Workforce Alignment and Health Service Delivery in Selected Districts of Central Uganda
Peter Kaddu, Regis Zombeire & Nazarious Rukanyangira
Department of Public Administration and Management
Nkumba University, Uganda
https://orcid.org/0009-0009-5036-1596
Email: kaddupeter2@gmail.com
Abstract: Human resource planning remains a critical determinant of health service delivery, particularly in resource-constrained health systems. However, many public health facilities in Uganda continue to experience challenges related to workforce deployment, role mismatch, staff shortages, and uneven distribution of health workers, which may affect the quality of services provided. This study examined the influence of workforce alignment on perceived health service delivery in selected districts of Central Uganda. A convergent mixed-methods design employing both quantitative and qualitative approaches was adopted. Data were collected from 158 respondents selected from public health facilities using questionnaires, interviews, focus group discussions, and document reviews. Quantitative data were analysed using descriptive statistics, correlation, and regression analysis, while qualitative data were analysed thematically. The findings revealed a statistically significant positive relationship between workforce alignment and perceived health service delivery (r = .490, p < .001). Regression results indicated that workforce alignment significantly predicted perceived health service delivery (β = .490, p < .001), accountingfor 24% of the observed variation. Qualitative findings further showed that appropriate role allocation, competency-based deployment, effective communication, staff motivation, and continuous performance monitoring enhanced service efficiency, service quality, and continuity of care. The study concludes that workforce alignment is a significant predictor of perceived health service delivery in public health facilities. It recommends the adoption of competency-based deployment frameworks, regular workforce assessments, and strengthened performance management systems to improve health service delivery outcomes in Uganda.
