DRIVERS OF PERFOMANCE OF DEVOLVED HEALTH PROJECTS IN KENYA: A CASE OF BOMET COUNTY

DANSON KIMUTAI KIRUI

Abstract


In August 2010, Kenya adopted a new constitution that introduced a new governance framework with a national government and 47 counties . Kenya in an effort to improve resource allocation and regional development has pursued devolved governance and decentralized health services subsequently followed under the new framework, the responsibility for health service delivery is to the counties while policy, national referral hospitals, and capacity building are the national government’s responsibility. However, the perfomance of the helath projects since they were devolved has not  met the expetrations of the stakeholders.The objective of this study therefore, was  to establish the drivers of  perfomance of health projects in Kenya with a case of  Bomet County. The specific objectives of the study included; establishing the influence of leadership and governance, monitoring and evaluation, budgetary allocation and development partners on perfomance of devolved health projects in Kenya. The target population was  health pojects in the county. 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 primary data was collected by use census survey. The  quantitative data  was analyzed with help of SPSS version 21 and Excel. The study adopted correlation and regression analysis at 5% level of significance to determine strength and direction of the relationship of the variables under study. The analysis showed that leadership and governance had the strongest positive (Pearson correlation coefficient =.792; p-value= .011< .05) influence on performance of devolved health projects in Bomet county. In addition, budgetary allocation, monitoring and evaluation and development partners are positively correlated performance of devolved health projects (Pearson correlation coefficient =.577, .545 and .539; p- value= .022<.05; .036<.05; .048< .05) respectively.The study established that the independent variables influenced performance of devolved health projects in the study area. The study also recommends that there is need to have leadership,enough budgetary allocation effective monitoring and evaluation and  the supportive development partners to enhance performance of the  devolved health projects in the study area.Finally, very little has been undertaken to explore drivers of performance of health projects in Kenya reason why the study recommends for similar studies to be undertaken in other counties in Kenya for generalization of the findings of this study.

Key Words: Devolved Health Projects, Leadership & governance,  Budgetary Allocation, Monitoring & Evaluation, Development Patners


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