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

Titelangaben

Akello, Grace ; Beisel, Uli:
Challenges, Distrust, and Understanding : Employing Communicative Action in Improving Trust in a Public Medical Sector in Uganda.
In: SAGE Open. Bd. 9 (2019) Heft 4 .
ISSN 2158-2440
DOI: https://doi.org/10.1177/2158244019893705

Angaben zu Projekten

Projekttitel:
Offizieller Projekttitel
Projekt-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 Ghana
Ohne Angabe

Projektfinanzierung: Deutsche Forschungsgemeinschaft

Abstract

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.

Weitere Angaben

Publikationsform: Artikel in einer Zeitschrift
Begutachteter Beitrag: Ja
Institutionen der Universität: Fakultäten > Kulturwissenschaftliche Fakultät > Ehemalige ProfessorInnen > Lehrstuhl Kultur und Technik in Afrika - Univ.-Prof. Dr. Ulrike Beisel
Fakultäten
Fakultäten > Kulturwissenschaftliche Fakultät
Fakultäten > Kulturwissenschaftliche Fakultät > Lehrstuhl Kultur und Technik in Afrika
Fakultäten > Kulturwissenschaftliche Fakultät > Ehemalige ProfessorInnen
Titel an der UBT entstanden: Ja
Themengebiete aus DDC: 300 Sozialwissenschaften > 300 Sozialwissenschaften, Soziologie
Eingestellt am: 09 Jan 2020 10:55
Letzte Änderung: 05 Jun 2024 13:09
URI: https://eref.uni-bayreuth.de/id/eprint/53694