Abstract
The study sought to examine fiscal decentralization and health service delivery in Kiira Town
Council, Wakiso District, Uganda. The study objectives were; to establish the level of fiscal
decentralization in Kiira Town Council, Wakiso District. Uganda, to examine the effect of fiscal
decentralization on health service delivery in Kiira Town Council, Wakiso District, Uganda and
to determine the relationship between fiscal decentralization and health service delivery in Kiira
Town Council, Wakiso District, Uganda. This study was used descriptive research design. The
purpose of employ this method was to describe the nature of a situation, as it exists at the time of
the study and to explore the causes of particular phenomena. The descriptive approach was also
quick and more practical. The population of Kiira Town Council, Wakiso District was 1 8000
people (Uganda Demographic Survey, 2016). The research population of 130 as a target
population representing district development officers (15), community leaders (12), peasants (85)
and District health officials (18). The study used Sloven’s formula to determine the sample size of
the actual respondents and the sample size is 98 respondents. The researcher used varieties of
sampling which included: Purposive and random sampling. Data was collected from primary and
secondary sources using questionnaires and interviews. After collecting data, the researcher
organized well-answered questionnaire, data was edited and sorted for the next stage. The data
was presented in tabular form, pie charts and bar graphs with frequencies and percentages. It was
found out that fiscal decentralization can improve the efficiency of public service delivery through
preference matching and allocative efficiency where by 20 (20.4%) respondents strongly
disagreed. The results presented in the table above show that Fiscal decentralization can improve
the efficiency of public service delivery through preference matching and allocative efficiency
where by 21 (21.4%) respondents disagreed. The study concludes that fiscal decentralization can
improve the efficiency of public service delivery through preference matching and allocative
efficiency. Local governments possess better access to local preferences and, consequently, have
an informational advantage over the central government in deciding which provision of goods and
services would best satisfy citizens’ needs. There needs to be more discussion and agreement on
the degree of balanced distribution of fiscal resources among different regions. The study
recommends that the revenue-sharing formula should be transparent. Furthermore, there is need
to create some incentives for the development of own-source revenue at the regional and local
level.
Table of Contents
Declaration ii
Approval iii
Dedication iv
Acknowledgement v
Table of Contents vi
List of tables ix
List of Acronyms x
Abstract xi
Chapter One
Introduction
.1 Background of the Study
1 .1 .1 Historical perspective
1 .1 .2 Theoretical perspective
1 .1 .3 Conceptual perspective 2
1 .1 .4 Contextual perspective 4
1.2 Statement of the problem 6
1.3 General Objective 6
1 .4 Research questions 7
1.5 Scope of the Study 7
1.6 Significance of the Study 7
Chapter Two 9
Literature Review 9
2.1 Theoretical Review 9
2.2 Related literature 10
2.2.1 Level of fiscal decentralization in Kiira Town Council, Wakiso District, Uganda 10
2.2.2 Effect of fiscal decentralization on health service delivery in Kiira Town Council, Wakiso
District, Uganda 13
2.2.3 Relationship between fiscal decentralization and health service delivery in Kiira Town
Council, Wakiso District, Uganda 14
2.3 Conceptual Framework 17
vi
Chapter Three.19
Methodology 19
3.1. Research Design 19
3.2 Population 19
3.3 Sample 19
3.3.1 Sample size and sampling procedure 20
3.4 Data Collection Instruments 21
3.4.1 Interview Guide 21
3.4.2 Questionnaire 21
3.5 Validity and reliability 21
3.5 Data Collection Procedures 22
3.6 Data Management 22
Chapter Four 23
Data Presentation. Interpretation and Analysis 23
4. 0 Introduction 23
4.1 Description of respondents’ background information 23
4.1.1 Respondents by Gender 23
4.1.2 Respondents by Level of Education 24
4.1 .3 Respondents by Age 25
4.2 Findings on level of fiscal decentralization in Kiira Town Council, Wakiso District 25
4.2.1 Fiscal decentralization can improve the efficiency of public service delivery through
preference matching and allocative efficiency 25
4.3 Findings on effect of fiscal decentralization on health service delivery in Kiira Town
Council, Wakiso District, Uganda 30
4.4 Findings on relationship between fiscal decentralization and health service delivery in Kiira
Town Council, Wakiso District, Uganda 34
Chapter Five 38
Findings, Conclusions and Recommendations 38
5.1 Summary of findings and discussions 38
5.1.1 Level of fiscal decentralization in Kiira Town Council, Wakiso District 38
5.1.2 Effect of fiscal decentralization on health service delivery in Kiira Town Council, Wakiso
District, Uganda 40
5.1.3 Relationship between fiscal decentralization and health service delivery in Kiira Town
Council, Wakiso District, Uganda 42
VII
5.2 Conclusion.43
5.2.1 Level of fiscal decentralization in Kiira Town Council, Wakiso District, Uganda 43
5.2.2 Effect of fiscal decentralization on health service delivery in Kiira Town Council, Wakiso
District, Uganda 44
5.2.3 Relationship between fiscal decentralization and health service delivery in Kiira Town
Council, Wakiso District, Uganda 45
5.3 Recommendations 45
5.4 Suggestions for further research 46
REFERENCES 47
APPENDICES 49
Appendix I: Questionnaire 49
Appendix II: A map showing the location of Kiira Town Council, Wakiso District 52
Research, S. (2022). Fiscal Decentralization And Health Service Delivery In Iuira Town Council, Wakiso District, Uganda. Afribary. Retrieved from https://tracking.afribary.com/works/fiscal-decentralization-and-health-service-delivery-in-iuira-town-council-wakiso-district-uganda
Research, SSA "Fiscal Decentralization And Health Service Delivery In Iuira Town Council, Wakiso District, Uganda" Afribary. Afribary, 30 Aug. 2022, https://tracking.afribary.com/works/fiscal-decentralization-and-health-service-delivery-in-iuira-town-council-wakiso-district-uganda. Accessed 22 Nov. 2024.
Research, SSA . "Fiscal Decentralization And Health Service Delivery In Iuira Town Council, Wakiso District, Uganda". Afribary, Afribary, 30 Aug. 2022. Web. 22 Nov. 2024. < https://tracking.afribary.com/works/fiscal-decentralization-and-health-service-delivery-in-iuira-town-council-wakiso-district-uganda >.
Research, SSA . "Fiscal Decentralization And Health Service Delivery In Iuira Town Council, Wakiso District, Uganda" Afribary (2022). Accessed November 22, 2024. https://tracking.afribary.com/works/fiscal-decentralization-and-health-service-delivery-in-iuira-town-council-wakiso-district-uganda