Challenges of Strategy Implementation in Public and Private Hospitals in Nairobi County

Abstract

Strategy implementation is an area in business strategic thought that has traditionally suffered from a lack of interest. Commonly, businesses expect business thought to deliver the up to date trends within business practice and the focus of business thought has been on matters other than strategy implementation. This has created a situation where there is a need for clarifications at various levels of decision making within a company. This study looked at the challenges of strategy implementation. The primary objectives of an organization are somehow dissipated as the strategy moves into implementation and the initial momentum is lost before the expected benefits are realized. Successful implementation is a challenge that demands patience, stamina and energy from the involved managers. The study reviewed literature on what is considered to be challenges of implementation of formulated strategy by organizations. The target population of this study consisted of 59 Public and Private Hospitals in Nairobi. Stratified random sampling was used to obtain the sample that was used for my study. The study used primary data collected through a structured questionnaire divided into two sections. The respondents included top management in public and private hospitals in Nairobi and they were expected to give an insight into some of the strategy implementation challenges. Data collected was sorted and analysed by use of frequency charts, graphs, and pie charts to tabulate the information gathered appropriately. Results show that the main factors affecting strategy implementation in public and private hospitals include; organization structure, strategy formulation, communication, organizational changes, coordination of activities, resource insufficiency and organizational culture.