PROJECT MANAGEMENT AND PERFORMANCE OF HEALTH SECTOR PROJECTS IN METROPOLITAN COUNTIES IN KENYA
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Abstract
Despite the importance of health sector projects, many metropolitan counties in Kenya face significant challenges in project performance. These challenges manifest in delays, cost overruns, and failure to meet the desired quality and outcomes. The general objective of the study is to analyze the effect of project management on performance of health sector projects in metropolitan counties in Kenya. Specifically, the study sought to investigate the effect of Stakeholder Involvement on performance of health sector projects in metropolitan counties in Kenya, and to examine the effect of monitoring and evaluation on performance of health sector projects in metropolitan counties in Kenya. This study was anchored on Stakeholders theory and Resource Based View Theory. The study adopted a cross-sectional research design. This study was conducted in Metropolitan counties in Kenya which include; Kajiado county, Machakos county, Nairobi county and Kiambu County. The study focused on 44 projects implemented by Level 6 hospitals in the 4 counties. The study targeted the management level employees at the level 6 hospitals. Management employees targeted because it is believed that they are involved in project management in the hospitals. From the ministry of health website, the hospitals has approximately 1500 employees. Therefore, the study population was 1500 employees. The Yamane formula was adopted to calculate the study sample size. The study used simple random sampling in selecting the sample of 316 respondents from study population. Data was collected using a self-administered semi-structured questionnaire. The Statistical Package for Social Sciences (SPSS) version 25 software was used to analyze the data. Qualitative data was analysed using content analysis and presented in prose form. Qualitative data was analysed using descriptive and inferential analysis. Descriptive statistics such as frequency, percentages, and means were used. Pearson correlation coefficient was used for testing strength and direction between the independent and the dependent variables. A multiple regression model was used to test the significance of the influence of the independent variables on the dependent variable. The findings were presented in Tables and figures. The study concludes that stakeholder involvement has a positive and significant effect on performance of health sector projects in metropolitan counties in Kenya. The study also concludes that monitoring and evaluation has a positive and significant effect on performance of health sector projects in metropolitan counties in Kenya. Based on the findings, the study recommends that the management of public hospitals should establish comprehensive stakeholder engagement frameworks that prioritize inclusive participation and continuous feedback.
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