Rural service delivery challenges by Chris van Hooft https://padlet.com/chris_vanhooft1/ruralservices en-us 2019-08-03 05:37:58 UTC 2025-09-24 02:48:53 UTC hello@padlet.com - Lack of human resources, for examples: qualified doctors and nurses; https://padlet.com/chris_vanhooft1/ruralservices/wish/373530963 - Lack of infrastructure: ie: Only 18% of rural population access to electricity (https://tradingeconomics.com/uganda/rural-population-percent-of-total-population-wb-data.html)
 

]]> 2019-08-07 05:38:29 UTC https://padlet.com/chris_vanhooft1/ruralservices/wish/373530963 Long distances to service providers https://padlet.com/chris_vanhooft1/ruralservices/wish/373530964 2019-08-07 05:38:29 UTC https://padlet.com/chris_vanhooft1/ruralservices/wish/373530964 Larger administration overhead costs - less on service provision https://padlet.com/chris_vanhooft1/ruralservices/wish/373531005 2019-08-07 05:39:03 UTC https://padlet.com/chris_vanhooft1/ruralservices/wish/373531005 Challenges: https://padlet.com/chris_vanhooft1/ruralservices/wish/373531011 1. Limited budget
2. Infrastructure (esp. road)
3. Lack of Human Resources (professional health workers) and sometimes they don't wanna work in remote areas
4. Lack of medical resources (equipment and medicines)
5. Corruption (both the fund and equipment)
6. Power relations within the community (marginalised community often unable to access the health services because they feel they are neglected)
7. Elite capture]]> 2019-08-07 05:39:11 UTC https://padlet.com/chris_vanhooft1/ruralservices/wish/373531011 Lack of provision of tools, equipment, difficulty in accessing local expertise https://padlet.com/chris_vanhooft1/ruralservices/wish/373531048 2019-08-07 05:39:48 UTC https://padlet.com/chris_vanhooft1/ruralservices/wish/373531048 Lingering belief in traditional health practices https://padlet.com/chris_vanhooft1/ruralservices/wish/373531100 2019-08-07 05:40:19 UTC https://padlet.com/chris_vanhooft1/ruralservices/wish/373531100 Language/terminology barriers https://padlet.com/chris_vanhooft1/ruralservices/wish/373531124 2019-08-07 05:40:41 UTC https://padlet.com/chris_vanhooft1/ruralservices/wish/373531124 May not fit Ugandan economic model (if some services are privatised etc.) https://padlet.com/chris_vanhooft1/ruralservices/wish/373531195 2019-08-07 05:41:48 UTC https://padlet.com/chris_vanhooft1/ruralservices/wish/373531195 Corruption/channelling https://padlet.com/chris_vanhooft1/ruralservices/wish/373531252 2019-08-07 05:42:37 UTC https://padlet.com/chris_vanhooft1/ruralservices/wish/373531252 Limited financial capacity of government https://padlet.com/chris_vanhooft1/ruralservices/wish/373531291 2019-08-07 05:43:04 UTC https://padlet.com/chris_vanhooft1/ruralservices/wish/373531291 https://padlet.com/chris_vanhooft1/ruralservices/wish/373531403 Difficulty in monitoring consistency and quality of health service ]]> 2019-08-07 05:44:26 UTC https://padlet.com/chris_vanhooft1/ruralservices/wish/373531403 1. Lack of health awareness - due to cultural and religious beliefs, rural citizens tend to give less importance to modern health practices https://padlet.com/chris_vanhooft1/ruralservices/wish/373531413 2. Lack of medical diagnostic equipment make it difficult to control

]]> 2019-08-07 05:44:30 UTC https://padlet.com/chris_vanhooft1/ruralservices/wish/373531413 Lack of https://padlet.com/chris_vanhooft1/ruralservices/wish/373531425 2019-08-07 05:44:49 UTC https://padlet.com/chris_vanhooft1/ruralservices/wish/373531425 Lack of utility connections https://padlet.com/chris_vanhooft1/ruralservices/wish/373531426 2019-08-07 05:44:49 UTC https://padlet.com/chris_vanhooft1/ruralservices/wish/373531426 Budget https://padlet.com/chris_vanhooft1/ruralservices/wish/373531536 Exclusion of vulnerable groups 
Low number of skilled professionals 
Infrastructure 
Political will 
Corruption 
Complimentary services ]]> 2019-08-07 05:46:28 UTC https://padlet.com/chris_vanhooft1/ruralservices/wish/373531536 1. Unwillingness of health experts to work in rural areas https://padlet.com/chris_vanhooft1/ruralservices/wish/373531548 2. Poor capacity of local government to improve capacity of healthcare staffs
3. Expensive services resulting from privatisation
4. Transportation challenges for infrastructure and professionals
5. Communication challenges]]> 2019-08-07 05:46:37 UTC https://padlet.com/chris_vanhooft1/ruralservices/wish/373531548 Service provision may be limited to elites and exploited by them for personal benefits only https://padlet.com/chris_vanhooft1/ruralservices/wish/373531614 2019-08-07 05:47:32 UTC https://padlet.com/chris_vanhooft1/ruralservices/wish/373531614 - Corruption (grading of 26/100) https://padlet.com/chris_vanhooft1/ruralservices/wish/373531667 - 
The results show more than 1 in 4 people who accessed public services, such as health care and education, paid a bribe in the previous year. This is equivalent to approximately 130 million people.
The report also highlights that corruption disproportionately affects the most vulnerable, with the poorest paying bribes twice as often as the richest. Young people pay more bribes than those over 55 years old.  (/www.transparency.org/news/pressrelease/one_in_four_people_in_africa_pay_bribes_survey_says)

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