Influence of Hospital Infrastructure On Quality Healthcare Service Provision at Kenyatta National Hospital

Abstract

Quality healthcare service provision is pivotal for achieving Sustainable Development Goals, particularly in national referral hospitals like Kenyatta National Hospital, Kenya. This study aimed to identify determinants influencing quality healthcare provision at KNH, focusing on human resources, infrastructure, system optimization, and health financing. This paper focuses on the influence of hospital infrastructure on quality healthcare service provision at Kenyatta National Hospital. A descriptive crosssectional design was employed, targeting 5,779 healthcare workers with a stratified random sample of 374. Data were collected using pre-tested questionnaires, achieving an 88.2% response rate (n=330). Reliability was confirmed with Cronbach’s α=0.811. Descriptive statistics revealed a high level of agreement regarding the influence of infrastructure, with mean scores exceeding 3.0. Inferential analysis showed a significant positive relationship between hospital infrastructure and quality care (r=0.445, p<0.01). Furthermore, logistic regression identified infrastructure as the strongest predictor of quality healthcare service provision (β=0.593), with the model explaining 66.8% of the variance (Cox & Snell R²=0.668). The findings underscore the pivotal role of hospital infrastructure investment in enhancing service quality at KNH. The study recommends prioritizing infrastructure upgrades as a strategic pathway to improve patient care outcomes and operational efficiency.