Browsing by Author "Andrew, Jacob Toro"

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    THE IMPACT OF INDUSTRIAL UNREST ON SELECTED PERFORMANCE OUTCOMES OF HEALTH INSTITUTIONS: A CASE OF KIAMBU COUNTY, KENYA
    (2018-12) Andrew, Jacob Toro
    The Constitution 2010 devolved the responsibility of public health service delivery for primary and secondary health services to the counties in order to ensure that health services are brought closer to the citizens and to ensure efficient and effective management of the systems. However, in the years running 2015 – 2017, the health sector was hit by cases of labor unrest to unprecedented disruptions and interruptions in the health care management systems as envisioned in the Constitution 2010. Thus, this study aimed at establishing the impact that industrial unrest has had on the public health sector. The study adopted a descriptive – correlation and causal research design and targeted the health sector employees and administrators from Kiambu County. The data was analysed and specific statistical tools adopted included percentages, frequency, mean, standard deviation and analysis of variance 9ANOVA). The study established that the frequency of industrial unrest was more after devolving the management of the health sector and further established that industrial unrest has a high impact on the production efficiency and a low impact on organizational resources management, human resource management and social accountability and reactivity. Consequently, the study recommends that systems, measures and policies should be instituted to help address the various elements of the public health sector as assessed in the study.