| dc.description |
Health care provision in developing countries like Tanzania is usually provided in collaboration with national authorities, International aid agencies and NGOs. In order for donors to have direct control over the funds, support has traditionally been organised as stand-alone vertical programmes to address specific health system. But these separate programmes have led to duplication of funding, wastage of resources and lack of coordination in terms of controlling specific diseases. The general objective of this study was to examine the effectiveness of cash management and quality of service at Morogoro Regional Hospital.
Cross-sectional research design was used in the methodology. A sample size of 43 respondents who comprised management, accountants and supplies officers, patients and other stakeholders were involved. Data were collected using questionnaires, interview and observation. Data collected was analysed descriptively by SPSS computer software.
The findings from respondents revealed that sources of funds were unreliable and unable to fulfill the targeted goals resulting to seeking assistance from the regional administrative secretary’s (RAS) office and incurring debts from the medical stores department (MSD). The majority of respondents showed disagreement on cash management control system practices in the hospital. This resulted in mismanagement, misallocation and misuse of funds provided; hence cash management discrepancies accounting to inadequate quality health services deliveries as reported by respondents. The quality of healthcare provision remains poor at the Hospital even with the additional funds from user fees. However, funds from own source seemed to contribute a small something which does not reveal the reality of their operations. The research adds to the argument for a (bottom-up approach) Participatory approach for cash management control system practices for the enhancement of quality health services which enables intervention in management and development activities regarding health service providers. |
|