Budget Performance and Health Services Delivery in Lira district; Northern Uganda

Abstract

Budget Performance and Health Services Delivery in Lira district; Northern Uganda Patrick Okello Dr. Mary Ejang 2021 The study examines the effect of budget performance on health service delivery in Ogur and Amach Health Centre IV in Lira district. Specifically, the study examined the effect of budget variance on health service delivery, assessed the effect of budget execution on health service delivery and investigated the effect of budget monitoring on health service delivery. The study adopted a case study design, which employed a mixed method approach of both quantitative and qualitative methods. The study population was 96 which included administrators, finance department, Health workers, and Health unit management committee. Simple random sampling technique and purposive sampling, was used to select a sample size of 78 participants. The researcher used self-administered questionaries to collect quantitative data and an interview guide to collect qualitative data. Descriptive statistics (mean, and standard deviation), and inferential statistics (correlation and regression) were used to analyze numerical data. Content analysis data was used to analyze qualitative data from interviews to supplement quantitative data. The findings revealed a statistically significant positive relationship between budget performance and health service delivery (R =.718; p-value 0.007) and 51.5% aggregate effect of budget performance on service delivery. The study further revealed that budget execution process and budget monitoring have significantly affects health service delivery Health Centre IV northern Uganda. This study contributes an original and empirical -evidence of the association between budget performance and service delivery, Lira District Local Government should ensure extending their financial obligations to Health Centre IV to improve their service delivery. Management should also ensure that all the stakeholders are involved in all the stages in the budget process to improve on its efficiently.