The Influence of budget allocation on project performance of health facilities funded by county governments in the North Rift, Kenya
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Abstract
Health facility projects in North Rift, Kenya, frequently encounter delays, poor implementation, and inefficient resource use, despite a devolved funding system. This study examined how strategic participatory budgeting, specifically budget allocation, influences the project performance of health facilities funded by county governments in the North Rift region. Guided by Public Choice Theory, the study employed a mixed-methods design, analyzing data from 164 respondents selected from a population of 282 using Slovin’s formula. Descriptive statistics, correlation, and regression analyses were used to present the results. The study revealed a strong positive correlation between budgetary allocation and project performance (r = .884; p = .000), indicating that financial resources directly enhance project outcomes. Budgetary allocation was also found to have a significant effect on project performance (β = .209; p = .014). The study recommended timely and equitable resource allocation to improve transparency and reduce mismanagement in health sector projects. These findings underscore the critical role of strategic financial planning in improving the delivery of development projects in Kenya’s devolved health system.
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