Employee well-being strategies and sustenance of Productivity among public health sector workers in Taita Taveta County, Kenya

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Date
2026-10
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Kenyatta University
Abstract
Enhancing access to and the calibre of healthcare services required increased productivity in the health sector. Despite efforts to improve it, Kenya's public hospital system faced issues with low efficiency and unfulfilled goals. The subpar productivity of public health facilities underscored the importance of employee well-being in maintaining output. This research aimed to ascertain how well-being strategies affected the ability of public health sector employees in Taita Taveta County, Kenya, to sustain productivity. Specifically, the study examined the influence of remuneration, work environment, job recognition, and career development on the productivity of health workers in public facilities. Utilizing Maslow's Hierarchy of Needs, Herzberg's Two-Factor Theory, and Equity Theory as theoretical frameworks, the study employed a stratified sampling technique with a descriptive research design to select 270 respondents from a population of 939 medicalrelated staff members employed by 73 public health facilities in Taita Taveta County. A preliminary pilot study involving 27 randomly selected participants were selected and conducted at Moi County Referral Hospital to validate and ensure the reliability of the research instruments. Content validity was ensured by addressing all relevant aspects of well-being and productivity, while construct validity was assessed through expert reviews and feedback from the pilot study. Reliability was evaluated using internal consistency and test-retest methods. Data collection was conducted using a self-administered questionnaire featuring a five-point Likert scale, enabling quantitative data collection. Descriptive statistics, including frequencies and percentages, were used to analyze data patterns, while inferential statistics, such as multiple linear regression, explored relationships between variables. The findings revealed that remuneration, career development opportunities, and a supportive working environment significantly contributed to the productivity of healthcare workers. Specifically, respondents reported that timely remuneration and job recognition were critical in enhancing their motivation and output. The study concluded that addressing the challenges related to remuneration, career development, working environment, and job recognition was essential for improving worker productivity and enhancing the overall performance of the healthcare system. It advised healthcare organizations to put certain rules and procedures into place in order to develop a staff that is more driven, content, and effective.
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A research report submitted to school of law, arts and Social sciences in partial fulfilment of the requirements For the award of the degree of Master of Arts in Public Policy and Administration of Kenyatta University, October 2025 Supervisor: Dr. Weldon Kibet Ng’eno
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