{"id":{"repo_id":"cape-town","oai_identifier":"oai:open.uct.ac.za:11427/9344"},"canonical_url":"https://search.dev.ndltd.org/etd/cape-town/oai:open.uct.ac.za:11427/9344","repository":{"repo_id":"cape-town","name":"University of Cape Town","base_url":"https://open.uct.ac.za/oai/request"},"display":{"title":"The impact of fiscal decentralisation reform on hospital efficiency : the case of Kenya.","abstract":"Many developing countries have or are in the process of implementing decentralisation of financial management systems. The reform can take various forms: self-financing or cost recovery through user charges and co-financing or expansion of local revenue through taxation. This study examines the impact of decentralisation of fiscal financial management of cost sharing revenue on hospital efficiency. Potentially, decentralisation of financial management of cost sharing is expected to improve coverage and accessibility of health services, quality of services and efficiency in the delivery of health care. The main aim of this study was to review the impact of fiscal decentralisation or the cost sharing reform on the efficiency of Kenya's health care delivery and to identify factors that need to be addressed in order to enhance the success of the reform policy.","abstract_html":"Many developing countries have or are in the process of implementing decentralisation of financial management systems. The reform can take various forms: self-financing or cost recovery through user charges and co-financing or expansion of local revenue through taxation. This study examines the impact of decentralisation of fiscal financial management of cost sharing revenue on hospital efficiency. Potentially, decentralisation of financial management of cost sharing is expected to improve coverage and accessibility of health services, quality of services and efficiency in the delivery of health care. The main aim of this study was to review the impact of fiscal decentralisation or the cost sharing reform on the efficiency of Kenya's health care delivery and to identify factors that need to be addressed in order to enhance the success of the reform policy.","abstract_has_math":false,"creators":["Kioko, Urbanus M"],"institution":"Health Economics Unit","degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":["McIntyre, Di"],"committee_chairs":[],"committee_members":[],"year":2000,"date_issued":"2000","date_published":"2000","updated_at":"2026-07-22T22:23:22Z","subjects":[],"languages":["eng"],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"http://hdl.handle.net/11427/9344","outbound_label":"Handle","outbound_source":"dc:identifier.uri"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor.advisor","label":"Advisor","values":["McIntyre, Di"]},{"key":"dc:creator","label":"Author","values":["Kioko, Urbanus M"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date.accessioned","label":"Dc Date Accessioned","values":["2014-11-08T08:02:58Z"]},{"key":"dc:date.available","label":"Dc Date Available","values":["2014-11-08T08:02:58Z"]},{"key":"dc:date.issued","label":"Date","values":["2000"]},{"key":"dc:publisher.department","label":"Dc Publisher Department","values":["Health Economics Unit"]},{"key":"dc:publisher.institution","label":"Dc Publisher Institution","values":["University of Cape Town"]},{"key":"dc:type","label":"Dc Type","values":["Master Thesis"]},{"key":"dc:type.qualificationlevel","label":"Dc Type Qualificationlevel","values":["Masters"]},{"key":"dc:type.qualificationname","label":"Dc Type Qualificationname","values":["MPhil"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language.iso","label":"Language (ISO)","values":["eng"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier.uri","label":"Identifier URI","values":["http://hdl.handle.net/11427/9344"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["Bibliography: leaves 105-112."]},{"key":"dc:description.abstract","label":"Abstract","values":["Many developing countries have or are in the process of implementing decentralisation of financial management systems. The reform can take various forms: self-financing or cost recovery through user charges and co-financing or expansion of local revenue through taxation. This study examines the impact of decentralisation of fiscal financial management of cost sharing revenue on hospital efficiency. Potentially, decentralisation of financial management of cost sharing is expected to improve coverage and accessibility of health services, quality of services and efficiency in the delivery of health care. The main aim of this study was to review the impact of fiscal decentralisation or the cost sharing reform on the efficiency of Kenya's health care delivery and to identify factors that need to be addressed in order to enhance the success of the reform policy."]},{"key":"dc:title","label":"Title","values":["The impact of fiscal decentralisation reform on hospital efficiency : the case of Kenya."]}]}],"canonical_facts":{"dc:contributor.advisor":["McIntyre, Di"],"dc:creator":["Kioko, Urbanus M"],"dc:date.accessioned":["2014-11-08T08:02:58Z"],"dc:date.available":["2014-11-08T08:02:58Z"],"dc:date.issued":["2000"],"dc:description":["Bibliography: leaves 105-112."],"dc:description.abstract":["Many developing countries have or are in the process of implementing decentralisation of financial management systems. The reform can take various forms: self-financing or cost recovery through user charges and co-financing or expansion of local revenue through taxation. This study examines the impact of decentralisation of fiscal financial management of cost sharing revenue on hospital efficiency. Potentially, decentralisation of financial management of cost sharing is expected to improve coverage and accessibility of health services, quality of services and efficiency in the delivery of health care. The main aim of this study was to review the impact of fiscal decentralisation or the cost sharing reform on the efficiency of Kenya's health care delivery and to identify factors that need to be addressed in order to enhance the success of the reform policy."],"dc:identifier.uri":["http://hdl.handle.net/11427/9344"],"dc:language.iso":["eng"],"dc:publisher.department":["Health Economics Unit"],"dc:publisher.institution":["University of Cape Town"],"dc:title":["The impact of fiscal decentralisation reform on hospital efficiency : the case of Kenya."],"dc:type":["Master Thesis"],"dc:type.qualificationlevel":["Masters"],"dc:type.qualificationname":["MPhil"]},"updated_at":"2026-07-22T22:23:22Z"}