A Dissertation Submitted to the School of Public Administration and Management in Partial Fulfilment of the Requirements for the Award of the Degree of Master of Public Administration (MPA) of Mzumbe University
This study assessed the existence of good governance practice with respect to three elements namely, accountability, transparency, and participation in the management of health services in Ludewa district hospital. The study was premised on three specific objectives which were to Establish if Accountability is in place in Ludewa District Hospital, how managers perceived it and find the satisfaction level of the staffs on accountability, to establish if Transparency is in place in Ludewa District Hospital, how managers perceive it and find the Satisfaction level of the staffs on transparency and to establish if participation is in place in Ludewa District Hospital, how the managers perceive it and find the satisfaction level of the staffs on participation.
The sample consisted of 81 respondents who were selected using random and purposive sampling. Data were collected through interviews, questionnaires, and documentary review. The data were analyzed using SPSS program. The findings were presented in the form of detailed discussions and some tables.
The findings indicated that the three elements of good governance which were examined were present in the hospital although they differed slightly in the rate of their existence. Also on the management perception and understanding on good governance, the hospital management was very much aware of the governance issues of the hospital and they put much emphasis on good governance for the betterment of the hospital. The employees were largely satisfied with the level of accountability (90.7%), transparency (97.4) and participation (93.2) at the hospital.
In conclusion, the three elements of good governance were found to be in place at the hospital though there were some areas which would require increased efforts in order to improve governance and therefore promote development of the hospital.
Given the weaknesses revealed it is recommended that employees should be provided with the education related to good governance to enhance in hospital governance by the government or NGOs. Participation should be increased by management to increase inclusiveness. The management should further improve information flow by use of technology and traditional means.