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

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.

Keywords: {'name': 'Keywords: Performance Based Budgeting, Budgeting, Service delivery, Health'}

Authors & affiliations

Maonei Mangwanya
Affiliation not supplied

Deposited references

Supplied references, not a list of publications citing this article.

DOI: 10.1002/pad.1776

Alamry, S. J. M., Abbas, H., & Al-attar, A. (2020). Zero-Based Budget System and its Active Role in Choosing the Best Alternative to Rationalise Government Spending.

DOI: 10.20525/ijrbs.v10i4.1241

Altrasi, M. A., & College, H. C. (2014). Determinants of Performance among Public Sector Managers in Saudi Arabia: An Analysis of the Organizational Factors and Job Attitudes. 22(1), 409–416. https://doi.org/10.5829/idosi.mejsr.2014.22.03.21902.

DOI: 10.4135/9781526417190

Bekker, H.J. (2009). Research paper on Public Sector Governance-Accountability in the state. Paper 4 CIS Corporate Governance Conference 10-11 Sept.

DOI: 10.3316/QRJ0902027

Bruin, L. De. (2014). Budget control and monitoring challenges for school governing bodies https://dspace.nwu.ac.za/bitstream/handle/10394/10609/DeBruin_L.pdf?sequence=1.

DOI: 10.1057/978-1-349-95121-5_235-1

DOI: 10.1007/978-3-030-02077-4_1

Dumitrescu, A. (2014). Budgeting Mechanisms in Public Administration Meeting Today’s and Tomorrow’s Development Challenges. 21 (1) ,131–140.

Dunning, D. K. (2014). Integrated resourcing and incentive system. Internal Brief by United

States Medical Command Assistant Chief of Staff [PowerPoint slides], 1–25.

El-ghalayini, Y. (2016). New Public Management: An Assessment of Impact and the Influence on Public Administration. 6(12),18–22.

Erasmus, L.J., and Fourie, H. (2014). Perceptions on internal audit function contributions in South African national government departments. African Journal of Public Affairs, 7(3),1-16.

Fatemi, M. and Behmanesh, M.R. (2012). New Public Management Approach and Accountability. International Journal of Management, Economics and Social Sciences, 1(2), 42–49.

DOI: 10.1086/447177

DOI: 10.1086/447177

Hammerschmid, G. (2011). The Impact of the New Public Management: Challenges for Coordination and Cohesion in European Public Sectors,12(1), 190–209.

DOI: 10.4324/9781351055307

DOI: 10.21511/ppm.17(2).2019.25

DOI: 10.1787/2fc826dd-en

Keita, H. (2014). Furthering new public management principles through financial reforms in post-1999 South Africa. Stellenbosch University. Masters in Public Administration.

DOI: 10.1007/978-3-658-27602-7_1

Khalo, T. & Fourie, D. (2006). Transforming and Modernising South African Public Financial Management to Accelerate Service Delivery. Journal of Public Administration, 130–143.

Mangwanya, M. G. (2019). Implementation Policies for Primary Healthcare Under the National Health Strategy (2009 - 2013) in Vungu Rural District Council Clinics in Zimbabwe: An Assessment. Journal of Public Administration, 54(4), 546–557.

DOI: 10.1016/j.ijans.2017.02.002

DOI: 10.4102/curationis.v42i1.1901

Mbatha, Y., & Yawa, T. (2016). Public Finance Management in South Africa, Cape Town.

Mbengashe, T. (2013). Eastern Cape Health Crisis Action Coalition.

DOI: 10.7176/JAAS/66-02

DOI: 10.5539/ibr.v10n4p157

Mokoena, M.J. (2017) Perceptions of professional nurses on the impact of shortage of resources for quality patient care in a public hospital: Limpopo Province, Master of Arts, University of South Africa.

Mtsholongo, T. (2013). Eastern Cape Department of Health: Budget Analysis, Grahamstown. https://www.academia.edu/6317545/eastern_cape_department_of_health_budget_analysis.

Mothudi, T. (2020). Health Budget Analysis: Public Service Accountability Monitor Eastern Cape, South Africa, [email protected].

National Treasury (2021). Annual Report, Vote 8: Republic of South Africa

DOI: 10.1186/s12962-020-0199-y

Nyamita, M. O. (2015). A review of public sector financial management reforms: an international perspective. Public and Municipal Finance, 4(2), 25–37.

Okubena, O.O. (2011). Evaluation of the impact of financial fraud and corruption on Sustainable development of selected local authorities in South Africa. Ph.D. thesis, University of Fort Hare, Alice.

O’Leary, Z. (2014). The essential guide to doing your research project. 2nd edition. Thousand Oaks, CA: SAGE Publications.

Overy. N, Tetyana. V, Allan. C., & Somhlaba. Z., (2010). The Crisis of the Public Health Care in the Eastern Cape, http://www.psam.org.za/research/1205155823.pdf.

DOI: 10.1086/NTJ41789334

Presidential Health Summit. (2018). Strengthening the South African Health System Towards an Integrated and Unified Health System, http://www.thepresidency.gov.za/download/file/fid/1493

Rowley, C.K., & Schnieder, F. (2008). Encyclopedia of Public Choice, New York: Klywer Academic Publishers.

Ruiz, A. M., Farran, K., Socha-dietrich, K., Beazley, I., James, C., & Penn, C. (2017). Health Financing and Budgeting Practices: Key findings from the Asia, Oceania, and Central, Eastern and South-eastern European regions, 95–122.

DOI: 10.1002/9781118979945.ch10

Scott, G. K., & Enu-kwesi, F. (2018). Role of Budgeting Practices in Service Delivery in the Public Sector: A Study of District Assemblies in Ghana. 8(2), 23–33. https://doi.org/10.5923/j.hrmr.20180802.01.

DOI: 10.1002/pad.1703

South African Medical Research Council. (2018). Saving lives, saving costs Investment: Case for Community Health Workers in South Africa. http://www.mrc.ac.za/sites/default/files/files/2017-10-30/SavingLivesSavingCosts.pdf.

Sutler, N. (2017). Budget Analysis: Health, Monitoring, and Evaluation Programme 2017/18. http://psam.org.za/wp-content/uploads/2016/11/Health-Budget-Analysis-2017.pdf.

DOI: 10.1016/B978-0-12-415834-4.00001-7

Vananda, N. (2008). Using Performance Budgeting to Improve Service Delivery: A Case Study of the Mpumalanga Department of Health. Cape Town.

Van de Walle, S., & Hammerschmid, G. (2011). The impact of the new public management: Challenges for coordination and cohesion in European public sectors. Administrative Culture, 12(2), 190–209

DOI: 10.17058/redes.v20i3.6117

Visser, C.B., & Erasmus, P.W. (2015). The management of public finance: A practical guide. 6th edition Cape Town: Oxford University Press.

DOI: 10.4102/td.v7i2.240

Wirska, A. ?. (2014). Performance-Based Budget as an Element of New Public Management. International Journal of Econophysics and New Economy, 7(1), 149–164.