An Examination of the Local Government Equalization Fund in Enhancing Public Health in Lusaka

This study investigates the effectiveness of the Local Government Equalization Fund (LGEF) in enhancing public health services in Lusaka. The research adopted a mixed-methods approach, involving 120 respondents comprising local government officials, health facility staff, and community representatives. Data collection involved structured questionnaires, semi-structured interviews, and document reviews. Findings indicate that while LGEF contributes to improvements in health infrastructure, service delivery, and staff capacity, challenges such as delayed fund disbursement, inadequate stakeholder engagement, low digital adoption, and human resource constraints limit its full impact. The study recommends enhanced capacity building, increased community participation, adoption of digital monitoring tools, and timely fund allocation to maximize LGEF effectiveness. These findings provide insights for policymakers, health administrators, and local governments seeking to improve public health outcomes through decentralized funding mechanisms.