Policy Implementation and Service Delivery in Homa Bay County Health Sector, Kenya
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Date
2021
Authors
’ George, David Ochieng
Journal Title
Journal ISSN
Volume Title
Publisher
Kenyatta University
Abstract
Kenya lags in various global health sector targets one of them being the implementation of 2001 Abuja declaration pledge that sought to ringfence 15 percent of government budgets on public healthcare. For the year 2001/02, it only managed a high of 8 percent share, after which the share was at about 5 to 7 percent range from 2013/2014 to 2015/2016. Kenya also performed way below the World Health Organization (WHO) benchmark for annual expenditure on basic healthcare of $64 per person. Kenya's annual per capita health expenditure in 2015/16 was estimated at US$25.1 per person. In the Homa Bay health sector, there are a range of problems ranging from underfunding of the sector to 24 percent and 27 percent in the 2016/17 and 2017/18 financial years, respectively, scarcity of workers in health facilities, deficits of drugs. This study sought to interrogate the influence of policy implementation on service delivery of the healthcare sector in Homa Bay County. Particularly, the study sought to establish the effect of bureaucratic practices, citizen engagement approaches and resource mobilization on service delivery in health sector in Homa Bay County. The research was based on the 1921 Bureaucracy Theory of Max Weber, Carole Pateman's Participatory Democratic Theory and Buechler's Resource Mobilization Theory (1995). A descriptive research design was adopted by the research. Hospital staff, medical record officers and patients were the target population. It will target a total of 1100 respondents. A 110-sample size was used. Collected data was then analyzed using inferential and descriptive methods and illustrated in figures and tables, a structured questionnaire and interview schedule was used. For this research, a multivariate regression analysis was then adopted. The results revealed that bureaucratic practices, citizen engagement approaches and resource mobilization are key determinants of service delivery in the healthcare sector in Homa bay county. The study recommends that the county government should prioritize timely payment of salaries to healthcare workers so as to enhance the morale to provide quality services to the people. Further, the county should enhance technology in the healthcare facilities to assist both in records management and revenue collection.
Description
A Research Project Submitted to the School of Humanities and Social Sciences in Partial Fulfilment of the Requirement for the Award of the Degree of Master of Public Policy and Admnistration, Kenyatta University, September, 2021
Keywords
Policy Implementation, Service Delivery, Homa Bay County, Health Sector, Kenya