COORDINATION AND CONTROL OF GOVERNMENT PROGRAMMES A c a s e study of Health s e r v i c e s programme in Kwara S t a te

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Date
1987-06
Authors
SALAHU, ABDULKARIM
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Abstract
In t h i s study, we have established some form of functional relationship between performance in the health sector of Kwara State and the management concepts of coordination and control. The study indicated that the people of Kwara desired a standard health care delivery system and that the government of Kwara State was aware of this and therefore set i t s e l f to meet this desire. However, this set objectives were not fully realised. The study set i t s e l f to probe what went wrong with the administration of the health care delivery system with a view to establishing some grounds for solutions to the problems. The method of data collection included interviews, administration of questionnaires and review of official documents. The findings of this investigation revealed that :he management agencies of Kwara state Health Care Services were highly formalized and conflict ridden which hinders coordination and control, culminating ultimately to the low level performance cf our health agencies,, Further investigation revealed inadequate and improper funding especially those tied to specific health care programmes. On the strength of these identified problems, some recommendations were made with a view to bringing about some amends to the health care administration. The suggested amends are those of developing an efficient and effective coordination and control mechanisms for carrying through our health care programme de-emphasing formal authority structure of health care agencies and provision of adequate finance tied to specific health programmes. x i i The study equally recommended the need for the re-establishment of an autonomous body removed from the clutches of the c i v i l service to handle our health care programmes. When such a body is created, it must be seen to be really autonomous in its functional roles and be responsible to the office of the permanent secretary parastatal in the Governor's Office. In conclusion we feel that public bureaucracies as the main agent of change should have a coordinated approach at putting the state resources together on targetted goals for the good of a l l . This we believe can happen to health administration in Kwara state.
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A t h e s i s submitted to the postgraduate school, Ahmadu Bello University, zaria in p a r t i al fulfillment of the requirements for the Degree of Masters in Public Administration (M.P.A.) Department of public Administration, Faculty of Administration, Ahmadu Bello University Z A R I A . JUNE, 1987
Keywords
COORDINATION,, CONTROL,, GOVERNMENT PROGRAMMES,, A c a s e study,, Health s e r v i c e s programme,, Kwara S t a te.
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