIST OF ACRONYMS v
TABLE OF CONTENTS vi
LIST OF TABLES
ABSTRACT x
CHAPTER ONE 1
INTRODUCTION 1
1.0 Introduction 1
1.1 Background to the study 1
1 .1 .1 Historical perspective 1
1 .1.2 Theoretical perspective 2
1.1 .3 Conceptual perspective 3
1.1.4 Contextual perspective s
1.2 Statement of the problem s
1.3 Purpose of the study 6
1 .4 Research objectives 6
1.5 Research questions 6
1.6 Scope of study 6
1 .6.1 Geographical scope 6
1.6.2 Content scope 7
1.6,3 Time scope 7
1.7 Significance of the study 7
1.8 Operational definition of key terms 8
CHAPTER TWO
LITERATURE REVIEW g
2.0 Introduction 9
vi
2.1 Corruption .9
2.1.1 Factors influencing corruption 10
2.1 .2Forms of Corruption in Health Sector 15
2.2 Health Care Service Delivery 17
2.2.1 Dimensions of health service deliveiy 18
2.3 Related literature 19
2.3.1 Effect of Corruption on Health Service Delivery 19
2.4 Conceptual model of Corruption in the Health Sector 20
2.5 Gaps in the literature 22
CHAPTER THREE 23
METHODOLOGY 23
3.0 Introduction 23
3.1 Research design 23
3.2 Population of the study 23
3.3 Sample size 23
3.4 Sampling techniques 24
3.5.1 Simple Random Sampling 24
3,5.2 Purposive Sampling 24
3.5 Data collection instruments 25
3.5.1 Questionnaires 25
3.6 Validity and reliability of the instrument 25
3.7 Data gathering procedures 25
3.8 Data analysis 26
3.9 Ethical considerations 26
CHAPTER FOUR 27
DATA PRESENTATION, ANALYSIS AN]) INTERPRETATION 27
4.1 Introduction 27
4.2 Respondents’ Background Information 27
4.2.1 Gender of respondents 27
4.2.2 Age of respondents 28
4.2.3 Marital status of respondents 28
4.2.4 Highest level of education of respondents 29
VII
4.2.5 Occupation of respondents .29
4.2.6 Where do you mostly get health services9 30
4.3 To assess perceptions of corruption in process of receiving health services 30
4.3.1 Clients perception of corruption 30
4.3.2 If yes, what types of corrupt practices are common in your area9 31
4.3.3 To assess perceptions of corruption in process of receiving health services 31
4.4 To determine factors driving corruption in health service delivery 32
4.5 To assess the quality or levels of health service delivery 33
4.6 The relationship between corruption and health service delivery in Buvuma District 35
4.4.2 Regression of corruption on health service delivery in Buvurna district 36
CHAPTER FIVE 37
DISCUSSIONS, CONCLUSION AND RECOMMADATIONS 37
5.0 Introduction 37
5.1 Discussion 37
5.1.1 To assess perceptions of corruption in process of receiving health services 37
5.1.2 To determine factors driving corruption in health service delivery 38
5.1.3 To assess the quality or levels of health service delivery 39
5.1.4 The relationship between corruption and health service delivery in Buvurna District 40
5.2 Conclusion 41
5.3 Recommendation 43
5.4 Area of further study 44
REFERENCES 45
APPENDIX 51
APPENDIX A 51
QUESTIONNAIRE 51
Appendix D: Table for Determining Sample Size from a Given Population 54
ABSTRACT The study investigated corruption and health care service delivery in Buvuma district, Uganda, it was guided by the following objectives, To assess perceptions of corruption in process of receiving health services, To determine factors driving corruption in health service delivery in Buvuma District, To assess the quality or levels of health service delivery in Buvuma District and To examine the relationship between corruption and health service delivery in Buvuma District. This study employed a cross-sectional research design. The study population was 71 respondents who were chosen from the leadership structure of Buvuma District and directly mandated to manage health care service delivery who will include, Health departmental leaders, staff civil society organizations, youth groups and community based organization. A sample size of (60 people) was selected from the study population of (71) respondents using Krejcie & Morgan, (1970). The study made the following Conclusions, It is apparent that most local government authorities are not functional. With the exception of few local governments in the country, others are mere shadow of themselves. Monitoring systems specifically looked for evidence of overcharging, informal payment, ghost patients, and inflation of statistics, and used this information to address specific problems and make systematic changes. Fighting corruption is a complex undertaking, but there are things policy makers and citizens can do to prevent corruption. These corruption types can be prevalent in both high-income and low-and middle-income countries. Regulators in all health systems must implement measures to minimise the risks of prevalent types of corruption in healthcare service delivery. The study recommended that the local governments in Uganda should be scrapped. The circumstance that has characterized poor service delivery at the grass root in Nigeria has been a colossal tales of one corrupt case to the other. The Financial Crime regulatory institutions should conclude all the outstanding financial fraud cases on the past district bosses that are all over the courts in Buvuma district. This would help to some extent serve as a guide to upcoming politicians whom would be at the helms of affairs. Stringent measures should be taken to deal with corrupt health workers who are caught in one corrupt act or the other so that they can serve as deterrence to other potential perpetrators in the health sector. Avenues within the public hospitals that encourage corruptions should be curbed by making sure that receipts are issued and payments made at the appropriate quarters.
