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Metropolitan Journal of Academic Pedagogical Research
Volume 5 - Issue 3 (April)

GOOD GOVERNANCE AND PERFORMANCE OF HEALTHY CENTRES IN KAYUNGA DISTRICT. A CASE STUDY OF SELECTED HEALTHY CENTRES IN KAYUNGA DISTRICT

Authors: KUSAASIRA RACHEAL

Keywords: GOOD GOVERNANCE AND PERFORMANCE OF HEALTHY CENTRES IN KAYUNGA DISTRICT. A CASE STUDY OF SELECTED HEALTHY CENTRES IN KAYUNGA DISTRICT

The study examined the relationship between good governance practices and the performance outcomes of selected health centres in Kayunga District, Uganda. Specifically, the study assessed the influence of community participation, accountability mechanisms, and resource availability on health centre performance. The study was guided by the Principal–Agent Theory and Institutional Theory. The Principal–Agent Theory was applied to explain how accountability mechanisms such as supervision, transparency, and reporting aligned the actions of health workers (agents) with the expectations of government and communities (principals). Institutional Theory was used to explain how adherence to established governance norms, rules, and procedures shaped organizational behavior and performance within public health facilities. The study adopted a descriptive cross-sectional research design and employed a mixed-methods approach. Quantitative data were collected using structured questionnaires administered to health workers, health centre managers, and members of health unit management committees, while qualitative data were obtained through key informant interviews. A sample of 114 respondents was selected using stratified and simple random sampling techniques. Data were analyzed using SPSS, employing descriptive statistics, Pearson correlation, and regression analysis, while qualitative data were analyzed thematically. Findings on the first objective revealed a strong positive relationship between community participation and health centre performance (r = 0.716, p < 0.01).
Community involvement in planning, feedback meetings, and decision-making significantly improved service utilization, patient satisfaction, and responsiveness of health services. Regarding the second objective, the study found a significant positive relationship between accountability mechanisms and performance outcomes (r = 0.684, p < 0.01).
Facilities with clear reporting systems, regular audits, and transparent financial practices recorded better service delivery, improved staff discipline, and enhanced public trust. For the third objective, results indicated a positive and significant relationship between resource availability and health centre performance (r = 0.702, p < 0.01). Adequate staffing levels, consistent availability of essential medicines, and functional infrastructure were found to significantlyenhance outpatient attendance, maternal health service utilization, and immunization coverage. The study concluded that good governance practices played a critical role in enhancing the performance of health centres in Kayunga District. Community participation, accountability, and resource availability were mutually reinforcing governance dimensions that significantly influenced service delivery outcomes. Strengthening governance structures was therefore essential for improving efficiency, effectiveness, and equity in public health service provision. The study recommended that the Ministry of Health and district authorities strengthen community participation platforms, institutionalize accountability mechanisms through routine audits and transparent reporting, and ensure adequate allocation and maintenance of essential health resources.
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HEADTEACHERS’ STRATEGIC MANAGEMENT AND TEACHERS’ PERFORMANCE IN PRIMARY SCHOOLS: A CASE OF KITAGWENDA DISTRICT, UGANDA

Authors: MUHEBWA K PASCHAL

Keywords: HEADTEACHERS’ STRATEGIC MANAGEMENT AND TEACHERS’ PERFORMANCE IN PRIMARY SCHOOLS: A CASE OF KITAGWENDA DISTRICT, UGANDA

This study examined the influence of headteachers' strategic management practices on teacher performance in selected
primary schools in Kitagwenda District, Uganda. The purpose of the study was to establish the strategic management practices employed by headteachers, assess their effect on teacher performance, and identify the most effective practices for improving teaching outcomes. A descriptive cross-sectional survey design was adopted, employing a mixed-methods approach. The study targeted 05 headteachers and 150 teachers, from whom data were collected using questionnaires and semi-structured interview guides. A total of 113 respondents participated in the study, representing a response rate of 72.9%. Data were analyzed using descriptive statistics, factor analysis, and thematic analysis. The findings revealed that headteachers commonly applied strategic management practices such as setting clear school goals (Mean=3.74), conducting regular staff meetings (Mean=3.86), and providing curriculum guidance (Mean=3.73).
However, teacher involvement in decision-making (Mean=3.04) and community stakeholder inclusion in strategic planning (Mean=2.85) were relatively limited. The study established a strong positive relationship between strategic management practices and teacher performance (r=0.682, p
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