Healthy populations anchor achievements of human development by providing human resource contributing to development. A healthy workforce is a prerequisite to sustained economic and social development; conversely high disease burden impedes socio-economic development. Health outcomes are unacceptably low in developing countries. Whereas much of the burden of disease can be prevented or cured with known and affordable technologies, in most developing countries resources are scarce, have weak health systems coupled with low investments in public health. Development partners augment governments’ interventions in provision of health care. The purpose of this study was to establish the influence developing partners on health services delivery in Kenya with a case study of Embu County. The study adopted descriptive study design. The target population was 288 health providers at health facilities. Stratified simple random sampling was used to select 87 to select respondents. Questionnaires were used to collect primary data. The secondary data was obtained from published documents such as journals, periodicals, magazines and reports to supplement the primary data. A pilot study was conducted to pretest the validity and reliability of instruments for data collection. The raw information was analyzed to yield qualitative and quantitative data. Quantitative data was analyzed with help of SPSS version 21 and MS excel. The variables were regressed and study findings showed that independent variables significantly and positively influenced project performance. Procurement management was the most significant factor and had a positive significant relationship at 5% level of significance.


Key words: Customer Service, Standards

Full Text:



Ahmed, M. (2000)Promoting Public-private partnership in health and education: The case of Bangladesh, ADB Institute and the National Economic and Social Development Board, Ayuthya, Thailand

Anokbonggo W. W etl.,(2004) Impact of decentralization on health services in Uganda: a look at facility utilization, prescribing and availability of essential drugs, East African Medcial Journal, Feb;Suppl:S2-7

Bennett (2004): Overcoming Health systems constraints to achieve the millennium development goals. The Lancet 364 (9437): 900 - 906

Bennett, S., and E. Ngalande-Bande (2004) Public and Private Roles in Health: A Review and Analysis of Experience in Sub-Saharan Africa, World Health Organization, Geneva

Bertrand, W. E., B. E. Echols, and K. Husein (2008) Management Information Systems and Micro Computers in Primary Health Care, Geneva, Aga Khan Foundation

Bossert T.J (1998) Analyzing the Decentralization of Health systems in Developing Countries; Decision Space, Innovation and Performance;Harvard School of Public Health, Boston, U.S.A

Brinkerhoff, D., and C. Leighton (2002), Decentralization and Health System Reform, Insights

for Implementers. Bethesda, MD: Partners for Health Reform plus Project, Abt Associates Inc.

Constitution of Kenya (2010) Fourth Schedule, Nairobi, Kenya: Government of Kenya.

KPMG International (2013)Devolution of Healthcare Services in Kenya: Lessons Learnt from Other Countries.

Ejughemre. U (2013) Donor Support and the Impacts on Health System Strengthening In Sub- Saharan Africa: Assessing the Evidence through a Review of the Literature, American Journal of Public Health

Joint Learning Initiative (2004) Human Resources for Health: Overcoming the Crisis. Cambridge, MA: Harvard University Press.

Kenya Institute for Public Policy Research and Analysis (2014) Public Expenditure Tracking,Health Policy Project

Kenya Health Policy (2014)Devolution of health care in Kenya, Assessing country Health systems in Readiness in Kenya, A review of Selected Health inputs; Futures Group

Kibaru J etl( 2004)Facility-Level Infrastructure, Resources, and Systems, MOH

Kombo, D.K. and Tromp D. L.(2006): Proposal and Thesis writing – An Introduction, Nairobi: Pauline Publications

Kothari, C.R. (2004): Research Methodology: Methods and Techniques, New Delhi: New Age International Publishers

Kickert W.J.M. (1997): Public governance in the Netherlands: an alternative to Anglo-American ‘manageralism’, Public Administration, Vol. 75.

Kickert W.J.M., Koppenjan J.F.M. (1997): Public Management and Network Management: An Overview. In Kickert et al. (editors) (1997): Managing Complex Networks, Strategies for the Public Sector, SAGE Publications

Ludwig V.B (1969) General Systems Theory Foundations, Development , Application, New York, George Braziller

McCoy. D (2009 ) Global health funding: how much, where it comes from and where it goes; Health Policy Plan. (2009) 24 (6): 407-417. doi: 10.1093/heapol/czp026

Mills, A., R. Brugha, K. Hanson, and B. McPake (2002), What Can Be Done about the Private Health Sector in Low-Income Countries? World Health Bulletin 80(4):325–30.

MOH. (2013) Kenya Service Availability and Readiness Assessment Mapping (SARAM)

Report, Nairobi, Kenya: World Health Organization.

MOH. (2013) Human Resources for Health and Health Infrastructure Norm and Standards. Nairobi, Kenya: MOH.

Muriu.A. R (2012) Decentralization, Cities, participation and Total public Service Delivery ; A A study on the Nature and Influence of Countries participation on decentralized service Delivery in Kenya, University of Potsdam, Germany

Ndavi, P. M., S. Ogola, P. M. Kizito, K. Johnson. (2009), Decentralizing Kenya’s Health Management System: An Evaluation. Kenya Working Papers No. 1. Calverton, MD: Macro International Inc.

Nkrumah.G.A, etl., (2011) Improving maternal healthcare utilization in sub-Sahara through micro-finance, International Journal of Health Care Quality Assurance, Vol. 24 Iss:8,pp.601 - 610

Republic of Kenya (2011) Service Provision Assessment 2010, Ministry of Medical Services & Ministry of Public Health and Sanitation

Saunders, M. K. (2004). Investments in Health Contribute to Economic Development. Bethesda,MD: Partners for Health Reform plus Project, Abt Associates Inc.

Schieber, G., and M. Akiko. (2007). A Curmudgeon’s Guide to Financing Health Care in

Developing Countries. Innovations in Health Care Financing (World Bank Discussion Paper No. 365). Washington, DC: World Bank

Snow J (2005), Twelve Baseline Health Surveys. Boston: John Snow, Inc. USAID

The Kenya Health Sector Strategic and Investment Plan (KHSSP) July 2012 – June 2017

Accelerating attainment of Health Goals: Ministry of Medical Services and Ministry of Public Health & Sanitation

Human Development Report (2014)Sustaining Human Progress reducing Vulnerabilities and Building resilience , United Nations Development Programme, New York, , USA, ISBN 978-92-1-126368-8: eISBN 978-92-1-056659-9

Wamai R.G (2007) Reforming Health systems; Role of NGOs in Decentralization – Lessons fromKenya and Ethipoia,, Harvard School of Public Health, Boston USA

Wamai R.G (2014) NGO and Public Health Systems: Comparative Trends in Transforming Health Care Systems in Kenya and Finland, University of Helsinki, Finland Department of Social Policy/Institute of Development Studies

World Health Organization(2013)The World Health Report 2012. Health Systems:Improving Performance. Geneva: WHO.

WHO (2013) Monitoring Progress towards Universal Health Coverage at Country and Global Levels: A Framework; Joint WHO / World Bank Group Discussion Paper

WHO (2007) Health and foreign policy in question: the case of humanitarian action, []

WHO (2007) Every Body’s Business Strengthening Health Systems to Improve Health Outcomes.WHO’S Framework for Action

WHO (2006) The World Health Report 2000 Health Systems:Improving Performance, Geneva

World Bank (2004)The Millennium Development Goals for Health, Rising to the Challenges.Washington, DC: World Bank

Zellner, S., B. O’Hanlon, and T. Chandani. (2005). State of the Private Health Sector Wall Chart: Private Sector Partnerships-One (PSP-One) Project.


  • There are currently no refbacks.