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THE MANAGEMENT CHALLENGES FACED BY MUBENDE REGIONAL REFERRAL
HOSPITAL
A CASE OF STUDY OF MUBENDE REGIONAL REFERRAL HOSPITAL.
PO BOX 04 MUBENDE
BY
SSEBULIBA SK JOSEPH
DPA/2259772/DU
SUPERVISOR MR. ALITHUM BRUCE
RESEARCH REPORT SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENT
FOR THE AWARD OF DIPLOMA OF
PUBLIC ADMINISTRATION OF KAMPALA
INTERNATIONAL
UNIVERSITY
NOVEMBER 2010
DECLARATION
I declare that this original work is produced on behalf of my own effort and it has never
been presented to any university for the award of Diploma in public administration.
Signature ... ... ~ ........ . SSEBULIBA SK JOSEPH
DPA/22597 /72/DU
Date~l~.I~ ... ..
11
APPROVAL
I certify that ssebuliba SK Joseph prepared this research Report under my
supervision.
Supervisor
111
DEDICATION
My dedication goes to my children Kayiwa Lawrence kayongo Namale Florence Kayongo
and Alozious kayongo kawuma, my wife Nalinya Scovia also computer staff for the
comfort and moral support given to me.
\
IV
ACKNOWLEDGEMENT
I gratefully acknowledged entire staff of Kampala International University mostly the
staff of faculty of social science who made a grate help in modeling me in various ways.
Maximum respect to my supervisor Mr. Alithum Bruce for his fatherhood work he tried
when he was mantling me as a graduate in the field of research.
Lastly I appreciate the great work offered by the administration of Mubende Regional
Referral hospital for being allowed me to carry out this research report in their
institution successfully
V
TABLE Of CONTENTS
DECLARATION .......................................................................................................... ii
APPROVAL. .............................................................................................................. iii
DEDICATION ........................................................................................................... iv
ACKNOWLEDGEMENT ............................................................................................... v
TABLE OF CONTENT ................................................................................................ vi
CHAPTER ONE .......................................................................................................... 1
1.0 Introduction ........................................................................................................ 1
2.0 Background ........................................................................................................ 1
1.3 The statement of research problem ...................................................................... 3
1.4 Objective of the study ........................................................................................ .4
1.4.1 General Objectives .......................................................................................... .4
1.4.2 Specific objective ............................................................................................. .4
1.5 Research question .............................................................................................. .4
1.6 scope of the study ............................................................................................... 4
1.7 Significance of the study ...................................................................................... 5
CHAPTER TWO ......................................................................................................... 6
LITERATURE REVIEW ............................................................................................... 6
2.0 Introduction ........................................................................................................ 6
2.1 Political intervention ............................................................................................ 6
2.2 Financial challenges ............................................................................................. 7
2.3 Infrastructure challenges ..................................................................................... 8
2.4 Administrative challenges .................................................................................... 8
2.5 Staffing .............................................................................................................. 9
2.6 Capacity building ................................................................................................. 9
2.7 Transport system ................................................................................................ 9
2.8 Library and record keeping ................................................................................ 10
vi
2.9 Retirement age ................................................................................................. 10
2.10 Developmental factors ..................................................................................... 10
2.11 Performance level ............................................................................................ 10
2.12 Cleanness of environment ................................................................................ 11
2.13 Smartness ....................................................................................................... 11
CHAPTER THREE .................................................................................................... 12
METHODOLOGY ...................................................................................................... 12
3.0introduction ....................................................................................................... 12
3.1 Research design ................................................................................................ 12
3.2 Area of study .................................................................................................... 12
3.3 The Target population ....................................................................................... 13
3.4 Sample size and techniques to use ..................................................................... 13
3.5 Sampling techniques ......................................................................................... 13
3.6 Data collection methods .................................................................................... 13
3.7 The personal interviews ..................................................................................... 14
3.8 Questionnaires method ...................................................................................... 14
3.9 Reviewing of records ......................................................................................... 14
3.10 Observation data collection .............................................................................. 14
3.11 Data processing and analysis ........................................................................... 14
3.12 Data Analysis .................................................................................................. 15
CHAPTER FOUR ...................................................................................................... 16
Data Presentation, Interpretation and Analysis of the key Findings ............................ 16
4.0 Introduction .................................................................................................. 16
CHAPTER FIVE ........................................................................................................ 19
SUMMARY, CONCLUSION AND RECOMMENDATIONS ................................................ 19
5.0 Introduction ...................................................................................................... 19
5.1Summary ........................................................................................................... 19
5.2 Conclusion ........................................................................................................ 20
vii
5.3 Recommendation ........... , .................................................................................. 21
Reference ............................................................................................................... 22
APPENDICES .......................................................................................................... 23
viii
CHAPTER ONE.
