MST-Department of Public Policy and Administration

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Browsing MST-Department of Public Policy and Administration by Author "Abdullahi Sheikh Mohammed"

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    Devolution of Health Sector and Service Delivery in Garisa County, Kenya
    (Kenyatta University, 2025-10) Abdullahi Sheikh Mohammed
    The study evaluated the effect of healthcare devolution on service provision in Garissa County, Kenya. The research placed a specific emphasis on addressing the existing research gaps in healthcare and service delivery. The specific objectives of the study were: to establish the effects of information sharing; assess the effects of financial allocation; to evaluate the effects of staff capacity and; to examine the effects of ICT infrastructure on service delivery in Garissa County. The study was grounded in theoretical frameworks that included the Resource Dependency Theory and the Social Capital Theory. The conceptual framework illustrated the relationship between independent and dependent variables. The study population included 120 healthcare providers in Garissa County. The study utilized a mixed methods research design with qualitative and quantitative methods being applied. Given the small size of the study population, census method was employed where all the 120 were included as the sample of the study. This included 100 facility-based community health promoters, 7 hospital managers, 7 hospital administrators, 1 Chief Executive Officer of Health, 1 Garissa County assembly chair of health, 1 Chief Officer Public Health, 1 Chief Officer Medical Services, 1 Director Public Health and 1 Director Medical Services in Garissa County. Semi- structured questionnaires were used in the research to gather both quantitative and qualitative data. Validity and reliability assessments were done to ensure the accuracy of collected data. Descriptive statistics were employed in the analysis of the data collected. To ensure adherence to the ethical considerations, the study placed a high priority on participant anonymity and informed consent. The study established that information sharing processes are fairly established, financial allocation to the health sector is reasonably done, staff capacity is fairly established and that ICT infrastructure is reasonably established within the health sector. The study concluded that devolution of health services impacts delivery of service within the health sector in Garissa County. Robust information sharing procedures, adequate financial allocation, enhancing of staff capacity and a strong ICT infrastructure have a positive impact on service delivery. To further enhance service delivery in the health sector, the study recommends strengthening of information sharing systems, enhanced financial allocation, addressing of existing gaps in staff capacity and improving of ICT infrastructure. Further, there is need for Garissa County government put in place a comprehensive policy to guide all the healthcare processes including information sharing, staff capacity building, utilization of funds.