Primary Health Care Services Delivery (PHCSD) Under Revenue Autonomy: Proposed Innovative Options Within Own Source Revenue

Abstract

Through quantitative and qualitative account (mixed explanatory method), this empirical investigation portrayed a pragmatic perspective of the primary health care services in Mbale District, Uganda under the fiscal decentralization with revenue autonomy in particular. The evidence based data were elicited from the respondents selected through purposive sampling utilizing a researcher devised research tool tested scientifically for its validity and reliability. Quantitative measurements consisted of means and standard deviations elucidated by qualitative data from observations and interviews. The constructs of primary health care services under study were as follows: public education, maternal and child health care, proper nutrition, provision of accessible treatment and drugs, clean water and sanitation, immunization and local diseases control, accountability in service delivery. The general findings revealed existing challenges and gaps in these indicators. Therefore, this study advocated the need for improvement of health services delivery outcomes in rural and remote communities through improved access to health services while this study also recommended that progress can be made by reflecting on enhancing service access through the wider implementation of innovative options proposed in this study.

Country : Uganda

1 Hassan Abdulle Hassan2 Novembrieta R. Sumil3 Musoke Matthew

  1. University of Liverpool, P.O. Box L 693 BX, United Kingdom
  2. College of Higher Degrees and Research (CHDR), Kampala International University, P.O. Box 20000 Kampala, Uganda
  3. Faculty of Business and Management (FOBM), Team University, P.O. Box 8128 Mengo, Kabaka A’njagala Road, Kampala, Uganda

IRJIET, Volume 6, Issue 6, June 2022 pp. 126-134

doi.org/10.47001/IRJIET/2022.606016

References

  1. ACODE. (2014). “Uganda local governments’ score-card report.”
  2. ACODE. (2015). “ Uganda’s local government’ score-card report.’
  3. Brennan, G. & Buchanan, JM. (1980). The power of tax centers for disease control & prevention. Indianapolis, IN: Liberty Fund, Inc. : National Health Education Standards.
  4. Boex, J. & Martinez-Vazquez, J. (2005). The determinants of the incidence of intergovernmental standards. A Survey of the International Experience. Andrew Young School of Policy Studies, Georgia State University Research Paper Series Working Paper 06-52. March.
  5. Donatelle, R. (2009). Health: The basics. 8th edition. San Francisco, CA: Pearson Education.
  6. Donatelle, R. (2009). “Promoting Healthy Behavior Change.” Health: The basics. (pp. 4). 8th edition. San Francisco, CA: Pearson Education.
  7. Ebel, R. & Yilmaz, S. (2002). On the measurement and impact of fiscal decentralization. Washington, DC: World Bank.
  8. George, D. & Mallery, P. (2003). SPSS for Windows step by step: A simple guide and reference 11.0 update. 4th edn. Boston: Allyn and Bacon, p.231.
  9. Hagopian A, Zuyderduin A, Kyobutungi N, Yumkella F. (2009). Job satisfaction and morale in the Ugandan health workforce. 10.1377/hlthaff.28.5.w863). , 28, no.5 (2009).
  10. Hutcheson, G., & Sofroniou, N. (1999). The multivariate social scientist: Introductory statistics using generalized linear models. California: London and Thousand Oaks.  pp. 224-225.
  11. Ikeanyionwu, L. (2000). Local government and community development in Nigeria’s decentralized fiscal system in J. Y. Kokor and G. Kroés, (Eds.), Community Development in Sub-Saharan Africa. Spring Research Series 31. Dortmund: University of Dortmund.
  12. Inanga, E. L. & Osei-Wusu, D. (2004). “Financial resource base of subnational governments and fiscal decentralization in Ghana.” African Development Review, vol., issue, pp. 72-114.
  13. Jeppson A, Okuonzi, SA. (2000). Vertical or holistic decentralisation of the health sector? Experiences from Zambia and Uganda. Int J Health Plann Manage 2000 Oct-Dec;15(4):273-89.
  14. Kamugisha,D. (2012). The concept of intergovernmental relations: Central and Local Level Analysis. March 22, 2016. University of Groningen Faculty of Law Research Paper 2016-16.
  15. Kamugisha, D. J.(2014). “The liaison between central and local governments: Is it inclined in a symbiotic fashion to ease service delivery in Tanzania?” International Journal of Social Sciences and Entrepreneurship, 1 (10), 274-291.
  16. Kann L., Brener, N.D., Allensworth, D.D. (2001). "Health education: Results from the School Health Policies and Programs Study 2000". Journal of School Health 71 (7): 266–278.
  17. McKenzie, J., Neiger, B., Thackeray, R. (2009). “Health educations can also be seen as preventive medicine” (Marcus 2012). Health education and health promotion. planning, implementing, & evaluating health promotion programs. (pp. 3-4). 5th edition. San Francisco, CA: Pearson Education, Inc.
  18. Mayoclinic.org. Annual report of 2012. Implications for cancer control. Cancer Epidemiology Biomarkers Prev . 2012; 21(10):1701–1708.
  19. McKenzie, J., Neiger, B., Thackeray, R. (2009). Planning, implementing, & evaluating health promotion programs. 5th edition. San Francisco, CA: Pearson Education, Inc.
  20. Ministry of Health Uganda (2013). Health sector strategic plan III 2010/11-2014/15. Kampala: Government of Uganda.
  21. Musgrave, R. (1959). “Theory of public finance”. The Swedish Journal of Economics Vol. 75, No. 1. DOI: 10.2307/3439275.
  22. Oates, WE. (1972).”On the theory and practice of fiscal decentralization”. Review of Economic Studies, 38 (114):175-208.
  23. Okidi, J.A., Guloba. M. (2006). Decentralisation and development: Emerging issues from Uganda’s experience. June, 2008.  ISBN: 978-0-8213-7127-5; e-ISBN: 978-0-8213-7128-2. https://doi.org/10.1596/978-0-8213-7127-5.
  24. Omachunu, VK & Norman, G. (2010). “Innovation in healthcare delivery systems: A conceptual framework.” The Innovation Journal: The Public Sector Innovation Journal, Volume 15(1), 2010, Article 2. pp.2.
  25. Pariyo GW, Ekirapa-Kiracho E, Okui O, Rahman MH, Peterson S, Bishai DM, Lucas H, Peters DH (2009). “Changes in utilization of health services among poor and rural residents in Uganda: Are reforms benefiting the poor?” International Journal for Equity in Health. Regional & Federal Studies. Vol. 25.
  26. Shah. A. (1994). The reform in intergovernmental fiscal relations in the developing world. International Bank for Reconstruction and Development. ISBN: 978-0-8213-2836-1. https://doi.org/10.1596/0-8213-2836-0
  27. Stigler, GJ. (1957). “The Causes and consequences of increasing inequality”. The Journal of Political Economy, volume 3, Part B, pp. 2101–2163.
  28. Tanzi, V. (1996). “Fiscal federalism and decentralization”. World Development. Volume 31, Issue 9, pp. 1597-1616.
  29. World Bank. (2003). Public expenditure management: Lessons and experience. Washington, D.C., U.S.A: The International Bank for Reconstruction and Development/The World Bank.