| dc.description.abstract | The Kenyan healthcare sector suffers from challenges in service delivery due to poorly
remunerated staff, low retention rates, low motivation, shortage of medical supplies and
corruption. This led to the sector to be devolved and interest in getting private and public
partners to improve quality of service delivery. The study was set out to assess the
influence of Public-Private Partnerships (PPP) on health care service delivery in Nairobi
County, Kenya. In achieving this objective, it set out to determine the influence of PPP
in financial support, PPP managerial support and PPP human resource support on health
care service delivery in three major hospitals within Nairobi County – Kenyatta National
Hospital, Mbagathi District Hospital and Kibera South Health Centre. The study is
informed by principal-agent theory and stakeholder’s theory. The study used descriptive
research design. The study targeted healthcare providers and facility administrators in
the three hospitals and the population was 1288 respondents. Stratified sampling was
applied to the target population as per facility and simple random sampling was applied
in getting the respondents who participated in the study. A sample of 304 respondents
was reached by using the Yamane (1967) and the 7 administrators were selected to be
interviewed through the application of purposive sampling. The primary data for the
study was obtained using a structured questionnaire and an in-depth interview guide
coupled with an observation checklist. Secondary data used to complement primary data.
A pre-test was done using 15 healthcare providers and 2 administrators at the Carolina
for Kibera Health Facility to test for validity and reliability of the instrument. The
quantitative data was analyzed using descriptive, regression and correlation analysis and
qualitative data was analyzed to fit the preset study variable theme. The findings were
presented in tables, charts and discussions. The findings would benefit policy makers
and scholars interested in this data. From the findings, public private partnership
financial support (β=1.428, p<0.005), public private partnership managerial support
(β=.191, p<0.005) public private partnership human resource support (β=.196, p<0.005)
and public private partnership risk-sharing (β=.090, p<0.005) are all significant
predictors of healthcare service delivery within Nairobi County. The study concludes
that public private partnership is a critical driver of healthcare service delivery. The
study recommends that finance managers of the Health care providers in Nairobi City
County in Kenya should exercise prudence in spending of the money disbursed by public
private partnership in executing projects that significantly contribute towards effective
health care service delivery. Public private partners should provide necessary support
to the leadership and the top management ream working in the health care providers in
Nairobi to ensure effective health service delivery is attained. Public private partners
should collaborate and work closely with the human resource managers of the health
care service providers in Nairobi City County to provide state of the art training to
employees so that they are up-to-date with the changing dynamics. The risk managers
working in the health care providers in Nairobi should collaborate and work together
with the public private partners to ensure effective risk management practices are
embraced in the projects that are implemented | en_US |
