Fiscal Decentralization and Provision of Maternal Health Care in Uganda: Experience from Selected Public Health Centres in Kampala City.

Mutebe, Janet Emily (2024) Fiscal Decentralization and Provision of Maternal Health Care in Uganda: Experience from Selected Public Health Centres in Kampala City. Doctoral thesis, The Open University of Tanzania.

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Abstract

The study investigated the relationship between fiscal decentralization and the quality of maternal health in public health centres in Kampala Capital City Authority in Uganda. The purpose was to assess the impact of fiscal decentralization on the provision of maternal health in health centres. A case study design, with both qualitative and quantitative approaches, was applied. Questionnaires and interviews were used as the data collection tools from a sample size of 172. Data was analysed qualitatively by use of thematic and quantitatively by use of mean and standard deviation, correlation and regression analysis. Findings showed that, there were no significant effects of expenditure of Central Government and of KCCA on the provision of quality maternal health care; therefore, the quality of maternal health in KCCA health centres was poor. Results established that every year the budget was met and staff of Health Centres and KCCA had powers to make decision of the funds and showed a strong relationship. The regression analysis showed that Central Government revenue and of KCCA would affect the provision of quality maternal care. The study concluded that there were no significant effects of the Central Government Revenue on the provision of quality maternal care in KCCA and recommended that Central Government allocation should be improved, and KCCA administration must adopt best practices such as anti-corruption strategies and the leadership of health centres and KCCA must practice best planning, good governance and transparency. Keywords: Fiscal Decentralization, Maternal Health Care, Public Health Centres and Central Government.

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