Assessing Service Delivery of Quality Health Services by Local Government Authorities: A Case of Nachingwea District Council.

Ndoliwa, Sultan Omari (2025) Assessing Service Delivery of Quality Health Services by Local Government Authorities: A Case of Nachingwea District Council. Masters thesis, The Open University of Tanzania.

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Abstract

The objective of the study was to assess the delivery quality of health services in the local government authorities in Nachingwea District Council. The study employed a mixed method approach which enabled a thorough understanding of a research problem. The sample size of 100 respondents which applied both purposive and random sampling procedure was selected. With regard to data collection both primary and secondary methods of data collection were applied. The collected data ware processed and analysed by using SPSS programme version 21.The main findings of the research expressed community awareness of the health service delivery, but expressed dissatisfaction with the services in that the quality of health service delivered was unsatisfactory. Study revealed that respondents unveiled factors which caused underperformance the leading being lack of facilities, shortage of human resources, poor equipment, shortage of laboratories and fewer technicians. The study pointed out issues causing customer dissatisfaction citing mainly inadequate financing and shortage of professionals. The study suggested having reasonable financial capacity to ensure quality health delivery, enough equipment and facilities, enough professionals and conducive environment for services. The study recommended to NDC management having more employment to qualified and skilled staffs for all departments, ensure and strengthen the availability of enough medical supplies at all times in all health facilities, improve Ward services and focus on customer satisfaction strategy. Keywords: Service quality, Local Government, Healthcare, Medical supply

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