Utilization of Fiscal Resources in Health Sector in Somalia

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Kampala International University, College of Humanities and Social Sciences
The study focused on utilization of fiscal resources in health sector in Somalia as the case study. The study objectively thought to; identity the forms fiscal resource utilization on health sector in Somalia, to establish whether normal procedures are used in fiscal resources utilization in the health sector in Somalia and to identify the challenges of fiscal resource utilization in the health sector in Somalia. The study adopted a descriptive research design. Descriptive was used because of its ability to describe results from questionnaires and interviews and employs both quantitative and qualitative methods which were used because of its flexibility for instance. A sample of 167 respondents was selected. Using, purposive sampling and simple random data was analyzed using the computer package called SPSS to generate tables and graphs. The findings of the study were that there was Coordination, collaborate, and do no harm were as (mean=2.54, agreed) implying that there was a good relationship between the workers and team work was exercised. In addition, Respondents appeared reserved surprisingly on supp01t improvements in the ability of developing country governments to develop sound budgets and report on their execution (mean= 1.20, strongly disagreed) there should be planning purposes loosely linking planned performance to funding: were as follows; (mean= 1.22, strongly disagreed) The study concluded that the Ministry of Health has to make eff01ts to ensure equitable access, through the regional allocations for public health services, for which user fees have been abolished. Performance budgeting should be more than the development of performance information: it is concerned with the use of this information in budget processes and resource allocation. PI can be used by the MOF for plaiming purposes and/or accountability purposes. The study recommends that government should stimulate the formation of a social health insurance scheme by pooling the large out-of-pocket expenditure that goes to private care and extending the revenue collected to low income groups. The ministry of Health should use resources more optimally by being more specific as to the drngs offered under the new Government. The low wage packages and lack of incentives has compromised the delivery of health services. Its recommended creating a link between public health workers' remuneration packages and perfonnance, For example, provide nonm01,etary rewards such as opp01tunities for learning and career progression, subsidized housing and education for dependents.
A Dissertation Submitted to the School of Postgraduate Studies and Research Kampala International University Kampala, Uganda In Partial Fulfillment of the Requirements for the Degree Master of Public Administration and management
Fiscal Resources, Health Sector, Somalia