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

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  • Maonei Gladys Mangwanya

    (School of Public Management, Governance and Public Policy, College of Business and Economics, University of Johannesburg, South Africa)

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. Key Words:Keywords: Performance Based Budgeting, Budgeting, Service delivery, Health

Suggested Citation

  • Maonei Gladys Mangwanya, 2022. "The performance based budgeting as a catalyst for effective delivery of primary health care," International Journal of Research in Business and Social Science (2147-4478), Center for the Strategic Studies in Business and Finance, vol. 11(1), pages 170-177, January.
    • Handle: RePEc:rbs:ijbrss:v:11:y:2022:i:1:p:170-177
    DOI: 10.20525/ijrbs.v11i1.1568
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    References listed on IDEAS

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    1. Tania Ajam & David J. Fourie, 2016. "Public Financial Management Reform in South African Provincial Basic Education Departments," Public Administration & Development, Blackwell Publishing, vol. 36(4), pages 263-282, October.
    2. Goodness C. Aye & Marthinus C. Breitenbach & Victor Ngobeni, 2020. "Efficiency of provincial public healthcare in South Africa," Working Papers 810, Economic Research Southern Africa.
    3. Chris James & Ivor Beazley & Luciana Rosato & Caroline Penn, 2019. "Budgeting practices to improve health system performance: An OECD survey of countries from the Latin American and Caribbean region," OECD Journal on Budgeting, OECD Publishing, vol. 19(3).
    4. Jose A. Puppim De Oliveira & Yijia Jing & Paul Collins & Paul Smoke, 2015. "Rethinking Decentralization: Assessing Challenges to a Popular Public Sector Reform," Public Administration & Development, Blackwell Publishing, vol. 35(2), pages 97-112, May.
    5. Mutia Tsalitsa Alawia & Aulia Fuad Rahman & Arum Prastiwi, 2021. "The effect of budgetary goal clarity and budget evaluation on performance accountability of local government," International Journal of Research in Business and Social Science (2147-4478), Center for the Strategic Studies in Business and Finance, vol. 10(4), pages 520-524, June.
    6. Victor Ngobeni & Marthinus C. Breitenbach & Goodness C. Aye, 2020. "Technical Efficiency of Provincial Public Healthcare in South Africa," Working Papers 202013, University of Pretoria, Department of Economics.
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