Browsing by Author "Karyeija, Gerald K."

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    Building Institutional-Based Trust in Regulated Local Government Systems: The Uganda Perspective
    (Open Journal of Social Sciences, 2022) Kyohairwe, Stella B.; Karyeija, Gerald K.; Nkata, James L.; Muriisa, Roberts K.; Nduhura, Alex
    Autonomy and trust are essential ingredients for local government performance. The trust generated at local level is further essential in enabling intra- and inter-organisational relationships, rational decision-making processes and co-creation. Understanding of centre-local relations within a local government system reveals ways in which the autonomy that resides with local government administrative units may be compromised if attention is restrained from institutional-based trust, a vital ingredient for effective administration. The study interrogates specific questions on how a regulated 1) political autonomy, 2) financial autonomy and 3) administrative autonomy in the local governments affects building institutional based trust and undermines good governance. Based on Uganda’s case, the study suggests a key remedy of increasing central government institutions trust through, the formalisation of administrative structures and systems, duty-load and local revenue orchestration, and local capacity building. These are tenable through effective trust assurances and situational normality in a regulated local government system environment.
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    Combating Post-Covid-19 Social Inequality among Learners in Primary and Post-Primary Schools in Uganda
    (Africa Journal of Public Sector Development and Governance, 2020) Kyohairwe, Stella B.; Muriisa Kabeba, Roberts; Karyeija, Gerald K.
    Following the World Health Organization (WHO) announcement that COVID-19 is a global pandemic because of the many lives it had claimed worldwide in March 2020, education institutions are some of the hard-hit areas of the economy. With many countries taking drastic decisions to close education institutions, the biggest dilemma faced by governments and policymakers between closing schools within barely weeks of opening for the first quarter of the 2020 calendar year, was a trade-off between accomplishing the required curriculum of the education programs and saving lives from the coronavirus. Education institutions, including schools, colleges and universities, proved to be among the high population concentration centres4. The challenge facing schools is that apart from having many people interacting on a daily basis (both learners and instructors), there is a dynamic, interactive exchange between external persons and those residing within the physical boundaries of schools. This increases the chances for the spread of the deadly coronavirus infection. The complexity of having the non-boarding educational institutions where learners and teachers interact regularly with local communities, poses a threat with regard to community transmission of coronavirus, which is likely to create a health crisis that Uganda’s weak economy is currently ill-prepared to handle.
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    Healthcare Evidence-Based Management: Towards Overcoming its Barriers in Uganda’s Local Government Healthcare System
    (Texila International Journal of Public Health, 2018) Asaku, Stanley T.; Karyeija, Gerald K.; Alinda, Fred; Ojwang, Kennedy O.; Andua, Martine D.; Anguzu, Patrick Y.
    This article identifies local barriers and potential promoters of healthcare evidence-based management decision-making in Uganda’s local government context. It puts to local context feasible measures for increasing research evidence utilization by healthcare decision-makers, as part of the efforts to make research more beneficial to intended users, and ultimate recipients of the services. The findings were a result of a cross- sectional semi-structured questionnaire survey of 225 clustered healthcare authorities1 in Arua District Local Government, West Nile Sub-region of Uganda. The survey data were triangulated with nine key informant interviews (KIIs). Analysis reveals existence of multiple barriers at individual, organizational and system’s levels of the local government healthcare management. Standing out prominently were barriers related to attitude, perceptions and beliefs of healthcare managers, dissemination, accessibility, communication, participation, engagement, capacity, knowledge, skills, cost, time, staffing, workload, leadership, policy enforcement, and culture. Other barriers related to researchers were their competence, authority and level of mutual trust. Fortunately, most of these barriers are consistent with those reported previously by other studies in developing countries. Through a critical logical analysis, recommended strategies for increasing utilization of research evidence were combined into five broad categories; stakeholders’ engagement and participation, contextualized dissemination, capacity building, local leadership and democracy, and knowledge marketing, awareness and visibility. Again, these are not naïve, but important is the manner and details in which they have been contextualized. Hence, this article adds to existing knowledge about multifactorial contextual nature of barriers and promoters of research evidence utilization, and the importance of action research in providing evidence for improving quality of healthcare service delivery.
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    Individual Predictors of Healthcare Research Utilization: A case of Arua District Local Government, West Nile Uganda
    (Texila International Journal of Public Health, 2018) Asaku, Stanley T.; Karyeija, Gerald K.; Alinda, Fred; Ojwang, Kennedy O.; Andua, Martine D.; Anguzu, Patrick Y.
    Despite increasing knowledge of potential benefits of research utilization in improving quality of healthcare management decision (HMDs) outcomes and practice, the use of research evidence by healthcare authorities continues to be a global concern. We examined individual predictors of research utilization in management decisions of healthcare authorities in a local government’s context of Arua district in West Nile Uganda. The observational cross-sectional survey design was used, involving 225 questionnaires and nine key informant interviews, and the extent of influence of individual variables on research uptake was determined by estimation of predicted probabilities, and the corresponding odds ratios and coefficients using the binary logistic regression model. The results reveal that research utilization was significantly influenced by individual characteristics, whose overall predicted probability was 0.030 (p<0.05) with attitudinal variables being most significant, whereby belief in research-based HMDs (p= 0.020) or improved quality of HMDs (p= 0.012) recorded high corresponding odds ratios. Hence, the study substantiates the multifactorial nature of research utilization, being influenced to varying extents by individual factors, and emphasizes attitudinal change, information sharing and capacity building to increase uptake.
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    Organizational Context and Healthcare Research Utilization in Arua District Local Government, Uganda
    (Texila International Journal of Public Health, 2013) Asaku, Stanley T.; Karyeija, Gerald K.; Alinda, Fred; Ojwang, Kennedy O.; Andua, Martine D.; Anguzu, Patrick Y.
    Despite increasing knowledge of potential benefits of research utilization in improving quality of healthcare management decision (HMDs) outcomes and practice, the use of research evidence by healthcare authorities continues to be a global concern. We examined the organizational contextual predictors of research utilization in management decisions of healthcare authorities in Arua district local government. The observational cross-sectional survey design was used, involving 225 questionnaires and nine key informant interviews, and the extent of influence of organizational contests was determined by estimation of predicted probabilities, and the corresponding odds ratios and coefficients using the binary logistic regression model. The results reveal that research utilization was significantly influenced by organizational context, whose overall predicted probability was 0.001 (p<0.05), with access to library (p=0.023), performance monitoring (p=0.029), information sharing (p=0.014) and participation in formal meetings (p=0.016) being significant predictors with fairly high odds ratios. These findings highlight the combined importance of performance monitoring, sharing information (social capital), access to library and participation in formal meetings (formal interaction) as significant predictors of increased research utilization. Even-though, sharing information showed strongest positive influence, which implies that workplace measures that promote sharing of information were about four times more likely to increase research uptake