Strategy implementation at Jaramogi Oginga Odinga teaching and referral hospital- Kenya

Abstract

Strategy implementation entails putting into actions the formulated plans that can result into achieving of goals and objectives. This study sought to investigate strategy implementation at JOOTRH, Kenya in order to bridge the gap experienced during strategy implementation as evident from the literature. The three objectives which included; to determine strategy implementation at JOOTRH, to establish the challenges in strategy implementation, to highlight the measures to mitigate the challenges during strategy implementation at JOOTRH. The study adopted a case study, because the unit of analysis was one organization, JOOTRH, Kenya. Case study emphasized the contextual analysis thus allowing for in-depth probing through into answering the research question. The researcher used both primary and secondary data. Primary data was collected through one on one interview with interviewees using an interview guide, which had open-ended questions. The secondary data was collected from selected management meetings and the strategic review reports submitted to the management team. Content analysis was used to analyze the interviewee’s views and feedback about strategy implementation at JOORTH, Kenya. The study established that JOOTRH carries out strategy implementation practices and that both internal and external factors affected effective strategy implementation at JOORTH, Kenya. The strategy implementation practices included communication practices, developing of work plans and budgets and performance appraisal. The study established that political policies, changes in the external environment, socio cultural dynamics and changes in the technological environment were some of the external factors that impeded strategy implementation at JOOTRH Kenya. The internal factors established included complex organizational structure, poor organizational culture and lack of adequate financial resources. It was concluded that for the success of JOOTRH to deliver services in a competitive business environment, proper training to employees, adequate financial resources, information communication technology (ICT) integration, and communication management contribute highly to effective strategy implementation. It was therefore recommended that JOOTRH, Kenya should align organizational structure, mobilize adequate resources, develop employees competencies, and integrate ICT within the systems for effective strategy implementation. On the basis of limitation of the study, the study recommends further research on evaluation of performance of strategy implementation at JOOTRH.