Strategic Management Practices and Performance of Public Hospitals in Kisumu County, Kenya
| dc.contributor.author | Mitenga, Otieno Peter | |
| dc.date.accessioned | 2025-08-05T14:43:09Z | |
| dc.date.available | 2025-08-05T14:43:09Z | |
| dc.date.issued | 2024-10 | |
| dc.description | A Research Pproject Submitted to the School of Business in Partial Fulfilment for the Award of Degree in Master of Business Administration in Strategic Management Option of Kenyatta University, October 2024. Supervisor Linda Kimencu | |
| dc.description.abstract | The public health sector in Kisumu County has had enormous challenges listing limited process to deal with pandemics like the COVID 19 and inefficacies necessitating urgent relook at the strategic management practices to improve performance. To respond to these issues, Kisumu County government has instituted strategic management practices before aimed at boosting overall achievement however high HIV rates remains above the national rates, doctor to patient ration is still a challenge, universal health coverage remains elusive, pandemics have revealed high levels of unpreparedness, alongside several blames for dismal performance in the past. The public health sector has been studied by various scholars especially on strategic planning and formation. However, limited studies have proved the potential of all the strategic management practices. The general objective of this research was to assess the effects strategic management practices has on organizational performance of public hospitals in Kisumu County, Kenya. With the specific objectives as evaluation of practice on strategic management intent; formulation, implementation and that on control has on the overall performance of the hospitals in Kisumu County in the republic of Kenya. Narrative reviews focused on theoretical, conceptual, and empirical foundations of the study area. The study was anchored on the Strategic Management Theory; supported by the theories of the Resource Based View Theory, Dynamic Capabilities Theory, and the Balance score Card Model. The study area covered twenty-three public hospitals in Kisumu county presently listed as those of either levels four or five by the county government of Kisumu. The research adopted a descriptive research survey design. The study covered all the 145 county top management staff from the listed twenty-three hospitals under these categories leading specific departments as respondents. They enlisted the medical superintendent, departments of medical administration, clinicians, nursing, laboratory, pharmacy, and the department of medical imaging across the facilities. The study used both open and closed ended questionnaires for primary data collection while documents reviews will support secondary data sources. The instrument’s validity and reliability were evaluated on pilot data targeting one of the facilities with similar leadership characteristics but not listed among the twenty-three studied. The data was subjected to empirical analysis with the aid SPSS, Atlas, open data kit collect and excel pivot tables and exports. This was because these systems support semi-structured, object-oriented, and functional programming. Frequencies, descriptive tables, and cross tabulation statistical data were therefore drawn for data sets presentation. The generated information would be published and shared with the county departments Health. The publication would be significant for providing solutions to the current underutilization of such services at the public health units at the county levels. The findings revealed that all the strategic management practices individually had statistically significant relationship with the overall performance of the public hospitals as follows: strategic ( β1 =0.050, sig. =09.4), strategy formulation (β2 = 0.094, sig. =0.07< 0.05), strategy implementation (β3 = -0.014,sig. 0.514) and control (β4 = 0.114, sig. 0.000 < 0.05). The study concluded that each practices individually and collectively influenced performance of levels four and five hospitals. The study recommends that the department of health adopts strategic management practices for superior performance. | |
| dc.description.sponsorship | Kenyatta University | |
| dc.identifier.uri | https://ir-library.ku.ac.ke/handle/123456789/31125 | |
| dc.language.iso | en | |
| dc.publisher | Kenyatta University | |
| dc.title | Strategic Management Practices and Performance of Public Hospitals in Kisumu County, Kenya | |
| dc.type | Thesis |