Factors influencing provision of Health care service delivery in Kenya: A case of Uasin Gishu District Hospital in Eldoret
This study sought to examine the factors that influence the provision of healthcare service delivery in Kenya a case of Uasin Gishu District Hospital in Eldoret. Good health care is a fundamental need in the life of a person because it helps develop a positive self-image and also opens up the opportunities for an individual to do his/her daily duties as required of them. Availability of quality healthcare to the public directly helps in making their lives better in future by making them productive in the society, it also reduces the number of people that die every day due to poor provision of healthcare in public hospitals both adults and the new born babies in the public maternity wards. Provision of healthcare in public hospitals is achieved through the availability of enough staff, resources, facilities for the hospitals and good communication process that enables the hospital to run effectively. This research aimed at finding out the various factors influencing provision of health care service delivery in Kenya and majorly focused on the public health sectors in Kenya a case of Uasin Gishu District Hospital. This study was carried out in Eldoret Municipality in Rift Valley Province. The study used the census research design to carry out the survey as it targeted all staffs working in Uasin Gishu District hospital only. A sample population of 96 staffs was drawn from the same hospital and the entire staffs from different departments in the hospital were considered. The respondents were picked from each department and self-administered questionnaires were used to collect the data, analysis tools such as median, mean, correlation analysis were used. The study found out that poor communication from the management influenced the quality of performance among the staff as they fail to know their allocated and expectation at the work place, poor communication between the staffs and the patients also was found to be a major contributor to the inefficient delivery of healthcare services in the hospitals as there was no enough time spent between the staffs and the patient, lack of enough staffing was also a major issue experienced in the hospital as there were fewer staffs compared to the number of patient leading to work overload of the staffs as they could not be in a position to handle all the patients present, lack of enough financial resources to help in the daily running of the hospital was a major challenge as there was no enough finances to equip the laboratories and buy enough medicines for the patients, finally the study found out that lack of enough facilities in the hospital such as poorly maintained wards and under stocked laboratories and lack of enough in the hospitals contribute a lot to lack of adequate provision of healthcare service delivery in hospitals. The study came up with conclusions that will help the Ministry of Health in Kenya to deal with the delivery of healthcare service in Kenya and among the recommendation the study recommended were that there should be enough staffing of qualified and enough staffs so that each patient can be adequately attended to and that to happen the Ministry of Health needs to put much consideration to the people being employed and avoid corruption at place of work as this may lead to employment of under qualified staff, another recommendation was that there should be enough and equitable financial allocation to all the hospitals in Kenya so that they can adequately run their daily activities there should also be proper communication improvement among the staff member and this will ensure that there is enough and adequate service delivery lastly availability of facilities such as beds, laboratories should be provided to ease the work being done in the hospitals and ease the work of the staff and motivate them.