Health Managers Utilization of Evidence to Inform Annual Health Sector Planning and Budgeting Process in Bungoma County Kenya
Evidence-based planning and budgeting within the health sector are essential in strengthening the health systemrnbuilding blocks. Decentralization has presented opportunities for collecting local and reliable data to facilitaternevidence-based planning and budgeting. Despite the increasing availability of routine health information at all levelsrnof the health system its effective utilization among health managers in lower and middle-income countries remainsrninadequate.
This study therefore aimed to assess the health managers utilization of evidence to inform the annualrnplanning and budgeting process.
The study utilized a descriptive cross-sectional design incorporating quantitative andrnqualitative research methods. Quantitative data were collected from 170 health managers while qualitative data wererngathered from three county department of health executives and 83 community health committee members across eightrnfunctional community health units. Statistical Package for the Social Sciences SPSS v. 29.0 was employed for analyzingrnthe quantitative data while thematic analysis was used for the qualitative data.
Only 42.4 of health managers receivedrntraining in planning budgeting and annual performance reviews APRs. Among the 45.9 who conduct APRs onlyrn47.4 use the findings to inform the process. A significant association was found between training and conducting ofrnAPRs rn2rn1 N 170 21.73 p .001 and between training and the utilization of APR findings in decision-makingrnrn2rn1 N 78 14.72 p .001. Although 75 of health managers acknowledged the availability of health informationrn71 disagreed that they have skills in data use for planning and budgeting and 54 disagreed regarding the reliabilityrnof the available data. The health managers who were trained in health sector planning budgeting and APRs were morernlikely to use findings to inform the process.
The KHIS is the primary data source employed to inform annual health sector planning and budgeting. Despiternthe availability of routine health service delivery information many managers lack data management skills.rnAdditionally reported data unreliability and the absence of annual performance reviews hinder informed planning andrnbudgeting.
Publication Information
Focus County(s):
Bungoma County
Programme Area(s):
Public Health & Health Research Systems
Research Priority Area(s):
Disease Domain(s):
Health Systems
Document History:
Publication Date: 15.Jun.2023
Conference Title: