Publications

This study investigates the relationship between decentralization and service quality inBwera District Hospital, focusing on fiscal, political, and administrative decentralization.The target population is health workers at the hospital, and a simple random techniquewas used to reach the sample. Data was collected through closed open questionnaires andanalyzed using the Statistical Package of Social Sciences (SPSS). The findings indicate thatfiscal decentralization has improved service quality, political decentralization hasempowered community members, and administrative decentralization has significantlyinfluenced service quality. The study recommends more debate and bargaining on thebalanced distribution of fiscal resources among different districts, local governmentscontrolling their own-source revenues to allow some discretion in matching citizens'needs with taxes paid, and the government of Uganda partnering with its agencies tobuild capacity at lower levels of communities through better intergovernmental transfers