Masters in Public Administration - MPA / As amended in 1997, the constitution of Uganda local government act devolved power to lower units of government to enhance citizen participation and service delivery. Citizen participation was viewed in this act as an instrument through which service delivery and health promotion can be realized. This is done by involving local people in community development programmes such as health that participate on mutual and equal understanding. Citizen participation has proved to work well in some sub units of national governments with key stakeholders at the lower units of government. All this has been aimed at improving standards of living and promoting more participation in decision making for better service delivery. As highlighted above, this research explores the understanding of citizen participation on health service delivery of Ntungamo district local government. The local government act gives powers to districts to execute planning and administration of district hospitals with the aim of improving service delivery in the districts. The Local Government Act of 1997 spells out that people must holistically participate in the decision making processes of the hospital.This research report analyzes citizen participation in the provision of service delivery in Itojo hospital Ntungamo district, Uganda. The report is based on data collected from 66 participants via electronic, telephonic interviews and field study done by the researcher with help of one research assistant, and use of district score cards. The study employs qualitative research approach, within which a case study design is used. The study used primary and secondary data based on interviews and open-ended questions. The provisional findings reveal that citizen participation does not necessarily improve service delivery.