1.0 Introduction
This chapter reveals how challenges are associated with the management style of
Mubende among other issues covered Regional Referral Hospital among staff and
patient for the better management and effective service delivery. Through the
background, statement of the research problem, objectives, research questions, scope
and significant of the research findings.
2.0 Background
World over health care provision has not been easy even with the provision of
government subsidies towards revamping the health sector.
In Africa the health sector has equaly been given a lip service interms of basic
requirements of the health sector with a lot of spending on security among other
sectors of the economy, perpetuating poverty en poor health and consequently leading
to a situation sufficing into perspective of human development.
In Uganda the health care situation has also taken the down side providing a big
challenge in health care provision. It also gives the magnitude how this challenges
affect the quality service delivery and how the lost poor common man benefit or are
affected.
It will also come out with services provided within the hospital, catchment area,
administrative structure governance of health system within the hospital, human
resource development, staff ceiling, funding bodies, infrastructure and equipment
management, quality management system. Statement of research problem most
challenges faced by hospital research objectives research question, significance of the
study and communication system within the hospital.
Mubende Hospital started as far back as in 1920s' as small health unit, later on became
1
a dispensary by the government of Buganda Kingdom. It has been in upgrading by
adding simple structures . Later on become a district hospital in 2009 when it become
regional hospital with the capacity of 350 beds.
Catchment area
The hospitals serve the districts like Mubende, Kiboga and Mityana at regional basis due
to its location. It boarders with other districts who do not have district hospitals like
Kibaale, ssembabule, Kyenjojo, Kyegegwa and Gomba which puts the hospital on high
task to over serve the unexpected capacity.
It also serves the special areas like barracks of Kabamba Army training school, Kalama
mechanical barrack, CAWODISA barracks and Mubende rehabilitation centre. Additional
serves more than 100 prison units and police posts.
There is refugee camps like Kyaka II settlement area and Kyankwale refugee camp. The
estimated service population are over two million people and focusing on national
priorities and significant of local needs where people need to promote good health
service delivery and to promote sustainable development as a state mission.
Service provided within the hospital
In hospital, the researcher reveals the services provided within the hospital and health
system. In hospital it comprises of general curative services throughout the patients
department and inpatient services like Dental Service, General services or paediatrics
services, rehabilitative services, radiography investigative services, laboratory services ,
HIV/AIDS service clinics, Paediatrics Services, community outreach services and diabetic
clinics.
It also a researcher revealed that as the policy of the government of Uganda, all the
health facilities give free services to the people of Uganda who can not afford to go for
private facilities. The mission of the hospital is to serve the people of Uganda through
2
the coordinated services delivery as an obligation of the government to meet the needs
of its citizens.
Also the study was carried out in Mubende regional referral hospital with the purpose to
understand the major challenges faced by the hospital both negatively and positively.
Also the researcher extracted the administrative structure that governs the facility with
different departments that work inter-related to accomplish the organizational
objectives for better service delivery.
1.3 The statement of research problem
Mubende regional referral hospital is one of the oldest hospitals found in Uganda
situated in central regional in Mubende district, that has experienced a lot of problems
in different factors like political issues has contributed its collapse due to civil wars and
being situated in cross-section of four barracks and being forestry Social economic and
welfare of Mubende and surrounding area.
According to the 2002 population and housing census of November 2002 the provisional
results indicated Mubende as a growing are with the total population 84349 in flow
former countries being with high fertility and poverty of people and illiteracy of local
people.
According to the researcher carried out by the research institute of Makerere
Universityy indicated 79% people within the area are below poverty line that is unable
to meet treatment costs and educational costs.
Therefore. According to researcher views he may urge and suggest that all the ideas
and suggestion, recommendation in this research it will work better if it is used by the
health workers, administrative and management of the referral hospital none
3
governmental oorganizations social' and public workers and the government of Uganda
and its agents to intervened improve service delivery if the problem is to be solved.
