Effect of Democratic Leadership on Organizational Performance of Level Four and Five Public Hospitals in Isiolo County, Kenya
DOI:
https://doi.org/10.70619/vol5iss3pp32-46Keywords:
Democratic Leadership, Organizational Performance, Level Four and Five Public hospitals, Isiolo County, Kenya.Abstract
The purpose of the study is to determine the effect of democratic leadership on organizational performance of level four and five public hospitals in Isiolo County, Kenya. The study adopted correlational research and targeted Isiolo County referral hospital, Garbatulla hospital and Merti hospital in Isiolo County. The respondents included 3 medical superintendents, 29 departmental heads, 62 health care staff, and 38 operations staff. The medical superintendents and departmental heads were sampled using purposive sampling method, whereas the staff were sampled using simple random method. The questionnaires were administered to the staff, while interviews were conducted on the management. A pilot study was conducted in Marsabit county hospital and reliability tested through Cronbach Alpha coefficient. Complete questionnaire’s data were coded into SPSS version 25 for the analysis of both descriptive and inferential statistics. It is thus noted that with regards to democratic leadership, public hospitals had ensured that there were strong systems that were supported by employee innovations and collaborations between the management and staff. However, the communication pattern between the management and other stakeholders was found to be limited. The study recommends that the county government leadership, should develop strategic policies that will guide on the interactions of hospital’s management with internal and external stakeholders more effectively. This could be informed by the constitution and existing MOH guidelines.
References
Abkiyo, N.G., Kyalo, C.K., & Muiruri, L. (2024). The role of healthcare budgeting on the performance of health facilities in Isiolo County, Kenya. International Research Journal of Medicine and Health Sciences, 6(2), 20-36. https://www.irjp.org/index.php/IRJMHS/article/download/306/308
Abu Al Hijaa, M. R. (2023). Strategic management’s influence on hospital performance: A comprehensive study of Jordanian Healthcare context. European Journal of Business and Management Research, 8(6), 114–119. https://doi.org/10.24018/ejbmr.2023.8.6.2166
Aguilera, B., Donya, R., Velez, C. M., Kapiriri, L., Abelson, J., Nouvet, E., Danis, M., Goold, S., Williams, L., & Noorulhuda, M. (2024). Stakeholder participation in the COVID-19 pandemic preparedness and response plans: A synthesis of findings from 70 countries. Health Policy,14(1),1-9. https://doi.org/10.1016/j.healthpol.2024.105013
Asiimwe, R., Nuwagaba-K, R. D., Dwanyen, L., & Rosco Kasujja, R. (2023). Sociocultural considerations of mental health care and help-seeking in Uganda. SSM - Mental Health, 4(100232), 1-11. https://doi.org/10.1016/j.ssmmh.2023.100232
Booker, Q. S., Austin, J. D., & Balasubramanian, B. A. (2021). Survey strategies to increase participant response rates in primary care research studies. Family Practice, 38(5), 699–702. https://doi.org/10.1093/fampra/cmab070
Chiwawa, N., & Wissink, H. (2024). Effective strategy execution for enhanced service delivery in South African municipalities. Africa’s Public Service Delivery and Performance Review, 12(1), 1-10. https://doi.org/10.4102/apsdpr.v12i1.741
Freeman, R.E. (1984). Strategic management: A stakeholder approach. Pitman, Boston.
Hallo, A. H., & Obuba, R. (2021). Assessment of career development on employee performance in the Private Health Sector in Isiolo County. Asian Journal of Economics, Business and Accounting, 21(21), 1-10. http://dx.doi.org/10.9734/AJEBA/2021/v21i2130514
Holtom, B., Baruch, Y., Aguinis, H., & Ballinger, G. A. (2022). Survey response rates: Trends and a validity assessment framework. Human Relations, 75(8), 1560–1584. https://doi.org/10.1177/00187267211070769
Ikuru, M.T., & Opuala-Charles, S. (2024). Strategic management process and organizational performance of public hospitals in Nigeria. Journal of Economics and Sustainable Development, 12(1), 20-30. https://www.researchgate.net/profile/Silva-Opuala-Charles/publication/383692059
Denis, J., Usher, S., & Préval, J. (2023). Health reforms and policy capacity: the Canadian experience. Policy and Society, 42(1), 64–89. https://doi.org/10.1093/polsoc/puac010
Jixxiang, L., Puteh, F., & Othman, S. (2024). Public healthcare system in China: Issues, challenges, and survival strategies. Environment-Behavior Proceedings Journal 9(I20), 213-219. http://dx.doi.org/10.21834/e-bpj.v9iSI20.5848
Kalita, A., Carton-Rossen, N., Joseph, L., Chhetri, D., & Patel, V. (2023). The barriers to universal health coverage in India and the strategies to address them: A key informant study. Annals of Global Health, 89(69), 1-11. https://doi.org/10.5334/aogh.4120
