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Challenges, Distrust, and Understanding : Employing Communicative Action in Improving Trust in a Public Medical Sector in Uganda

Title data

Akello, Grace ; Beisel, Uli:
Challenges, Distrust, and Understanding : Employing Communicative Action in Improving Trust in a Public Medical Sector in Uganda.
In: SAGE Open. Vol. 9 (2019) Issue 4 . - No. 215824401989370.
ISSN 2158-2440
DOI: https://doi.org/10.1177/2158244019893705

Project information

Project title:
Project's official titleProject's id
Trust in medicine after the EVD epidemic: Street-level health bureaucrats, the institutionalization of care, and the creation of preparedness in Sierra Leone, Uganda, and GhanaNo information

Project financing: Deutsche Forschungsgemeinschaft

Abstract in another language

We assessed how the everyday work challenges that frontline health workers (FRHWs) face in the government health sector in northern Uganda influence their trust in the Ministry of Health (MOH). We employed qualitative research techniques, including interviews and participant observation, over a 9-month period to examine FRHWs’ viewpoints about how the MOH should address these challenges in service delivery. One hundred and sixty-five FRHWs, of whom 48 were recruited for extensive follow-up, participated in our study. Key findings include distrust in the MOH is prevalent among FRHWs, there is a lack of trust in the organization’s coordination role in service delivery and this affects health care delivery to patients, interrelations, and provider cooperation. Therefore, restoring trust in government hospitals will require a truthful non-violent response by the MOH in its contractual agreement with FRHWs. In our analysis, we employ Habermas’s Theory of Communicative Action.

Further data

Item Type: Article in a journal
Refereed: Yes
Institutions of the University: Faculties > Faculty of Cultural Studies > Junior Professor Culture and Technology in Africa > Junior Professor Culture and Technology in Africa - Juniorprof. Dr. Uli Beisel
Result of work at the UBT: Yes
DDC Subjects: 300 Social sciences > 300 Social sciences, sociology and anthropology
Date Deposited: 09 Jan 2020 10:55
Last Modified: 09 Jan 2020 10:55
URI: https://eref.uni-bayreuth.de/id/eprint/53694