Post-Graduate Diploma in Public Administration and Management

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Theses/Dissertations for PGD in Public Administration and Management Students

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    Improving Social Accountability and Health Care Service Delivery in Public Health Facilities in Uganda: A Case of Mukono General Hospital
    (Uganda Christian University, 2024-06-21) Margaret Ntambi
    This study examined the social accountability mechanisms for improving health care service delivery in public health facilities in Uganda, using a case study of Mukono General Hospital. Specifically, the study assessed the various social accountability mechanisms for improving health service delivery at Mukono General Hospital; identified the factors affecting social accountability at Mukono General hospital; and assessed the role of social accountability practices in improving health service delivery at Mukono General hospital. A descriptive research design was adopted with a qualitative research approach. Data was collected from a sample of 15 Heads of department and Section at Mukono General Hospital using interviews. The study found that Public Tracking Systems participatory planning and monitoring through elected leaders and Village Health teams; community surveys, scorecards and social audits implemented by Civil Society Organizations (CSOs), Health Facility Management Committees and use of media are some of the social accountability mechanisms for improving health service delivery at Mukono General Hospital. Rigorous reporting standards, illiteracy among local populations, lack of adequate information tools, citizen’s limited knowledge about their rights and responsibilities, political interference and lack of funding were found to be barriers to effective social accountability and health service delivery. Findings also indicated that social accountability plays a significant role in improving health service delivery at Mukono general hospital. The study concluded that social accountability interventions are effective in improving health service quality delivery at Mukono General Hospital. The study recommended that: community – based monitoring should be strengthened and complemented with measures to sanction health officials and public service providers who do not perform according to expected standards; training of citizens to build their capacity in monitoring of health service provision in their areas; management of Mukono General hospital should consider relationship-building between community and health practitioners at the facility; and the Ministry of Health should build a strong institutional support in the form of resources, data, education, and citizen empowerment to facilitate social accountability in public health facilities.
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    An Assessment of Public Private Partnership Best Practices on the Effectiveness of the Naads Programme in Uganda: A Case of Mukono District, Uganda
    (Uganda Christian University, 2024-06-21) Fulatu Namboozo
    The study conducted an assessment of PPP best practices on the effectiveness of the NAADS programme in Uganda: a case of Mukono District, Uganda. It specifically focused on; establishing the effect of stakeholder engagement in PPP on the effectiveness of the NAADS programme, examining the effect of contract performance and monitoring in PPP on the effectiveness of the NAADS programme finding out the effect of risk management in PPP on the effectiveness of the NAADS programme in Mukono district. The study was carried out using a cross sectional survey research design where both quantitative and qualitative research approaches were also used. The data was collected using questionnaires and interviews during the data collection, both purposive and simple random sampling methods were used. A sample size of 80 respondents who are farmers that have benefited from the NAADS program in Nyenje parish plus the management of MDLG was also used in the study. From the findings, it was revealed that there are significant positive relationships between stakeholder engagement (r = 0.875, p < 0.05), contract performance and monitoring (r = 0.848, p < 0.05), and risk management (r = 0.833, p < 0.05) in public-private partnerships (PPP) and the effectiveness of the NAADS programme in Mukono District. Key factors included active farmer involvement, regular communication, effective monitoring, and robust risk management strategies, all of which enhanced programme adaptability, sustainability, and credibility. Regression analyses confirmed the significance of these elements in predicting the programme's effectiveness. Lastly, the study recommended the need for enhancing stakeholder engagement through active farmer involvement, communication, and feedback systems; establishing robust contract management with clear performance indicators and regular monitoring; and implementing comprehensive risk management strategies to ensure preparedness, adaptability, and stakeholder confidence in the NAADS programme in Mukono District.