RELATIONSHIP BETWEEN COMMUNITY-BASED SUPERVISION AND HEALTH SERVICE DELIVERY IN PAKWACH DISTRICT LOCAL GOVERNMENT. A CROSS-SECTIONAL STUDY.
DOI:
https://doi.org/10.70572/agp.v2i5.85Keywords:
Relationship, Community-based supervision, Health service delivery, Pakwach District Local GovernmentAbstract
Background
Supervision in healthcare systems can be seen as an integral part of the larger health system. The purpose of the study was to examine the relationship between community-based supervision and health service delivery in Pakwach District Local Government.
Methodology
Mixed research approach using a cross-sectional survey design. Quantitative data was coded and summarized using frequency tables. Descriptive statistics, frequencies, and percentages were used to describe quantitative data. Pearson correlation was used to establish the relationships in line with the study objectives.
Results
63 (63%) were male, while 37 (37%) were female; the majority of respondents fell within the 31–40 years age group, accounting for 43%. Respondents were asked whether community members receive updates on equipment available at health centers. The Majority of the respondents (53%) disagreed. In-charge, Sub-county Health Centre III said, "The concept of community-based supervision is important, but it's not working well here. Most of the community doesn’t feel empowered or informed enough to monitor health services. Results show a weak positive correlation (r=0. 314) between community-based supervision and health service delivery, which is statistically significant at the 0.05 level (p = 0.040). This indicates the increased involvement of the community in supervising health.
Conclusions
The study reveals a statistically significant but weak positive correlation (r=0.314) between community-based supervision and health service delivery, highlighting the potential value of community involvement in enhancing health outcomes. While mechanisms like suggestion boxes and leader visits show some level of activity, the overall low engagement in broader community oversight, like surveys, health committees, and public forums, underscores a critical gap in participatory governance.
Recommendations
Pakwach District local government should revitalize and support health committees at the facility and community levels by providing training, clear roles, and regular engagement opportunities to ensure meaningful participation in planning, monitoring, and feedback processes.
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