1.4 Objective of the study
1.4.1 General Objectives
To evaluate the challenges faced by both health workers and beneficiaries within
Mubende regional hospital.
1.4.2 Specific objective
1. To describe the characteristics of management style of Mubende regional referral
hospital.
2. To establish the challenges met by government of Uganda in management of
health facilities.
3. To asses the role stakeholders roles in the management of the Hospital.
4.
1.5 Research question
1. What is the characteristic of management style of Mubende regional referral
hospital?
2. What are the challenges met by government of Uganda in management of health
facilities?.
3. What roles do stakeholders play in the management of the Hospital?.
1.6 scope of the study
The researcher intended to carry out this research focusing on the period between
1920s and 2010 looking into challenges and achievements met by the hospital
management and administration. The study mainly focused on the both the
management challenges and achievement met during the specified period of time.
4
1.7 Significance of the study
This research has tried to identifies various factors that lead the institution to meet
challenges and overcome their successful basing on data collected with the hospital and
ways how the facilities are utilized to become useful in policy formulation, building
development plans and design programs.
The research probably assesses the effect on challenges met the developments within
the facility and the service delivery, quality of human resource ..... and methods of
enhancing capacity building of staff.
This research will help also to create awareness and good relationship among staffs and
their stakeholders for the benefit of Ugandans.
This research, identifies the gap between the government of Uganda and its people in
order to fulfill the obligation.
The research also works in assisting academic field enter in making references and
sensitizing the public about the results on any epidemic or danger that can occur and
harm the human life. Also this research may help in showing weaker areas when
institution is not doing well in some fields, so it may bring improvement and evaluations
of performance. The research assesses the methods of data collection and record
keeping which adds the value and importance of reviewing literature.
5
CHAPTER TWO.
LITERATURE REVIEW.
2.0 Introduction
This chapter intends to review the concerned literature that has been gathered and
documented by previous researchers that was regarding with the challenges met by
the Administration of the hospital which are mostly associated with political,
transmission and intervention social, financial and psychological factors.
The influencing factors or problems that faced by Administration and management
of Mubende Regional Referral hospital.
2.1 Political intervention
In Uganda the health workers politically has been characterized as thieves the
people who sell drugs, sundries and getting bribes from the patients, its published
through different medias local politicians ..
The hospital since the time of its infant stages was governed by political bodies
since the stability of Uganda is un certainty the recruitment has been a political
appointment source which implies that if the government is overthrow the hospital
will be on stand or waiting restful of the newly government. Also because of political
appointment it brings to recruit people who lacks qualification that put the hospital
to have unqualified personnel. Due to political appointments these workers was
usually kept on intimidation hence creating fear or sometimes corruption of highest
order hence poor quality of service delivery.
There also abusive political debates on local media. In local areas like Mubende find
several radio station carryout discussions on the air with proper procedures which
creates biasness between the local people and health workers.
The challenges faced by hospital According to the records obtained indicate that
there was lack of national unity between the patient and health workers to meet the
obligation of the government.
6
Mubende Regional Referral hospital also faced the problem of misunderstanding
between the central ruling government and Buganda Kingdom as foundation body
were funding has been too minimal due to two forces. These challenges on political
ground require a well organized and a sensitized community to keep hospital free
from religious political and traditional beliefs corruption.
2.2 financial challenges.
The financial situation of Mubende a final referral hospital it is known to be poorely
funded institution than other facilities yet it services every wide range of population,
hence the community almost 80% are below poverty line compared to the Uganda
emphasis. On helping the poor mothers who die in the struggle of delivering.
However the non government organization has played a grate role in uplifting the
standard of the economically, financially and social life in terms of development. In
support of this organizations like UNICEF, World Bank, who, Usaid, dish, Gtz, EDF,
RHP, UNFPA and Danida and Amref as development partners of Uganda government
to uplift the health sector.
The hospital is affected by financial problem due to abolition of cost sharing and
since Mubende has been acting as district hospital could only receive little funds
from the central that can not meet the problems of the met by Mubende hospital
report of united nation organization in 1991 that indicated 2/3 of the citizen are
below poverty line which makes the local people of target area to meet their survival
in medical requirements.
