Abstract

Factors influencing the utilization of health services at the community level are crucial for reducing morbidity and
mortality rates. This study aimed to investigate these factors within the Ishaka division of Bushenyi-Ishaka
municipality. Utilizing a descriptive cross-sectional study design, data was gathered from 200 adult residents and
caregivers using a structured questionnaire administered through cluster and systemic random sampling.
Descriptive statistics were employed to analyze quantitative data, revealing socio-demographic characteristics,
reported health service utilization, and factors influencing it. Results indicated that health service utilization among
participants was lower than the national average. Identified factors affecting utilization included poverty, limited
accessibility to formal health services, negative attitudes of health personnel, and insufficient supply of essential
medicines and materials at health facilities. Overall, health service uptake was moderate but slightly below national
targets. This study provides valuable insights into health service utilization and the barriers hindering further
uptake at the community level in Bushenyi-Ishaka Municipality, with significant implications for local and national
health policy.
Keywords: Health service, Caregivers, Health personnel, Health facility, Medicines