Vol. 7, Issue 1, Part B (2025)

The study explores the effectiveness of Constituency Development Fund (CDF) allocations in improving health infrastructure in Matero Township. It assesses how CDF funding has contributed to the construction, upgrading, and maintenance of healthcare facilities, examining its impact on service delivery, accessibility, and overall community health outcomes in the township. A sample of 50 respondents, including councilors, the council chairperson, and development committee members, was selected through stratified and random sampling. Data were collected via questionnaires and analyzed using SPSS. The study aimed to assess community participation in healthcare decision-making, the sustainability of health infrastructure improvements, and the impact of CDF utilization on healthcare quality. Findings showed that 52.5% of respondents felt community participation significantly enhanced healthcare quality, while 32.5% saw moderate improvements, and 15% saw no impact. Regarding CDF-funded infrastructure, 67.5% acknowledged long-term viability improvements, and 55% praised maintenance practices. However, challenges like poor management (62.5%) and resource constraints (37.5%) were highlighted. 70% of respondents noted that new health facilities built with CDF funds improved accessibility. Despite these positive impacts, issues like bureaucratic delays and mismanagement remain. The study concludes that Constituency Development Fund (CDF) allocations have positively impacted health infrastructure and accessibility in Matero Township, with significant improvements in healthcare quality and long-term infrastructure viability noted by respondents. Community participation emerged as a critical factor, enhancing healthcare outcomes through inclusive decision-making. However, challenges such as poor management, resource constraints, and bureaucratic delays hinder the full potential of CDF utilization. While the construction of new health facilities has notably improved healthcare accessibility, these benefits are undermined by governance and oversight issues. The study emphasizes the need for stronger financial management, transparency, and streamlined processes to address these challenges and maximize the effectiveness of CDF allocations in the healthcare sector.