Factors Influencing Implementation of Community Based Health Projects: a Case of Selected Health Centres in Wajir County, Kenya
View/ Open
Date
2018Author
Abdisalan, Yarow A
Type
ThesisLanguage
enMetadata
Show full item recordAbstract
Project success depends on time, budget and deliverables as set prior to the
commencement and the actual results. The Northern part of Kenya is characterized by
spatial population who majorly rely on livestock and move with them from one location
to another in search of pastures. Therefore, setting up healthcare service centres will help
improve the living standards of the community by providing them with an opportunity to
access healthcare whenever need arise. The main purpose of this study was to establish
the factors influencing implementation of community-based health projects among
selected health centres in Wajir County, Kenya. This study was guided by the following
objectives, determining the influence of funding on implementation of community-based
health projects among selected health centres in Wajir County, Kenya; assessing the
influence that community participation has on implementation of community-based
health projects among selected health centres in Wajir County, Kenya; establishing how
personnel competency influences implementation of community-based health projects
among selected health centres in Wajir County, Kenya; and assessing the influence that
stakeholder relationships has on implementation of community-based health projects
among selected health centres in Wajir County, Kenya. The researcher applied a
descriptive study design. The population of the study comprised of 31,550 respondents
selected through stratified random sampling where the population was grouped into
healthcare personnel, national administrator officers and project beneficiary households.
Using a formula, the sample size of 384 respondents was contacted for the data
collection. The study relied on primary data collected using questionnaires and focussed
group discussions. Data analysis was done using descriptive and multiple linear
regression analysis. The findings were presented in form of tables and figures. The study
expected to come up with estimates on the rate of change in community project
implementation following unit changes in each of the independent variable. It is expected
that community participation influences project acceptability and uptake, personnel
competence influences the speed and quality of project implementation, funding
influences how projects are implemented and stakeholders influence the rate of project
implementation. The study established that funding (p=0.003<0.05, t=3.021>1.96),
community participation (p=0.000<0.05, t=7.267>1.96), personnel competency
(p=0.000<0.05, t=4.646>1.96) and stakeholder relationship (p=0.000<0.05,
t=6.325>1.96) all significantly influenced implementation of community-based health
projects in Wajir county as their respective p values were less than 0.05 with t values
greater than 1.96. The study concludes that funding, community participation, personnel
competency and stakeholder relationship were critical factors affecting implementation of
community-based health projects in Wajir county. The study recommends that Financing
of all community-based health projects in Kenya should be based health on predeveloped
budgets. Top management team charged with implementation of community-based
health projects should first ensure that such projects are welcomed by community
members. Management team of community-based health projects should ensure that
employees engaged in health care projects possess necessary experience. Proper
measures should be put in place to manage supplier relationships so as to promote
implementation of community-based health projects in Kenya.
Publisher
University of Nairobi
Rights
Attribution-NonCommercial-NoDerivs 3.0 United StatesUsage Rights
http://creativecommons.org/licenses/by-nc-nd/3.0/us/Collections
- Faculty of Education (FEd) [6020]
The following license files are associated with this item: