Strategic Management Practices and Performance of Mama Lucy Kibaki Hospital in Nairobi City County Kenya
| dc.contributor.author | Ngugi, Salome Nyokabi | |
| dc.date.accessioned | 2026-02-16T12:24:14Z | |
| dc.date.available | 2026-02-16T12:24:14Z | |
| dc.date.issued | 2025-10 | |
| dc.description | A Research Project Submitted to the School of Law, Arts and Social Sciences in Partial Fulfillment of the Requirements for the Award of a Master of Public Policy and Administration Degree at Kenyatta University, October 2025 Supervisor; 1.Felistus H. Makhamara | |
| dc.description.abstract | Institutional performance is determined by the fit between organizations and their environments, therefore there is need for it to adapt to changing conditions to survive and thrive. Kenyan health sector is undergoing reformation because of competition, improvement of Kenya’s health care system as it relates to the economy, and advancements in health care practices. Nairobi's health strategic and investment plan, which the county has committed to following, offers precise direction on major actions government will take to address health issues. However, city public hospitals are still not operating at their optimal level worldwide despite implementation of such frameworks. The study investigated influences of strategic management practices on performances of Mama Lucy Kibaki in Nairobi City County, Kenya. Specifically, the examined effects of environmental scanning, strategy formulation, implementation, and evaluation, on performance. The study was anchored on Resource-based view, McKinsey 7s and Open system theories. Descriptive research design was employed. Primary data was obtained through semi-structured questionnaires. Target population was management level employees of Mama Lucy Kibaki hospital. The hospital served as unit of analysis, with management level employees serving as unit of observation. A sample size of 166 was selected using census method, however the rate of response was 68.07%Reliability of tools utilized to collect data was assessed by utilizing Cronbach's alpha coefficient reliability of 0.70.A value of 0.7235 was realized. Validity was evaluated using face content and face validity where parameters like clarity, relevance, appropriateness and comprehensiveness were used. Further, the study obtained descriptive statistics of the data laying particular emphasis on the percentages of the various variables used in data description. The data was analyzed using SPSS and was presented in tables and charts. A multiple linear regression model was used in inferential statistics. Which showed that the model fits the data well. The study observed that the external environment such as policies of the health sector which are outside its control influence organizational performance greatly. Further, it was concluded that efficiency and quality of service rendered can only be achieved through employees who when involved in strategy formulation and implementation will see to it that organizational performance grows. The multiple regression model revealed that all the variables used in the study were significant to the model. Therefore, all the various strategic management practices of strategy formulation, environmental scanning, strategy implementation and strategy evaluation contribute significantly to performance of Mama Lucy Kibaki Hospital. | |
| dc.description.sponsorship | Kenyatta University | |
| dc.identifier.uri | https://ir-library.ku.ac.ke/handle/123456789/32451 | |
| dc.language.iso | en | |
| dc.publisher | Kenyatta University | |
| dc.title | Strategic Management Practices and Performance of Mama Lucy Kibaki Hospital in Nairobi City County Kenya | |
| dc.type | Thesis |