Muluya,Kharim MwebazaMuwanguzi,Gangu DavidAremu,Abdulmujeeb BabatundeNaziru,RashidWananda,IreneKayemba,Jonah FredOgara,CollinWaib,MusaMugisha,John FrancisWaiswa,Peter2025-08-272025-08-272020-07-30Muluya KM, Muwanguzi GD, Aremu AB, Rashid N, Wananda I, Kayemba JF, et al. (2025) Competencies of lower-level community health centre leaders in annual health work planning and their influence on district performance in Busoga sub-region: A retrospective study. PLoS One 20(7): e0316055. https://doi.org/10.1371/journal. pone.0316055https://hdl.handle.net/20.500.12309/870Introduction Lower-level community health centres play a crucial role in the delivery of primary healthcare services, and the competencies of their leaders can significantly influence district performance. Annual health work planning in local governments faces imple- mentation obstacles every year. This mostly affects lower-level community health centres in Busoga region. It is evidenced by late submission of annual health work plans to authorized offices and also these work plans are poorly made by lower-level community health centres in Busoga region. This prompted a retrospective study to understand the competencies of leaders in the lower-level community health centres in annual health work plan development.enCompetencieslower-level community health centreLeadersArticle