Project Design Considerations and Successful Implementation of the Health Sector Projects in the County Governments of Kenya
DOI:
https://doi.org/10.70619/vol6iss1pp18-33-758Keywords:
Project complexity, Project, Successful project implementation, Project design considerations, county governmentsAbstract
The successful implementation of health sector projects requires adopting effective project design considerations. This can enable the project implementers to overcome the constraints associated with the socioeconomic changes during project implementation. In Kenya, county governments have embraced diverse project design considerations to enhance the implementation of health-sector projects. Hence, the paper examined the relationship between project design considerations and the successful implementation of health-sector projects, moderated by project complexity, within county governments in Kenya. The study adopted a correlational research design and targeted 4,490 health-sector projects across the 47 county governments in Kenya. Stratified and simple random sampling techniques were used to select a sample of 354 health sector projects. Quantitative data were collected using the structured questionnaires and analysed using means, standard deviations, regression, and correlation analysis. The results indicated that project design considerations were related to the successful implementation of health sector projects within county governments in Kenya. It is evident that 25.6% of the variance in the successful implementation of health sector projects was explained by project design considerations. Moreover, project complexity significantly moderated the relationship between project design considerations and the successful implementation of health-sector projects in county governments in Kenya.
References
Abdulrahman, O. (2019). Success factors in project management. Business Management Dynamics, 4(9), 19–28.
Ajwang, H. (2024). Corporate Strategy: An Analytic Approach to Business Policy for Growth and Expansion. McGraw-Hill.
Ameer, N. (2021). Project planning and Implementation of Agri-business Projects in Malaysia. International Journal of Business Studies, 1(2), 193-203.
Angeles, M., & Hensher, M. (2023). Challenges for Medicare and universal health care in Australia since 2000. The Medical Journal of Australia, 8(18). 203-209
Badewi, P. (2025). Project Scope Practices strategies responsible for the successful implementation of health sector projects in Italy: A Practitioner’s View. Journal of Human Resource Management, 5(1): 22-35.
Barkan, A. B. (2020). Project planning: evolution of a definitional construct. Business and Society, 3(8). 268-95
Belout, A., & Gauvreau, C. (2025). Labor productivity and successful project implementation: the impact of human resource management. International Journal of Project Management, 2(1): 1-12.
Bertalanffy, L.V. (1969). General System Theory. George Brazillier.
Bower, D. (2015). The providential factors explaining the successful implementation of agricultural projects in Algeria. International Journal of Productivity and Performance Management, 59(3), 229-254.
Bredillet, P., & Dwivedula, D. (2019). Just planning Practices: The art of situated ethical judgment. Journal of Planning Education and Research, 26(1), 92-106.
Chandes, J., & Pache, G. (2020). Investigating Humanitarian Logistics Issues: from Operations Management to Strategic Action. Journal of Business Management, 21(3), 320–540.
Crawford, P. (2025). Understanding the Project complexity: Economic Incentives in Project Management. Accounting Review, 5(3), 336-359.
Creswell, J. (2014). Research Design: Qualitative, Quantitative, and Mixed Methods Analysis. SAGE Publications.
Durlak, J. (2025). The Importance of Quality Implementation for Research, Practice, and Policy. ASPE Research Brief.
Friedman, D., & Allen, K. (2022). Systems theory. Theory & Practice in Clinical Social work, 2(1), 3-20.
Kanyinga, S., & Svoronos, A. (2021). Project Planning and contingency management for health sector projects in Iran. Journal of Agricultural and Environmental Sciences, 1(10),1641-1647.
Karanja, C. (2021). Non-profit Sector is set for major changes as PBO Bill is signed into Law, International Centre for Not-for-Profit Law. International Journal of Business and Economics 7(5), 409-411.
Kemboi, D. (2021). Influence of Devolution Support Systems on Quality of Healthcare Projects in Elgeyo Marakwet County, Kenya. International Journal of Recent Research in Social Sciences and Humanities, 7(2): 11-21.
Kilonzo, S., & Magak, K. (2017). Improving access to maternal health care through devolution in western Kenya. International Journal of Operations & Production Management 19(3), 275-292.
Krejcie, V., & Morgan, D. (1970). Determining Sample Size for research activities, Educational and Psychological Measurement. Sage Publications.
Kwadwo, A. (2024). Assessing the Generation and Management of Internally Generated Funds in Public Hospitals in Tamale West Hospital. European Journal of Economics, Finance and Administrative Sciences, 17(1), 45-59.
lgremazy, M. (2023). The Effect of Risk Management Practices on Project Performance: A Case Study of the Libyan Construction Industry. International Journal of Professional Business Review, 8(4), 1-18.
Martinsuo, M., & Hoverfält, P. (2021). Change program management: Toward a capability for managing value-oriented, integrated multi-project change in its context. International Journal of Project Management, 36(1), 134-146.
McGuire, M. (2025). Program design and development. Project Management Journal, 43(5), 68–86.
Michelo, C., & Mulla, S. (2017). Criteria of implementation of health sector projects: An exploratory re-examination. International Journal of Project Management, 17(4), 243-248.
Morrison, G. & Kalman, H. (2023). Designing effective instruction for Project Management. Wiley.
Mugenda, O. & Mugenda, A. (2003). Research Methods, Quantitative and Qualitative Approaches. ACTS.
Musau, P. M., & Kirui, C. (2021). Project management practices and implementation of government projects in Kenya, the case of Machakos County government. International Academic Journal of Information Sciences and Project Management, 3(2), 58-79.
Ngigi, B. L. & Busolo, F. X. (2019). Opportunities and challenges for evidence-informed non-communicable disease integrated care policies and programs: lessons from Malawi, South Africa, Swaziland, and Kenya. Aids, 32, 21-32.
Shamsudeen, L. (2025). The role of project design considerations on the successful implementation of projects undertaken by commercial banks in Kenya. International Journal of Business Administration and Management, 1(7), 91-103.
Simmavong, K., & Petrella, R. (2023). Lessons Learned in the Successful Implementation of Health-eSteps: An Evidence-Based Healthy Lifestyle Program. Health promotion practice, 20(2), 300-310.
Sligo, J., & Villa, L. (2017). A literature review for large-scale health information system project planning, implementation, and evaluation. International Journal Of Medical Informatics, 9(7), 86-97.
Struthers, K., & Strachan, G. (2023). Attracting women into male-dominated trades: Views of young women in Australia. International Journal for Research in Vocational Education and Training, 6(1), 1-19.
Yakhchali, S., & Farsani, H. (2013). Do different project categories need different leadership styles? Journal of Economics Issues, 1(23), 17-18.
Yang, L. R. (2022). Validation of a model measuring the effect of a project manager’s leadership style on successful project implementation. Journal of Civil Engineering, 17 (2), 271-280.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Dominic Nyambane Nyamachere , Patrick Karanja Ngugi, Samson Nyang’au, Yusuf Muchelule

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.