Effect of Financial Capacity of the Hospital Management Board on Healthcare Services in Kano State

Healthcare service delivery remains a critical challenge in Kano State, Nigeria, especially within government-managed secondary healthcare institutions. Despite efforts to improve health infrastructure and service access, inefficiencies persist, often linked to funding limitations. This study investigates the effect of the financial capacity of the Hospital Management Board (HMB) on healthcare service delivery in Kano State. The problem stems from recurring reports of underfunded hospitals, staff shortages, irregular drug supplies, and outdated equipment all of which suggest systemic financial constraints within the HMB. The population of the study comprises health administrators, medical personnel, and finance officers across selected secondary health facilities governed by the Kano State Hospital Management Board. The sample size for the study is 388, Krejcie and Morgan (1970) table was used in arriving at the sample size. The sample size was proportionately distributed among the selected health facilities in Kano State. The study is Guided by the systems theory, which emphasizes the interdependence and interaction of various components within an organization, the study explores how financial resources as a subsystem influence overall service delivery. Data were collected using structured questionnaires and interviews, and analyzed using multiple linear regression analysis to examine the relationship between financial capacity and healthcare service delivery. The study revealed that although there is adequate financial capacity that budget meet 15% but the timely release of fund, availability of medical equipment, drugs and other consumable as well as staff level is very poor. The study therefore, recommend that more budgetary commitment be made to healthcare and ensure the timely release of fund to the hospital management board to enhance effective healthcare service delivery in the State.