scholarly journals Strategic Management Practices and Service Delivery at Public Hospitals in Kenya: A Case of Kenyatta National Hospital

2021 ◽  
Vol 5 (3) ◽  
pp. 115-128
Author(s):  
Tabitha Mwende Musili ◽  
◽  
Bernadette Mutinda ◽  

The aim of this research was to investigate influence of strategic management practices and service delivery at public hospitals in Kenya: a case of Kenyatta National Hospital. Specifically, the study aimed to investigate the effect of communication and capacity building on service delivery in KNH. The Sustainable Development Goals were adopted by the United Nations General Assembly in 2015 as a call to action to end poverty and protect the environment. The third goal of the Sustainable Development Goals is to promote health and well-being among people of all ages. The aim was to reduce maternal mortality to less than 70 per 100,000 live births by 2030. Kenya is, however one of the countries where the target of sustainable development has not been achieved. Among other variables, this was due to service delivery in health facilities. As the largest referral hospital, KNH is also facing service quality problems. The challenges lead to sluggish patient diagnosis and care, unduly long appointments leading to insufficient treatment adherence, and high population expectations for outstretched services. This research used a descriptive style. The Krejcie and Morgan formula was used to generate a sample size of 346 people from a target population of 3,006. To determine the sample size, stratified proportionate sampling was used. A pilot research was conducted to ensure that the instruments were valid. Descriptive and inferential method were used to analyze the results. Students, scholars, and KNH decision-makers should all learn from this research. The study established that there was a statistically significant influence of communication on service delivery at public hospitals in Kenya. The study also revealed that there was a statistically significant effect of capacity building on service delivery at public hospitals in Kenya. Keywords: Capacity building, Communication, Strategic management practices

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Sara Bennett ◽  
Nasreen Jessani ◽  
Douglas Glandon ◽  
Mary Qiu ◽  
Kerry Scott ◽  
...  

Abstract Background Given the paradigmatic shift represented by the Sustainable Development Goals (SDGs) as compared to the Millennium Development Goals - in particular their broad and interconnected nature - a new set of health policy and systems research (HPSR) priorities are needed to inform strategies to address these interconnected goals. Objectives To identify high priority HPSR questions linked to the achievement of the Sustainable Development Goals. Methods We focused on three themes that we considered to be central to achieving the health related SDGs: (i) Protecting and promoting access to health services through systems of social protection (ii) Strengthening multisectoral collaborations for health and (iii) Developing more participatory and accountable institutions. We conducted 54 semi-structured interviews and two focus group discussions to investigate policy-maker perspectives on evidence needs. We also conducted an overview of literature reviews in each theme. Information from these sub-studies was extracted into a matrix of possible research questions and developed into three domain-specific lists of 30–36 potential priority questions. Topic experts from the global research community then refined and ranked the proposed questions through an online platform. A final webinar on each theme sought feedback on findings. Results Policy-makers continue to demand HPSR for many well-established issues such as health financing, human resources for health, and service delivery. In terms of service delivery, policy-makers wanted to know how best to strengthen primary health care and community-based systems. In the themes of social protection and multisectoral collaboration, prioritized questions had a strong emphasis on issues of practical implementation. For participatory and accountable institutions, the two priority questions focused on political factors affecting the adoption of accountability measures, as well as health worker reactions to such measures. Conclusions To achieve the SDGs, there is a continuing need for research in some already well established areas of HPSR as well as key areas highlighted by decision-makers. Identifying appropriate conceptual frameworks as well as typologies of examples may be a prerequisite for answering some of the substantive policymaker questions. In addition, implementation research engaging non-traditional stakeholders outside of the health sector will be critical.


2020 ◽  
pp. 118-127
Author(s):  
O. G. Smeshko

The presented study analyzes current trends in the spreading of the sustainable development concept in regional management practices.Aim. The study aims to evaluate the reflection of sustainable development problems in regional management practices.Tasks. The author examines the concept of sustainable development in the context of the modern approach to territorial development management; analyzes the way problems of sustainable development are represented in modern studies of regional economy; determines the degree of involvement of regional authorities in the promotion of sustainable development goals.Methods. This study uses general scientific methods of cognition to examine the specific features of representation of sustainable development goals in scientific discourse on the regional economy and the extent of regions’ involvement in the achievement of sustainable development goals (through the example of the environmental factor). The study uses information publicly available on the official websites of the UN and the Russian Federal State Statistics Service. The author’s opinion is based on the materials presented in analytical reviews of events at business forum, economic publications on the sustainable development of the regional economy. and the author’s own calculations.Results. The formation of the sustainable development concept and a mechanism for controlling the achievement of goals into which the process of sustainable development can be decomposed is described. Scientific discourse on the directions of regional economic studies that address the problems of sustainable development is analyzed. The performance indicators of regional authorities in achieving sustainable development goals are analyzed.Conclusions. National development management requires active interaction between the federal center, regional authorities, administrative bodies, and businesses in the development of the national agenda and integration of sustainable development goals into it. At present, none of the actors in this process show significant signs of activity.


