Internal control practices and health service delivery in local governments of Uganda

Catherine Asiimwe, David Namanya, Geoffrey Nuwagaba
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Abstract

The main aim of this study was to examine the extent to which internal control practices affected health service delivery in Rukungiri District. The research adopted a case study design using both quantitative and qualitative approaches. The target population was 140 key stakeholders that lived and worked in Rukungiri District and a sample size of 104 was drawn from the target population. Our findings from the descriptive statistics, interviews conducted from key stakeholders and documentary reviews revealed a positive and significant relationship between internal control practices and health service delivery in Rukingiri District. The regression analysis results also indicated a modest model fit with adjusted r square of 0.137 which implies that about 14% variation in health service delivery was predictable by internal control practices, while the remaining 86% is explainable by other factors.   Key words: Internal control practices, health services, Local government.
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乌干达地方政府的内部控制做法和保健服务提供
这项研究的主要目的是检查内部控制做法对Rukungiri县卫生服务提供的影响程度。本研究采用个案研究设计,采用定量与定性相结合的方法。目标人群是在Rukungiri区生活和工作的140名关键利益攸关方,从目标人群中抽取了104名样本。我们从描述性统计数据、对主要利益攸关方的访谈和文献审查中得出的结论显示,在Rukingiri县,内部控制做法与卫生服务提供之间存在积极而重要的关系。回归分析结果还表明,模型拟合适度,调整后的r平方为0.137,这意味着卫生服务提供方面约14%的变化可由内部控制实践预测,而其余86%可由其他因素解释。关键词:内部控制实践卫生服务地方政府
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