TABLE OF CONTENT
DECLARATION
APPROVAL
DEDICATIONS
ACKNOWLEDGEMENT 1
TABLE OF CONTENT 2
CHAPTER ONE 6
1.1 Introduction 6
1.2 Back ground of the study 6
1.3 Statement ofthe Problem 7
1.4 Purpose ofthe study 7
1.5 Objectives of the study 8
1.6 Research questions 8
1.7 Scope ofthe study 8
1.7.1 Geographical 8
1.7.2 Time Scope 8
1.7.3. Content scope 9
1.8Significance of the study 9
1.9 Conceptual frame work 10
CHAPTER TWO 11
LITERATURE REVIEW 11
2.1 Introduction 11
2.2 The effect of funding health sector on service delivery 11
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2.4 Effect of funding implementation on service delivery 15
CHAPTER THREE 19
METHODOLOGY 19
3.0 Introduction 19
3.1 Research Design 19
3.2 Target Population 19
3.3 Sample size 19
3.3.1 Sampling procedure 20
3.4Datasource 21
3.4.1 Primary data 21
3.5 Data Collection Procedures 21
3.6 Data Collection Instruments 21
3.6.1 Questioimaires 21
3.6.2 Interviews 21
3.7 Data analysis and Presentation 22
3.8 Ethical Procedure 22
3.9 Anticipated Limitations of the Study 22
CHAPTER FOUR 23
PRESENTATION, INTERPRETATION AND ANALYSIS OF FINDINGS 23
4.0 Introduction 23
4.1 Demographic Characteristics 23
4.1.1 Gender ofrespondents 23
4.1.2 Age ofrespondents 24
4.1.3 Academic Qualifications of respondents 26
4.1.4 Marital status ofrespondents 27
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4.2 The effect of funding health sector on service delivery in Moroto district at Moroto referral
hospital Moroto District 27
4.3 The challenges facing the implementation of funding health sector on service delivery in Moroto
district at Moroto referral hospital 31
4.3 The effect of funding implementation on service delivery in Moroto district at Moroto referral
hospital Moroto District 34
CHARPTER FwE 37
SUMMARY, CONCLUSIONS, RECOMMENDATIONS AND AREAS OF FURTHER
RESEARCH 37
5.0 Introduction 37
5.1 Summary of the findings 37
5.2 Conclusions 38
5.3 Recommendations 39
5.4 Areas for Further Research 40
REFERENCES 42
APPENDICES 44
Appendix 1: Research Instrument: Questionnaires 44
Appendix ii: Research Budget 48
APPENDIX iii: Research Time Frame 49
CHAPTER ONE Li Introduction This chapter consists of the background to the study, statement of the problem, purpose of the study, objectives of the study, research questions, scope and significance of the study and the conceptual frame work. 1.2 Back ground of the study Constrained economic circumstances and stagnant growth of the health sector have led many developing countries to consider cost recovery as a means of financing health care production. This paper assesses the impact of an experiment in health care cost recovery, preceded or accompanied by quality improvements, conducted in three districts in Niger. It is important to note that It is important to note that in addition to the substantial expansion of cost sharing, diagnostic-treatment protocols, the availability of essential drugs and health management systems were improved at government health facilities. In Boboye region, improvements in diagnostic and treatment protocols preceded the cost-recovery experiment by three years, while in Say the two tok place more or less simultaneously. Specifically, four interventions were implemented to improve efficiency at public health facilities: (1) improvement in drug availability; (2) raining of health personnel in the use of standard diagnosis and treatment protocols; (3) strengthening management capacity; and (4) improving supervisory and managerial capacity.
