Woreda Level Decentralization And Assesment Of Health Service Delivery The Case Of Midakegni Woreda Oromia National Regional State

Decentralized service deliver:v refers In the mode in which sel1' ;ce de/ivel~v is done throughrnde/ego/ion and devo/ulion ~f power frum cenler 10 local governments where by eJliciel1cy andrneifixliveness are likely 10 be achieved. the general purpose of this sludy is 10 assess Ihe impaCIrnof Woreda Level Decenlralizalion on heallh service provisions qualily and qllanlily and 10rnexamine Ihe impaci oflhe decenlralized legal, polilical, adminislralive, financial and stakeholderrnparlicipalion on healrh service delivery in Mida Kegn Mida Kegn Woreda, Wesl Shoa Zone ofrnthe Oromia National Regional Slate.rnTo explore the impaci of Woreda Level Decentralization on health services delivery mixedrnresearch approach was employed. Data were collected from Regional Health Bureau, ZonalrnHealth office, Woreda Health Offices, Health centers, Health center Directors, health experts ,rnkebele managers and beneficiaries through questionnaire, interviews and document analysis.rnThe study found that local communities have participated in health services delivery mainly inrnidentifYing local problems, planning, management, monitoring, control and evaluation of theirrnalso found that there has been weak and incoherent vertical or horizontal coordination betweenrnthe health institutions.rnIn order to manage and sustain decentralization for effective delivery of health services, strongrncapacities in resources (hwnan,finance and institutions) and active participation are mandatory.

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