The performance based budgeting as a catalyst for effective delivery of primary health care

Abstract

The main aim of this article is to explore how performance-based budgeting has an effect on primary health care service delivery in the Eastern Cape. This article assessed the performance-based budgeting system in the Eastern Cape Department of Health in an attempt to advocate for effective and efficient health service delivery. The Eastern Cape Province is succumbing to insufficient funding at the provincial level and this has a clear-cut reflection on the administration of services within respective departments. The article is premised on a constructivist paradigm that adopts a qualitative approach where document analysis was employed for collecting data. The Eastern Cape Province is succumbing to insufficient funding at the provincial level and this has a clear-cut reflection on the administration of services within respective departments. The article employed the Public Choice Theory and the Concept of New Public Management. Three main findings emerged from the article of the crippled funds in the province, the human resources crisis, poor public finance management, and shortage of health equipment. Data were analyzed using thematic analysis to examine the distinctive themes and sub-themes identified from within the reviewed literature. Recommendations were thus given based on the discussed and derived themes to ensure that there is an appropriate budgeting system to ensure efficient and effective provision of health care services in the Eastern Cape Department of Health.

National Health Insurance pilot phase and service delivery evaluation in rural areas of KwaZulu Natal, South Africa

“…The findings are in line with WHO (2019), ILO (2021) and SALGA (2019) who note poor provision and the unavailability of skilled health workers. The results further confirm Mangwanya's (2022) finding in the Eastern Cape province of South Africa that understaffing remains a critical issue to the provision of services. Mangwanya (2022) attributes this crisis to lack of funding which then causes a strain on recruitment, and this has implications for efficient service delivery.…”

Evaluating the impacts of foreign aid on low-income countries in Sub-Saharan Africa

“…Using document analysis, the researcher therefore sought to explore the impact of foreign aid in sub-Saharan Africa. The researcher had considered the advantages; accessibility and reliability of data, documents can be read and reviewed multiple times and remain unchanged (Mangwanya, 2022). Data was collected from various scholarly internet sources that were related to development assistance management, foreign aid and Sub-Saharan Africa.…”