EFFECT OF ADMINISTRATIVE DECENTRALISATION IN KORLE-BU TEACHING HOSPITAL ON THE PERFORMANCE OF THE MEDICAL SUBBUDGET MANAGEMENT CENTRE

ABSTRACT

Background

The concept of decentralisation has become a catch word not only within health sector

reform strategies, but also in the overall policy and theoretical debates underpinning

development. Community participation is a crucial ingredient for the development of

responsive health-care systems both in high and low income countries.

Objective(s) The study explored the administrative effects of decentralisation on the

Medical sub-Budget Management Centre of the Korle Bu Teaching Hospital.

Methods

An explorative descriptive method (quantitative research) was employed in the study.

Questionnaires were used to obtain views from health managers at the various levels in the

Hospital. The research assessed performance of the independent variables like governance,

finance, human resource and procurement. The quantitative data resulting from the

structured questionnaires was analysed using SPSS version 18.00 and a bivariate analysis

was done examining the relationships between the independent and the dependent

variables.

Results

The results are presented as frequencies and percentages in tables. They are examined

section by section, considering human resource issues, financial sustainability, governance

challenges, procurement procedure, decentralisation issues and bivariate relationships

between the independent and dependent variables analysed.

Conclusion / Recommendations

The study concluded that, based on the descriptive and bivariate analysis from the results

and discussions, there was no administrative effect of decentralisation on the Medical sub-

BMC of the Korle Bu Teaching Hospital. It is recommended that this study be broadened

beyond the scope of managers and unit heads in future studies.