Research Papers

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An analysis into the effectiveness of financial controls under decentralization in sironko district, Uganda
(Islamic university in uganda, 2007-10) Wotunya, Peter
This study was carried out after the realization of the fact that in spite of all the regulations and institutions put in place to manage and control resources, many complaints arise and reports of impropriety are evidently made. The study was therefore conceived and carried out along objectives such as: establishing the financial resources that are available to local governments, analysing the appropriateness of the financial controls in terms of their functions, establishing the level 'of compliance to financial controls, analysing the weaknesses in financial controls and improvements for better control. Using a cross sectional descriptive survey design, with a triangulation of data collection methods, and from a sample of 100 participants, data was collected. It was then organized presented and analysed through simple descriptive statistics, especially frequencies and percentages.
The crime of arson in Organisations and its strategic implications for education managers in Uganda
(African Higher Education Research Online, 2008) Mpaata, Kaziba Abdul
The prevalence of arson in different settings both in developed and developing countries is explored in this article. While this crime has different dimensions in terms of motive and consequences as it is discussed, there is an extremely urgent need for Education Managers in Uganda to have practical strategies that can mitigate this vice. It is therefore concluded by suggesting some of them so as to save life and property in schools.
Division Solid Waste Generation and Composition in Kampala Capital City Authority, Uganda
(IOSR Journal of Environmental Science, Toxicology and Food Technology (IOSR-JESTFT), 2014-10) Nabukeera, M. Sebyala; Boerhannoeddin, Ali; Noriza, Raja
Recognition of waste generation trends and composition is a significant phase towards planning, policy making, budget allocation, management and improving the state of solid waste for any particular country. The objective of this paper therefore was to discover the generation of waste by the five divisions of Kampala Capital City Authority (KCCA) and private sector as a quick fix to guide policy makers to make informed decisions in proper management of waste in Kampala. In this paper, a qualitative method was used mainly observation and a few available documents. The researcher and research assistants recorded every refuse truck that off loaded at Kitezi Sanitary Landfill 24 hours a day for a period of one financial year (from July 2012-June 2013). The aim was to determine the number of tonnes per vehicle since the weigh bridge was nonfunctional. The waste tonnage was determined on the basis of the weigh bridge’s archived information and with this information, the total waste produced by each division (daily, weekly and monthly) was quantified. Results indicate that KCCA, a government representative body entrusted to manage Kampala, collects the biggest percentage of waste (64.36%) generated compared to private sector (35.64%), Furthermore, Central Division generates the highest tonnage of waste (64.171 tonnes) per year compared to other Divisions. In conclusion we propose that government allocates funds according to percentage generation of waste and on this basis, KCCA needs to place emphasis on reducing waste generation by encouraging sustainable reuse and recycling as well as addressing key success factors that include expertise, awareness of the public, strengthening partnerships to pool resources and promoting advanced technology
Sustainable Management of KCCA Mpererwe Landfill
(IOSR Journal of Environmental Science, Toxicology and Food Technology (IOSR-JESTFT), 2014-11) Nabukeera, M. Sebyala; Boerhannoeddin, Ali; Noriza, Raja
Approximately 1500 tonnes are dumped at Kitezi landfill presently in Uganda, due to increased daily generation of solid waste. Although this state of affairs calls for improvement of the practices at the landfill in a sustainable manner to safeguard the environment and uphold public health, the required technology for the landfill is yet to be attained. The aim of this paper is to ascertain and assess the growth and tendencies in landfil utilization in Uganda. In 1970s management of solid was characterized by the use of the traditional open dumping sites normally found in the suburbs of the city, an approach that was suitable since the population was still low. The period from 1986 embraced a decentralized system of management that was accompanied with rapid construction of residential structures and a reduction in spaces for open dumping. This called for a more organized system for solid waste management. Thus waste management became a responsibility of the five divisions under Kampala Capital City Authority. In early1990s, outsourcing of solid waste management services in all divisions of KCCA was witnessed and in 1996 the first sanitary landfill was launched at Kitezi as the only engineered landfill (called ‘Kitezi Landfill’) for municipal waste. In 2005 the landfill became a nuisance because of bad odour, vermin and this was made worse by scavengers who scattered waste in the neighborhood. In 1999 the National environment regulation for Uganda was implemented for municipal waste to enable cleaner production methods, licenses and to devolve power for inspecting the environment. Although implementation of the regulations is yet to yield modest results, it is clear that it was big step towards a positive foundation establishing a sustainable disposal and solid waste management system in Uganda. Key
Recentralization of Kampala City Administration in Uganda
(Sage, 2015-09) Nabukeera, M. Sebyala; Bwengye, Micheal; Boerhannoeddin, Ali; Noriza, Raja
