PERFORMANCE MANAGEMENT AND HEALTHCARE DELIVERY IN SIGOWET-SOIN SUB COUNTY HOSPITAL IN KERICHO COUNTY, KENYA
Abstract
Statement of the Problem: Effective healthcare service delivery is crucial for improving population health outcomes and achieving universal health coverage. However, the contribution of performance management mechanisms such as target setting, negotiation and vetting, execution, and monitoring and evaluation to healthcare delivery outcomes in sub-county hospitals in Kenya remains unclear.
Purpose of the Study: The purpose of the study was to investigate how target setting, negotiation and vetting, execution and monitoring and evaluation contribute to improved healthcare outcomes at Sigowet-Soin Sub County Hospital in Kericho County, Kenya.
Research Methodology: The study employed a descriptive research design and was anchored on the Principal-Agent Theory. A census approach was used to gather data from all administrative and healthcare staff at the hospital using structured questionnaires. Data was analyzed using Statistical Package for Social Sciences (SPSS).
Findings: The results revealed strong positive relationships between all performance management components and healthcare delivery outcomes. The regression model explained 70.1% of variance in healthcare delivery among administrative staff and 74.3% among healthcare officers. Execution emerged as the strongest predictor for administrative staff (β = 0.469, p < 0.005), while negotiation and vetting processes had the strongest effect for healthcare officers (β = 0.456, p < 0.005). All performance management components showed significant positive effects on healthcare delivery, though their relative importance varied between staff categories.
Conclusion: The study concluded that comprehensive performance management systems incorporating target setting, negotiation and vetting, execution, and monitoring and evaluation are essential for enhancing healthcare delivery in sub-county hospitals.
Recommendations: The study recommended strengthening execution processes through clear implementation frameworks and adequate resources; enhancing negotiation and vetting processes through inclusive participation of healthcare officers in decision-making.
Keywords: Performance Management, Healthcare Delivery, Sigowet-Soin Sub County Hospital, Kericho County, Kenya
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