TABLE 01? CONTENTS
~
DECLARATION
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11
DEDICATION iii
.
ACRONYMS v
ABSTRACT ix
‘‘II \Pl’ERONF 1
.S fEODI ‘CT!ON 1
1.! Background ofthe study I
1 .1 .1 1 listorical Perspective I
1.1.2 Theoretical Perspective 6
.! .3 Conceptual Perspective 7
.: .4 Contextual perspective 8
1.2 Problem Statement 9
1.3 Purpose ofthe study 10
1.3.IObjectives ofthe Research 10
1.3.2 Research Questions 10
1.~.3 Ilypothesk 10
1.4 Scope ofthe Study 10
1.4.1 CottcntScope 10
l.4.2meoretical Scope 10
1.4.3 Geographical Scope 10
1.4.4 Time Scope 11
1.5 Significance ofthe Study ii
1.6 Definitions ofKey Concepts 11
C1IAPTERTWO 13
LITERATURE REVIEW 13
2.0 Introduction 13
2.1 Performance ofIlealth Worker 13
2.2 health Service Delivery 15
2.3 Relationship between employee Performance and Health Service Deliver) 17
vi
2.4 Related studies . 19
2.5 Conceptual Frame Work .21
Ci-IAPTER THREE 23
METHODOLOGY 23
3.0 Introduction 23
S Research Design 23
3.2 Target Population 23
3.3 Sample Size 23
3.3.2 Sampling Procedure 24
3.4 Data Collection Instrument 25
3.5 Data Collection Method 25
3,6: Validity of the Instrument 25
3.7 Reliability of Instruments 25
3.8 Data Processing and Analysis 25
3.9 Ethical Considerations 26
CHARTER FOUR 27
PRESENTATION, INTERPRETATION AND ANALYSIS OF FINDINGS 27
4.0 introduction 27
4.1 Demographic Profile of respondents 27
4.1 .1 Findings on Gender of respondents 27
4. 1 .2 Findinps on Age categories of respondents 28
4.1 .3 Findings on educational qualifications of respondents 28
4.1 .4 Findings on Marital status of respondents 29
4.1.5 Findings on duration respondent’s in the health centers 29
4.2 State of employee performance in E-Iealth Centre IV Nakasongola District 30
4.3 State of health service deliver)’ in health centers in Nakasongola District 33
4.4kelationship between employee performance and health service delivery in Nakasongola
district 34
4.4.2 Chi-Square tests for the variables 35
CHAPTER FIVE 37
DISCUSSION OF FINDINGS. SUMMARY, CONCLUSION, RECOMMENDATIONS 37
5.() Introduction 37
5.1 Discussion of findings 37
vii
5.2 Summary of Findings .38
5.3 Conclusions 39
5.4 RecommendaHons 40
5.5 Areas of further research 40
REFERENCES 41
Appendix i: Questionnaire for health workers 46
Appendix ii: Questionnaire for Clients/ Community 49
ABSTRACT The purpose of study was to establish how health workers performance affects health service delivery in Nakasongola District. The study objectives included establishing the state of employee performance and to find out the state of health service delivery and the third objective was to find out the relationship between employee performance and health service delivery, The study was conducted in Nakasongola health centre iv, where data was collected from clients and the employees of the health centre who were 80 in number who provided information through the research questionnaires, the study employed correlation research designs where the data was analyzed using descriptive statistics of mean and standard deviation and then after using Pearson correlation coefficient to determine relationship between employee performance and health service del iverv. The study findings on the first objective revealed that employee performance was low. The study findings are justified by the poor rate according to the mean of 2.276, SD=.$92 interpreted as poor. The study results revealed that the health services delivery was poor at 2.504, SD= 0.802. The study findings on the third objective revealed a significant negative relationship between employee performance and health service delivery in Nakasongola district (r~ -275). further more chi—square test suggest that retention had significant influence on efficienes, motivation had a significant effect with quality and accessibility. The study concludes ihat improved working conditions, accountability and retentions could have a high bearing on employee performance in the health centers, the state of health service delivery in health centers was considerably low and that low performance levels of workers negatively affect health service delivery. The study recommends for improvement in the motivation in terms of payments, therefore improvement of the state of workforce efficiency by establishing a strong working environment for the workers. The study also recommends that the health service delivery need to be improved through improving accessibility, the quality of health care through purchase of tools and equipment required in the health centers and finally government strengthen social service accessibility for improving the functionality employees for improved health services.
