Resource Mobilization for Health Care Projects in Hargeisa, Somalia

ABSTRACT The topic of the study was resource mobilization for health care projects in Hargeisa, Somaliland. The problem was poor performance of health care projects in Hargeisa Somaliland. The objectives of the study were: to determine the resource allocations from government revenue for the health care projects in Hargeisa Somaliland; to establish the public revenue-raising effo1is to improve health service delivery in Hargeisa Somali land and to examine the usage of health insurance as a mode of resource mobilization for the health care projects in Hargeisa Somaliland. The research employed both qualitative and quantitative research approaches, with descriptive and survey designs, the target population was 420, the sample size was 205 and the researcher used simple random sampling technique to come up with the sample. The findings revealed the following: most of the individuals in Hargeisa, Somaliland females than males, fall under the age of 20-30 years, attained education qualification such as secondary level, primary level and vocational qualification, followed by those with diploma qualification, most of them are married couples and that most of the workers in the health sector in Hargeisa, Somaliland have working experience 1-3 years in that field; the findings also reveal that resources are properly allocated in the health sector for health care projects in Hargeisa, Somaliland; public revenue raising effo1is improves health service delivery in Hargeisa, Somaliland; and health insurance is a major mode of resource mobilization for health care projects in Hargeisa, Somaliland. The researcher concluded that respondents in Hargeisa, Somaliland were more of females than males, most of them fall under the age of 20-30 years, most of them attained secondary level, primary level, vocational qualifications and most others attained diploma as their highest qualification, most of the respondents are married couples, and with working experience of 1-3 years; resources are properly allocated in the health sector for health care projects in Hargeisa, Somaliland; public revenue raising efforts improves health service delivery in Hargeisa, Somaliland; and health insurance is a major mode of resource mobilization for health care projects in Hargeisa, Somaliland. The researcher recommended to the government as follows: to look for other ways of mobilizing for resources, not specializing on only insurance as a major mode of resource mobilization for health care projects; to continue putting more efforts in raising of public revenue since this results into success of health care projects; the government should continue to properly allocate resources in the health care projects, this is because health is an important department in every government or state. The researcher recommended to the public of Hargeisa Somaliland as follows: to look at health care projects as their project and therefore, they should actively get involved in the activities of the projects, and this will result into success of these projects and to join the insurance companies for the betterment of their health.

TABLE OF CONTENTS

DECLARATION ............................................................................................................................ ii

APPROVAL .................................................................................................................................. iii

DEDICATION ............................................................................................................................... iv

ACKNOVLEDGEMENT ............................................................................................................... v

LISTS OF ACRONYMS AND ABBREVIATIONS .................................................................... vi

TABLE OF CONTENTS ............................................................................................................. vii

LIST OF TABLES ......................................................................................................................... xi

ABSTRACT ................................................................................................................................. xii

CHAPTER ONE ............................................................................................................................ 1

1.0 Introduction ................................................................................................................................ I

1.1 Background of the Study ........................................................................................................... 1

1.1.1 Historical Perspective ............................................................................................................. 1

1.1.2 Theoretical Perspective ........................................................................................................... 5

1.1.3 Conceptual Perspective ........................................................................................................... 6

1.1.4 Contextual Perspective ........................................................................................................... 7

1.2 Problem Statement ...................................................................................... .-.............................. 8

1.3 Purpose of the Study .................................................................................................................. 9

1.4 Objectives of the study .............................................................................................................. 9

1.5 Research Questions .................................................................................................................... 9

1.6 Scope of the Study ........................................................................ , ............................................ 9

1.6.1 Geographical Scope ................................................................................................................ 9

1.6.2 Content Scope ......................................................................................................................... 9

1.6.3 Time Scope ........................................................................................................................... 10

1.7 Significance of the Study ......................................................................................................... 10

vii

CHAPTER TWO ......................................................................................................................... 11

LITERATURE REVIEW ........................................................................................................... 11

2.0 lntroduction .............................................................................................................................. 11

2.1 Theoretical Review .................................................................................................................. 11

2.2 Conceptual Framework ............................................................................................................ 13

2.3 Review of Related Literature .......................................................... , ........................................ 14

2.3.1 The Resource Allocations from Govermnent Revenue for the Health Sector.. .................... 14

2.3.2 The Public Revenue-Raising Efforts to Improve Health Service Delivery .......................... 16

2.3.3 The Usage of Health Insurance as a Mode of Resource Mobilization for the Health Sector

....................................................................................................................................................... 18