The government disseminated a new constitution in 1995 with the provision on decentralization of Article 176 2 (b) that acted shortly before the rebirth of the local government act in 1997. Devolution as a form of decentralization transferred both political and administrative powers from the center to lower local councils specially to handle the responsibility of service delivery. Following the approval of the Kampala Capital City Authority (KCCA) Act 2010, the city’s administration reverted to the central government. Detractors of decentralization allege that the conveyance in the policy and legislation for change of Kampala city administration was timely because decentralization failed to deliver desired services to residents. This article contends that recentralization of Kampala city administration was a necessary evil, it decreased the autonomy of sub-national governments in civil service administration, eroded accountability to the electorates, and transferred the allegiance of the accounting officer from local governments with and for which they work to the central government that designates and positions. To inflame accountability in local governments, the article champions for the reexamining of the KCCA Act 2010 to allow power sharing between the mayor and executive director to enhance bottom-up accountability, checks and balances, and for participation of central government in appointing of executive director to allow financial and security support. It additionally requests for a reconsideration of the 9th Parliament to lobby for the amendments owing to challenges in its implementation and impact on accountability
Experiences, associated capabilities and responsibilities of Landfill Management in Kampala Capital City authority Uganda
(Journal of Environmental Science, Toxicology and Food Technology (IOSR-JESTFT), 2015-10) Nabukeera, M. Sebyala; Noriza, Raja; Boerhannoeddin, Ali
Landfills are common dumping places for garbage in many poor and developing countries.Even thought they are associated to environment risks, they remain the preffered means of waste due to their economic factor. Semi structured interviews were conducted with 19 employees of Kitezi landfill between June and November 2013 and they shared their lived experiences of the landfill daily tasks, sustainability ,achievements,mainteanance of infrastructure, control, treatment and monitoring of leachate, quality control, achievements of landfill under KCCA ,continued challenges and recommendations. Results show relatively high pH, Total Dissolved Solids (TDS), Conductivity and extremely low Oxidation-Reduction Potentials (ORP) for Leachate and its path through Bitarabeho’s Farm.Though proud of their contribution for a period of over 10 years, , they were concerned about their long term health outcome.The lived experiences provided rich insights into the experiences of landfill management and exposed the pending challenges for poor developing country like Uganda.
Challenges and Barriers to the Health Service Delivery System in Uganda
(IOSR Journal of Nursing and Health Science (IOSR-JNHS), 2016-04) Nabukeera, M. Sebyala
This paper summarizes the barriers of the health service delivery system in Uganda including but not limited to policy matters, medical staff, transport, distance and referral mechanism, drugs and medical facilities, costs and financing of services, corruption and bribery, culture and attitudes.;the manuscript summarizes with future recommendations to government of Uganda in terms of improving the referral mechanism, encourage community financing health schemes, adopt collaborative practices, conceptualize and implementation of the Alma-Ata-Declaration of 1978, recognize the importance of informal providers of healthcare to the poor, sensitization of health workers on infection control and post exposure prophylaxis, government should develop strategies to enhance public hospital management and awareness of threats related with expiry medicines.
Correlates of Outpatient Health Care Services in an Upcountry Referral Hospital in Uganda: Management Revival Strategies
(International Journal of Science and Research (IJSR), 2017) Mpaata, Kaziba Abdul; Lubogoyi, B.; Okiria, J C.
Abstract: The study investigated the correlates of outpatient health care service at Iganga referral hospital using data that was initially collected on resource availability and patient care in the hospital. The objective was to establish the variables that correlate with outpatient health care services offered in the different units and departments of the hospital. The results indicate that the significant correlations of outpatient health care services at the hospital with; (1) child health services (r = .466**, p < 0.0001); (2) maternal health services (r = .420**, p < 0.0001); (3) STI/HIV/AIDS services (r = .304**, p < 0.010); (4) tuberculosis services (r = . 510**, p < 0.0001); (5) equipment, drugs and facilities (r = .422**, p < 0.0001); (6) adequate supervision (r = .459**, p < 0.0001); (7) infrastructure (r = .463**, p < 0.0001); (8) staff training and development (r = .283*, p < 0.017); (9) sanitation facilities (r = .317**, p < 0.007). In addition, the regression results indicate that there is one significant determinant of outpatient health care services which is patient care and attention (β = .426, T = 3.107, P < 0.003). Based on these results, it was recommended that referral hospitals in Uganda should be well managed and funded to offer regular treatment to outpatients and ensure as investigated, that doctors and drugs are readily available to patients who seek services from the hospital. Similarly, it is critical for hospital management to ensure adequate supervision, quality sanitation facilities, enough physical infrastructures and have training and development for significant outpatient health care services.
