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Effect of strategic change management practices on service delivery at the directorate of immigration of Kenya
(Strathmore University, 2023) Opar, G. A.
Occasioned by mounting outcry from an increasingly enlightened citizenry, the Kenyan government, as with other public administrations, has in the recent past resorted to reforms under the new public management dispensation. This was aimed at advancing an enhanced service delivery. In the immigration department, a number of service improvements and technological innovations have particularly been introduced in an effort to improve customer experience. It however remains unexplored in the Kenyan body of knowledge, the effect of these strategic change management practices on service delivery, presenting a knowledge gap. The study thus sought to examine the effect of strategic change management practices on service delivery at the Directorate of Immigration Services. More specifically, the study sought to establish the effect of strategic employee participation on service delivery at the Directorate of Immigration Services of Kenya; to determine the effect of strategic corporate communication on service delivery at the Directorate of Immigration Services of Kenya; and to establish the effect of strategic leadership on service delivery at the Directorate of Immigration Services of Kenya. This study employed a descriptive research design. The study targeted 168 senior, middle and operational level staff from the Directorate of Immigration Services headquarters in Nairobi, Kenya. The determined sample size was 118, which were proportionately distributed across the three job cadres. Questionnaires that are structured in design was used to gather information from study participants. Data analysis was then conducted using both descriptive and inferential statistics. This served to provide a general impression of where a majority of respondents lies with regard to the questionnaire items as well as the statistical association between the independent and dependent variables. Strategic employee participation, strategic corporation participation and strategic leadership are significantly associated with service delivery at the Directorate of Immigration Services of Kenya. This implies that a notable proportion of the variance in service delivery at the Directorate of Immigration Services of Kenya is attributed to strategic corporation participation. The study recommends that in order to realize superior service delivery in the management of change among government institutions, public administrations ought to actively involve lower cadre employees in a joint decision making and collective bargaining manner. It is also recommended that public administrations carry out strategic corporate communication in a manner that reduces employee anxiety, through established internal communication channels. It is further recommended that administrative leadership in government institutions provide support, direction, and motivation during the management of change.
The Influence of flexible work arrangements on organizational performance: a case of multinational corporations in Kenya
(Strathmore University, 2023) Mwasaru, N.
In the current global work environment, there is intense competition for talented employees and for market share based on advanced technology, higher product quality and lower prices in order to realize strategic advantage and organizational performance. A flexible working environment provides employees with a balance between their personal and professional lives, resulting in job satisfaction and better performance and an overall development of the organization in its entirety. Flexible work arrangements (FWA) can be defined in terms of flexibility in number of hours worked, flexibility in location and flexibility in work programming. This study conceptualized flexible work arrangements as flexible working hours, flexible working scheduling and remote working. While research has been conducted correlating FWA to organizational performance, study approaches, concepts and contexts adopted vary. This study thus attempted to fill this gap by investigating the influence of flexible work arrangements on organizational performance of multinational corporations in Kenya. The study pegged its variables on two key theories; underpinning flexible work arrangements, this study used the self-determination theory and underpinning organizational performance, the resource-based view. This study was based on positivism research philosophy and utilized descriptive cross-sectional survey design. The study population consisted of the 226 MNCs in Nairobi and purposive sampling was used to determine the respondents in 143 MNCs, who were managers in charge of either Human Resource Management or Finance. A structured closed-ended questionnaire was used for data collection. The data was analysed in SPSS and then analysed using descriptive and inferential statistics. Results were presented in form of graphs and tables. The results of this study established that flexible working hours and flexible work schedules do not have an influence on the performance of MNCs in Kenya but remote working has a weak influence on organizational performance. The findings of this study are expected to guide key stakeholders such as labour organizations and government agencies to formulate and implement labour policies regarding FWA practices that guide and support employees’ ability to work from any location of their choosing. The leadership of corporations, guided by the findings of this study, will be able to identify employees' flexible work arrangement practices needs, create practical solutions, and implement these practices to be able to achieve corporate goals and objectives. The study results add onto the existing literature on the relationship between remote working and organizational performance and contribute to the theories of resource-based view and self-determination. The study was limited to MNCs in Nairobi Kenya, while the response rate was hampered by the electioneering period of 2022 and restrictions of Covid-19 at that time.
