Intergovernmental Relations and the Financial Resource Allocation for the Healthcare Sector in Nairobi City County, Kenya
Loading...
Date
2024-10
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
EANSO
Abstract
Since the beginning of devolution of health sector in Kenya in 2013, there
have been several concerns regarding heath care service delivery
ineffectiveness, which have been attributed to strained ties between the
national and county governments. There have been issues with service
delivery and medical supply shortages in Nairobi City County's healthcare
sector. This study sought to investigate how intergovernmental interactions
have affected healthcare in in Nairobi City County. Specifically, the study
examined how intergovernmental relations affect the financial allocation for
the sector. The study was anchored on resource-based theory. A descriptive
research design was employed involving a census for all the 7 administrators
working at level 4 and level 5 health facilities in Nairobi City County as well
as 78 employees working in the health department of Nairobi City County
Government, constituted the sample population. Descriptive analysis was
done using the standard deviation and the mean while inferential analysis was
done using regression, F-test and ANOVA. The analyzed data was provided
as frequency tables, percentages, and charts. Before the data collection,
respondents were asked to provide informed consent, and anonymity and
secrecy were assured to boost the response rate. The most critical relationship
was between intergovernmental relations and financial resource allocation
for the healthcare sector in Nairobi City County accounting to 39.4%. The
findings suggested that in order to guarantee that financial resources are
allocated appropriately, the national and the county government should work
to enhance intergovernmental ties. This also helps in ensuring timely release
of financial resources to health facilities by the national government. The
study recommends that the financial allocation for healthcare should be
enhanced so as to improve service delivery. There is also need to enhance
own source revenue for the City County so as supplement the shareable
revenue from the national government, which collectively will increase the
finances available for utilisation in the healthcare sector.
Description
Article
Keywords
Citation
Mutie, H. M. & Kiruthu, F. (2024). Intergovernmental Relations and the Financial Resource Allocation for the Healthcare Sector in Nairobi City County, Kenya. International Journal of Geopolitics and Governance, 3(1), 83-97. https://doi.org/10.37284/ijgg.3.1.2322