DECLARATION
APPROVAL
DEDICATION
ACKNOWLEDGEMENT iv
TABLE OF CONTENTS v
LIST OF TABLES
LIST OFACRONYMS /ABBREVIATJONS ix
ABSTRACT x
CHAPTER ONE: INTRODUCTION 1
1 .0 Introduction 1
1.1 Background of the Study
1.2 Problem Statement 3
1.3 Objectives of Study 4
1.3.0 General Objective 4
1.3.1 Specific Objectives 4
1.4 Research questions 4
1.5 Scope of Study
1.5.1 Content scope s
1.5.2 Geographical Scope 5
1.5.3 Time scope s
1.6 Significance of the study s
1.7. Justification 6
CHAPTER TWO: LITERATURE REVIEW 8
2.0 Introduction 8
2.1 Causes of urbanization 8
2.2 Health services delivered by the urban authorities 11
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2.3 The Impact of Urbanization on Health Service Delivery 13
2,4 Addresing the Challenges of Urbanisation on Health Service Delivery 15
2.5 Conceptual Framework 16
CHAPTER THREE: RESEARCH METHODOLOGY 18
3.1. Introduction 1 8
3.2. Research Design 18
3.3 Study Population 18
3.4 Sample Size 19
3.5 Sample Procedure 19
3.6 Sources of Data 20
Primary Data 20
3.7 Data Processing 21
3.8 Data Analysis 21
3.9 Ethical Consideration 21
CHAPTER FOUR: DATA PRESENTATION, INTEPRETATIONS AND ANALYSIS 23
4.0 Introduction 23
4.1 Demographic characteristics of respondents 23
4.1.1 Gender of Respondents 23
4.1 .2 Age of the respondents 24
4.1.3 Marital Status of the Respondents 24
4.1.4 Education Levels of the Respondents 25
4.2 Findings on Causes of urbanization 26
4.3 Findings on health services delivered by the urban authorities in urban centres 29
4.4 Findings on the ways how urbanization negatively impact on health service delivery 33
CHAPTER FIVE: CONCLUSIONS AND RECOMMENDATIONS 42
5.0 Introduction 42
5.1 .1 Causes of urbanization 42
5.1.2 Health services delivered by the urban authorities in urban centres 43
5.1.3 Ways how urbanization negatively impact on health service delivery 44
5.1.4 Solutions on the negative impact of urbanization on health service delivery 44
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5.2 Recommendations .45
5.3 Suggested areas for future study 46
APPENDICES 52
APPENDIX I: QUESTIONNAIRE 52
ABSTRACT The study sought to examine the impact of urbanization on health service delivery in Kyengera Town Council, Wakiso District, Uganda (1986-2016). The main study objective was to examine the effects of urbanization on health service delivery in Kyengera Town as indicated in chapter one. Chapter two focuses on literature review as it was indicated that it is through urbanization that people who are from rural areas are deprived of basic amenities like school, hospitals. banks and so on but due to urbanization these people get these facilities and hence it helps in improving the overall living standard of people. This can also be instrumental in improving on the delivery of health services hence contributing to improved social welfare of the people. The research relied on the conceptual framework as a guide. Chapter three concerns research methodology and under here, the study largely applied qualitative research design. To a lesser extent, it also applied quantitative research design where descriptive statistics were used to reflect aspects of perception, feelings, experiences, facts and emotional feelings of the study respondents in finding out the impact of urbanization on health service delivery in Kyengera Town. Chapter four consists of study findings where by the researcher found out that the most respondents involved in the study were men due to the societal beliefs that the males are hardworking and hence more capable of handling health service delivery in urban centres. In chapter five, the study concludes that through industrial revolution, more people have been attracted to move from rural to urban areas on the account of improved employment opportunities. Industrialization has increased employment opportunities by giving people the chance to work in modern sectors in job categories that aids to stir economic developments. The study recommends that the government should also encourage sustainable use of urban resources and support an economy based on sustainable environment such as investment in green infrastructure, sustainable industries, recycling and environmental campaigns, pollution management, renewable energy, green public transportation, and water recycling and reclamation.
