Organizational change and public health maternal health care service delivery in Kitui County

Abstract

The devolved governments in Kenya are confronted with poor service delivery particularly in the arrangement of maternal medical care administrations. Maternal medical care benefits in open level 4 hospitals are not gathering up to the quality norm as laid out by the Service of Wellbeing in Kenya. This research paper tried to determine the influence of Leadership, universal health coverage, revenue allocation, and organizational structure on public health maternal health care in Kitui County. This study was informed by three theories namely; Transformational Leadership Theory, Resource Based View Theory and The Theory of Social Health Insurance. The study was focused on 13 public hospitals giving maternity benefits in Kitui County. The target population of the study was 203 medical officers comprising 26 doctors, 10 specialists, 41 level 4 hospital officials and 126 nurses across the 13 level 4 hospitals giving maternity services in Kitui County. Information was gathered by utilization of structured closed ended questionnaire. Data analysis was done utilizing SPSS software. Pearson correlation showed that leadership and universal health coverage have a positive connection with general wellbeing maternal medical care administration conveyance. Model rundown results showed that leadership, universal health coverage, revenue allocation and organizational structure clarify 64.6 percent of public health maternal health care service delivery. Moreover, there was a positive and critical impact of revenue allocation on public health maternal health care service, organizational structure on public health maternal health care service delivery. The review infers that leadership is one of the key health framework factors influencing the presentation of maternal wellbeing administrations at the hospital level. Conclusion can be made further that UHC further advances PHMHC delivery. The study further concludes that satisfactory and proficient assignment of the accessible assets to the vital health units essentially expands the nature of the delivering services. It was likewise concluded that the structure of an organization impacts public health maternal health care service delivery. Recommendations from the study includes the need of maternal medical services suppliers to audit their leadership rules and styles with point of upgrading nature of leadership in the administration of hospitals as well as the need to satisfactorily uphold the execution of UHC. There is need to sufficient help the financing of maternal medical care projects by the public and devolved government. The exploration further suggests for the need of recurrent rebuilding of the organization to permit proficient delivery of maternal administrations to mothers. Transformation of the hospitals should involve clear undertaking allotment among health officials. Future studies should consider using both quantitative and qualitative methodologies.