| dc.description.abstract | ABSTRACT
Health care financing is a worldwide issue that affects all governments, including those in
developed countries. In third-world countries with faltering economies and competing
demands for financial resources, the problem is exacerbated. This has had an impact on
citizens' healthcare access. In Kenya, there has been a scarcity of research to inform policy
formation and practices in healthcare funding. The focus of this thesis was on Meru County's
Direct Government Health Funds. The study's major goal was to determine the impact of
direct government health funds on service delivery in Meru County's basic primary health
facilities, because of the significant diversity of distribution, the study area it was excellent
for the investigation. The study aimed to draw concrete conclusions about the study's main
objectives. Determine the quantity of funds received and their impact on primary health
facilities service delivery. To determine the impact of existing funding modalities on
primary health facilities service delivery. To determine the impact of health facility
committee functionality on service delivery in primary health facilities. Statistical Packages
for Social Scientists was used to analyze the data (SPSS Version 28) to assess the
interrelationship between the study case variables, descriptive and inferential statistics were
used. In this study, multiple regressions and bivariate logistic analyses were used to analyze
the relationship between the study variables. The study discovered and concluded that the
amount of funds, funding modalities, and the influence of the health management committee
had a significant impact on service delivery in primary health care institutions. The R value
represented how the independent variables in the study influenced 56 percent of service
delivery at primary health facilities. The results showed that the government health funds
had a positive impact in service delivery at primary health facilities. With a significance
value of 0.001 and 0.002, respectively, at a 95% level of significance, the amount of funds
and funding mechanisms had the greatest impact on service delivery. Furthermore, the
significant value of the health management committee's influence was 0.004. The
government funding had aided health facilities in Buuri in becoming more effective and
delivering services to a larger population. The study recommends that, more government
funds should be allocated to aid primary health facilities, facilities should have plans in place
for how they would use the allocated funds, more community involvement in the
management of the facilities, more training and seminars. | en_US |
