Expenditures control and performance of public health institutions: Empirical Appraisal from Nigeria

Abstract

This study surveyed degree to which the Government control expenditure incurred, and performance of health institutions to regulate provisions of health services to the general public. The research was centered on expenditure control in the public health institutions to ensure timely rendering of health services to the masses. Other connected notions like government expenditure control and productivity processes in the public health were also appraised. The data were derived mainly from secondary sources and verbalized dialogues. A distinct element ANOVA was used to decide if there was any substantial variance in the mean values of expenditure, the reviewed real expenditure incurred, and performance in provision of health services to the people in Cross River State while the multiple linear regressions model was used to determine the cause effect of the revised real expenditure incurred and performance of health institutions of provision of health services in Cross River State. The study discovered that government real expenditure incurred and quality of performance were ineffectual; the revised actual overhead cost incurred and quantities of health services were effective while performances in the various health institutions were expressively dissimilar from their overhead cost provisions. Centered on these findings, the study suggested that: actual overhead cost should be frequently revised; the yearly expenditure provision or budget should be shared into functional areas and short periods; efficiency and effectiveness in public health expenditure usage should be measured; the management of the various health institutions should take part in overhead cost budget execution and be made answerable for its success or otherwise; and substantial adversarial variances between actual and standard performance should be quickly considered and eradicated.