Background: Optimal health services delivery in Uganda continues to face serious challenges especially as it concerns effective management and control of communicable disease because of factors that may be attributed to the budget deficit and poor funding. Objective: To review the role of health budget deficit and poor communication system in fostering inefficient management and control of communicable disease in Bushenyi district Uganda. Material and Methods. A review of the effect of underfunding in the prevention and control of communicable disease in the study area was conducted using a key informant interview guide and hospital records. Data generated were analyzed using standard methods. Result: There was a 27.7% mean PHC recurrent fund deficit and 15. 1% means PHC development fund deficit in the evaluated period of 2011 and 2014. There was a poor communication system with the mobile phone being the most common followed by few internet systems. Conclusion. Budget deficit and poor funding undermine effective management and control of communicable disease in the Bushenyi district of Uganda.