The Contributing factors that responsible for the inadequate financial support to
Mubende Regional Referral hospital poor planning and budgeting thus lead to poor
management style. The challenging factor that minimize the system that under go to
streamline the management is poor data collection and poor.
Poor record keeping thus leading poor planning and budgeting hence causing poor
management techniques.
7
Income social welfare of staffs in Mubende regional hospital has caused insecurity
and poor handling of clients due to the poor motivation the quality health services
delivery through emotional temperaments and extortion of money from clients is
tremendously increasing hence poor service delivery is created
2.3 Infrastructure challenges.
Mubende hospital has met many challenging factors in infrastructures in that most
of the buildings are too old and no renovation has been done and the hospital
development plan was drawn longtime ago this happens both in office premises and
staff quarters and most of the leaking.
Policies are not favor and the find the housing institutional is at 30% most of the
staffs are renting from their salaries which makes on high standard of living.
The staffs are poorly motivated and this affects the quality of lack service delivery
and leading to high turn over of staff. Poorly motivated and hence leading to lack of
qualified staffs.
The contributing factors responsible for infrastructure in hospital un availability of
office equipments and old all are Most of this have broken down.
2.4 Administrative challenges
The hottest factors that affect the management style in Mubende regional hospital is
political interference this cuts across the board in day to day activities, where we
find most of the female staffs are married by politicians others are relatives and
friends who interfere with management and administration due to internal forces.
The poor health has been noted as one of the most challenging factors the
international organizations has solutions of how health workers over come the
problem of overwhelming of patients to medicines the number of patients/clients
increasing tremendous due to poor facilitates surrounding the hospital that can not
meet the problems of communities and poor laws of Uganda concerning with the
8
ministry of migration and settlements. Let the medical care are inadequate supply
and expensive at most of the people in rural area are below poverty line.
Also administratively it is challenged with the issue of corruption in public utilities
like drug abuse; extortion of money from clients, selling of medicines and sundries
has affected the level of administration to meet the target of the government of
Uganda to its local people.
02.5 Staffing
According to the staffing level of the hospital the records available indicate that it is
recommended for 300 beds patients and special clinics however the staff calling is of
350 personnel both qualified and UN qualified. But current staffs available are 129
with gap of 122 staff which has totally contributed to the failures in administration of
hospital. However these issues has contributed for the downfall of hospital because
the ratio of health worker to a patient is quite abnormal when you compare that are
of Mubende hospital and for the ministry recommended thus this makes the health
workers to work tiresomely The hospital has three peers where by the medical
superintendent his the principal signatory
2.6 Capacity building
The training committee is used to select the staff to attend the trainings annually
based on level of the cadres the hospital adopted the system of the district to
release 6 staff per year for the further studies but few of them receive assistance
and the mode of the selection is un certain the capacity building of human resource
it is reportedly non functional due to the lack of fund on that vote of training
however some staffs like mechanical staffs have benefited that non medical staffs.
2.7 Transport system
Mubende Regional Referral hospital has the problem of transport which is poorly and
hence affects the management style of institution the referral hospital is supposed
to have the administrative vehicles Ambulance for outreaches, emergency vehicles
and motor cycles the institution has only one Ambulance which puts the
9
management on risk and affects service delivery. And transport is seen as the
contributing issue that has disorganized the institution for its progress and meeting
it target.
2,8 Library and record keeping
The hospital has well established library for staff to go for review whatever case or
to consult when there is challenging issue also used as revision room The library
even for the purpose references and headed by records officer at facility addition
the hospital has both clerical records and health management information system.
2.9 Retirement age.
The challenging and contributing factor on inefficiency and ineffective service
delivery is that the health workers at their exit it has been identified that are
handled poorly and most of them do not get their packages and gratuity which also
has affected the service delivery because the employees most of their time is spent
on their own business prepare for their own old ages with the view that the
government at last year it will not consider their service at the attainment of 60
years
2.10 Developmental factors.
Being Mubende at the stream end of central region and well located it is indicated
by census of 1992/2002 that every year it has 3% of population increase of the new
settlements thus coming with new development plan and ideas.
According to the reports available Mubende Regional Referral hospital started as
dispensary and become upgrading into current stage of referral being in changing
status at different levels it has been achieving a lot assets and personnel to change
the altitude of the others.
