Assessment of Strategic Healthcare Services Adopted by County Governments in Service Delivery in Level 3 and 4 Public Health Facilities in Laikipia County

Abstract

Hospitals have a central role in provision of affordable and quality healthcare to citizens. However, as the government of Kenya is making efforts to support this aim, Laikipia County is struggling to achieve this objective. The purpose of the study was to assess the strategic healthcare services adopted by County governments in service delivery in level 3 and 4 public health facilities in Laikipia County. The objectives were to establish the influence of strategic resource allocation, human resource development, procurement process, and information technology adoption by Laikipia County Government on service delivery in level 3 and 4 public health facilities. The sampled population was 74 medical practitioners who were doctors, nurses, pharmacists, lab technicians, radiologists, teaching staff, and administration staff. A descriptive survey design was adopted for the study. Primary data was collected through questionnaires. A pilot study was conducted in Naivasha County. The results on pre-test were subjected to validity checks and reliability tests. Data analysis was done using tools in the SPSS version 25. The analysis involved computation of descriptive statistics such as frequencies, percentages, means, and inferential statistics such as Pearson Correlation and regression analysis. The data was then presented in tables and narrations. The study established that that though there were resources enough to obtain various medical supplies, there was a gap in ensuring that departments got all the requirements they were in need of. The study recommended that there should be clear resource tracking within the departments.