The study evaluated how corruption affected the district of Wakiso's handling of public finances. The study's goals included determining how administrative misconduct affects public finance administration in the Wakiso District, examining how local authority bribery affects government budget management in the district, and determining how bribery and extortion impact service delivery there. A case study research strategy combining qualitative and quantitative methods was chosen. A response rate of 78.2% was achieved by having 126 participants participate in the survey out of the intended sample size of 161 respondents. Demographic information, Spearman association, and logistic analysis methods were used to assess the quantitative data. Transcript sentences were used to condense and present qualitative data. According to the results, bribery and extortion had an 18.9% impact on public finance management, whereas sources of corruption in local government had a 38.9% impact. Bureaucracy bribery also had a 23.9% impact. The findings imply that local authority corruption issues had the biggest impact on service delivery. In conclusion, the study found that the delivery of inadequate health services is substantially impacted by bureaucratic corruption, which lowers the morale of health personnel. Poor public financial management was a result of local widespread corruption, which undermines the hiring process and defrauds health centers of potential qualified and devoted workers. Ineffective treatment delivery was sometimes a result of patient bribe requests.