Municipal housing companies (MHCs) can be seen as hybrid organizations, operating under multiple institutional logics that are likely in tension with each other. Measuring the performance of hybrid organizations is a much harder exercise than measuring the performance of pure public or pure private entities. There is a lack of research in this area. To fill this gab van Helden and Reichard’s (2016a) proposed a framework that assigns typical characteristics to PMS in hybrids. The authors call for empirics to test the framework. Accordingly, the first purpose of the thesis is to test the hypotheses of this framework in practice, using a case study approach of two MHCs, MKB AB and LKF AB. The second purpose is to shed light on challenges, conflicts and even propose solutions for MCS/PMS. The thesis ended up by proposing a conceptual model for MCS/PMS that aims to reconcile conflicting goals and logics. The model integrates strategic management control tools (BSC and ERP) to support strategy implementation and formulation as well as to reconcile the different interests of the various stakeholders.

PURPOSE: The main aim of this study was to systematically assess the factors that influence maternal health care services utilization by women in Awash Fentale woreda (district), Ethiopia. DESIGN: A quantitative, descriptive, and cross-sectional design was selected as the methodology for this study. METHOD: Data were collected using a structured questionnaire administered to 422 women aged 15 to 49 years through a stratified sampling technique. Data was entered, analyzed and interpreted using SPSS computer program. Binary logistic regression model was used to identify the factors that influence maternal health care services utilization. RESULTS: The findings of this research indicated that not attending school, not watching television, and not owning a Bajaj (three-tire motorbike) significantly influenced low utilization of antenatal care (ANC) visits, while exposure to media, including reading newspapers, was positively associated with the adequacy of ANC visits. Similarly, factors such as not attending school and not watching television at all influenced delivery care (DC) services utilization negatively, while husbands’ low income and not watching television at all were negatively associated with postnatal care (PNC) service utilization. This research study found that 80 (19%) of the respondents preferred to give birth at home and the remaining 342 (81%) preferred a health facility for their delivery services. In addition, 43% of the respondents were not satisfied with the care and attention given by the health care provider and approximately 52% of the respondents were not satisfied with the cleanliness of the health facilities. It was also illustrated in this study that family members’ influence was one of the major barriers identified for DC services utilization. Conclusion: Policy making, planning, and implementation should focus on factors that influence maternal health care services utilization and barriers to DC services. In order to increase the utilization of maternal health care services by women with low levels of educational status, husbands ’low income or wealth quintile, and low media exposure, strategies were developed by the researcher. / Health Studies / D. Litt. et Phil. (Health Studies)