This research topic focuses on the financial management and the competencies of the workforce in healthcare service delivery, and specifically, the objective of the study is to assess the financial management and the workforce’s competence in service delivery in the health sector in Mogadishu, Somalia. Method: This study area is among Benadir and Aden Abdulle hospitals in Wadajir District in Mogadishu, Somalia. The time scope was from May until August 10, 2024. Participants totaled 210, and the sample selection technique adopted in the study was non-probability convenient sampling. In this regard, they are the most accessible to the researcher, and they interviewed 26 key informants, while the total respondents sampled amounted to 236. Information was gathered from respondents through self-completed questionnaires from the clients and interviews with key informants. Result: Descriptive statistics show that respondents have a positive attitude towards financial management concerning different aspects and the largest agreement on the impact of financial management on patient satisfaction. The study also reveals that skills in terms of qualification, communication, and teamwork in the entire healthcare workforce, described as workforce competencies, play a huge role in determining the quality of care across various hospitals. There is real evidence demonstrated through c ANOVA outcomes suggesting large disparities in financing behaviors, including resource acquisition, revenue generation, and medical structures in hospitals to performance. In the same way, workforce competencies like training and patient safety practices differ in the degree to which they enhance the quality of care. Recommendation: The outcomes imply that better financial management and efficient health human capital are crucial for increasing the quality of healthcare and the effectiveness of the hospitals, offering useful information for enhancing tactics to be used by professionals and managers in relation to altering the overall processes of care supply.
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