STRATEGIC RESPONSES BY NGOs IN THE HEALTH SECTOR IN NAIROBI TO CHALLENGES IN THE EXTERNAL ENVIRONMENT
DOI:
https://doi.org/10.47672/ijbs.190Keywords:
environmental challenges, health Sector, NGOs, strategic responses, challenges, external environmentAbstract
Purpose: The purpose of the study was to determine the environmental challenges facing health sector NGOs in Kenya and the strategic responses that health sector NGOs adopt to come with challenges posed by the external environment.
Methodology: The research design was descriptive survey study in nature since it focused on all NGOs working in health sector in Nairobi. The target population was 1065 NGOs. A sample of 41 NGOs was selected using the recommended formula for calculating sample size given proportions as recommended by Israel. The respondents were the managing directors of the NGOs. Both qualitative and quantitative data was collected using a questionnaire that consisted of both open ended and close ended questions. The data was analyzed in terms of descriptive statistics like frequencies, means and percentages. The findings were presented in form of tables.
Results: The study found that competitive rivarly, threats of new entrants , bargaining power of suppliers, bargaining power of clients, threat of substitutes, changes in law and advancement in information technology contribute to environmental challenges of the organization.
Unique contribution to theory, practice and policy: It is recommended that the NGOs train their employees on strategic management and the identification of the environmental factors that challenge NGOs. Specifically, the management of NGOs should be trained on PESTEL and SWOT analysis to facilitate proper environmental scanning.
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References
Aapo, L., & Tomas, E. (2008). On the Suitability of the Self-Organizing Map for Analysis of the Macro and Firm Level Competitive Environment: An empirical evaluation. Benchmarking: An International Journal, 15(4), 402-419.
Aboryge-Debrah, K. (2007). Competition, Growth and Performance in the Banking Industry in Ghana. St. Clement's University: Unpublished PhD Thesis.
Adams, J. (2005). Analyze your company using SWOTs. Supply House Times, September, pp. 26-28.
Anderson, P. (1999). Complexity Theory and Organizational Science. Organizational Science, May-June, 10, 216-262.
Ansoff, H., & McDonnell, E. (1990). Implanting Strategic Management (2nd ed.). New York: Prentice-Hall.
Ansoff, I. (1991). Critique of Henry Mintzberg's "The Design School: Reconsidering the Basic Premises of Strategic Management". Strategic Management Journal, 12, 449-461.
Anticorruption Resource Centre (2010). Review of Corruption in the Health Sector: Theory, Methods and Interventions. Health Policy Plan (2010) 23(2): 83-94 first Published Online, February 14, 2008. doi:10.1093/heapol/czm048
Aosa, E. (1992). An Empirical Investigation of Aspects of Strategy Formulation and Implementation within Large Private Manufacturing Companies in Kenya. University of Strathclyde: Unpublished PhD Thesis.
Armstrong, G., & Kotler, P. (2011). Marketing: An Introduction. (10th ed.). New Jersey: Pearson.
Awino, Z.B. (2001). Effectiveness and Problems of Strategy Implementation of Financing Higher Education in Kenya by the Higher Education Loans Board. University of Nairobi: Unpublished MBA Project.
Awino, Z.B., Wandera, R.W., Imaita, I., & Obonyo, K. (2010). Challenges Facing the Implementation of Differentiation Strategy at the Mumias Sugar Company Limited. Retrieved from http://www.aibuma.org.
Bourgeois, L. (1985). Strategic goals, perceived uncertainty, and economic performance in volatile environments. Academy of Management Journal, 28(3), 548-573.
Chaganti, R., & Damanpour, F. (1991). Institutional Ownership, Capital Structure and Firm Performance. Strategic Management Journal, 12, No. 7 (Oct 1991), 479-491.
Chaharbaghi, K., & Nugent, E. (1994). Towards the Dynamic Organization. Management Decision, 32(6), pp. 45-48.
Cheserek E. (2011, October 13). 130 Doctors, Nurses Quit Troubled Referral Hospital. Medical Kenya. Retrieved from http://medicalkenya.co.ke/2011/10/130-doctors-nurses-quit-troubled-referral-hospital/
Chung-An, C. (2008). Linking the Knowledge Creation Process to Organizational Theories: A Macro View of Organization-environment Change. Journal of Organizational Change Management, 21(3), 259-279.
