The impact of fiscal decentralisation reform on hospital efficiency : the case of Kenya.

Master Thesis

2000

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University of Cape Town

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Many developing countries have or are in the process of implementing decentralisation of financial management systems. The reform can take various forms: self-financing or cost recovery through user charges and co-financing or expansion of local revenue through taxation. This study examines the impact of decentralisation of fiscal financial management of cost sharing revenue on hospital efficiency. Potentially, decentralisation of financial management of cost sharing is expected to improve coverage and accessibility of health services, quality of services and efficiency in the delivery of health care. The main aim of this study was to review the impact of fiscal decentralisation or the cost sharing reform on the efficiency of Kenya's health care delivery and to identify factors that need to be addressed in order to enhance the success of the reform policy.
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Bibliography: leaves 105-112.

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