Authors :
Jared Okello Otieno; Orthodox Tefera
Volume/Issue :
Volume 9 - 2024, Issue 4 - April
Google Scholar :
https://tinyurl.com/mwx256ae
Scribd :
https://tinyurl.com/s3wvrrxu
DOI :
https://doi.org/10.38124/ijisrt/IJISRT24APR200
Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.
Abstract :
Fiscal devolution has gained prominence as a
policy approach in many developing countries, aiming to
enhance healthcare accessibility. This study focused on
the influence of Fiscal devolution on healthcare
accessibility in Homabay County. The study employed a
mixed-methods approach to assess the impact of fiscal
devolution on public sector efficiency, combining
quantitative data analysis and qualitative observations.
With an emphasis on metrics like service quality,
punctuality, and accessibility, quantitative data were
gathered via questionnaires and administrative records.
Key stakeholders, such as representatives of the local
government, prominent members of the community, and
recipients of services, were interviewed in-depth and
participated in focus groups to get qualitative data. The
data were analyzed using appropriate SPSS version 27
statistical techniques and thematic analysis to identify
patterns and relationships. Results showed that fiscal
devolution had both positive as well as negative effects on
healthcare accessibility in Homabay County, underlining
the importance of effective local government and resource
allocation processes. Preliminary data indicate that fiscal
devolution in Homabay County has had a mixed effect on
healthcare accessibility. On one hand, decentralization
has empowered local authorities to make decisions
tailored to local needs, resulting in improved service
responsiveness and community engagement. On the other
hand, challenges related to inadequate financial
resources, capacity constraints, and intergovernmental
coordination have hindered the efficient delivery of public
services. Effectiveness of fiscal devolution largely depends
on the presence of effective local governance structures,
transparent resource allocation mechanisms, and
capacity building initiatives.
Keywords :
Fiscal Devolution, Healthcare Accessibility, Efficiency.
Fiscal devolution has gained prominence as a
policy approach in many developing countries, aiming to
enhance healthcare accessibility. This study focused on
the influence of Fiscal devolution on healthcare
accessibility in Homabay County. The study employed a
mixed-methods approach to assess the impact of fiscal
devolution on public sector efficiency, combining
quantitative data analysis and qualitative observations.
With an emphasis on metrics like service quality,
punctuality, and accessibility, quantitative data were
gathered via questionnaires and administrative records.
Key stakeholders, such as representatives of the local
government, prominent members of the community, and
recipients of services, were interviewed in-depth and
participated in focus groups to get qualitative data. The
data were analyzed using appropriate SPSS version 27
statistical techniques and thematic analysis to identify
patterns and relationships. Results showed that fiscal
devolution had both positive as well as negative effects on
healthcare accessibility in Homabay County, underlining
the importance of effective local government and resource
allocation processes. Preliminary data indicate that fiscal
devolution in Homabay County has had a mixed effect on
healthcare accessibility. On one hand, decentralization
has empowered local authorities to make decisions
tailored to local needs, resulting in improved service
responsiveness and community engagement. On the other
hand, challenges related to inadequate financial
resources, capacity constraints, and intergovernmental
coordination have hindered the efficient delivery of public
services. Effectiveness of fiscal devolution largely depends
on the presence of effective local governance structures,
transparent resource allocation mechanisms, and
capacity building initiatives.
Keywords :
Fiscal Devolution, Healthcare Accessibility, Efficiency.