D'Aveni (1994). Hyper Competition. Managing the Dynamics of Strategic Maneuvering (1st ed.). New York: Free Press.
David Harris, (2006), CIMA Learning System 2007 Integrated Management, Elsevier Science & Technology Books.
DiMaggio, P. J., & Anheier, H. K. (1990). The Sociology of Nonprofit Organizations and Sectors. Annual Review of Sociology, 16, 137-159.
DiMaggio, P.J. & Powell, W.W. (1983). The Iron Cage Revisited: Institutional Isomorphism and Collective Rationality in Organizational Fields. American Sociological Review, Vol. 48, No.2, 147-160.
Doug, M. & Scott, W.R. (2004). "Organizations and Movements." In Social Movements and Organization Theory, xx-xx, Gerald Davis, Doug McAdam, W. Richard Scott, and Mayer Zald. New York: Cambridge University Press.
Downes, David R. (1997). In press. ïƒComments on Rights of Indigenous Farmers in Crop Genetic Resources.â‰…ï€ Current Anthropology 38(4) (August-October).
Fombrun, C., & Shanley, M. (1990). What's in a Name: Reputation Building and Corporate Strategy. Academy of Management Journal, 33, 233-258.
Government of Kenya (1994). Kenya's Health Policy Framework. Nairobi: Government Printer.
Government of Kenya (2003). Kenya Demographic and Health Survey. Nairobi: Government Printer.
Hamel, G., & Prahalad, C. (1994). Competing for the Future. Boston, Massachusetts: Harvard Business School Press.
Hamel, G., & Prahalad, C.K. (1989). Strategic Intent. Harvard Business Review, May- June 1989, pp. 63-76.
Hough, J., & White, M. (2004). Scanning Actions and Environmental Dynamism Gathering Information for Strategic Decision Making. Management Decision, 42(6), 781-793.
Howarth, R. (2006). Origin of Strategy. Lake Forest Graduate School of Management. Retrieved from http://www.themanager.org.
Inter Ministerial Conference on Health and Environment in Africa (IMCHE) (2008). Policy Frameworks for Addressing Health and Environmental Challenges. IMCHE/ 1 / CP4.
Kameri-Mbote, P. (2000). The Operational Environment and Constraints for NGOs in Kenya: Strategies for Good Policy and Development. Switzerland: International Environmental House.
Keziah, M. (2010). The Strategic Responses Adopted by KPA to Changing External Environment. University of Nairobi: Unpublished MBA Project.
King, R.K. (2004). Enhancing SWOT Analysis using TRIZ and the Bipolar Conflict Graph: A Case Study on the Microsoft Corporation. TRIZ Journal, August, pp.12-33.
Kotha, S., & Nair, A. (1995). Strategy and Environment as Determinants of Performance: Evidence for the Japanese Machine Tool Industry. Strategic Management Journal, 16(4), 497-518.
Kothari, C.R. (2004). Research Methodology: Methods & Techniques (2nd ed.). New Delhi: New Delhi Age International Publishers.
Kotler, P., Armstrong, G., Tolba, A., & Haib, A. (2011). Principles of Marketing- Arab World Edition. Pearson.
Kotler, P., Shalowitz, J., & Stevens, R. (2008). Strategic Marketing for Health Care Organization-building a customer-driven health system. USA: John Wiley.
Lancet (1997) Nurses strike threatens health care in Kenya: The Lancet, Volume 350, Issue 9093, Page 1758, 13 December 1997 doi:10.1016/S0140-6736(05)63592-1 Cite or Link Using DOI
Lumpkin, G., & Dess, G. (1995). Simplicity as a strategy-making process: The effects of stage of organizational development and environment on performance. Academy of Management Journal, 38(5), 1386-1407. http://dx.doi.org/10.2307/256862
Machuki V.N. (2005). Challenges to Strategy Implementation at CMC Motors Group Ltd. University of Nairobi: Unpublished MBA Project.
Machuki, V.N., & Aosa, E. (2011). The Influence of the External Environment on the Performance of Publicly Quoted Companies in Kenya. Prime Journals, Business Administration and Management (BAM), Vol. 1(7), pp. 205-218, June 28th, 2011.
