Factors Influencing Implementation Of Health Projects In Informal Settlements: A Case Of Dreams Programme, LVCT Health, Nairobi County, Kenya-

Abstract

Global urbanization and a lack of responses from the governments has led to the increase in poverty within the urban region, slums which has led to health inequalities in the global south. The primary purpose of this study is to identify the factors that influence health projects implementation in Kenya. The study scope was LVCT Health in Kibra Sub County and based on the following sub-objectives; to assess how project funding influences the implementation of the DREAMS Programme LVCT Health, to determine the impact of planning on the implementation of the DREAMS Programme LVCT Health, to establish how stakeholders’ involvement influences the implementation of the DREAMS Programme LVCT Health and to establish how organizational structure of projects influences the implementation of the DREAMS Programme LVCT Health. The research was based on a descriptive research design with a sample size 105 who included the project staff and stakeholders; from which 33 respondents was attained. Both open and closed-ended questionnaires were used for data collection. The instrument was divided into various sections with each section addressing a specific objective. The data collection instrument was pretested to ensure its effectiveness to measure the expected results. The data collected was entered into SPSS for editing, coding, and tabulation and results presented in frequencies, percentages, mean and standard deviation including correlations. The study revealed that with an average mean of 4.47 that funding as a factor affected the implementation of projects while a mean of 4.21 agreed that planning had a statistically substantial association with execution of health projects. In addition, an average mean of 4.45 established that stakeholder engagement had a great influence on project implementation. Furthermore, it postulated that organization structure influenced implementation of DREAMS Programme Projects with an average mean of 4.22. Further correlation results showed a positive and weak correlation on all the variables which were funding, planning, stakeholders’ involvement and organization structure implementation of the DREAMS Programme Projects. Finally, the study recommended that for project implementation to be effective it was key to adopt the best practices in project implementation; ensure adequate project funds for the realization of the project objectives and goal, need for adequate proper planning for all project resources, scheduling and staffing for effective implementation of projects to achieve the intended project objectives and goal, consider stakeholders involvement as a key and vital aspect that needs to always be factored in during project management for project ownership and project sustainability and also put in place flexible and simple organization structures with better organization policies and strategies to ensure timely, quality decisions are made and that there is no duplication hence smooth implementation of projects. Besides, future studies should be replicated in other parts of the country for purposes of benchmarking and put inconsideration other vital numerous factors that influence project implementation.