2.3.4 Related Studies ..................................................................................................................... 21

2.4 Gaps of the Study ..................................................................................................................... 23

CHAPTER THREE ..................................................................................................................... 24

METHODOLOGY ...................................................................................................................... 24

3.0 Introduction .............................................................................................................................. 24

3.1 Research Design ...................................................................................................................... 24

3.2 Study Population ...................................................................................................................... 24

3.3 Sample Size ............................................................................................................................. 24

3.4 Sampling Procedure ................................................................................................................. 25

3.5 Data Sources ............................................................................................................................ 26

3.5.1 Primary Data ......................................................................................................................... 26

3.5.2 Secondary Data ..................................................................................................................... 26

3.6 Data Collection Instruments .................................................................................................... 26

3.7 Validity and Reliability ............................................................................................................ 26

3. 7.1 Validity of the instrument ..................................................................................................... 26

viii

3.7.2 Reliability of the instruments ................................................................................................ 28

3.8 Data Gathering Procedure ........................................................................................................ 28

3.8. I .Before the administration of the questionnaires ................................................................... 28

3.8.2. During the administration of the questionnaires .................................................................. 29

3.9 Data Analysis ........................................................................................................................... 29

3. JO Ethical Considerations ........................................................................................................... 30

CHAPTER FOUR ....................................................................................................................... 3 I

PRESENTATION, ANALYSIS AND INTERPRETATION OF THE FINDINGS .............. 31

4.0 Introduction .............................................................................................................................. 31

4. I Demographic characteristics of the respondents in I-Iargeisa, Somaliland .............................. 3 I

4. I. I Gender of respondents in Hargeisa, Somaliland ................................................................... 3 I

4.1.2 Age of the respondents in Hargeisa, Somaliland .................................................................. 31

4.1.3 Highest academic qualification attained by respondents in Hargeisa, Somaliland .............. 32

4.1 .4 Marital status of respondents in Hargeisa, Somaliland ...................................................... 33

4.1.5 Respondents' years of experience of work in the organization in Hargeisa, Somaliland .... 33

4.2 The resource allocations from government revenue for the health care projects in Hargeisa,

Somaliland ..................................................................................................................................... 34

4.3 The extent to which public revenue-raising efforts are to improve health service delivery in

Hargeisa, Somaliland ..................................................................................................................... 35

4.4 The extent of usage of health insurance as a mode of resource mobilization for the health care

projects in Hargeisa Somaliland .................................................................................................... 37

4.5 Significant relationship between resource mobilization and performance of health care

projects in Hargeisa Somalia ......................................................................................................... 39

CHAPTER FIVE ........................................................................................................................ .42

DISCUSSION OF FINDINGS, CONCLUSION AND RECOMMENDATIONS ....................... 42

5.0 lntroduction ............................................................................................................................. .42

ix

5. I Discussion of findings ............................................................................................................. .42

5. I. I Findings on demographic data collected in Hargeisa, Somaliland .... Error! Bookmark not

defined.

5.1.2 The resource allocations from government revenue for the health care projects in Hargeisa,

Somaliland ..................................................................................................................................... 42

5.1.3 The extent to which public revenue-raising efforts are to improve health service delivery in

Hargeisa, Somaliland ..................................................................................................................... 43

5.1.4 The extent of usage of health insurance as a mode of resource mobilization for the health

care projects in Hargeisa Somaliland ............................................................................................ 44

5 .1.5 Significance relationship between resource mobilization and performance of health care

projects in Hargeisa Somalia ........................................................................................................ .44

5.2 Conclusions .............................................................................................................................. 45

5 .3 Recommendation .................................................................................................................... .46

5.4 Limitations of the study .......................................................................................................... .46

5.5 Areas for further research ....................................................................................................... .47

REFERENCES ............................................................................................................................ 48

APPENDICES .............................................................................................................................. 52

APPENDIX I A:TRANSMITTAL LETTER ............................................................................... 52

APPENDIX IB:TRANSMITTAL LETTER FOR THE RESPONDENTS ................................. 53

APPENDIX II:INFORMED CONSENT ..................................................................................... 54

APPENDIX III:QUESTIONNAIRE ........................................................................................... 55

APPENDIX IV:TIME FRAME ................................................................................................... 59

APPENDICES V:BUDGET ......................................................................................................... 60