Devolved Human Resources For Health And Service Delivery In County Government Hospitals In Kenya.

Authors

  • Eunice Rosalyn Nyambura Muturi Scholar, Jomo Kenyatta University of Agriculture and Technology, Kenya,undefined image/svg+xml
  • Dr Rose Litunya, (PhD Senior Lecturer: Jomo Kenyatta University of Agriculture and Technology image/svg+xml
  • Dr Susan Were, (PhD) Senior Lecturer: Jomo Kenyatta University of Agriculture and Technology image/svg+xml

DOI:

https://doi.org/10.61108/ijiir.v3i1.195

Keywords:

Devolved Human Resources for Health, Service Delivery, County Government, Public Hospitals, Public Healthcare, Healthcare Management

Abstract

This study investigates the impact of devolved human resources for health (HRH) 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 human resources for health affected service delivery in Kenya's county government hospitals. It sought to identify healthcare human resources for health 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. The findings show that devolved human resources for health positively and significantly influenced service delivery. The moderating variable, intergovernmental leadership further strengthened this influence. The study concludes that devolved human resources for health influences service delivery. The study recommends that for service delivery to improve there is need for reform, as far as devolved human resources for health is concerned, as well as the need to enhance intergovernmental leadership. The study recommends the need for adequate staffing for both medical and non- medical staff, adhering to the organization’s staff establishment and that the employees be compensated commensurate with the services they render.

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Published

2025-08-19

How to Cite

Muturi, E. R. N., Litunya, R., & Were, S. (2025). Devolved Human Resources For Health And Service Delivery In County Government Hospitals In Kenya. International Journal Of  Innovations And  Interdisciplinary Research (IJIIR) ISSN 3005-4885 (p);3005-4893(o), 3(1), 44–58. https://doi.org/10.61108/ijiir.v3i1.195

Issue

Vol. 3 No. 1 (2025): International Journal of Innovations and Interdisciplinary Research (IJIIR) ISSN 3005-4885 (p);3005-4893(o)

Section

Articles

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