Abstract
Healthcare service delivery remains a
critical challenge in Kano State, Nigeria, especially within government-managed
secondary healthcare institutions. Despite efforts to improve health
infrastructure and service access, inefficiencies persist, often linked to
funding limitations. This study investigates the effect of the financial
capacity of the Hospital Management Board (HMB) on healthcare service delivery
in Kano State. The problem stems from recurring reports of underfunded
hospitals, staff shortages, irregular drug supplies, and outdated equipment all
of which suggest systemic financial constraints within the HMB. The population
of the study comprises health administrators, medical personnel, and finance
officers across selected secondary health facilities governed by the Kano State
Hospital Management Board. The
sample size for the study is 388, Krejcie and Morgan (1970) table was used in
arriving at the sample size. The sample size was proportionately distributed
among the selected health facilities in Kano State. The study is Guided
by the systems theory, which emphasizes the interdependence and interaction of
various components within an organization, the study explores how financial
resources as a subsystem influence overall service delivery. Data were
collected using structured questionnaires and interviews, and analyzed using
multiple linear regression analysis to examine the relationship between
financial capacity and healthcare service delivery. The study revealed that
although there is adequate financial capacity that budget meet 15% but the
timely release of fund, availability of medical equipment, drugs and other
consumable as well as staff level is very poor. The study therefore, recommend
that more budgetary commitment be made to healthcare and ensure the timely
release of fund to the hospital management board to enhance effective
healthcare service delivery in the State.
Keywords: Financial
Capacity, Healthcare Service Delivery, Hospital Management Board, Secondary
Healthcare Facilities.
DOI: www.doi.org/10.36349/fujpam.2025.v4i01.011
author/Adoyi, J., Edogbanya, V.O. & Shauibu, M.
journal/FUJPAM Vol. 4, No. 1
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