Assessment Of Institutional Capacity In The Implementation Of Health Policy The Case Of Bishoftu City Health Officegeneral Hospital

The objective of this paper is to investigate the institutional capacity of health in thernimplementing national policy of EthThe objective of this paper is to investigate the institutional capacity of health in thernimplementing national policy of Ethiopian Health, in case of Bishoftu town. Survey questionnairernwas administered for 133 sample respondents that were selected using multistage cluster sampling . Inrndoing this, both qualitative and quantitative data were used in order to explore and describe therncapacity of local government in Bishoftu town. The study found out that despite the commitmentrnof the government to implement the policy in all tiers of health institution, the government failedrnto effectively institutionalize the national policy in the local government in the way that couldrnrespond to the users need. As such health institutions in the Town have failed to address thernproblem of health service delivery due to a number of capacity challenges and problems in theirrnjurisdiction. The health institution in Bishoftu town suffer from limited institutional capacity suchrnas shortage of human resource professionals and experts; lack of adequate material resourcernsuch as finance, office equipment’s and building for permanent office; limited policy knowledgernand understanding, lack of institutional experience are among the capacity problems faced byrnthe governments in the town in discharging their responsibilities. This in turn resulted in poorrnquality service to the community in general. In order to improve the capacity of the actor in therntown government must consider and reconsider the local levels in the national policy andrnestablish strong institution at the grass root level to make the service more responsive to therncommunity.rnKey words: Institutional Capacity, Institution, Health Policy and Policy Implementationiopian Health, in case of Bishoftu town. Survey questionnairernwas administered for 133 sample respondents that were selected using multistage cluster sampling . Inrndoing this, both qualitative and quantitative data were used in order to explore and describe therncapacity of local government in Bishoftu town. The study found out that despite the commitmentrnof the government to implement the policy in all tiers of health institution, the government failedrnto effectively institutionalize the national policy in the local government in the way that couldrnrespond to the users need. As such health institutions in the Town have failed to address thernproblem of health service delivery due to a number of capacity challenges and problems in theirrnjurisdiction. The health institution in Bishoftu town suffer from limited institutional capacity suchrnas shortage of human resource professionals and experts; lack of adequate material resourcernsuch as finance, office equipment’s and building for permanent office; limited policy knowledgernand understanding, lack of institutional experience are among the capacity problems faced byrnthe governments in the town in discharging their responsibilities. This in turn resulted in poorrnquality service to the community in general. In order to improve the capacity of the actor in therntown government must consider and reconsider the local levels in the national policy andrnestablish strong institution at the grass root level to make the service more responsive to therncommunity.rnKey words: Institutional Capacity, Institution, Health Policy and Policy Implementation

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