2.11 Performance level.
Available record indicates that Mubende Regional Referral hospital with that trying in
hardship to keep staffs willing the medical ethics and following the dressing codes,
coding of conduct that keeps he staff in professional manners through the provision
10
of assets has been poorly done although mubende hospital normally is graded in the
most best performing district.
2.12 Cleanness of environment
With the first appearance at the entrance the hospital gives a good picture and the
impression the one get implies that the performance level of management it really
working because the grass is short every time, building clear and although are old in
structure
2.13 Smartness
Generally the staffs are devoted to the dressing code of health professional and the
male do as public officers also adhering code of conduct of public service
11
CHAPTER THREE
METHODOLOGY
3.0introduction
This chapter mostly focuses on the rules and procedures of presenting, justifying,
analyzing and unifying the information under the subjects involved on research design,
area of study old study population analysis, methods of collecting of data in
government institutions sample selection, the size the method of collecting data, the
size where data to be collected and interpretation and analysis.
3.1 Research design.
With the purpose of data collection as the reliable methods the whole study used the
both theories and descriptive systems of research design that involves a well known
system in data collection and presentation of information to produce a clear picture of
the situation at hand. In this view it will cover a various changes frequently the
performance of the hospital to be perfective it will consider informative actions both
independent and dependent variables.
3.2 Area of study.
The study will be carried out in Mubende Regional Referral hosp The official catchments
area of Mubende Regional Referral hospital it covers the Mubende districts with the
total population of people 792434 and Mityana district total population of people
596472and Kiboga district total population of people 684692 officially catchment's area
however it serves the districts that has no district hospital like Kyegegwa. Kyenjojo,
Kibaale, Ggomba parts of Ssembabule there all came to Mubende to receive the medical
assistance from Mubende hospital that makes over tasking the hospital workers.
Mubende district in extreme end of central regional of Uganda approximately 100 miles
away from Kampala the capital city of Uganda.
12
3.3 The Target population
Mubende Regional Referral hospital has the catchment's area worth 2,00,000
population that officially covered Mubende, Kiboga and Mityana according to
available records from planning units basically it is hospital for human being and
comes rehabilitate and prevent the lives of the people the area is a attractive to
almost all the tropical savannah diseases the area mostly occupied by Baganda
indigenous people Bayoro, Baafumbira, Bakiga, Banyarwanada, Barundi, Basoga,
Banyankole, Bakonjo, Baba, Bateso, Bacholi, balongo Bagweri Baluli, Batara etc,
which has put the area at high rate of contracting sickness
3.4 Sample size and techniques to use
Sample size
The study considered 100 staff as respondents whereby both male and women will
be chosen by the use of random sampling techniques the size is preferred by the
reaches because she finds it very convenient and too adequate enough for purposes
of both qualitative and quantitative data interpretation, presentation and analysis.
3.5 Sampling techniques.
The methods to used be two the random sampling and purposeful sampling
whereby the researcher will automatically use a well systematic random sampling
because it can be done without any personal biases or hatred.
Method of sampling will be adopted very easily for the researcher because it can
identify key respondents who can provide rightful information in right time and right
place.
3.6 Data collection methods
The researcher used four methodologies to obtain data from the respective areas.
These will cover personal interviews, questionnaires reviewing records and
observational method.
13
3.7 The personal interviews.
Here the researchers carried out personal interviews with individuals using an
interview guide. This method is appropriate and convenient for the illiterate semi
literate respondents through this system the researchers free to use the present
respondent questions personally. Basing on the interview guide and question design.
3.8 Questionnaires method.
These are forms which were designed in format and contains asset of questions
which the researcher will submit to her respondents to extract information the
method is more convenient for the elite class who can read and interpret.
3.9 Reviewing of records.
Also the researcher! reviewed records that are contained and concerned with the
required information to confirm that the information got from the respondents are
rightful this which consists the researcher to confirm and produce well detailed and
criticized information.
3.10 Observation data collection
In this method data was obtained from the researcher where by this methods is
very appropriate and more convenient because the information collected is done on
researchers own observation and the system is consists observation and description
of events and behaviors within a given population. And gives the researcher to hear
and conduct also seeing and use of experiment in order to produce valid
information.
3.11 Data processing and analysis
Data processing.
In this context both qualitative and qualitative methods were used to process data
and below are their explanations.