Kibe, N., & Kihara, A. (2022). Change management practices and performance of the health sector in Kenya: A review of the literature. Cari-Journals, 7(2), 65-84. https://doi.org/10.47941/jbsm.942
Kyomuhangi, F., Muriisa, R., & Kansiime, N. K. (2024). Stakeholder engagement and quality health care service delivery in government hospitals. A case of Lyantonde hospital. International Journal for Multidisciplinary Research, 6(4),1-38. https://www.researchgate.net/publication/384335429_Stakeholder_Engagement_and_Quality_Health_Care_Service_Delivery_in_Government_Hospitals_A_Case_of_Lyantonde_Hospital
Miller, A., & Whitehead, S. (2024). Bipartisan effort paves the way for reviving shuttered hospitals in Georgia. https://www.gpb.org/news/2024/08/21/bipartisan-effort-paves-way-for-reviving-shuttered-hospitals-in-georgia
Ministry of Health (2023). State department for public health and professional standards: Strategic plan 2023 – 2027. https://www.health.go.ke/sites/default/files/2024-10/DRAFT%20STRATEGIC%20PLAN%202023-2027%20SDPH%26PS%20Sept%2027-4.pdf
Mualuko, J., Rintari, N., & Moguche, A. (2023). Effect of training and development on employee productivity in private hospitals in Nyeri County, Kenya. Cari Journal, 8(1), 29-39. https://doi.org/10.47941/hrlj.1325
Nailantei, A.T., & Iloka, K. (2024). Influence of stakeholder identification on the performance of healthcare projects in Machakos County, Kenya. International Journal of Social Science and Humanities Research, 12(2), 232-239. https://doi.org/10.5281/zenodo.11472981
Nyungu, L. M., & Wainaina, L. (2024). Strategic management drivers and performance of level four and five private hospitals in Mombasa County, Kenya. International Academic Journal of Economics and Finance, 4(3), 121-138. https://iajournals.org/articles/iajef_v4_i3_121_138.pdf
Obuba, M. (2022). Leadership strategy and organizational outcomes: A review of literature. Open Journal of Leadership, 11(1), 111-139. https://doi.org/10.4236/ojl.2022.112008.
Ougo, M. A., & Sasaka, P. S. (2024). Strategic capabilities and performance of public hospitals in Mombasa County, Kenya. International Journals of Academics & Research,6(3),54-69. https://doi.org/10.32898/ibmj.01/6.3article09
Owuor, C. A. (2024). Factors that influence the uptake of corporate governance practices in mission Hospitals in Nairobi County, Kenya [Master in Business Administration, Strathmore University, Kenya. http://hdl.handle.net/11071/15557
Roebianto, A., Savitri, I., Sriyanto, A.S., & Syaiful, I. A. (2023). Content validity: Definition and procedure of content validation in psychological research. TPM – Testing, 30(1), 5-18. http://dx.doi.org/10.4473/TPM30.1.1
Salami, Y., Daniel, C. O., Ibrahim, U. A., Nwoye, M. I., & Muritala, T. A. (2022). Impact of training and development on the performance of public hospitals in Abuja-FCT, Nigeria. Journal of Human Resource and Sustainability Studies, 10(1), 418-432. https://doi.org/10.4236/jhrss.2022.103025
Suhartini, R., Ekohariadi, A., Nurlaela, L., Wahyuningsih, U., & Prihatina, Y.I. (2021). Validity, reliability, intra-rater instrument parameter, teaching factory, and learning outcomes of industrial clothing. International Joint Conference on Arts and Humanities, 618(1), 1230-1239. https://www.atlantis-press.com/article/125967958.pdf
Taherdoost, H., & Madanchian, M. (2021). Determination of business strategies using SWOT analysis; Planning and managing the organizational resources to enhance growth and profitability. Macro Management & Public Policies, 3(1), 19-22. https://doi.org/10.30564/mmpp.v3i1.2748
Tolera, A., Firdisa, D., Roba, H.S., Motuma, A., Kitesa, M., & Abaerei, A. A. (2024). Barriers to healthcare data quality and recommendations in public health facilities in Dire Dawa city administration, eastern Ethiopia: A qualitative study. Frontier in Digital Health, 6(1261031),1-9. https://doi.org/10.3389/fdgth.2024.1261031
USAID (2024). The state of Kenya’s health market-2024market-2024market-2024. https://khf.co.ke/wp-content/uploads/2024/09/The-State-of-Kenyas-Health-Market-2024-Assessment-Report.pdf
Winkelmann, J., Webb, E., Williams, G.A., Hernández-Quevedo, C., Maier, C.B., & Panteli, D. (2021). European countries' responses in ensuring sufficient physical infrastructure and workforce capacity during the first COVID-19 wave. Health Policy, 126(5), 362-372. https://doi.org/10.1016/j.healthpol.2021.06.015.
Zungu, L. (2022). Strategic leadership and change management imperatives in a volatile era: A case study of Prince Mshiyeni Memorial Hospital Knowledge [Master in Business Administration, University of KwaZulu-Natal]. South Africa. https://hdl.handle.net/10413/22600
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Abdi Wario, Dr. Nancy Rintari, PhD, Dr.Paul Kirigia, PhD
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