The Effect of Customer Service on the Client Perceived Performance of Barclays Bank Uganda
(International Journal of Science and Research (IJSR), 2017) Mpaata, Kaziba Abdul; Lubogoyi, Bumali.; Okiria, John Charles
The study examined the effect of customer service on the perceived performance of Barclays Bank Jinja Uganda. It was guided by the following objectives; (1) to establish the relationship between a sustainable customer service culture and the perceived performance of Barclays Bank Uganda; (2) to determine the effect of applied banking technology on the perceived bank performance; (3) to determine the relationship between customer service relations and the perceived bank performance; and (4) to determine the moderating effect of demographic variables of age of the respondent, gender, and education on the perceived performance of the Bank. A sample comprised 58 respondents who had bank accounts and used the bank services on a routine basis. Correlation results reveal that; (1) there is a strong relationship between sustainable customer service and the perceived performance of the bank (.425**, p<0.001) and the regression results support this relationship (β = .397, t = 3.170, p<0.003); (2) there was a significant effect of applied banking technology on the perceived bank performance (β = .501, t = 4.436, p<0.001); (3) on the contrary, it is also revealed that there is a negative and insignificant relationship between customer service relations and perceived bank performance (r = .202, p > .128). Concerning the moderating effect of the demographic variables, only age moderated the effect of customer service on the perceived bank performance. It was concluded therefore that while Barclays Bank has maintained its competitive edge in customer service, it has significantly improve on its relationship service marketing strategies in order to preserve its core competence of an international outlook already created.
The Effect of Administrative Controls on Fraud Detection and Prevention in Barclays Bank Uganda
(International Journal of Science and Research (IJSR), 2017) Mpaata, Kaziba Abdul; Lubogoyi, Bumali; Okiria, J C.
The study investigated the effect of administrative controls on fraud detection and prevention in Barclays Bank Uganda. The objectives of the study were; (1) to establish the relationship between administrative professional practice and fraud detection and prevention in the bank; (2) to establish the relationship between administrative deterrence measures and fraud detection and prevention in the bank; and (3) to determine the effect of utilizing administrative detection tools and methods to prevent fraud. The study used both descriptive and inferential statistics to achieve the above objectives. Results revealed that; (1) there is a significant and positive correlation between; administrative professional practice and fraud detection and prevention in the bank (r = .843, p<0.0001); administrative deterrence measures and fraud detection and prevention (r = .969, p<0.0001); and utilizing administrative detection tools and fraud detection and prevention (r = .992, p<0.0001). Given the findings, it was suggested that Barclays Bank should strengthen its administrative controls and ensure that systems are in place to detect and/ or a dministrative prevent problems that lead to losses thereby limiting damage to the bank operations. These included; professionalism in organizing work and controlling workers as well as having deterrent measures and technological tools that can help in the internal control function.
The Effect of Internal Audit Department Function on the Performance ofthe Internal Control System ofa Public Hospital in Uganda
(International Journal of Science and Research (IJSR), 2017) Mpaata, Kaziba Abdul; Lubogoyi, Bumali; Okiria, John C
This study set out to examine the effect of the internal audit department function on the performance of the internal control system in a not-profit making hospital. It focuses on Mengo Hospital in Uganda. The research was based on the premise that the hospital sector in Uganda has witnessed modest growth over the last decade with numerous financial challenges that culminated into a significant decline in service delivery. One strategy that can work to ameliorate the situation is having in place a system of internal controls that this study examines. A survey questionnaire approach was used for data collection from the different departments of the hospital. The study reveals that internal audit function has significant influence on the performance of the internal control system in public hospitals through the following; (1) management and reporting of financial information (β = .648, t = 7.508, p <0.001); (2) compliance with hospital laws and regulations (β = .311, t = 2.894, p <0.005); (3) adhering to accounting procedures (β = .600, t = 6.626, p <0.001); and (4) hospital professional finance management practice (β = .567, t = 6.072, p <0.001). It was concluded therefore that for public hospitals that are not- for profit, there is an urgent need for the governing bodies and top management to ensure that the internal audit function is not only independent as a department but also that such a department is empowered to monitor, verify and control the use of funds so that all the other departments are able to sagaciously carryout their responsibilities and obligations so as to influence the general service delivery and fulfil the mission that is geared towards patient care.
