Research on Priority Issues in IWA
This survey about priority issues in Iteso Welfare Association (IWA) was carried out from 4th–10th August 2016. The survey was a single choice question, completely anonymous and done online using Survey Monkey.
In total, 62 people took part, 57% males and 43% females. There were 39% respondents aged 45–54 years, followed by those who were aged 35–44 years who were 32%. Respondents aged 15–35 years and those over 54 years together totalled 29%.
Majority of respondents originate from Bukedea (29%), followed by Ngora (16%) Kumi (15%) and Serere (11%). Kaberamaido and Pallisa had the least number of respondents at 3%, each. This was followed by Katakwi, Tororo, Amuria, and Soroti at 5-7%.
People were asked what strategies they wanted Iteso Welfare Association (IWA) to prioritise under Teso Health Appeal (THA). 52% identified mobile community outreach clinics. This was followed by the establishment of a specialist referral hospital identified by 32%.
The survey asked how health ought to be financed under IWA. 37% identified population-level health insurance while donation or grants and working in partnership with the government was identified by 23%, each.
The survey asked what development programmes IWA should prioritise. Improving health topped the list with 37%. This was followed by reducing poverty at 19%. Improving education and agriculture was preferred by 11%, each. The survey asked about membership to IWA. 57% of respondents were not members of IWA compared to 43%.
Respondents were asked about their expectation of IWA. 45% said IWA should engage in development work. This was followed by those who expected good governance and transparency identified by 23% and 20%, respectively.
The survey asked respondents how they could make IWA successful. 42% were willing to contribute their expertise and time followed by 31% who were willing to promote IWA. Significantly, only 10% were willing to give money and 3% other material contribution.
On what needs to be improved in IWA, 34% cited fundraising as priority, followed by multiple improvements cited by 20% of respondents, planning by 16% and other management functions 13%. Improving governance was identified by 10% and improving communication by 7%.
Discussion and way forward
The low representation of the survey in Kaberamaido, Pallisa and Katakwi and Tororo, Amuria and Soroti may represent marginalisation of these districts or low awareness about IWA. More awareness about IWA may need be to be created in these districts.
The findings on the priority strategy for THA confirmed earlier decisions that that also prioritised the Mobile Outreach Clinic (MOC) strategy. The survey also confirmed building a specialist referral hospital as the second priority for the region.
This research gives the strongest support for health insurance as a health finance option available that IWA can explore. For priority development programmes, the survey confirms the critical importance respondents attach to improving health. However, economic programmes are equally viewed as important, suggesting economic issues underlie health.
Respondents are willing to support IWA with expertise but not financial or material assistance. Management needs to tap into the expertise of members and well-wishers to raise funds to achieve the goals and objectives of IWA.
As much as respondents identify a range of management and governance related issues that need to be improved, majority feel fundraising and transparency and accountability are top priorities. Management needs to note this.
Majority of respondents were not paid members of IWA. Management needs to devise strategies to recruit more members to IWA and to harness their expertise.