Factors Influencing Delivery of Quality Health Care in Kasarani Sub County

Abstract

Quality in health service delivery is key in ensuring patient satisfaction since delivering quality service has a direct influence on the customer satisfaction and management outcome. An assessment done in 2019 using Kenya Quality Model of Health (KQMH) monitoring and evaluation checklist showed that many facilities in Kasarani Sub County had stopped holding quality improvement meetings and lacked minutes for their quality improvement team. Some of the projects they were implementing in the comprehensive care centres had collapsed. Quality improvement meetings and total quality management are key indicators of KQMH activities and progress. This has necessitated this research, which sought to evaluate the factors influencing delivery of quality health care in Kasarani Sub-County. The study sought to determine factors influencing delivery of quality health care in Kasarani Sub-County. Specifically, the study analyzed how organizational factors, interpersonal factors, environmental factors and economic factors influence delivery of quality health care in Kasarani Sub County. The research was quantitative adopting a descriptive research design. The target population included 110 Health officers who are members of work improvement teams, quality improvement teams or departmental heads. The research was based on primary data acquired through a self-administered questionnaire. The data was analyzed using SPSS Version 24.0. For quantitative data, descriptive and inferential statistics were generated. Under inferential statistics both correlation and regression analysis were undertaken. The analysis' findings were given in tabulated form, along with relevant interpretations as well as discussions. In conclusion organization factors (r=0.516; p< 0.05), and economic factors (r = 0.614; p < 0.05) were substantially linked to provision of quality healthcare in Kasarani Sub County. Organization, interpersonal, environmental, and economic factors explained 50.1 percent of the variation in the delivery of quality health care in Kasarani Sub County, according to the data. Economic factors (β4 = 0.274) were found to be the most critical factors while environmental factors (β3 = 0.179) were the least important factors. All the 4 null hypotheses were rejected and a conclusion made that organization, interpersonal, environmental and economic factors have a significant influence on delivery of quality health care. The availability of cash to acquire medicine, remunerate staff, and assure the daily running of health facilities was determined to be critical to the delivery of highquality healthcare. It was also determined that a good organizational structure could improve the delivery of high-quality health care. It was critical to have a well-paid, motivated, and sufficient quantity of employees in order to improve health-care delivery. Economic issues were found to be extremely important in the provision of high-quality healthcare. Kasarani Sub County's health facilities should look for additional funding to cover their operating expenditures. They also should make certain that responsible leadership is in place, one that promotes transparency and accountability. The labor must be fairly compensated and motivated. Additionally, medicine and drug distribution should be prioritized based on need to avoid stock outs and guarantee that the quality of health-care delivery is not jeopardized.