The major concern of this study has been to examine the nature and level of co-ordination in terms of effectiveness or otherwise of health service programmes offered by the Kaduna State Health Management Board. It also attempts to determine the factors that mostly affect co-ordination of health service programmes of the Board, and how such factors influence the efficient delivery of services to the people. The health of the people depends on the quality and quantity of the health services provided by the government, which in turn depend on effective management of the agency or machinery responsible for the discharge of these services. The study essentially employed the questionnaire and interview methods for data collection. A stratified random sampling was used in selecting the subjects because the sample was not homogenous. Using this technique a total of 225 respondents were sampled for this study. The technique used in analyzing data are the statistical frequency distribution and simple percentages. The major hypotheses tested revealed that there is ineffective co-ordination of health services by the Board. Our analysis also indicated that co-ordination could be seen from the perspective of internal and external or vertical and horizontal dimensions. (vii) On the factors the mostly affect co-ordination it was revealed that a combination of variables affect co-ordination in the Board. And the combined effects of delegation, informal groups activities and political forces were negative. In the study therefore efficient and satisfactory delivery of health services to the teeming population has been an illusion. Finally, suggestions for improvement were made and in this way the government will endeavour to fulfill its social responsibility for the sake of good life.