Transactional Leadership and the Performance of Health Service Delivery: A Qualitative Case Study of Lira Regional Referral Hospital, Uganda
Daniel Comboni Odul, Stella Karimi and Violet SimiyuThe Catholic University of Eastern Africa, Nairobi, KenyaEmail: comboni.dc@gmail.com Abstract: Background: Leadership shapes how health services are organized and experienced in resource-constrained public referral hospitals. Transactional leadership relies on clear expectations, supervision, accountability, rewards and corrective action; if experienced mainly as punitive control, these mechanisms may undermine staff…