Public- Private Partnership Aspects and Performance of Managed Equipment Service Project in Health Service Provision in Kenya
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Date
2021
Authors
Mirithu, Naomi
Journal Title
Journal ISSN
Volume Title
Publisher
Kenyatta University
Abstract
The Kenyan government in its efforts to enhance equitable, accessible and quality healthcare
equipped two hospitals in each of the forty-seven counties with state of the art specialized
medical equipment in 2014. However, the machines lie idle due to lack of electricity,
specialists, water and connection to sewer lines. It is due to the above listed challenges that
the study1sought1to1examine1the effect of private public1partnership1and1performance of
managed equipment services projects in health service provision in Kenya.1The specific
objectives1of1the1study1were; to examine the1extent1to which staff skills and knowledge,
stakeholder1involvement,1performance monitoring and contract management influence the
performance of Managed Equipment Services in healthcare provision in Kenya. The theories
used to explain the study were; institutional theory,1resource-based1view1and stakeholder
theory.1The1study1used1descriptive1and explanatory research design. The target population
of this research was the 98 hospitals that are under MES programs in Kenya. The1study
used1simple1random1sampling1to select 47 hospitals from1the 98 hospitals that are
implementing the MES programs. Primary1data1was1obtained1using self-administered
questionnaires which used a person in the management, a doctor, a nurse, a procurement
officer and a subordinate staff. A1pilot1study1was1done1to establish the1validity and
reliability1of1the1instruments. Data gathered was presented in form of percentages and
frequency. SPSS software was1used1to1aid1in1data1analysis.1Analysis was done by1use of
descriptive1an1inferential1statistics.1Descriptive1analysis involved the calculation of
measures1of1central1tendency and dispersions that is means and standard deviation.
Correlation1analysis1was1used1to identify relationships1among1variables. Regression
analysis was used to make a prediction and determine how the variables influence the
performance of managed equipment services projects in health service provision. The
findings were expected to assist the local health facilities on how to go about their activities
with an aim of improving performance through managed equipment service in Kenya and
beyond. The study1found1that1staff1skills1and1knowledge, Stakeholder involvement,
monitoring and evaluation and contract management was statistically significant to
performance1of1MES1projects1in1Kenya.1The1study concluded that staff skills and
knowledge, Stakeholder involvement, monitoring and evaluation and contract management
are related with performance of MES projects. This1study1recommends1that the hospitals in
Kenya1should ensure that they hire employees with soft and technical skills and they should
also be professionally qualified. Further, stakeholders should be allowed to actively
participate in planning and decision making. Their opinions play1a1big1role1in the
performance of MES projects. Also, the hospitals in Kenya should adopt functional,
technical, regular, evaluation, process monitoring and outcome evaluations. This would be
helpful in checking the progress of the MES projects. Hospitals should adhere to stipulated
timelines and ensure that their spending in properly accounted for through frequent provision
of financial perfromance.
Description
A Research project submitted to the school of Business in Partial Fulfillment of the requirements of master of Business Administration (Project management) Kenyatta University, 2021
Keywords
Public- Private Partnership, Performance, Equipment Service Project, Health Service Provision, Kenya