Analysis of the Implementation of Devolved Health Infrastructure Projects in Kenya
Loading...
Date
2019
Authors
Njiru, Fridah
Muna, Wilson
Journal Title
Journal ISSN
Volume Title
Publisher
International Journal of Arts and Commerce
Abstract
Fiscal transfers to finance health infrastructure projects in Embu County of Kenya runs into billions of
shillings since health was declared a devolved function under 2010 constitution. Yet, despite such bold
investments, and in a bid to reform delivery of the health care system, its infrastructure remains
ineffective, inefficient and inadequate. This study sought to analyse the extent to which key factors,
such as (1)health policies, (2) funds allocation, (3) human resource capacity and (4) governance
structures, determines the implementation of devolved health infrastructure projects in Embu County.
The study was guided by Nutt’s theory of project implementation as well as Goldratt’stheory of
constraints. A total of 553 medical staff of level4 and 5 hospitals and the health administration staff
were targeted, and a sample of 56 respondents were sampled. The study adopted a descriptive case
study research design. A semi-structured questionnaire, with both open and closed-ended questions
was used to collect both qualitative and quantitative data. Quantitative data was analyzed through
descriptive statistics which include; percentages, frequencies, mean, standard deviation, and
regression, while qualitative data was analyzed through thematic analysis. Authorization to conduct
the field study was sought from the National Commission for Science, Technology and Innovation.
Results of the study indicated that majority of the respondents were not conversant with health policies
governing the development of health infrastructural projects. A disconnect was also noted between the
funds allocated and the number, size, design, and quality of health projects established. Although
majority of administrators in this sector were found to be adequately trained, gaps were identified in
the area of training, particularly in relation to the installation, operation, and maintenance of new
infrastructure and technologies. Governance structures were found to be rigid, old fashioned and
lacked a clear chain of command, which constrained the performance of key decision makers.
Description
Article
Keywords
Health Policies, Funds Allocation, Human Resource Capacity, Governance Structures
Citation
Njiru, F. & Muna, W. (2019). Analysis of the Implementation of Devolved Health Infrastructure Projects in Kenya. International Journal of Arts and Commerce, 8(9), 45-58.