Intergovernmental Relations and the Financial Resource Allocation for the Healthcare Sector in Nairobi City County, Kenya
Ikisiri
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
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Adedire, S. A., o Bell, O. W., & Ganiyu, S. O. (2023). Structure and Authority in the Nigerian Intergovernmental Relationships: Contextual and Theoretical Framework. Lapai International Journal of Management And Social Sciences, 15(2), 25-33.
Ajulor, O. V. & Ibikunle, B. (2021). Fiscal Allocation and Intergovernmental Relations in the Nigeria's Fourth Republic. Public Policy and Administration, 8(1), 10-20
Akume, A.T. (2018). The Effect of Intergovernmental Relations (IGR) on Nigerian Federalism: An Examination Intergovernmental Management (IGM) 1999-2007. Canadian Social Science, 10(3), 171-180.
Babbie, E.R. (2017). The Basics of Social Research. Boston: Cengage Learning.
Benton, J. E. (2020). Challenges to Federalism and Intergovernmental Relations and Takeaways amid the COVID-19 Experience. The American Review of Public Administration, 50(67), 536-542.
Caine, V., & Mill, J. (2016). Essentials of community-based research. Walnut Creek, CA: Left Coast Press.
Chukwuemeka, E. & Aniche, A. (2016). Inter-Governmental Relations and the Performance of Local Government in Nigeria: Diagnosing the Elephantine Problems. Arabian Journal of Business and Management Review, 6(3), 17-36
Colasante, P. (2019) Effective Leadership of Intergovernmental Relations. Global Encyclopedia of Public Administration, Public Policy, and Governance, 32, 90-112.
Cusack, C.D., Bills, K.J. (2016). ‘Glocalizing’ Urban Sustainability: The Case of Nairobi, Kenya. In: Dutt, A., Noble, A., Costa, F., Thakur, R., Thakur, S. (eds) Spatial Diversity and Dynamics in Resources and Urban Development. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-9786-3_6
Fjeldstad, O. (2021). Intergovernmental fiscal relations in developing countries. A review of issues. https://www.cmi.no/publications/file/871-intergovernmental-fiscal-relations-in-developing.pdf.
Gachagua, M. M. (2021). Organizational Culture and Performance of Level Five Hospitals in Nairobi City County, Kenya. https://ir-library.ku.ac.ke
Kairu, A., Orangi, S. & Mbuthia, B. (2021). Examining health facility financing in Kenya in the context of devolution. BMC Health Serv Res, 21, 1086.
Karimi, G.N., Shital, P.N. & Kayumba, C. (2020). Factors that affect the availability of medicines in public health facilities in Kenya: A case study of Nairobi City County. Pharmaceutical Journal of Kenya, 24(3), 21-39.
Kavindu, J. & Kimencu, L. (2020). Resource Allocation in Strategy Implementation and Performance of Nairobi City County Government, Kenya. International Journal of Business Management and Finance, 3(1), 6-18.
Kothari, C. (2017). Research Methodology. New Delhi: Vikas Publishing House Pvt. Ltd.
Manyala, D. K. (2021). Role of Inter-Governmental Relations on Service Delivery in Multi-Level Systems of Governance in Counties in Kenya. http://localhost
Moindi, J. M. (2019). Resource Allocation Strategies in Devolved System of Governance in Selected Counties in Kenya. http://erepository.uonbi.ac.ke.
Mwasaga, B. G. (2021). Inter-governmental relations between central government and local government authorities in Tanzania. International Journal of Social Science and Human Research, 4(10), 2905-2913.
Mwasaga, B. G. (2021). Inter-governmental relations between central government and local government authorities in Tanzania. International Journal of Social Science and Human Research, 4(10), 2905-2913.
Okorafor, O. A. & Thomas, S. (2017). Protecting resources for primary health care under fiscal federalism: options for resource allocation. https://academic.oup.com/heapol/article/22/6/415/702166
Omoniyi, A. & Busayo, I. (2021). Fiscal Allocation and Intergovernmental Relations in the Nigeria's Fourth Republic. Public Policy and Administration, 8, 10-20.
Osman, A. (2020). Alternative Dispute Resolution Role in Enhancing Intergovernmental Relations between Nairobi City County and the National Government. International Journal of Scientific and Research Publications (IJSRP), 10, 626-628.
Otieno, M. (2016). Resource Allocation to Health Sector at the County Level and Implications for Equity, A Case Study of Baringo County. http://erepository.uonbi.ac.ke
Phillimore, J., & Fenna, A. (2017). Intergovernmental councils and centralization in Australian federalism. Regional & Federal Studies, 27(5), 597-621.
Vielba, C. A. (2020). Intergovernmental Relations at the Local Level: A Study of the London Borough of Camden. https://core.ac.uk/download/pdf/46518072.pdf
Watts, R. (2019). Autonomy or Dependence: Intergovernmental Financial Relations in Eleven Countries. https://www.queensu.ca/iigr/
Wingender, P. (2018). Intergovernmental Relations and Its Implication on Local Government Administration in Nigeria, the Case Study of Mopa Amuro Local Government Area of Kogi State. http://libdspace.ufh.ac.za/bitstream.
Yussuf, H. A., & Subbo, W. K. (2019). The Effect of Inter-Governmental Relations on Healthcare Provision in Wajir County. The Strategic Journal of Business Management and Change, 6(4), 688 – 691.
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