Inventory Management Practices and the Effectiveness of the Supply Chain of Essential Medicines in the Public Sector. Evidence from Six Selected Public Hospitals in Uganda
(International Journal of Science and Research (IJSR), 2017) Okiria, J.C; Mwirumubi, R; Mpaata, Kaziba Abdul
Abstract: This study assessed the relationship between the Inventory management practices and the effectiveness of the downward supply chain of essential medicines in the selected 6 public hospitals in Uganda. A cross sectional descriptive and analytical survey was done with both qualitative and quantitative data collected. Two hospitals were regional referral and the four were general hospitals by level of care. Overall the study found a significant relationship between the level of inventory practices in the hospitals and the effectiveness of the downward supply chain. The study therefore recommends improvement on the ordering practices to cater for lead time and the buffer stock, use of adjusted consumption method, improve on the monitoring, procurement planning and adherence to the essential medicines list of Uganda when ordering
Youth Personality Development and the Ultimate Character
(International Journal of Youth Economy, 2017) Mpaata, Kaziba Abdul
The paper examines how youth personality development is responsible for the ultimate character of students and their behavior in the field even after graduation. Youth personality at higher education level at present is engulfed with many challenges than ever before. Not only do most of them have the “don’t care” attitude as part of their behavior but also continue to have less and less interest and opportunity to discover what is true and is expected of them by their religion so as to refine and build their character into responsible and God-fearing citizens. They continue to pursue the world with all sorts of anti-social behavioral characteristics that portray impatience, intolerance, and irresponsibility to society and their workplaces. The paper therefore sets the pace in identifying the neglected role of educators and attempts to analyze the qualities that are required and expected of not only the parents but school and university educators in building the community, mining the curriculum, and above else how to involve staff, administrators, parents and students themselves as stakeholder. It recommends some strategies that are pertinent and key to character building. The paper also provides a way forward how to teach and how academic institutions can reclaim their neglected role and effectively nurture the youths. It concludes with an observation that while most talents are to some extent a gift that students can demonstrate after class, good character by contrast is not given on a silver plate. Educators have to build it piece by piece through thought, choice, courage and determination.
The Supervisory Role of Head Teachers’ and the Delivery of Primary Education in the Rural Districts of Uganda
(International Journal of Science and Research (IJSR), 2017) Mpaata, Kaziba Abdul; Lubogoyi, B; Okiria, J. C
Abstract: This study assessed the head teachers’ supervisory role in the delivery of Universal primary education (UPE) in the rural districts of Uganda. It focused on Busoga region in Uganda. The specific objectives of the study were; (i) to establish the influence of head teacher’s communication on the delivery of UPE; (ii) to determine the effect of supervision of teachers on the delivery of UPE; (iii) to establish the relationship between the learning environment created by the head teacher and the delivery of education. A sample of 120 respondents from the district of Iganga, Mayuge, Luuka and Bugiri were contacted, out of whom 97 returned filled questionnaires. In order to realize the above objectives, Pearson product moment matrix was performed before the regression analysis and results revealed that there is a positive and significant influence of; head teacher’s communication on the delivery of UPE [β = .861, t = 16.531, p = <0.0001]; and (2) supervision of teachers on the delivery of UPE (β = .898, t = 19.937, p = <0.0001). The findings also revealed that there is a positive and significant relationship between the learning environment created by the head teacher and the delivery of UPE in the above rural districts (r = .943**, p<0.0001). It was concluded that there is need to ensure that head teachers are not only retrained in their supervisory roles but also prepared to internalize the mission and objectives of UPE so as to effectively monitor and improve the standards of education in the area.
Resources Availability and Quality of Patient Care Services in Public Hospitals in Uganda: “Expert Patients” Perspectives
(International Journal of Science and Research (IJSR), 2017) Mpaata, Kaziba Abdul; Lubogoyi, B..; Okiria, John Charles.
