| dc.description.abstract | The research was carried out to establish the relationship between Health financing and service
delivery in Government hospitals in Uganda. The research was prompted by the poor performance
indicators of health service delivery in Uganda. The objectives of the study were to examine the
relationship between mobilization of funds and service delivery in Uganda Government Hospitals,
to analyze the relationship between Allocation of funds and service delivery in Uganda
Government Hospitals and to establish the relationship between Accountability of funds and
service delivery in Uganda Government Hospitals
The researcher employed case study design, adopting both qualitative and quantitative approach
to data collection. The study population was 98 from which a sample of 91 were selected using
stratified random sampling, specifically because the researcher wanted to identify and target
various respondents according to their responsibilities in the hospital. The sample size was derived
using table for determining sample size by Krejcie and Morgan, (1970) as cited by (Amin, 2005).
Data collection was by use of questionnaire and interview guides. This was analyzed using SPSS
and was presented in tables.
The research findings revealed a strong positive significant relationship between health financing
and service delivery in government hospitals of Uganda of r=0.243. This implies that when health
financing is improved, service delivery in will also improve. This is in line with (WHO, 2010),
which notes that a well-functioning health care system requires a robust financing mechanism to
enable the health facility deliver quality services.
The research finding also revealed a positive significant relationship between mobilization of
funds and service delivery in Uganda Government Hospitals with r=0.287, p=0.035. This implies
that if funds for health financing are mobilized through the different sources like Government
grants, donors, insurance and user fees, service delivery in can improve. This is in line with WHO MBHSS (2010), which noted that health financing can be from government Grant, donors,
insurance and user fees, which can be used to improve service delivery.
The study also revealed a positive significant relationship between allocation of funds and service
delivery with r=0.529, p=0.025. This means that if funds are well allocated to the different
departments of the hospital, service delivery will improve. This is in line with Ssengooba (2004),
who noted that shifting towards a pro-poor allocation approach based on health needs implies a
significant break with tradition and improves service delivery.
The researcher recommends that funds should be mobilized through Government grants and other
donors. This will ensure access to all and not limited by finances. Therefore Mbale Hospital should
advocate for more funding from Government Grant and donors. Allocation of funds should be in
terms of the size of the hospital, number of beds in the department, size of the population of the
area as this will ensure there is no misuse of funds once allocated and finally, the hospitals should
account for the funds on time | en_US |
