The study examined the role of local governments on health service delivery in Wakiso Town Council, Wakiso District. Specifically, the study set out to establish the relationship between local government planning and health service delivery n Wakiso Town Council, Wakiso District, to analyse the relationship between revenue control and health service delivery in Wakiso Town Council, Wakiso District and to establish the relationship between revenue allocation and health service delivery in Wakiso Town Council, Wakiso District. A cross sectional research design was adopted to collect both qualitative and quantitative data from 137 respondents. Data collection was done using questionnaires, interview guide and documentary checklist and analysis was done using Statistical Package for Social Sciences (SPSS Version 20). Results indicate a strong positive correlation (r= 0.958**) between decentralized planning and health service delivery. In addition, there was a significant positive relationship between revenue control and health service delivery (r= 0.957**) and significant positive relationship between revenue allocation and health service delivery in Wakiso Town Council, Wakiso District (r = 0.953**). Generally, findings show that there was a significant relationship between decentralized planning and health service delivery. Therefore, the study concluded that presents of revenue enhancement plan/strategies, increased revenue mobilization/collection, participatory planning and budgeting improve on the quality of health service delivery. The results indicated a significant positive relationship between revenue control and health service delivery in Wakiso Town Council, Wakiso District. The results from the analysis indicated a significant positive relationship between revenue allocation and health service delivery in Wakiso Town Council, Wakiso District. The study concluded that allocating adequate funds to Wakiso Town Council, Wakiso District, better allocation and proper use of financial resources in the delivery of quality services and monitoring revenue allocation in health improves on health service delivery. The study recommended that there is a need to strengthen decentralized planning for health services by allowing the input of local policy makers and creation of a funding for that input. There is need for Wakiso Town Council, Wakiso District to strengthen and increase on revenue management strategies in order to mobilize adequate revenues to finance the delivery of health services. The study recommended that bigger releases should be made to health service activities. The district should deliberately allocate a specific percentage of its budget to health service delivery activities and annually evaluate the actual releases made. This means that funds allocated to health sector and intergovernmental transfers to local governments should be increased to finance the delivery of health services. There is need to ensure better allocation and proper use of financial resources in the delivery of quality health services in Wakiso Town Council, Wakiso District. Received: 18.03.2024 Accepted: 23.03.2024 Published on: 30.03.2024 Corresponding: Author: research@miu.ac.ug/publications 523 Metropolitan Journal Of Business And Economics ISSN: 1813-4238 Vol. 3 Issue 3, March - 2024, Pages: 523-546