OPERATIONAL STRATEGIES AND ENHANCEMENT OF MATERNAL AND CHILD HEALTHCARE SERVICE DELIVERY IN DEVOLVED HEALTHCARE UNITS IN MACHAKOS COUNTY
Keywords:
Operational Strategies, Maternal and Child Healthcare, Devolved Healthcare Units, Community Health Workers, Traditional Birth Attendants.Abstract
Purpose: Operational strategies are very critical if an organization is to achieve its objectives. By developing them, organizations could examine and implement effective and efficient systems for using resources, personnel and the work process. This study was geared towards establishing Operational Strategies and Enhancement of Maternal and Child Healthcare Service Delivery in Devolved Healthcare Units in Machakos County.
Methodology: This study adopted a descriptive research design and the study targeted 600 employees working in Machakos County Referral and Sub county hospitals. Two sampling techniques were used; purposive sampling on the county referral hospital and simple random sampling on the sub county hospitals where the sample size was obtained by calculating 30% of the target population to obtain 180 respondents. Data collection was carried out through administration of questionnaires. Data was analyzed using descriptive and inferential statistics using the Statistical Package for Social Sciences (SPSS) version 24.0 and findings tabulated and presented in form of tables.
Findings: Descriptive statistics and regression analysis indicated that there was a positive relationship between operational strategies and enhancement of MCH services in devolved healthcare units. The findings of this study were in tandem with those of the previous studies reviewed. The study concluded that operational strategies influence enhancement of MCH service delivery in devolved healthcare units in Machakos County.
Unique Contribution to Policy, Practice and Academia: The study recommended that the health administrators and other stakeholders should adopt operational strategies that enhance MCH service delivery in health facilities across the county.
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References
Baker, C; Mulaki,A; & Dutta, A (2014). Devolution of Healthcare in Kenya: Assessing County Health System Readiness in Kenya. A Review of Selected Health Inputs, Washington DC: Health Policy Project, Futures Group.
Baker, K., Rochester, L., & Nieuwboer, A. (2007). The immediate effect of attentional, auditory and a combined cue strategy on gait during single and dual tasks in Parkinson 's disease. Archives of physical medicine and rehabilitation, 88(12), 1593-1600.
Bryman, A. (2013). Introduction:'Inside'accounts and social research in organizations. In Doing Research in Organizations (RLE: Organizations) (pp. 11-30). Routledge.
Bryman, A., & Bell, E. (2013). Företagsekonomiska forskningsmetoder. 2. uppl. Stockholm: Liber.
Das-Gupta, M., Grandvoinnett H. & Romani M. (2004). State-Community Synergies in Community-Driven Development. Journal of Development Studies, 40(3), pp.27-58.
Dean S. V, Imam A. M, Lassi Z S, Bhutta Z. A. (2011). Systematic Review of Preconception Risks and Interventions. Karachi, Pakistan: Aga Khan University. http://globalresearchnurses.tghn.org/site_media/media/articles/Preconception_Report.pdf. [Reference list]
Fleizser, A., Semenic, S., Ritchie, J., Richer, M. & Denis, J. (2015). The sustainability of healthcare innovations: a concept analysis. Journal of Advanced Nursing. 71(7): 1484-98.
Kilonzo, S., Kamaara, E., & Magak, K. (2017). Improving access to maternal health care through devolution in western Kenya.
Korir, M. C. (2015). The Role of Communication in Maternal and Child Healthcare Outcomes: A Case of Machakos County, Kenya (Doctoral dissertation, University of Nairobi).
Lassi, Z., Kumar, R., & Bhutta, Z. (2016). Community-based care to improve maternal, newborn, and child Health. Disease Control Priorities, 2, 263-84.
Michuki, C. M. (2015). Demand for Maternal Health Services: An Analysis of Contraceptives Uptake in Kenya. Unpublished MSc Thesis, University of Nairobi, Kenya.
Okech, T. C. (2016). Devolution and Universal Health Coverage in Kenya: Situational Analysis of Health Financing, Infrastructure and Personnel.
Scholes, K., Johnson, G. & Whittington, R. (2002). Exploring corporate strategy. Financial Times Prentice Hall.
Singh, N. (2008). Decentralization and public delivery of health care services in India. Health Affairs, 27(4), 991-1001.
Slaymaker, T., Christiansen K. & Hemming, I. (2005). Community-based approaches and service delivery: Issues and options in difficult environments and partnerships. Overseas Development Institute. Available at: www.odi.org.uk/resources/docs/3822.pdf
UNICEF (2015). Levels and Trends in Child Mortality. Report 2015.
The Inter-agency Group for Child Mortality Estimation (UN IGME). UNICEF, WHO, The World Bank, United Nations Population Division. New York, USA.
United Nations (2015). Global Strategy for Women's, Children's and Adolescents' Health, 2016-2030. New York.
Wavomba, P., & Sikolia, S. (2015). Research in the Quality of Service Delivery in Public Hospitals, Kenya. Journal of Pharmacy and Biological Sciences.
World Health Organization, (2010). Evaluating the quality of care for severe pregnancy complications: the WHO near-miss approach for maternal health
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