Mareta, N.C. (2007). The Strategic Response of Glaxosmithkline Pharmaceuticals towards competition in Kenya.Unpublished MBA Thesis. University of Nairobi
Meyer, J.W., & Rowan, B. (1991). Institutionalised Organisations: Formal Structures as Myth and Ceremony. American Journal of Sociology, Vol. 83, No. 2, 340 - 363.
Meyer, L. H. (2002). "The Economic Outlook and the Challenges Facing Monetary Policy." Speech at Washington University, October 19, 2002
Miller, D., & Friesen, P.H. (1983). Strategy Making and the Environment: The Third Link. Strategic Management Journal, Vol. 4, pp. 221-35.
Mintzberg, Ahlstrand & Lampel (1998). Strategy Safari: A Guided Tour through the Wilds of Strategic Management. London: Prentice Hall.
Mudanya, S. M. (2007). Response Strategies to Environmental Challenges to firms in the Cement Industry in Kenya. University of Nairobi: Unpublished MBA Project.
Mugenda, O.M., & Mugenda A.G. (2003). Quantitative and Qualitative Approaches (2nd ed.). Nairobi: Acts Press.
Mutua, C.K. (2010). Strategic Responses by the Deposit Protection Fund Board to Changes in the External Environment. University of Nairobi: Unpublished MBA Project.
Njihia, N.N. (2009). Strategic Responses of Kenya Commercial Bank Limited to Changes in Kenyan Banking Industry. University of Nairobi: Unpublished MBA Project.
Obonyo, B., & Owino, W. (1997). "Promoting access to healthcare through efficiency improvements: priorities and policy options." IPAR WR. No.08/97. Nairobi: Institute for Policy Analysis and Research. University of Nairobi: Unpublished MBA Project.
Odongo, T.O. (2008). Strategic Responses by Kenya Tourist Development Corporation to Changes in its Environment. University of Nairobi: Unpublished MBA Project.
Oliver, C. (1991). Strategic Responses to Institutional Processes. Academy of Management Review, 16(1), 145-179.
Ombok, F.S.A. (2009). Response Strategies of International Non-Governmental Organizations in Nairobi to Changes in the Macro Environment. University of Nairobi: Unpublished MBA Project.
Owino, W., & J. Korrir (1997a)." Public health sector efficiency in Kenya: estimation and policy implications." IPAR Discussion Paper No. 007/ 97. Nairobi: Institute for Policy Analysis and Research. University of Nairobi: Unpublished MBA Project.
Pfeffer, J., & Salancik, G. (2003). The External Control of Organizations: A Resource Dependence Perspective. Stanford, CA: Stanford University Press.
Porter, M.E. (1985). Competitive Advantage: Creating and Sustaining Superior Performance. New York: Free Press.
Porter, M.E. (1986). From Competitive Advantage to Corporate Strategy. Harvard Business Review, May-June, p. 43.
Porter, M.E. (2004). Competitive Advantage. New York: Free Press
Sameer, P., & Jasmine, T. (2003). The role of socio-cultural, political-legal, economic, and educational dimensions in quality management. International Journal of Operations & Production Management, 23(5), 487-521.
Sander, N., & Ritzman, L. (2004). Integrating Judgmental and Quantitative Forecasts: Methodologies for Pooling Marketing and Operations Information. International Journal of Operations & Production Management, 24(5), 514-529.
Scott, W. R. (2004). Institutional Theory: Encyclopedia of Social Theory. George Ritzer, Thousand Oaks, CA: Sage.
Scott, W.R. (1998). Organizations: Rational, Natural and Open Systems (4th ed.). Englewood Cliffs, NJ: Prentice Hall.
Wairimu, C.M. (2008). Strategic Responses of Barclays Bank of Kenya Limited to Challenges in the External Environment. University of Nairobi: Unpublished MBA Project.
Wamai, G.R. (2004). NGO and Public Health Systems: Comparative Trends in Transforming Health Care Systems in Kenya and Finland. Researcher. University of Helsinki, Finland. Department of Social Policy/Institute of Development Studies.
Wekesa, C. (2011, April 28). Pumwani Nurses to go on Strike. The Star. Retrieved from http://www.the-star.co.ke/national/national/22447-puimwani-nurses-on-strike.
WHO (2002). Resolution AFR/RC53/R3. World Health Organization, Regional Office for Africa, Brazzaville. Acts Press Pretoria.
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