| dc.description.abstract | As Kenya moves toward universal health coverage, ensuring the constant availability of quality medicines and technologies in primary health facilities is essential. Effective management of Health Products and Technologies (HPTs) requires proper planning, organization, and leadership. Nyeri County has made efforts to improve HPTs management by establishing dedicated HPT units, passing legislation (Supplement No. 16, Acts No. 5), and investing in the development of 9 rural health facilities and 2 health centers. Despite these efforts, HPTs management remains ineffective, with high maternal mortality rates (110/100,000), infant mortality rates (30/1,000), and a fully immunized population at 68%, compared to the national rate of 75%. This study sought to determine the influence of financing, health worker factors, supply chain practices, and health management information systems (HMIS) on HPTs management in level 4 and 5 hospitals in Nyeri County which was based on management theory. The study was located in Nyeri County. A mixed-methods research design was employed, using both descriptive cross-sectional surveys and interviews. The study targeted 51 health professionals through a census method and 6 key informants were purposively selected. Data was collected using interview schedules and interview guides. Prior, the study pre-tested the tools in Laikipia County on 30 respondents. Quantitative data was analyzed by use of SPSS and presented in tables while qualitative data was analyzed thematically and presented verbatim. The study adhered to research ethics. The study found the model explained 43.3 per cent of the variance on management of HPTs and 43.9 % when controlled for by leadership practices. The regressed model was; Management of HPTs = 20.162 + 0.321 Financing + 0.090 health workers’ factors + 0.007 supply chain practice +0.331 health management information system. HMIS provided the highest unique contribution on total variance on management of HPTs. The study concluded financing and HMIS provided significant influence on management of HPTs in level 4 and 5 hospitals in Nyeri County while health workers factors and supply chain practices had no significant influence on management of HPTs in level 4 and 5 hospitals in Nyeri County. From the multiple linear regression analysis conducted to establish the underlying prediction of the model financing, health worker factors, supply chain practices and health management information system on management of HPTs, it was observed that the model explained 43.3% on total variation in HPTs management. This implied that there are other factors accounting to 56.7 % which influence HPTs management in level four and five hospitals in Nyeri county. Therefore, the study recommended a further study should be conducted to interrogate the probable factors such as regulatory environment, patient needs and preferences, healthcare provider adoption, healthcare infrastructure and global health challenges in these hospitals in Nyeri county and across the board. The findings support existing health system theories and have significant policy implications, urging stakeholders to prioritize these factors for effective HPTs management in hospitals. Additionally, the study highlighted the importance of proper budgeting, staffing, motivation strategies, inventory optimization, and HMIS in improving HPTs management practices. | en_US |
