Factors Affecting the Effectiveness of Budget Disbursement at Sisaket Provincial Public Health Office, 2025.

Abstract

The research on “Factors Affecting the Effectiveness of Budget Disbursement at Sisaket Provincial Public Health Office, 2025" aimed to study the factors affecting the effectiveness of budget disbursement and propose approaches for developing the effectiveness of budget disbursement at Sisaket Provincial Public Health Office. This study employed mixed methods research, consisting of quantitative research using an analytical cross-sectional study design. The sample consisted of 132 personnel involved in budget disbursement. Data were collected through questionnaires. Data analysis was conducted using descriptive statistics, inferential statistics, correlation analysis, and multiple regression analysis.

The results showed that the majority of respondents were female (65.91%), with an average age of 41.25 years, a bachelor's degree education (67.42%), an average work experience of 12.76 years, and operational staff positions (56.06%). All five factors were at a high level, ranked by mean scores from highest to lowest as follows: management, coordination, systems and processes, regulations and laws, and personnel. All five factors showed significant positive correlations with effectiveness (p < 0.01), with management having the highest correlation (r = 0.742), followed by systems and processes (r = 0.721), and coordination (r = 0.698). Together, they could predict effectiveness by 73.2% (R² = 0.732) with statistical significance (F = 68.925, p < 0.001), with management having the highest predictive power (Beta = 0.312). Management has the highest predictive power (Beta = 0.312), with the most significant problem requiring development being delays in project review and approval processes (34.09%). The recommendations suggest accelerating review and approval processes (31.82%) and developing clear operational manuals (28.79%). Therefore, management is the most important factor affecting disbursement effectiveness. Although the overall effectiveness level is high, improvements are still needed in timeliness, personnel development, and reducing process complexity to achieve the government's disbursement targets.