Health worker-related factors contributing to Delayed HealthCare Service Delivery among Health Workers at the Outpatient department of Luweero Hospital, Luwero District. A cross-sectional study.
DOI:
https://doi.org/10.51168/sjhrafrica.v7i3.2273Keywords:
Health Worker-Related Factors, Heavy Workload, Adequate Staffing, Job SatisfactionAbstract
Background:
Delayed health care service delivery significantly affects patient health outcomes. The study aimed to identify health worker-related factors contributing to Delayed HealthCare Service Delivery among Health Workers at the Outpatient department Luweero Hospital, Luwero District.
Methodology:
A cross-sectional quantitative descriptive study was conducted among 40 health workers at the Outpatient Department of Luwero Hospital, selected from a population of 45 staff using Krejcie and Morgan’s table. Data were collected using structured self-administered questionnaires and analyzed using frequencies and percentages in Microsoft Excel 2016. Purposive sampling was used. Validity was ensured through expert review, reliability through pretesting with 10 respondents, and ethical approval and informed consent were obtained.
Results:
Among the 40 respondents, most were aged 29-39 years (42.5%), had certificate-level education (45%), and were nurses (47.5%). Half of the health workers (50%) reported never receiving refresher training. Staffing was a major concern, with 50% describing staff numbers as very few and only 20% reporting adequate staffing. Heavy workload was the main factor affecting motivation for 70% of respondents, while only 7.5% cited good pay and recognition. Teamwork was rated as very good by 50%, though 17.5% described it as poor. Supervision was inadequate, as 42.5% reported that supervisors rarely checked their work or provided feedback. Job satisfaction was generally low, with 45% of respondents reporting dissatisfaction and only 15% indicating satisfaction with their jobs.
Conclusion:
Delayed healthcare service delivery at the facility is largely driven by staff shortages, low motivation, inadequate supervision, and poor job satisfaction.
Recommendation:
The hospital administration and relevant authorities should recruit more health workers to reduce workload, minimize burnout, and improve the speed of service delivery.
References
Caraballo, C., Ndumele, C. D., Roy, B., Lu, Y., Riley, C., Herrin, J., & Krumholz, H. M. (2022). Trends in racial and ethnic disparities in barriers to timely medical care among adults in the US, 1999 to 2018. JAMA Health Forum, 3(10), e223856-e223856. https://doi.org/10.1001/jamahealthforum.2022.3856
Jarrar, M., Binti Ali, N., Shahruddin, R., Al-Mugheed, K., Aldhmadi, B. K., Al-Bsheish, M., ... & Alumran, A. (2023). The impact of the working hours among Malaysian nurses on their ill-being, intention to leave, and the perceived quality of care: a cross-sectional study during the COVID-19 pandemic. Journal of Multidisciplinary Healthcare, 119-131. https://doi.org/10.2147/JMDH.S394583
Kaimba, S., & Umar, E. (2025). Factors associated with delayed referrals of patients with sepsis from primary to tertiary healthcare in Blantyre, Malawi: A qualitative study. BMC Primary Care, 26(1), 13.
https://doi.org/10.1186/s12875-025-02708-1
Kibudde, S., Namisango, E., Nakaganda, A., Atieno, M., Bbaale, J., Nabwana, M., ... & Orem, J. (2022). Turnaround time and barriers to treatment of newly diagnosed cancer in Uganda: A mixed-methods longitudinal study. African Health Sciences, 22(1), 327-337. https://doi.org/10.4314/ahs.v22i1.40
Masutha, S. S. T., Ikhile, I. A., & Mavhandu-Mudzusi, A. H. (2024). Unraveling the wait: exploring factors behind patient delays at a South African Clinic. International Journal of Research in Business and Social Science, 13(10), 207-218. https://doi.org/10.20525/ijrbs.v13i10.3605
Micallef, A., Buttigieg, S. C., Tomaselli, G., & Garg, L. (2020). Defining delayed discharges of inpatients and their impact on acute hospital care: A scoping review. International Journal of Health Policy and Management, 11(2), 103. https://doi.org/10.34172/ijhpm.2020.94
Mollel, H., & Mwanswila, M. J. (2024). Outcome evaluation of the effect of organizational strategies on the reduction of patient waiting time at the outpatient department at Kilimanjaro Christian Medical Centre, Northern Tanzania. MedRxiv, 2002-2024. https://doi.org/10.1101/2024.02.14.24302723
Phatsen, P., Thavorn, J., Klongthong, W., Phayaphrom, B., & Siripipatthanakul, S. (2023). Influencing Factors of Burnout and Intention to Leave Among Medical Personnel in Public Health Service in the Southern Region of Thailand. International Conference On Research And Development (ICORAD), 2(2), 15-28.
Rotheram-Borus, M. J., le Roux, K. W., Norwood, P., Stansert Katzen, L., Snyman, A., le Roux, I., ... & Tomlinson, M. (2023). The effect of supervision on community health workers' effectiveness with households in rural South Africa: A cluster randomized controlled trial. PLoS Medicine, 20(3), e1004170.
https://doi.org/10.1371/journal.pmed.1004170
Seif, S., Shah, J., Chandani, A., & Ali, S. K. (2025). The Perception of Waiting Times on Patient Satisfaction and Patient Care: A Cross-Sectional Study at a Tertiary Health Care Institution in Kenya. PLoS One, 20(5), e0322015. https://doi.org/10.1371/journal.pone.0322015
Verma, V. R., & Dash, U. (2021). Supply-side readiness for universal health coverage: assessing service availability and barriers in remote and fragile settings. Journal of Health Management, 23(3), 441-469.
https://doi.org/10.1177/09720634211035211
Yenet, A., Nibret, G., & Tegegne, B. A. (2023). Challenges to the availability and affordability of essential medicines in African countries: a scoping review. ClinicoEconomics and Outcomes Research, 443-458.https://doi.org/10.2147/CEOR.S413546
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Copyright (c) 2026 Loy Joyce Mwebaza, Habert Mpamize, Hasifa Nansereko, Immaculate Prosperia Naggulu, Francisco Ssemuwemba, Jane Frank Nalubega
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