LLM 8310 - Public private partnerships
(Strathmore University, 2023-01) Strathmore University
Implementation of the WHO surgical safety checklist in Kenya - a case of Mater Misericordiae hospital
(Strathmore University, 2023) Gebre, T. S.
Surgical checklists have been used by hospitals around the world to improve process efficiency, and team coordination, reduce the adverse outcomes of surgery, and further decrease the overall cost of care. However, studies have shown that despite the use of surgical checklists, the adverse effects of surgical operations, including the rate of mortality and reoperations, remain high, especially in sub-Saharan Africa. To improve the safety of surgery worldwide, in 2008, the World Health Organization’s (WHO) Patient Safety Program published the WHO Surgical Safety Checklist, a nineteen- item checklist that acts as a visual aid designed to foster adherence to recommended standards of care and team communication. The checklist has had significant improvements in surgical processes and surgical outcomes in different hospitals, though most of the evidences are reported from high-income countries. The implementation of the checklist, the information on its use, and its impact in low-income countries remain poorly understood. This study sought to examine the implementation experiences of using the WHO surgical checklist and its influence on the delivery of surgical services in a private hospital in Kenya. The study was anchored on Causal Analysis based on Systems Theory. The study was limited to Mater Misericordiae Hospital since it’s the leading institution in the country providing a surgical training program and is aacreditaed as a center of excellence for cardiac surgeries. A mixed-methods research design was adopted. The population comprised surgeons, anesthetists, theatre nurses, and medical officers working in the surgical department. Data was collected using semi-structured questionnaires and an interview guide. Quantitative data was cleaned, coded, entered, and analyzed through descriptive statistics using SPSS Version 22.0, while qualitative data were manually coded and thematically analyzed through content analysis. The study found that majority of the health care workers at the Mater Misericordiae hospital were aware of the WHO SSC, and majority used the checklist in the surgical processes in the hospital, but not always. The health care workers acknowledged that the WHO SSC was easy to use; helped reduce human errors; and enhanced the patient’s safety in the operating room. The study concludes that aspects such as communication among team members facilitated effective implementation of SSC while barriers such as the high bulk of surgical cases, the turnaround time between cases, lack of resources, understaffing, and lack of adequate training hindered the effective use and implementation of the checklist in the hospital. The study recommends that periodic training for surgical staff to enhance their knowledge and use of the SSC and allocating more resources to ensure adequate and well-trained staff is recommended. This would lead to practical use and implementation of WHO SSC as well as frequent monitoring to ensure compliance with the checklist at all levels in the hospital.
Health workers’ perceptions towards implementation of Universal Health Coverage pilot at Machakos Level 5 Hospital in Kenya
(Strathmore University, 2023) Abuto, W. A.
This study explores the perceptions of frontline healthcare workers on the implementation of Universal Health Coverage (UHC) pilot in Machakos County, Kenya. UHC is an initiative that aims to provide quality healthcare services to individuals and communities without financial hardship. The pilot was launched in December 2018 in four counties as part of President Kenyatta’s Big Four Agenda for socio-economic development and was intended to run for one year. The study employed a qualitative design using in-depth interviews with frontline healthcare workers in Machakos Level 5 Hospital. The findings revealed that the participants had a positive attitude towards UHC, but also faced various challenges such as inadequate funding, human resources and misuse of services by patients. The participants also suggested subsidized payments from users instead of complete removal of fee and supported the role of NHIF as a driver of the program. The study recommends a sustainable healthcare financing approach, provision of adequate human resources for health and stakeholder involvement and sensitization in decision making for successful scaling up of UHC.