Budgetary Control and Public Health Service Delivery in Uganda. A Case of Bushenyi-Ishaka Municipality
Tukwatsibwe Dickson, Andrew Nyakundi and Nyambane David
Department of Business Administration, Kampala International University, Uganda.
Public health services delivery has been an issue in government-owned institutions. A good number of Public Health Centres offer unsatisfactory services more so in Bushenyi Ishaka Municipality. The low level of service delivery could be attributed to budgetary control. Therefore, the study examined the effect of budgetary control on public health service delivery in Bushenyi-Ishaka municipality. Objectives were to examine the effect of forecasting on public health service delivery, to assess the effect of coordination on public health service delivery, and to evaluate the effect of periodic review on public health service delivery in Bushenyi Municipality. The study was anchored on the theory of public expenditure and guided by the conceptual framework. It adopted a descriptive research design and a quantitative research approach. The target population was 42400 with a sample of 396 respondents. Simple random sampling was used to select respondents. Data was collected using questionnaires whose validity and reliability were 0.669 and 0.826 respectively. Data was analysed using multiple regression analysis with the help of SPSS. For the effect of forecasting on public health service delivery, the result was statistically significant (t=5.554, P=0.000, P<0.05), the effect of coordination on public health service delivery was statistically insignificant (t=1.395, p=.164, p>0.05) while the effect of periodic review on public health service delivery was statistically significant (t=13.261, P=.000, P<0.05). Based on these results, the study concluded that forecasting and periodic reviews were statistically significant while Coordination was insignificant. The study recommends a participatory approach in the budget budget-making process, enhanced periodic reviews of budgets, and budgetary control, and fewer resources should be devoted to coordination. The study will benefit the researchers, the community, policymakers, scholars, and the Ministry of Health.
Keywords: Budgetary control, Public health service delivery, Forecasting, Coordination, Periodic review.
CITE AS: Tukwatsibwe Dickson, Andrew Nyakundi and Nyambane David (2024). Budgetary Control and Public Health Service Delivery in Uganda. A Case of Bushenyi-Ishaka Municipality. RESEARCH INVENTION JOURNAL OF CURRENT ISSUES IN ARTS AND MANAGEMENT 3(2):108-123.