Master of Science in Health Systems Management
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Item Determinants of Health Workers Productivity in Public Health Facilities: A Case in Laikipia County(KeMU, 2024-09) LEKURTUT, CHRISTINEHealth worker productivity in Laikipia County's public health facilities often falls short of desired standards, leading to inefficiencies and compromised patient care. This issue is particularly problematic during periods of high patient demand and limited resources. Low productivity affects multiple stakeholders: patients experience compromised care and longer wait times, health workers suffer from burnout, low morale, and job dissatisfaction, while health administrators and policymakers struggle to manage effective healthcare delivery and achieve desired health outcomes. The study sought to establish determinants of health workers’ productivity in public health facilities in Laikipia County. Specifically, the study sought to establish the influence of motivational strategies, leadership styles, facility resources, and health worker appraisal on the productivity of health workers. The study was guided by McClelland’s acquired needs motivation theory, and adopted a descriptive cross-sectional survey design. The study’s target population comprised of 228 health workers including doctors, clinicians and nurses working at the Nanyuki teaching referral hospital and two of the largest sub-county hospitals. There were 145 medical professionals in the sample, including doctors, clinicians and nurses. Primary data was gathered via interviews and questionnaires. In Nyeri County, a pilot research was carried out. Validity and reliability tests were conducted on the pre-test results. Data analysis was carried out with the SPSS version 26 tools. Descriptive data like frequencies, percentages, averages, and standard deviation as well as inferential statistics like Pearson correlation and binary logistic regression analysis were computed during the analysis. Tables and narratives were then used to display the data. The study found that health workers' productivity in public health facilities in Laikipia County was favorably influenced by leadership style, facilities resources, health worker appraisal, and motivational tactics. It was suggested that in order to improve employee performance, leaders in any member association should empower staff members and cultivate an environment that values learning, creativity, and innovation. This includes training staff members on how to provide and receive feedback. The management and human resources department at the facilities should also make this clear and explain the rationale behind the assessment's necessity. Additionally, the management of a member association's organization should influence and motivate subordinates by exchanging rewards for a specific performance. Finally, human resource management should guarantee that salaries are based on an unbiased annual increment, that health care workers are paid on time, and that terminal benefits are standardized and in line with performance, all of which will improve worker motivation.Item Influence of Electronic Health Records On the Performance of Healthcare Providers at Public Health Facilities in South Sudan(KeMU, 2023-09) ALIER, DARAKUACH PAUL MAKOLThe study took place at Juba teaching and referral hospital. The study used a case study approach. The aim of the study was to establish the influence of electronic health records systems adoption on the performance of healthcare providers in public health facilities. Specifically, the study examined how system quality, record quality, service quality, and knowledge quality affected the performance of healthcare providers in public health facilities at Juba Teaching Hospital. Descriptive research design was used to determine the influence of electronic health records systems adoption on the performance of healthcare providers. The study population comprised of 226 health workers working in Juba county public health facilities, including the hospital administrators, pharmacists, technologists, doctors, clinical officers, and nurses. A sample of 145 health workers was used for this study. The study employed the simple random sampling technique, where all the elements had equal chances of being chosen. A structured questionnaire was used in collecting primary data for this study. The secondary data was realized from books, journals and previous studies done. The study employed the use of a quantitative approach to fulfill its purpose. Furthermore, Pearson correlations were used to assess the strength of the association between the study variables. Finally, multiple regressions were run to find out the collective predictive power of the independent factors on the dependent variables. The study found and concluded that at the significance level of 95%, the study concludes that service quality and knowledge quality were significant factors in influencing the performance of healthcare providers at Juba Teaching and Referral Hospital. Further, the study concludes that system quality and record quality were insignificant determinants of the performance of healthcare providers at Juba Teaching and Referral Hospital. The study also concludes that the knowledge quality was the most significant factor in the performance of healthcare providers at Juba Teaching and Referral Hospital; followed by service quality. The study recommends that in promoting system quality; the EHR system should be reliable, secure, and easy to use. It should be able to handle large volumes of data without crashing or causing delays. The system should also have proper backup and disaster recovery mechanisms to ensure data is not lost in case of a system failure. The study recommends that in promoting record quality; EHR systems should ensure that the quality of the patient record is maintained. The system should be able to capture complete and accurate patient information, including medical history, medications, allergies, and other relevant details. The system should also be able to update the record in real-time to ensure that the information is always up to date. The study recommends that in promoting service quality; the vendor should provide training and support to healthcare providers to ensure they are proficient in using the system. The vendor should also have a responsive support team to address any issues that may arise promptly. The study recommends that in promoting knowledge quality; EHR systems should have a user-friendly interface that enables healthcare providers to access patient information easily.