Abstract: This study set out to examine the relationship between Hospital resources availability and patient care management in a government referral hospital in Uganda. It focused on Iganga Regional Hospital which handles patients from the districts of Mayuge, Namutumba, Luuka, Kaliro, Buyende that were curved from the original Iganga district. The research was based on the premise that resources in a regional hospital must be not only available but sufficient to serve the health needs of the local community including those who seek emergency treatment. A survey questionnaire approach was used for data collection from actual patients or those who take care of them in the different units of the hospital. The specific objective was to examine the relationship between resource availability and patient care using eleven different dimensions to investigate this phenomenon in the hospital. The study revealed that there is a positive and significant correlation between hospital resources availability and patient care in all the eleven aspects studied which include; (1) Child health care services [r = .562**, p<0.0001]; (2) Maternal health services [r = .571**, p<0.0001]; (3) STI/HIV/AIDS services [r = .415**, p < 0.0001]; (4) Tuberculosis services [r = .437**, p < 0.0001]; (5) Outpatient curative services [r = .607**, p<0.0001]; (6) Supervision [r = .471**, p<0.0001]; (7) Equipment, drugs and facilities [r = .559**, p<0.0001]; (8) Infrastructure [r = .426**, p<0.0001]; (9) Availability of specialists [r = .446** p < 0.0001]; (10) Staff training and development [r = .296*, p < 0.012]; and (11) Sanitation facilities [r = .471**, p < 0.0001. It was concluded therefore that referral hospitals in Uganda should be provided with the necessary resources in order to significantly deliver effective patient care. Similarly, hospital administrators are challenged to have the necessary managerial competencies to effectively lead with a realistic, credible and attractive commitment to ensure that services are delivered as expected.
Information Flow Management and the Effectiveness of the Supply Chain of Essential Medicines in the Public Sector. Evidence from Selected Public Hospitals in Uganda: A Downward Perspective
(International Journal of Science and Research (IJSR), 2017) Okiria, J C.; Mwirumubi, R; Mpaata, Kaziba Abdul
Abstract: This study assessed the relationship between the Information flow management in the public hospitals and the effectiveness of the downward supply chain of essential medicines in the selected 6 public hospitals in Uganda. A cross sectional descriptive and analytical survey was done with both qualitative and quantitative data collected. Two hospitals were regional referral and the four were general hospitals. The major findings of the study were that; sharing planning information, distribution schedules, knowledge of each other stock levels and new demand were statistically significant in influencing the downward supply chain effectiveness. Improved sharing of information that is accurate, timely and complete, development of computerized medicines management systems in the hospitals, Collaborative procurement planning at all levels, Improvement in records and record keeping and enhancement of online communication between the hospitals and the suppliers was significantly influencing the effectiveness of the supply chain
Perceptions of Youths on Government Venture Capital Fund
(International Journal of Youth Economy, 2017) Mpaata, Kaziba Abdul; Lubogoyi, Bumali; Kakumba, Umar
The study examined the effect of Centenary Bank Loan Management of the Government Youth Venture Capital fund on the economic empowerment of the youths in Uganda. The specific objectives were; (1) to examine the relationship between the bank loan portfolio and youth empowerment benefits; (2) to analyze the relationship between the bank’s existing management regulations and the economic empowerment benefits derived by the youths; and (3) to ascertain the relationship between Centenary Bank loans management and its ability to work out problem loans amongst the youths and economically empower them. Results revealed that; (1) there is a significant and positive relationship between bank loan portfolio and youth empowerment benefits [r = .664, p < 0.0001]; (2) there is a positive and significant relationship between Centenary Bank’s existing management regulations and the economic empowerment of youths [r = .712, p < 0.0001]; and (3) there is a positive and significant relationship between Centenary Bank loans management ability to work out problem loans and youth empowerment [r = .559, p < 0.0001]. It was therefore concluded that the Government of Uganda and the responsible ministries have the obligation to ensure that the Youth Venture Capital Fund is increased so that the youths can participate in development issues which strengthen the moral system and their behavior in the community. Similarly, the findings revealed that even though some youths have the required capital, they still need to be armed with a strong moral fibre that can enable them to discard the violence approach in society, gain entrepreneurial and the relevant life skills. This requires additional interventions some of which are academic and others religious such that ethics and morality are integrated into commerce.
Relationship between TASO Community Initiatives and HIV/AIDS Control in Uganda
(International Journal of Science and Research (IJSR), 2017) Mpaata, Kaziba Abdul; Okiria, J C; Lubogoyi, Bumali.