14
Qualitative the researcher here identifies topics of study and will analyze data during
the process of data collection before and after the interview guide the researcher
will be required to check whether the final answer can match the formatted
question.
Quantitative method data will be collected edited coded and tabulated and
interpreted through editing the researcher will be assured that the questions have
answers of completeness, consistency, uniformity very accuracy, legibility and
comprehensiveness through coding
The researcher respected the answer to a very essential information and then
arrange properly accordingly for simple interpretation and representation.
3.12 Data Analysis
Data was collected, interpreted presented and analyzed basing on the major
themes and code of categories of the study which include the descriptions that
might influence political financial social sector that led to influence the challenges of
management of hospital to realize and intervenes very quickly for making the
proposal and be ready for presentation.
15
CHAPTER FOUR
Data Presentation, Interpretation and Analysis of the key Findings
4.0 Introduction
In this chapter an attempt was made to interpret, analyses and carryout discussion in
all the findings as was conducted in field of study.With these findings in effect
contained the effects of management and administration challenges with in Mubende
Regional referral Hospital the quality of service provided.
Characteristics of the sample
In the field study of research, it covered a total of one hundred respondents ten (10)
were part of administration and Finance department. 20 were in Nursing section in
senior level, 20 were enrolled nurses, 20 were in Mid-wife section,10 nursing assistant
and ten support staff and technical officers from all these respondents primary data
were collected through informal interview and focus discussion so that the researcher
identify the way hospital management conduct and treat its administration and
management styles.
In this research other respondents include the patients and charts to hospital
management board. Hospital host District Mubende Local Government from top
management level of the District and Ten (10) from the Elderly on behalf of Buganda
Kingdom. All these respondents were adults because they are experienced and with
Hospital history all these comprise fifty (50) respondents.
16
Table 1 Respondent from Department
Department / Section Responses Percentage Rank
Frequency
Management Board 5 98
Hospital administration 8 37.4
Local Government 4 14.2
Elders from Community 4 11.5
Nursing Department 7 30.7
Support staff 4 7.7
Total 32 100.00%
Source field data 2010
Source - It is field data 2010
According to the above table it shows how the management department of Mubende
Regional referral hospital, they conduct a fact the hospital execute its duties, it shows
the hardships and the challenges that met by the administration and entire body of
staffing the respondents arguments in research findings indicated the nature of work
done by the health workers are risky needs a lot of concentration because in the
interview, the researcher findings reviewed that the hospital has inadequate funding
which cannot sufficiently be enough to run the hospital.
Under staffing
The hospital records indicated that the staffing level is recommended as 360
establishment, however the current staff available its 46% which stress the service
provider for over tasked and the hospital is 300 bed occupancy inpatient
accommodation.
17
Hospital library and Record Centre
The available information indicate the hospital has no records beyond 20 years back yet
its one of the oldest hospitals in Uganda but currently the records managed to meet the
focal person in record. This according to the respondents has made it relentlessly
difficult to comprehend with a situation leading to in effectiveness in service provision.
Transport System
The researcher reviewed that the hospital has got the problem for transport means
which effect the Management executing the duties effectively. In reply of respondents
18
CHAPTER FIVE
SUMMARY, CONCLUSION AND RECOMMENDATIONS
5.0 Introduction
The research aimed at how the quality of Management style within Mubende Region
Referral hospitals has been effected where the study is conducted. It used a sample of
one hundred respondents from different departments and field data were collected
through informal interviews with staff, Management board, District leaders and Elders
from Community by using questionnaires and were administered to the respondents.
5.1Summary
The respondents generated various findings as was summarized below;
During the research, most of the respondents reported more than one problem that
were experiencing shortage of drugs and sundries within the hospital and yet the
Government emphasizes that the drugs are available.
The researcher also noted the hospital receive inadequate funding from the central
government and other stakeholders like world bank, Japans Government ,and non
nongovernmental organizations.
Even the researcher reviewed that most of the people are on dual thinking mostly
concentrating on local medical due to the traditional beliefs here researcher reviewed
that there is much more needs as sensitization as the government pro grammes.
There is also a problem of male staffing due to shortage of staff within the hospital and
labour turn over is very high due to poor motivation and also poor policies policies
imposed on staff.
