Fiscal Decentralization and Health Service Delivery in Lyantonde District, Uganda

The study sought to examine Fiscal Decentralization and Health Service Delivery in Lyantonde District, Uganda. The study objectives were; to establish the contributions of Fiscal Decentralization in Lyantonde District, Uganda, to examine the effect of fiscal decentralization on health service delivery in Lyantonde District, Uganda and to determine the relationship between fiscal decentralization and health service delivery in Lyantonde 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 Lyantonde District was 18000 people (Uganda Demographic Survey. 2016). The research population of 130 as a target population representing district development officers. community leaders, peasants and District health officials. The study used Sloven’s formula to determine the sample size of the actual respondents and the sample size is 98 respondents. 1 he researcher used varieties of sampling which included: Purposive and random sampling. Data \\flS 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 \\ iii 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 throu~h preference matching and allocative efficiency where by 21 (2 1.4%) 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 he 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.