ORGANIZATIONAL CHANGE AND PUBLIC HEALTH MATERNAL HEALTH CARE SERVICE DELIVERY IN KITUI COUNTY
Introduction:
The devolved governments in Kenya are confronted with poor service delivery particularlyrnin the arrangement of maternal medical care administrations. Maternal medical carernbenefits in open level 4 hospitals are not gathering up to the quality norm as laid out by thernService of Wellbeing in Kenya.
Objectives:
This research paper tried to determine the influence ofrnLeadership universal health coverage revenue allocation and organizational structure onrnpublic health maternal health care in Kitui County.
Methodology:
This study was informed by threerntheories namely Transformational Leadership Theory Resource Based View Theory andrnThe Theory of Social Health Insurance. The study was focused on 13 public hospitalsrngiving maternity benefits in Kitui County. The target population of the study was 203rnmedical officers comprising 26 doctors 10 specialists 41 level 4 hospital officials and 126rnnurses across the 13 level 4 hospitals giving maternity services in Kitui County.rnInformation was gathered by utilization of structured closed ended questionnaire. Datarnanalysis was done utilizing SPSS software. Pearson correlation showed that leadership andrnuniversal health coverage have a positive connection with general wellbeing maternalrnmedical care administration conveyance.
Findings:
Results:
Model rundown results showed that leadershiprnuniversal health coverage revenue allocation and organizational structure clarify 64.6rnpercent of public health maternal health care service delivery. Moreover there was arnpositive and critical impact of revenue allocation on public health maternal health carernservice organizational structure on public health maternal health care service delivery. Thernreview infers that leadership is one of the key health framework factors influencing thernpresentation of maternal wellbeing administrations at the hospital level. Conclusion can bernmade further that UHC further advances PHMHC delivery.
Conclusion:
This research determines leadership as one of the most important systems of healthrnvariables considered as important for successful development of health systems.rnLeadership forms part of the building blocks within World Health Organization healthrnarrangements structure. It came out to be among the most important systems of healthrnvariables impacting the maternal health services performance at the hospital level. Therngrowing appeals to cultivate successful practices of leadership within healthiness care pullrnon resilient indication of linkage amid leadership and several systems results-among themrnpatients gratification staffs fulfillments well as arrangement organizational financialrnperformance and general value of care and health results. Leadership that is supportive wasrnevident as dedication on teamwork building determinations improve systems ofrnmanagement as well as entrepreneurship that are intended to enhance care related tornmaternal health.rnIt is further concluded that that UHC advances PHMHC service delivery is likewisernimproved. UHC has been distinguished as a need for the worldwide health plan. UHCrnproposes the access to quality effective and safe important services related to health carernincluding vaccines for all without going into poverty as well as affordable essentialrnmedicines. UHC needs a healthy labor force that is well-performing accessible andrnavailable. In the maternal medical care Widespread Wellbeing Inclusion guarantees thatrnhopeful ladies moms and kid access great maternal level 4 hospital consideration. Itrnempowers hopeful moms to get to maternal medical care administrations and ensure thatrnthe nature of those administrations is adequately better to improve the wellbeing ofrnindividuals who get them. The research further reasons that satisfactory and productive assignment of the accessiblernassets to the important wellbeing units essentially expands the nature of delivering services.rnSatisfactory income transfer is basic in the delivering of value maternal medical carernadministrations. Deficient revenue allotment to maternal medical care may cause servicesrnthat are of poor quality in spite of the increase services related to health facility deliveryrnuse. This would thus prompt deficiencies of information sources like medications andrndifferent supplies required in prevention of pregnancy related mortalities. Opportunerndistribution of assets to maternal medical services works with ideal acquisition of vitalrnmeds medications and offices needed for maternal level 4 hospital consideration.rnIt was additionally inferred that organizational structure impacts the general wellbeingrnmaternal medical care administrations. Structure of organization is a framework applied torndepict a pecking order inside an organization and is the main part is upgradingrnadministration conveyance proficiency. It is named as the system of giving anrnestablishment through which organization works however making an interpretation of keyrntask thought into organization activity is the most troublesome period of the executives ofrnventure and without fruitful undertakings execution the association may not acquire itsrnobjectives. Hence design of association has been broadly named as the associations lifernstructures that gives an establishment inside which associations work. Ensuring that designrnof the organization is consistent with change objectives is the main wellbeing frameworkrnstewardship job that is frequently disregarded in by numerous wellbeing specialistrnorganizations. Adjusting design of association to further develop objectives is fundamentalrnas construction characterizes how functions are designated where the locus of dynamicrnlies and lines of formal power.
Publication Information
Author(s):
Focus County(s):
Kitui County
Programme Area(s):
Sexual, Reproductive, Adolescent & Child Health
Research Priority Area(s):
Disease Domain(s):
maternal Health
Document History:
Publication Date: 23.Oct.2023
Conference Title:
Venue: