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Doctoral Thesis | Public Health | Uganda | Volume 14 Issue 2, February 2025 | Popularity: 5 / 10
The Role of Devolved Healthcare Governance in Enhancing Service Delivery in County Government Hospitals in Kenya
Eunice Rosalyn Nyambura Muturi, Dr Rose Litunya, Dr Susan Were
Abstract: This study investigates the impact of devolved healthcare governance on service delivery in Kenya's county government hospitals. Since the adoption of devolution in the 2010 Kenyan Constitution, healthcare functions have shifted from national to county governments, creating both opportunities and challenges. This study aimed to explore the extent to which devolved healthcare governance affected service delivery in Kenya's county government hospitals. It sought to identify governance challenges, evaluate the role of intergovernmental leadership, and propose strategies to enhance efficiency and service quality. The study employed a positivist research philosophy and mixed - methods (qualitative and quantitative) research design, analyzing data from 385 respondents across 137 county hospitals using SPSS version 27. Findings indicated that devolved governance positively influences service delivery, with intergovernmental leadership acting as a moderating factor. The study recommended professionalizing governance, improving transparency, and fostering a culture of accountability to enhance healthcare outcomes.
Keywords: Devolved Healthcare Governance, Service Delivery, County Government, Public Hospitals, Public Healthcare, Healthcare Management
Edition: Volume 14 Issue 2, February 2025
Pages: 1801 - 1811
DOI: https://www.doi.org/10.21275/SR25226175046
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