Impacto da descentralização de funções na gestão eficiente e eficaz de serviços :análise da gestão do sistema descentralizado do aprovisionamento no Hospital Provincial de Quelimane

Abstract

In MISAU there is a process of administrative and function decentralization. Going to the specific case of the decentralization of the Provisioning System, it was decided to investigate in HPQ, the impact that the process of decentralization of functions can have on the management of services. The hypothesis formulated was “the delegation of functions gives too much freedom of action to subordinates, which, if not accompanied by accountability mechanisms, affects the efficient and effective management of services. The theoretical framework used was a development perspective that defends the decentralization as a system that offers more efficiency and savings in planning and management and efficiency in decision-making; it also makes it possible to improve resource planning at the local level, in addition to bringing more accountability responsibilities. A case study was carried out in the HPQ, to see, within the scope of the responsibilities attributed to the HPQ, how the estimate of needs in goods and material is made in the wards and in the fuel sector. Observation data such as deficiency in the execution of tasks, emergency logistics, difficult management, unsatisfactory efficiency and effectiveness. Hence, it is concluded that the delegation of authority has no correspondence with the functioning and effective management of services, resources are not optimized, there is no accountability, the functions overlap for managers. As a general conclusion, it was noted that the employees to whom the functions were delegated do not develop skills and abilities to perform their duties. There is no accountability for cases in which there is an irregularity in the execution of tasks causing the overlap of activities to warehouse managers. Emergency management emerges, making the desired efficiency and effectiveness unsatisfactory.