Strategy Evaluation and Service Delivery of Universal Health Care at Machakos Level 5 Referral Hospital in Kenya

Abstract

Strategy evaluation is critical for universal health care systems to ensure that they are delivering high-quality care that meets the needs of patients while operating in a cost-effective and efficient manner. This study aimed at determining the effect of strategy evaluation and service delivery of universal health care at Machakos level five referral hospital in Kenya. The study was anchored on the resource-based view, institutional theory, and contingency theory. The study collected data from key managers at Machakos level IV hospital. The research was a case study and employed primary data where interview guide was used. Data was analysed qualitatively using content analysis. Findings showed that quality healthcare strategies for example, result based financing, sufficient human resource, adequate health infrastructure quality management systems and standards, use of information and communication technology, and staff training in strategic management leadership, can help improve the delivery of universal health care services. The research also found that improving the quality of healthcare service delivery at the institution necessitates adopting a comprehensive plan based on solid standards, enough resources, and competent personnel. It was determined that this was essential to improve the quality of treatment for patients. The study also identified barriers to the evaluation of healthcare strategies such as lack of qualified personnel, inadequate maintenance of facilities, excessive bureaucracy, and interference from political actors. In order to enable the adoption of informed decisions about elements such as medicine availability, finance, and the treatment of patients, the research recommended the utilization of sophisticated analytics at the hospital level. The study also recommended performing routine maintenance on information technology (IT) systems in order to allow such systems to concentrate more on providing healthcare information rather than only on invoicing and purchasing. Lastly, the study recommended that a comprehensive strategy should be used to the implementation of quality health care initiatives in order to maximize the positive results that may be achieved via the provision of quality services.”