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Master of Business Administration Strategic Management Option),

Kenyatta University




Department of Business Administration,

School of Business, Kenyatta University.


CITATION: Katui, M & Kimencu, L. (2019). Strategic Planning Determinants and Organization Performance in Health Sector; A Survey of Public Hospitals in Kitui County:

International Journal of Strategic Management. Vol 8 (6) pp 20 – 30.




In health sector, there are a lot of patients who overwhelm the medical fraternity. Cases of mishandling of patients, delay in attendance, are factors that need to be addressed. In healthcare, it is natural for patient‘s viewpoint to be considered as an appropriate measure of organizational performance, and the performance of organizations in high service contact like healthcare depend to a large extent on patient satisfaction. Purpose of this research will be to examine strategic planning determinants and organization performance in public health hospitals in Kitui County. Specific objectives of the study were resource allocation, organizational leadership, organization structure and institutional policies on organization performance in public health hospitals in Kitui County. The research was supported by Path goal theory, resource-based view theory and performance theory. Managers of health sector will benefit from this research for they will understand the connection amongst strategic planning and organization performance and thus embark on strategic planning. Policymakers and health practitioners will also find the information useful in developing policies and procedures that guide this health process. The research design to be embraced for this study was a descriptive explanatory research design since it permits the researcher to explore the phenomena while not allowing for manipulation of specific objectives. Stratified random sampling technique was used to choose the sample. The study proportionately targeted population of 310 staffs who are in different health committees namely; Health Management Committee, Catering Committee, Cost Sharing Committee, Waiving Committee and Anti-Corruption Committee. A questionnaire was used to collect primary data. The questionnaire in this study comprised of two sections. The first part was about the demographic while second part emphasized on the variables. The study used the most common internal consistency measure known as Cronbach’s alpha (α). The study used qualitative and quantitative techniques in analyzing the data by use of Statistical Package for Social Science (SPSS) software, descriptive and inferential statistics. Multiple regression was applied and the data was presented in form of tables, means and percentages. The findings indicated that resource allocation had the highest influence on Performance of public health hospitals in Kitui County followed by Organization leadership, Organization structure then Institutional policies had the least influence on Performance of public health hospitals in Kitui County. All the variables were significant as their P-values were less than 0.05. Based on the research findings the study concludes that organizational leadership had a great influence on performance of public health hospitals in Kitui County. Leadership was one of the important factor for improving public health hospital performance. The study further recommends that all the officers in charge of the Management of public health facilities should be trained by the government on the institutional policies which favour successful organization performance in public health hospitals. This is because the institutional policies influences organization performance in public health hospitals.

Keywords: Strategic Planning, Determinants, Organization Performance, Health Sector.


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