Corruption and Health Care Service Delivery in Buvuma District, Uganda

Contents

DECLARATION

APPROVAL I

ACKNOWLEDGEMENTS Ii

DEDICATION

LIST OF ACRONYMS v

TABLE OF CONTENTS vi

LIST OF TABLES

ABSTRACT x

CHAPTER ONE 1

INTRODUCTION 1

1.0 Introduction 1

1.1 Background to the study 1

1 .1 .1 Historical perspective 1

1 .1.2 Theoretical perspective 2

1.1 .3 Conceptual perspective 3

1.1.4 Contextual perspective s

1.2 Statement of the problem s

1.3 Purpose of the study 6

1 .4 Research objectives 6

1.5 Research questions 6

1.6 Scope of study 6

1 .6.1 Geographical scope 6

1.6.2 Content scope 7

1.6,3 Time scope 7

1.7 Significance of the study 7

1.8 Operational definition of key terms 8

CHAPTER TWO

LITERATURE REVIEW g

2.0 Introduction 9

vi

2.1 Corruption .9

2.1.1 Factors influencing corruption 10

2.1 .2Forms of Corruption in Health Sector 15

2.2 Health Care Service Delivery 17

2.2.1 Dimensions of health service deliveiy 18

2.3 Related literature 19

2.3.1 Effect of Corruption on Health Service Delivery 19

2.4 Conceptual model of Corruption in the Health Sector 20

2.5 Gaps in the literature 22

CHAPTER THREE 23

METHODOLOGY 23

3.0 Introduction 23

3.1 Research design 23

3.2 Population of the study 23

3.3 Sample size 23

3.4 Sampling techniques 24

3.5.1 Simple Random Sampling 24

3,5.2 Purposive Sampling 24

3.5 Data collection instruments 25

3.5.1 Questionnaires 25

3.6 Validity and reliability of the instrument 25

3.7 Data gathering procedures 25

3.8 Data analysis 26

3.9 Ethical considerations 26

CHAPTER FOUR 27

DATA PRESENTATION, ANALYSIS AN]) INTERPRETATION 27

4.1 Introduction 27

4.2 Respondents’ Background Information 27

4.2.1 Gender of respondents 27

4.2.2 Age of respondents 28

4.2.3 Marital status of respondents 28

4.2.4 Highest level of education of respondents 29

VII

4.2.5 Occupation of respondents .29

4.2.6 Where do you mostly get health services9 30

4.3 To assess perceptions of corruption in process of receiving health services 30

4.3.1 Clients perception of corruption 30

4.3.2 If yes, what types of corrupt practices are common in your area9 31

4.3.3 To assess perceptions of corruption in process of receiving health services 31

4.4 To determine factors driving corruption in health service delivery 32

4.5 To assess the quality or levels of health service delivery 33

4.6 The relationship between corruption and health service delivery in Buvuma District 35

4.4.2 Regression of corruption on health service delivery in Buvurna district 36

CHAPTER FIVE 37

DISCUSSIONS, CONCLUSION AND RECOMMADATIONS 37

5.0 Introduction 37

5.1 Discussion 37

5.1.1 To assess perceptions of corruption in process of receiving health services 37

5.1.2 To determine factors driving corruption in health service delivery 38

5.1.3 To assess the quality or levels of health service delivery 39

5.1.4 The relationship between corruption and health service delivery in Buvurna District 40

5.2 Conclusion 41

5.3 Recommendation 43

5.4 Area of further study 44

REFERENCES 45

APPENDIX 51

APPENDIX A 51

QUESTIONNAIRE 51

Appendix D: Table for Determining Sample Size from a Given Population 54