A Dissertation Submitted in Partial Fulfillment of the Requirements for the
Award of the Degree of Public administration of
Mzumbe University
The main objective of the study was to examine the impact of effective implementation
of the public service regulatory framework in service delivery of health services. The
study involved a determination of three main objectives and these included
determining how does the Implementation of the Public Service Regulatory framework
affect strategic planning for health services delivery at the Ilala Municipal Hospital,
what is the ratio of Patients accessing health services at Ilala Municipal Hospital
through the Implementation of the Public Service Regulatory framework and what
factors constraining the implementation of result based performance approach for
delivery of quality health services at Ilala Municipal Hospital. The study employed the
case study research design in addressing the study objectives and data was collected
from the primary and secondary sources through the use of questionnaires, interviews
and documentary review. The study involved a simple size of 98 respondents and data
collected was largely qualitative and it was analyze by the use of the statistical package
for social science research version 20.
The study has revealed that there is a relationship between the implementation of the
Public service regulatory framework and the delivery of health services and this has
been a result of integration of the components of the framework in the health delivery
systems of the hospital and this is why patients at Amana hospital have accessed the
expected health services provided, services are delivered on standards set within the
framework and on the basis of the strategic plans and performances is evaluated
towards ensuring that the implementation of the framework leads and influences the
delivery of quality health services at Amana hospital. In spite of the challenges being
faced including little budgets, politicization and weak quality assurance systems, the
framework has had a positive impact on the health services being offered and this can
be sustained through effective budgeting, transparent decision making, and integration
of health services delivery systems with national health policies and involvement of
stakeholder in the health services delivery systems.