An Evaluation of Community Engagement in Urban Service Provision, Kadoma City Health, 2016
Abstract:
Background:
A
community
based
organization (CBO)
is
a
group
of
people
who
come
together
for
service
delivery
in
their
community
to
improve
their
social
and
economic
well-being.
In
2013,
Kadoma
City
replaced
permanent
employees
with
CBOs
to
improve
community
ownership
in
service
delivery
and
reduce
costs.
Since
2013,
no
evaluation
had
been
done
to
assess
benefits
and
residents
were
complaining
about
inconsistencies
in
service
delivery
by
CBOs.
An
evaluation
was
done
to
assess
the
benefit
of
engaging
CBOs
compared
to
city
council
employees.
Methods:
A comparative cost analysis and a descriptive cross sectional study was conducted. Interviewer administered questionnaires,
financial records and CBO contracts were used for data collection. Epi Info 7 was used to calculate means and frequencies. Microsoft-Excel
2013 was used to consolidate and analyze financial reports.
Results:
Eighty-one residents, 30CBO members,
15councillors,
10
managers,
five
workers
representatives
were
recruited
into
the
study.
CBOs
provided
a
wider
variety
of
services
compared
to
city
council
employees.
After an initial increase, there was a decrease in the costs for service delivery from $849,000to $590,000 per year. The benefits of engaging CBOs included reduced cost of services, improved service delivery and poverty alleviation.
Conclusions:
There was net benefit from the
engagement of
CBOs, improved
service delivery
for less
expenditure. On
our recommendation,
CBO contracts
were renewed
and more
CBOs were
engaged to
cover other
areas.
Keywords: Community
based organizations,
Kadoma,
Zimbabwe
References:
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