TABLE OF CONTENTS
Contents
DECLARATION
APPROVAL
DEDICATION
ACKNOWLEDGEMENTS iv
TABLE OF CONTENTS v
LIST OF TABLES ix
ABSTRACT x
CHAPTER ONE 1
1.0 Introduction 1
1,1 Back ground of the study 1
1.2 Problem statement 3
1 .3 objectives of the study 3
1.3.1 General objective of the studs 3
1.3.2 Specific Objectives 3
1.5 Research questions 4
1.6 Scope of the study 4
1.6.1 Content scope 4
1.6.2 Geographical Scope 4
1.6.3 Time scope 4
1.7. Significance of the study 4
1.8 Conceptual framework 6
V
CHAPTER TWO .8
LITERATURE REVIEW .8
2.0 Introduction 8
2.1 Definition of Decentralization 8
2.2 Review of related Literature 9
2.3 Benefits of Decentralization 12
2.4 Challenges of Decentralization as a Policy for Improving Service Delivery 15
2.5 Relationship between decentralization and development 21
CHAPTER THREE ,...27
METHODOLOGY 27
3.0 Introduction 27
3.1 Research design 27
3.2 Population of the study 27
3.3 Sample size 27
3.4 Sampling Technique 28
3.4.1 Simple random Sampling Technique 28
3.4 Sources of data 28
3.4.1 Primary data 28
3.4.2 Secondary data 29
3.5. Data gathering methods 29
3.5.1 Interviews 29
3. 5.2 Questionnaires 29
3.5.3 Observation 29
3.6 Reliability and validity 30
vi
3.6.1 Reliability of the instrument 30
3.6.2 Validity of instrument 30
3.7 Data analysis 30
3.8 Ethical consideration 30
CHAPTER FOUR’ 31
DATA PERSENTATION, ANALYSIS AN1) INTERPRETATION 31
4.0 Introduction 31
4.1 Demographic characteristics ofrespondents 31
4.1 .1 Age of respondents 31
4.1.2 Gender 32
4.1.3 Education level of respondents 32
4.2 Benefits of decentralization 33
4.2.1 Performance facilitation’ 33
4.2.2 Staffing of the Health Directorate 34
4.2.3 Adequacy of pre-service training for personnel 34
4.3 The challenges faced 35
4.3.1 Equipment 35
4.3.2 Lack of equipment and its maintenance 35
4.3.3 Availability of supplies 37
4.3.1 State of working space 37
4.4 Relationship between Decentralization and Development of Kiruliura District Table 12
Shows relationship decentralization and development 38
VI
CHAPTER FIVE .39
CONCLUSION AND RECOMMENDATIONS 39
5.0 Introduction 39
5.1 Discussion of findings 39
4.1 Demographic characteristics of respondents 39
5.2.1 Benefits of decentralization 39
5.2.2 The challenges faced 40
4.3.1 State of working space 41
5.3 Relationship between Decentralization and Development of Kiruliura District 41
5.2 Recommendations 41
5.3 Conclusions 43
APPENDICES 46
APPENDIX A: QUESTIONAIRE 46
APPENDIXB 50
BUDGET ESTIMATES FOR THE RESEARCH STUDY 50
APPENDIX C: A PROPOSED TIME FRAMEWORK PLAN AND SCHEDULE OF
ACTIVITIES 51
REFERENCES 52
ABSTRACT The study inquired into the Impact of Decentralization on the Development of Kiruhura District. It was guided by Specific objectives of the study which included; To assess the benefits of Decentralization in Kiruhura District, to investigate the Challenges of Decentralization as Policy for Improving Service Deli cry in Kiruhura District and to examine the relationship between Decentralization and Development of Kiruhura District. The study used a descriptive research design and this research design normally describes events or things the way they appear in their natural settings. The study population was 60 respondents. The study used a sample of 30 respondents, basing on Krejcie and Morgan (1970) determination of sample size from a given population. The study found out that The majority were in the ages of 40 — 50 In regard to Gender the majority were male Concerning the Education level of respondents, the majority held a University degree performance facilitation is the major benefit of decentralization, staffing the health directorate is a benefit of decentralization in the district, adequacy of pre-service training for personnel is a benefit of decentralization in the District, there is lack of equipment and their maintenance in the district, there is no availability of equipment are not maintained in the district, the equipments requested for are not received in the district, there are no availability of supplies in the district, the state of working space is not good, there is a positive significant between decentralization and development. The study recommended In order to improve the quality of personnel, there is need to strengthen the lower administrative units Personnel quantity, quality and accessibility improvement requires to have a functional DSC, which is operational at all times. This will allow it to perform its duties of ensuring adequate and satisfied personnel for the district to fulfill its service delivery to the citizens. For better accessibility of personnel, extra funds should be mobilized to expedite construction of new rooms and maintenance of existing workspace. The study concludes that the improvement of personnel’s ability to know what they are expected to do on their jobs under decentralization led to improvement iii personnel quality as being focused in their performance. The quantity of the Health Directorate personnel in Kiruhura district was found to be lacking leading to overloading of personnel to serve the increasing numbers of clients and increasing numbers of health units, it also led to understaffing hence constraining service delivery.