Title: EFFECTIVENESS AND EFFICIENCY OF FISCAL DECENTRALIZATION ON HEALTH SERVICE DELIVERY IN UGANDA: A CASE OF KIRUDU REFERRAL HOSPITAL
Authors:
Nebert Muhanga, Prof. Amon E. Chaligha and Dr Lucas Antony Kisasa
Abstract:
The study assessed the effectiveness of Fiscal Decentralization in Health Service Delivery in Uganda: A Case of Kirudu Referral Hospital.The objective was to examine the general public understanding on how fiscal decentralization has contributed to the availability of adequate quality health care service delivery at Kirudu Referral hospital. Mixed approaches of both Qualitative and quantitative methods were used in this study. The study encompassed 100 respondents, comprising of health workers and unit management, medical officers that work at the hospital, ward officers, district officer and health district officer. Data were collected through questionnaires and interviews and analyzed by using Statistical Package for Social Science (SPSS) version 22 and thematic analysis. The study’s findings revealed that 79% of the general public understands how fiscal decentralization has contributed to the availability of quality healthcare services. Fiscal decentralization has enhanced healthcare delivery primarily through increased local funding. Regarding citizen participation in financial budgeting for adequate healthcare at Kirudu Referral Hospital, 92% of respondents noted that a key benefit of citizen involvement is that it allows local voices to be heard in the decision-making process. The study concluded that the analysis revealed that a significant majority of respondents had a positive understanding of how fiscal decentralization enhances health services. Specifically, consistent communication about revenue sources and consultative meetings increased awareness among community members, fostering greater advocacy for essential health resources. The study recommended that implement programs that engage community members, especially women, in health service planning and budgeting.
Keywords: Fiscal Decentralization, Health Service Delivery.
PDF Download