The governance challenges in the ministry of health in Lesotho

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Mosa Research Report Final Corrected per recommendations.pdf (1.33 MB)
Date
2016
Authors
Theko, Mosa Bernice
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Abstract
For centuries governance has been the buzz word amongst governments aimed at administering both economic and development initiatives. In Lesotho, governance has been regarded as the mechanism to help reduce poverty and reduce disease burden. The Government of Lesotho (GoL) implements the governance initiatives through the reform programmes. In order to oversee the execution of these reforms, it established a secretariat to oversee the implementation of the governance initiatives at the Ministry level. In no evidence of the existence of such secretariat, this study explores the governance challenges in the Ministry of Health in Lesotho in carrying out its mandate to provide quality health care to all Basotho. It examines the barriers to health system functioning and governance trends in the Ministry of Health. The research approach for this study is qualitative in nature. It carries an enquiry into the governance challenges within health systems. A purposive sampling was used to select the informants to this study. Data was collected using a questionnaire and document analysis in order to obtain a broader perspective of the prevailing situation. The main purpose of the study is to report findings on perceived governance challenges in the Ministry of Health in Lesotho by examining system components that could lead to the problem of escalation of deficits and governance trends. Major findings of the study revealed there is a problem of escalation of deficits and in governance in the Ministry of Health. It therefore argues the network theory of governance as a mechanism that could be used to source dispersed resources amongst different actors for escalations of limited resources and effective system functioning. This study further provides possible reasons for these challenges.
Description
A research report submitted to the Faculty of Management, University of Witwatersrand, in 50% fulfillment of the degree of Master of Management (in the field of Public and Development Management Sector Monitoring and Evaluation). December, 2016
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Citation
Theko, Mosa Bernice (2016) The governance challenges in the Ministry of Health in Lesotho, University of the Witwatersrand, Johannesburg, <http://hdl.handle.net/10539/26046>
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https://hdl.handle.net/10539/26046
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