HUMAN RESOURCE MANAGEMENT PRACTICES AND PERFORMANCE OF DEVOLVED HEALTHCARE FACILITIES IN NAIROBI CITY COUNTY, KENYA

ESTHER MAHIRI, DR. JEDIDAH MULI (Ph.D), DR. DAVID KIIRU (Ph.D)

Abstract


The overall objective of this study was to investigate the effect of HRMP on the performance of delegated health facilities in Nairobi County, Kenya. The study was based on three theories, namely the theory of goal-setting, the theory of human capital and the theory of resource-based vision. A descriptive research project was used, in particular a transversal research study to collect quantitative and qualitative data from employees of 78 health centers in Nairobi county, Kenya, with a target population of 3052. A sampling project was used. Simple randomized was used to select a sample size of 354 respondents with a 95% confidence level. The primary data were collected through structured self-administered questionnaires, both qualitative and quantitative data. Quantitative data were analyzed using descriptive and inferential statistics. The descriptive statistical data was summarized using percentages, average and standard deviation, while for the inferential statistics multiple regression analysis was used. The analysis was carried out with the help of the statistical package for social sciences (SPSS version 21). Qualitative data were analyzed by content analysis. The results were presented using tables and graphs. The null hypothesis was rejected when the P value was less than or equal to 0.05 and was accepted when it was greater than 0.05. The results indicated that there is a significant positive relationship between the occupational safety performance of the delegated health centers in the City of Nairobi. The county's occupational resources have had a significant positive relationship with the performance of decentralized health centers in Nairobi. In City County, employee training had a significant positive relationship with the performance of delegated healthcare facilities in Nairobi County, while employee compensation had a significant positive relationship with the facility's performance of decentralized health in Nairobi County. The political factor was found to be an explanatory variable to explain the relationship between medical care performance and human resource management practices.

 Keywords: Decentralized Medical Care, HRM Practices, Performance, Job Security, Employee Compensation, Employee Resources, Employee Training, Political Factors

CITATION: Mahiri, E., Muli, J., & Kiiru, D. (2019). Human Resource Management practices and performance of devolved healthcare facilities in Nairobi City County, Kenya. The Strategic Journal of Business & Change Management, 6 (4), 1170 – 1184


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References


Achampong, E. K. (2012). The State of Information and Communication Technology and Health Informatics in Ghana. Online Journal of Public Health Informatics, 4(2), 12-134

Adebayo, O.I. and O.I.E. Lucky, 2012. Entrepreneurship development and national job security. Proceedings of the Laspotech SM National Conference on National Job Security Main Auditorium, June 25-26, 2012, Isolo Campus, Lagos, Nigeria –

Adonis, D.E (2012). Mastering Information Technology for CXC CSEC CAPE. Learning Tree Publishers, West Sussex.

Alloubani, A. M, Almatari, M. &Almukhtar, M.M. (2014). Review: Effects of leadership styles on quality of services in health care. European Scientific Journal vol.10 (18).

Atela, M. H. (2013). Health system accountability and primary health care delivery in rural Kenya. An analysis of the structures, process, and outcomes (Unpublished doctoral thesis). University of Cambridge, Cambridgeshire.

Barringer, B. R, Jones, F. F., & Neubaum, D. O. (2005). A quantitative content analysis of the characteristics of rapid-growth firms and founders, Journal of Business Venturing, 20: 663–687.

Britnell, M. (2015). In Search of the Perfect Health System. London: Palgrave. p. 75.

Cho, S., Woods, R., Jang, S., & Erdem, M. (2005). Measuring the impact of human resource management practices on hospitality firm’s performance. International Journal of Hospitality Management, 25(2), 262-277.

Faleye, O., & Trahan, E. A. (2014). Labor friendly corporate practices: Is what is good for employees good for shareholders? Journal of Business Ethics, 101(1), 1-27. doi:.1007/s10551-010-0705-9

Fiorito, J., Bozeman, D. P., Young, A., & Meurs, J. A. (2007). Organizational commitment, human resource practices, and organizational characteristics. Journal of Managerial Issues.Vol.19 (2), pp. 186-207.

GoK, (2015), Kenya Health Bill 2015, Government Printers, Nairobi

GoK, (2016). Kenya reproductive, maternal, newborn, child and adolescent health (RMNCAH) investment framework. Nairobi: Government Printer.

Guay, R. (2013). The relationship between leader fit and transformational leadership. Journal of Managerial Psychology, 28(1), 55-73.

Hongudomsuk, P. &Srisasalux, J. (2012). A decade of health-care decentralization in Thailand: what lessons can be drawn? WHO South-East Asia Journal of Public Health 2012;1(3):347-356.

Hynes, G. E. (2012). Improving employees’ interpersonal communication competencies: A qualitative study. Business Communication Quarterly, 75, 466-475.

K’Obonyo, P. Busienei, R. & Ogutu, J. (2013). The effect of human resource strategic orientation on the performance of large manufacturing firms in Kenya: Prime Journal of Business Administration and Management, 3, Issue 1, 822-833 (2013).

Katua, T., Mukulu, E., & Gachunga, H. (2014). Effect of employee resourcing strategies on the performance of commercial banks in Kenya. International Journal of Education and Research, 2(1): 1-20.

Millar, P. and Stevens, J. (2012), Management training and national sport organization managers: examining the impact of training on individual and or organizational performances’’ sport management review vol 15 no 3

Odhiambo, M.E. (2015). A framework for implementation of e-health in Kenya public hospitals (Thesis). Strathmore University. Retrieved from http://su- plus.strathmore.edu/handle/11071/4875.

Ojakaa, D., Olango, S. & Jarvis, J. (2013). Factors affecting motivation and retention of primary health care workers in three disparate regions in Kenya. Retrieved from http://www.human-resources-health.com/content/12/1/33 30/11/2016.

Omondi, K. B. (2016). Factors influencing service delivery in public hospitals: A case of Nairobi City County, Kenya (Unpublished project report). University of Nairobi, Nairobi.

Paul, A. K., & Anantharaman, R. N. (2013). Impact of people management practices on performance: analysis of a causal model, International Journal of Human Resource Management, 14 (7): 1246-1266.

Probst, T. M., (2002). The impact of job insecurity on employee work attitudes, job adaptation, and organizational withdrawal behaviours. In J. M. Brett & F. Drasgow Eds. The psychology of work: Theoretically based empirical research. Mahwah, NJ: Lawrence Erlbaum Associates.

Shuck, M. B., Rocco, T. S., &Albornoz, C. A. (2011). Exploring employee engagement from the employee perspective: Implications for HRD. Journal of European Industrial Training, 35, 300-325.

Torrington, D. (2015). Human Resource Management. (8th Ed). Edinburgh: Pearson Education.

World Health Organization. (2017). Health Systems Financing: The Path to Universal Coverage. Geneva: World Health Organization; 2017.

Wright, P.M., Gardner, T.M., & Allen, M.R. (2004). The relationship between HR practices and firm performance: Examining causal order. Personnel Psychology 58,

Zhu, Y., (2014). Responding to the challenges of globalization




DOI: http://dx.doi.org/10.61426/sjbcm.v6i4.1419

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