Political Devolution For Transformation Of Health Service Delivery In Ugunja Sub County, Siaya County, Kenya

George Amenya Oyeho, Dr. Shem Mwalwa and Dr. Reginald Nalugala
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George Amenya Oyeho: Institute of Social Transformation, Tangaza University, Kenya
Dr. Shem Mwalwa: Institute of Social Transformation, Tangaza University, Kenya
Dr. Reginald Nalugala: Institute of Social Transformation, Tangaza University, Kenya

International Journal of Research and Innovation in Social Science, 2025, vol. 9, issue 9, 5832-5854

Abstract: The study was based on health is a political responsibility. Devolution brings the government close to the people so they can engage and challenge the elected and nominated together with the executive on accountability and transparency over the government services. A people centered health services require integration of the people in the planning, resource mobilization, and implementation for an Integrated People Centered Health Service Delivery (IPCHSD). Theories applied in the study are decentralization, public choice, and health belief model. The study aimed to explore the experiences of Ugunja Sub County dwellers on healthcare service delivery in post devolution period to describe political devolution impact on health service delivery phenomenon. The study used mixed methods approach, combining quantitative and qualitative data to understand political devolution impact on health service delivery. Data were collected through interviews and focus group discussions focusing on impacts of political devolution on health service delivery; organization of health service structure; and transformative approach to improve health service delivery. Key words: Political devolution, health service, people centered health service, phenomenology, Integrated People Centered Health Service Delivery (IPCHSD).

Date: 2025
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