2018 ◽  
Vol 33 (7) ◽  
pp. 757-774
Author(s):  
CJ Hendriks

This article explores the financing of the sustainable development goals through the budget process with the aim of achieving sustainable development. Existing theory points out that local government budgets play an important role in pro-poor service delivery. However, underfunding can be seen across all areas in South Africa, resulting in municipalities that cannot function properly and look after the needs of their inhabitants. Based on a study of selected municipalities in South Africa, this paper tries to answer the question of whether municipalities allocate and spend their financial resources to pursue the 17 sustainable development goals. The findings indicate that as the medium for achieving the sustainable development goals, the focus of local government budgets has to shift from merely providing basic services to creating and facilitating an environment suitable for achieving sustainable development. If the emphasis of municipal spending does not change, governments will find it difficult to achieve the sustainable development goals.


2019 ◽  
Vol 11 (5) ◽  
pp. 1381 ◽  
Author(s):  
Jarrod Grainger-Brown ◽  
Shirin Malekpour

The Sustainable Development Goals (SDGs) provide a bold aspiration for a sustainable, prosperous and equitable future. There is universal agreement that the goals cannot be achieved by 2030 on a business-as-usual trajectory, and that we need new agents of change, such as business, government and civil society. An array of tools and frameworks have recently been developed to support organisations in engaging with the SDGs. However, it is not understood if these tools/frameworks can enable transformative actions. This study used a scoping methodology to review the tools available to organisations for SDG action. These tools were then analysed against a generic model of the ‘strategic management’ process, in order to determine their usefulness in impacting organisational strategy. It was found that most of the tools are only applicable to ‘mapping’ and ‘reporting’ activities, which occur after strategies have been developed and even implemented. A small number of tools were found to align with the early stages of strategic management, that is, ‘problem definition’ and ‘goal setting’. No tools were identified which substantially engaged with actual strategy development, the stage which can shape transformative change. This gap indicates how future research could address organisational strategy, to foster as-of-yet unexplored SDG action.


2020 ◽  
Vol 12 (12) ◽  
pp. 4881 ◽  
Author(s):  
Francesco Grimaldi ◽  
Alessandra Caragnano ◽  
Marianna Zito ◽  
Massimo Mariani

This study aims at exploring the effect of sustainability engagement on earnings management (EM) practices with particular reference to the Italian context in the year 2018, after the implementation of Legislative Decree No. 254/2016 on the disclosure of non-financial information. This is in line with the Sustainable Development Goals (SDGs) promoted by United Nations in 2015 and specifically with SDG 12 and relative target 12.6 focusing on the adoption of sustainable practices and the integration of sustainability information into reporting on the behalf of companies. We analyzed a sample of 60 companies listed on the Italian Stock Exchange. Our results suggest that there is a slight negative relationship between sustainability engagement and earnings management practices. Indeed, our evidence shows that companies characterized by higher level of sustainability engagement are less prone to advance EM practices. To the best of our knowledge, this is the first research to investigate the effect of the sustainability engagement on EM practices with reference to a sample of Italian listed companies.


2020 ◽  
Vol 4 (3) ◽  
pp. 539-549
Author(s):  
Rizky Hikmawan ◽  
Rizkiya Ayu Maulida

The aim of the eleventh goal of Sustainable Development Goals (SDGs) is to create a livable city for its citizens. Therefore, this goal also intended to eliminate the problems faced by the city, such as: traffic, slum area, and the potential for natural or human made disaster. The Government of Tangsel must always prepare themselves to resolve all the problems to create a livable city. However, the responsibility for resolving existing problems does not only lie with the Government of Tangsel. The citizens are also demanded to be able to contribute to the sustainable development of the city and its communities. One of the communities in this city is Forum Anak Tangsel (Fatangsel). Therefore, we would like to facilitate a capacity building for Fatangsel to realizing their participation in developing their city and its communities through the perspective of SDGs.


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