FACTORS INFLUENCING HEALTH WORKERS' PERFORMANCE IN PUBLIC HEALTH FACILITIES IN THE DEVOLVED SYSTEM OF GOVERNMENT: A CASE OF EMBAKASI EAST SUB-COUNTY, NAIROBI COUNTY
Keywords:
Health Workers Performance, Factors, Devolved systemAbstract
Purpose The main objective of carrying out this research was to evaluate the factors that affect the performance of health workers in public health facilities within the County system in Kenya.
Methodology: A descriptive study approach was used.The sample size was all the six public health facilities in Embakasi East Sub-County. The study further purposively sampled ten (10) key informants from each of the public health care facilities and collected data from this sample using self-administered questionnaires as the main data collection tool. Statistical data analysis was carried out using SPSS version17.0 and data was presented in graphs, tables and discussions.
Results: The study found that training, staff recognition and staff participation are important aspects for improving the capacity and motivation of health care workers. The study also identified commendable efforts in training of health workers as a way to improve competence.
Unique contribution to theory, practice and policy: In achieving improvement of these components the County Government system can be able to improve the performance of the health workers and assist in strengthening the health care service provision in the country. Public health officials should also continuously conduct organizational systems studies in order to identify weaknesses and loopholes as well as put measures in place to seal those loopholes and subsequently enhance performance, especially in reference to resource allocation.Public health facilities must also strive to build a strong ethical culture through proper selection systems, leadership by example and effective performance management systems to ensure and enhance performance
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References
Armstrong, M. (2005). Human Resource Management, 1st edition Prentice Hall Publisher Ltd. Germany
Barr, G. (2003). Management. (3rd ed), London: Pearson Profession. Leeds, UK
Beach, F. (1995). Management Information System, 4th Edition, Gregory Book Management Press. Canada
Bentley, T. (1991) Investigating Search Costs and Coordination Costs in Electronic Markets: A Transaction Costs Economics Perspective, in: Electronic Markets
Bernthal, P.R., &Erker, S. (2004). Selection forecast: Recruiting and hiring talent. Development Dimensions International. Pittsburgh.
Boshoff, C. & Gray, B. (2004).The Relationship between Service Quality, Customer Satisfaction and Buying Intentions in the Private Hospital Industry". South African, Journal of Business Management, Vol.35 (4), pp. 27-37.
Boydell, G. (1997) Employee Satisfaction, Management, Principles And Publishers, London
Chambers, E.G., Foulon, M., Handfield-Jones, H., Hankin, S.M. and Michaels, E.G. (2007).The war for talent.The McKinsey Quarterly Online Journal.1-8.
Chen, L. (2004). Human resources for health: overcoming the crisis. Lancet 364:1984-1990.
Gbary A.H. and Sambo, L.G. (2006, April). Current focus on African human resources in healthcare Intervention at the conference mobilizing the African Diaspora Healthcare professionals for capacity building in Africa, London. Retrieved from http://www.wla.lib.wi.us/waal/conferences/2006/postconference/clumpner.ppt
Government of Kenya (2005). Millennium Development Goals Status Report for Kenya 2005. Nairobi.
Hakonsen, P. (2004). Strategic Skills and Planning, 2nd Edition, Management Book Publisher's Ltd. Canada.
Hegar, K. (2011). Modern Human Relations at Work.Cengage Learning. OH.
Henderson K.A., &Bialeschki, M.D. (1993b).Exploring an expanded model of women's leisure constraints. Journal of Applied Recreation Research, 18, 229-252
Herzberg, F. (1968). One more time: how do you motivate people? Harvard: Harvard Business Review.
Kimalu, P.K., Nafula, N.N., Manda, D.K., Bedi, A., Mwabu, G. and Kimenyi, M.S. (2004).A review of the Health Sector in Kenya. KIPPRA Working Paper No. 11. Kenya Institute of Public Policy Research and Analysis. Nairobi.
Kothari, C. (2008). Research Methodology; Methods and Techniques. New Delhi: New Age International Publishers.
Liese, G. and Dussault, C. (2004). The State of the Health Workforce in Sub-Saharan Africa: Evidence of Crisis and Analysis of Contributing Factors Washington, DC: Africa Region Human Development Working Paper Series, World Bank.
Mahapatro, B.B. (2010). Human Resource Management.New Age International Publishers. New Delhi.
Mugenda and Mugenda, (2004) Research Methods, 3rd edition, Kijabe Printer Nairobi, Kenya
Republic of Kenya (2004).Ministry of Health Report on Challenges Facing the Kenyan Health Workforce in the Era of HIV/AIDS. Nairobi.
Samara N, (2003) The Employee Benefits Allocations 5th Edition, Doodle Press Publisher Ltd. Britain
Shaughnessy C, (1998) Performance Appraisals systems Englewood Cliffs NY Prentice Hall
Smith, M, and Henderson-Andrade, N. (2006).Facing the health worker crisis in developing countries: a call for global solidarity. Bull World Health Organ, 84(6):426-427.
Stephen G, (2004) Performance Appraisal Programs.8th Edition, Devet Plan Press. Oklahoma
Swanson, S.R. & Davis, J.C. (2003).The relationship of differential loci with perceived quality and behavioral intentions.Journal of Services Marketing, 17, 202-19.
Taylor E, (2004). Efficient Performance Management 2nd edition MC Raw Hill Publisher Ltd. UK
Tripath B, (1998) Maintaining Employer-Employee Relationships y2nd Edition, Book Power Publisher's Ltd. Germany
United Nations Joint Staff Pension Fund (2012). Traditionalists, Baby Boomers, Generation X, Generation Y (and Generation Z) Working Together. Talent Management Team. New York.
Vroom, V. H. (1964). Work and Motivation. New York: Wiley.
World Health Organization (2006). The World Health Report 2006: Working Together for Health. Geneva. WHO.d
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