DEVOLUTION STRATEGIES IN HEALTHCARE PROVISION AND QUALITY OF SERVICES IN HOSPITALS: THE CASE OF MBAGATHI HOSPITAL, NAIROBI COUNTY

Authors

  • Aviha Odari Sylvia Kenyatta University
  • Dr. Mary Ragui

DOI:

https://doi.org/10.47672/jsm.355

Keywords:

devolution strategies, health sector, service quality

Abstract

Purpose: The overall objective of the study was to investigate the influence of devolution strategies on the quality of healthcare services in Nairobi City County.

Methodology: A descriptive survey research design was employed for this research. The target population was 460 staff of Mbagathi Hospital. Stratified random sampling was undertaken where a sample of 139 hospital staff was selected. The study used questionnaires to collect data from the hospital staff and observations in the hospital environment and infrastructure. The study made use of quantitative methods of data analysis by use of SPSS version 19.0 as well as descriptive and inferential analysis. Data presentation was in form of frequency tables and descriptions.

Results: The study found that human resource management, financial management, leadership and management and health infrastructure management have a positive and a significant effect on quality of healthcare services in Nairobi City County. In addition, organization culture moderates the relationship between devolution strategies and quality of healthcare services in Nairobi City County.

Unique contribution to theory, practice and policy: The study recommends that an organization should adopt devolution strategies in areas concerning human resource management, financial management, leadership and health infrastructure in order to enhance coordination and overall management of the health sector. It also recommends the government to be effective in the running of devolution strategies to ensure better health care at the county level.

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Author Biographies

Aviha Odari Sylvia, Kenyatta University

Post Graduate Student

Dr. Mary Ragui

Lecturer

References

Ayee. J. R. (2005). Public Sector Management in Africa

Dafflon, B., & Vaillancourt, F. (2014). Investing in health infrastructure: how decentralization matters (No. paper1411). International Center for Public Policy, Andrew Young School of Policy Studies, Georgia State University.

Elarabi, H., & Johari, F. (2014). The impact of human resources management on healthcare quality. Asian Journal of Management Sciences and Education Vol. 3, No. 1.

Grundy, J., Healy, V., Gorgolon, L., & Sandig, E. (2013). Overview of devolution of health services in the Philippines. Rural Remote Health, 3(2), 220.

Jesperste, P. (2010). Source material on decentralization and improved service delivery for the poor.Danida

Kerzner, H. (1998). In search of excellence in project management. Van Nostrand Reinhold.

Lowe, G., & Chan, B. (2010). Using common work environment metrics to improve performance in healthcare organizations. Healthc Pap, 10, 43-47.

Mugenda, O., & Mugenda, A. (2003). Research methodology: qualitative and quantitative techniques.

Ndavi, P. M., Ogola, S., Kizito, P. M., & Johnson, K. (2009). Decentralizing Kenya's Health Management System: An Evaluation. Calverton, Maryland, USA.

Ndavi, P. M., Ogola, S., Kizito, P. M., & Johnson, K. (2009). Decentralizing Kenya's Health Management System: An Evaluation. Calverton, Maryland, USA.

Nicholas, D., Huntington, P., Williams, P., & Dobrowolski, T. (2004). Re-appraising information seeking behaviour in a digital environment: bouncers, checkers, returnees and the like. Journal of Documentation, 60(1), 24-43.

Oyugi, B. (2015). Potential Impact of Devolution on Motivation and Job Satisfaction of Healthcare Workers in Kenya: Lessons from early implementation in Kenya and experiences of other Sub-Saharan African Countries. Journal of Global healthcare systems, Volume 5, Number 1.

Rees, R., (1985). The Theory of Principal and Agent"”Part II. Bulletin of Economic Research, 37(2), 75-97.

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Published

2018-10-24

How to Cite

Sylvia, A. O., & Ragui, D. M. (2018). DEVOLUTION STRATEGIES IN HEALTHCARE PROVISION AND QUALITY OF SERVICES IN HOSPITALS: THE CASE OF MBAGATHI HOSPITAL, NAIROBI COUNTY. Journal of Strategic Management, 3(1), 57–71. https://doi.org/10.47672/jsm.355

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Articles