Assessing the Profile of Health-related Projects and Its Financial Allocation and Utilization of Funds at Kerala’s Local Self-governing Institutions from 2014 to 2020

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This study evaluates the post-decentralization financial landscape of public health projects within Kerala’s local self-governing institutions (LSGIs). With the use of narrative synthesis from many government sources, the study shows notable trends in budgetary allotments and spending for a range of health-related projects from 2014 to 2020. Nutritional projects claimed the top spot in terms of both budget allocation and utilization, highlighting their prioritization within LSGIs. However, a concerning trend of uneven resource distribution across projects and institutions emerged. Moreover, significant underutilization of allocated funds was observed, indicating a need for a more strategic and targeted approach to funding distribution. To optimize resource utilization and foster improved public health outcomes, the study recommends a two-pronged strategy: firstly, ensuring a more equitable distribution of funds across the spectrum of health projects, and secondly, investigating and addressing the underlying causes of fund underutilization at the LSGIs level. In conclusion, this study sheds light on the promising potential and persistent challenges associated with decentralization in the context of Kerala’s public health initiatives. By paving the way for further research and targeted interventions, the study ultimately aims to optimize resource utilization and create a healthier future for all residents of Kerala.