Abstract: The study examined the effect of TASO Community Initiative campaign on HIV/AIDS control in Uganda. It focused on Entebbe Community that houses the national headquarters of The AIDS Support Organization (TASO). The specific objectives were; (1) to establish the effect of education information on HIV/AIDS control in Entebbe area; (2) to ascertain the relationship between positive attitude promotion and HIV/AIDS control in Entebbe area; (3) to assess the effect of sensitization and promotion of behavioural change on HIV/AIDS control in Entebbe area. The sample comprised 90 respondents who regularly seek treatment from TASO head quarters in Entebbe out of whom only 61 respondents filled and returned completed questionnaires. The results of the study revealed that while these community initiatives continue to help in the control of HIV/AIDS in Uganda, their activities were found to be insignificant in that all the variables analyzed in this study do not directly depend on them. However, the campaign in form of education information significantly relate with sensitization and promotion of behavioural change [r = .467**, p<0.0001] and it also relates with positive attitude promotion [r = .347** p<0.006]. After this finding, regression results using education information as the dependent variable also indicated that there is a positive and significant effect of education information on positive attitude promotion [β = .298, t = 2.687, p <0.009] and sensitization to promote behavioural change [β = .435, t = 3.920, p<0.0001]. Therefore it is concluded here that the current TASO community initiatives in Entebbe should be strengthened so that strategies geared towards education information that have messages of sensitization and promoting behavioural change and those that promote a positive attitude take the centre stage in the HIV/AIDS control strategy. In other words, resources for controlling HIV/AIDS in Uganda should be invested in education information to sensitize and promote behavioural change and develop positive attitude implying that community initiative groups need refocus their strategies to make HIV/AIDS control significant.
Government Funding and Resources Availability in the Delivery of Primary Education in Uganda
(International Journal of Science and Research (IJSR), 2017) Mpaata, Kaziba Abdul; Lubogoyi, B.; Okiria, J C
Abstract: This study focused on the relationship between government funding and the resource availability in the delivery of primary education in Uganda The focus was on one of the upcountry districts of Mubende in Uganda which is among the many with grappling challenges in making up first grades at the Primary Leaving Examination level. The specific objectives were; (1) to determine the relationship between government funding and the availability of teachers, teaching and learning; (2) to ascertain the relationship between government funding and pupil accessibility to UPE schools; and (3) to examine the relationship between government funding and the availability of physical facilities in UPE schools. The sample comprised 102 stakeholders from ten (10) UPE schools who were selected from the district using simple random sampling. Results reveal that despite the national will and subvention that government continues to provide to schools at this level, there are still significant challenges with the availability of quality teachers, teaching and learning (r = .828, p<0.0001), accessibility (r = .398, p<0.0001) and the overall physical facilities in place are lacking and insignificant (r = .134, p>.180). It was concluded by a reminder that since the education is the yardstick that measures the achievements and aspirations of the nation, there is urgent need for government to not only significantly increase the funds allocated to UPE, but also provide it in a timely and continuous manner to enable education be offered with quality. It was finally observed that all stakeholders have a duty to ensure accessibility by all pupils who are beneficiaries at this level by playing their roles as parents and support the schools to ensure an attractive and/or conducive learning environment.
Determinants of Quality of Patients Care in Public Hospitals in Uganda: Requirements for Organizational Effectiveness Clients’ Perspective
(International Journal of Science and Research (IJSR), 2017) Mpaata, Kaziba Abdul; Lubogoyi,; Okiria, J. C
Abstract: This study provides empirical evidence on the determinants of patient care services in a referral hospital in Uganda. It focuses on Iganga Regional Hospital. The objectives were; (1) to determine the influence of eleven independent variables on patient care; (2) to establish the relationship between patient care and the eleven variables in the study. Results show that patient care significantly depends on maternal health services [β = .248, t = 2.251, p < 0.028] and outpatient curative services [β = .330, t = 3.107, p < 0.003]. In addition, the F ratios support the finding that all the variables differently and significant determine patient care. It was therefore concluded that in order for referral hospitals to regain their glory and win back the hearts of the service users, there is need to ensure that their services that are offered in child health care, STI/HIV/AIDS, and tuberculosis are improved with adequate physical infrastructure, sanitation facilities as well as equipments, drugs and facilities to fit the expectations of patients so as to realize organizational effectiveness in the health sector.

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