So many factors were discovered that lead to influencing the challenges faced by the
19
management and administration in duty execution and outcome to be effectively in
service delivery due to rapid population growth within the locality.
However the nature of work and the roles in management style being as potential
factors as the department in providing quality work due to quality of personnel
employed.
Also the study identified that the staff have different attitudes towards the mission and
objectives of the organizationals that are put into place for quality service delivery.
Even the researcher reviewed that still may difficulties as far as put into consideration
that health workers provide themselves staff uniform, buying code of conducts.
5.2 Conclusion
the management challenges in Mubende Hospital is a social economic, political and
psychological problems that should not be neglected without paying much attention
minimized there by improving the general capacity and technical support of the
institution in order to utilize little resources and practice fair and justice within the
facility which can bring peace mind at work to avoid the social instability and examine
unfairness so that Ugandan can get better service delivery by avoiding inadequate
supplies to the facility and reduce as starvation as both for public and sector and
private support for evaluation.
It also brings the view of researcher that by helping both women and men who visit the
unit to get treatment in provision of treatment the researcher noticed that for better
way of achievement in quality and development in stratural transformation and advised
as
In addressing issues of managemnt style and its challenges in Mubende Regional
Referal Hospital and its effects on the quality of human social life in management and
administration of human resources within the health facilites as general. This has been
20
as existing in health workers as results of poor quality and facilitates poor practices at
Public Offices also the implementers explains more that the government of uganda has
to play a big role and fulfill its obligation to the people of Uganda. Despite the exisiting
factors on the ground, where by the implementers mainly viewed that it may be lack of
inadequate resources to run effectively the government business which is limited to
serve the grass roots as people efficiently due to inacceesibility of remote areas where
the out reaches are hard to reach.
5.3 Recommendation
There is an urgent need for a number of actions to be implemented to address a certain
issues about management challenges faced by the administration and management and
its style as was highlighted in the research to avoid a portential crises that may occur in
future as it is unlike that Mubende Hospital will mobilize enough resources and to
consolidate capacity and incentives to the extend of a meaningfully found to meet the
needs of the increasing problems to the hospitals which requires the serious planning
and policies to restructure the existing culture within the institution for both public
offices like National Development Plan and non governmental organisations and all
stakeholders that may have strong impacts in evaluation and monitoring of health
sector particularly Mubende Hospiatal. Should be noted how ever
There is also need to involve all the stake holders in the management of the affairs of
the hospital. This according to the research will develop a lasting partnership that could
lead to a host of benefits accruing from multilateral partners in the provision of
services.
21
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Health policy and development Uganda martyrs university in research and design 2nd Editon
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university
Human Resource for Health Bi- annual report for reseach methods of ministry of
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Bailey, Kenneth D. 1978 methods of social Research.1st edition by keteh Dhaguh
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APPENDICES
Interview Guide for challenges faced by management style of mubende Regional
Referral Hospital
Answer either Y for Yes N for No. and N/A if not applicable.
The questionaire for a research is as the effects of the management style and its
challenges in Mubende Regional Referral Hospitals.
The Researcher's Remarks
dear respondent the researcher is a undergraduate student persuing diploma in Public
Administration at Kampala International University. Your presence and responses shall
be taken as priviate and confidential and purely for the research purposes.
Instructions
please tick on the appropriate answer box either as letter y meaning yes and letter
N meaning no or N/A meaning not applicable
1 Name of the facility ........................ ..
2 Title of Cadre ............................... ..
3 Are you permanent at your work?
4 Are you on supervisory level in this facility?
5 Have you ever attend management course
6 What level of supervision are you?
7 Do you have any staff you supervise
23
I vi NI
8 Which highest level of education you attained.
Degree, Diploma, Certificate, Primary, None
I ~/ I YIN I I YIN I I YIN I 9 Do you carry appraisal assessment in you facility~ ~
10 How often"G:] 5J
11 Does your facility conduct the regular monthly meeting I ~/ I
12 Does the facility allocate the staff according their specialty of traini~ YIN
experience
13 Does your facility provide well specified job descriptions to every staff []
14 Is there a schedule for internal change over in this facilities
15 Do you have inventories registers for government property?
16 Do you get finding how often and amount? 1N7 Month quarterly half year I ~/ I L_J
17 Do you have finance committee? Ll [:]
24
