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- W2134369966 abstract "This is a study of the experiences and perspectives of the users andproviders of primary health care. The study analyses the users and theproviders' experiences and perspectives with regards to the decentralizationpolicy and its impact on the quality of primary health care delivery in therural district of Pallisa in Uganda since its implementation in 1990s-2005.This is mainly a qualitative study in which both users and providers wereinterviewed although quantitative data was applied to add meaning wherenecessary.The study has shown that decentralization in Uganda is a new form andmeans of service delivery. The planners aim at getting every segment of thepopulation to participate in all aspects of service delivery. There is evidenceto show that the policy has had a positive impact on the structure of thehealth sector as a whole. However, the systematic processes of costcontainment measures has resulted in the general economic hardship in theoperationalization of the decentralization policy in Uganda and has resultedin varied experiences and the way decentralization is viewed in Pallisa. Thestudy noted that hardships have resulted from increasing responsibilitiesgiven to lower level of government amidst declining state support in termsof funding and manpower development. The study notes that the apparentchanges brought by the overall restructuring of health services haveresulted in the 'commercialization of social relations which has changed theway people live and view public goods which also contributes to hardships inservice utilization.This study shows that although health service delivery and its quality inrural Pallisa is an old problem, there are feelings among the users andproviders that these problems have worsened in the recent pasttransforming health care consumers and providers into a new category ofsocial actors who have taken different approaches to survive a midst poverty,exclusion and the declining state support system.Although this study does not recommend a return to a centralization systemof service delivery in the health sector, it does however, find implementationproblems which will have to be addressed if the intended benefits are to berealized." @default.
- W2134369966 created "2016-06-24" @default.
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- W2134369966 date "2005-12-01" @default.
- W2134369966 modified "2023-09-26" @default.
- W2134369966 title "Understanding the impact of decentralization on the quality of primary health care in Pallisa District in Uganda : a study of users' and providers' experiences and perspectives." @default.
- W2134369966 hasPublicationYear "2005" @default.
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