Fiscal decentralization on the delivery of health services in Kasese Municipality, Kasese District

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Kampala International University. College of Humanities and Social Sciences
The purpose of the study was to examine the effect of fiscal decentralization on the delivery of health services in Kasese district, Kasese Municipality. This study was based on the following objectives: To examine the contribution of fiscal decentralization on the health structure in Kasese Municipality. To analyze the contribution of fiscal decentralization on Human Resource in Kasese municipality. To determine the contribution of fiscal decentralization has on the availability of Irugs in Kasese Municipality. The study employed qualitative and quantitative approach which aimed at describing the phenomena nature and patterns of the study. The study population was 150 consisting of municipal health officers, the chairpersons, LC III, the sub County chiefs, ~.D.O, the mayor, health workers, members of the community. The sample size was selected using the table by Krejecie and Morgan cited by Amin, (2005) thus our study population of 50 was summarized to the sample size of 120 respondents. Self administration questionnaires and interview guides were used as a means of collecting data from the respondents while conducting research. The researcher analyzed data through the use of sampling and sampling techniques. Data was collected with the aid of structural and non structured questions. The study Concluded that The fiscal decentralization policy has led to increased utilization of the health facilities .the perception that the policy was good because it empowered the local community in terms of creating a sense of ownership in the stakeholders, that has facilitated the sustainability of the public institution .in spite of the views expressed ,the policy has failed to deal with drug shortages, inefficient utilization of resources ,morale among the staff, retraining of the staff and better remuneration in order match effective implementation of the policy. Inc eased corruption: In sub-national governments officials are more likely to be subject to the pressures coming from local elites or other interest groups. In addition, sub national office s have more discretion than national ones. Lastly, sub-national governments’ institutions are less developed and skilled than the ones at the central level. so they may be less capable to control abuses of power/resources by public employees and officials. The study Recommended that Despite the negative finding still leading low efficiency of the Uganda’s local government in channeling public funds to health care and hence to the better services ,as revealed by this study. The following steps have suggested to enable health center improve on her fiscal decentralization system to ensure health service delivery. Kasese District, must ensure that they hold continuous training on educating the locals on what exactly is the meaning of Fiscal decentralization since many people conceptualized fiscal decentralization depending on their culture. Monthly transfer of the public funds for wage and non wage expenditure to the heath centre and regular publication in the main newspapers and radio to avoid misallocation of the funds.
A research report submitted to the college of humanities and social sciences in partial fulfilment of the requirements for [he award of a bachelor's of development studies of the Kampala International University
Fiscal decentralization, Delivery of health services