| dc.description.abstract | Strategic plan formulation in public hospitals or even in other firms is a time and 
resource-consuming exercise. Shelving formulated strategic plans become a cost on 
its own. Therefore, the translation of strategic plans into action is the most critical 
stage that drives an organization towards harnessing the benefits of strategy 
implementation. However, strategic plan implementation is not a walk in a park 
since the requirement is that it helps to address uncertainties about the future. 
Typically, the idea of implementing strategic plans hampered by several factors that 
derail the entire implementation process in public hospitals or other firms in general. 
Conversion of strategic plans in all organizations is born because of challenges that 
may obstruct the exercise. Therefore, this study aimed at assessing organizational 
dynamics in the implementation of strategic plans counties health sector, the case of 
Marsabit County, Kenya. The study sought to achieve the following specific 
objectives; to determine the effect of employee management skills, organization 
structure, financial resources, and organization culture on the implementation of 
strategic plans in public hospitals in Marsabit County. The study targeted employees 
in health in Marsabit County who include; public health officers, laboratory 
technicians, medical doctors, nurses, pharmacists, and dentists. A descriptive survey 
research design was used in the study. A sample of 180 respondents were the key 
respondents picked from a target population of 358 using a stratified random 
sampling technique. The research used a questionnaire and interview guide as the 
main data collection instruments. The research analyzed data using a statistical 
package for social science (SPSS V.25). Based on the analysis, the data was
analyzed using both inferential statistics and descriptive statistics. The study 
findings would of great relevance to the existing body of literature about 
organizational dynamics that influence the implementation of strategic plans. The 
data obtained from the study was presented through frequency tables, histograms, 
pie charts, and other useful diagrams such as bar graphs. The study findings revealed
that employee management skills have a significant positive effect on the 
implementation of Marsabit County health strategies for management skills equip 
employees with the capacity to maneuver around challenges in converting policies 
into action. On the organizational structure, it was found to have a significant 
positive effect on the implementation of health strategies since a good organizational 
structure ensures flexibility and free flow of communication and information sharing 
for prompt decision making. Financial resource allocation was also found to have a 
significant positive impact on the health strategy implementation process for the 
acquisition of the necessary workforce and resources pertinent to the implementation 
process require financial resources. Sufficient allocation of financial resources is 
necessary for a smooth implementation process. Lastly, organizational culture is 
paramount in propelling the vision and the mission of the healthcare sector. A 
culture that is change is oriented, employee-centered, or values every stakeholder 
view is central to achieving competitive advantages for the organization. 
Consequently, reduces resistance to change and allows smooth implementation of 
strategies | en_US |