Abstract: Sustainability of donor funded projects in Kiambu County face challenges of meeting and sustaining the increasingly health care services provision in a low-income growth and constrained resources. There has been a reduction in donor-funded support especially in Health related projects. For all funded projects, the donors have collectively demanded high level of resources accountability and utilization. The assessment is predetermined by The World Health Organization (2010), which defines the key Health system Strengthening factors which include; governance, financial management, human resource management, information and technology and reporting. Accordingly to Kenya National Bureau of Statistics (2010) report, Kiambu County was listed among the counties with highest population. The main stakeholders in health provision projects and health provision facilities are the patients who are well enlightened as assessed in the same report. In order to attain stakeholders’ satisfaction and sustain services, this calls for increased level of donor funding projects, reduce the level of staff retention and have high level of patients’ retention especially in Kiambu level 4 hospitals. This requires and calls for an urgent need to strengthen the key health system strengthening factors. Three theories namely; the system theory, program Theory, agency theory and empirical review have been explored. The system theory has been selected as the most relevant theory in this study. A conceptual framework was examined to establish the relationship between the dependent and independent variables. The empirical review section looked at relevant studies done by other researchers. A critique of these studies was done and the exiting research gaps identifies. The study was grounded to 4 key factors governance, financial management, human resource management, information technology affecting sustainability health donor funded project in 3 faith based level four hospitals in Kiambu County. Descriptive research design was used to gather primary data by use of questionnaires. The study recommends that the institutional infrastructure that supports Donor funding should be improved. This involves restructuring the laws, offering advanced training to the respondents’ who handle donor funding directly. Addition to this, the public institutions charged with dealing with donor funding should be reformed to enable them carry out their duties effectively. Proper governance on donor funding for hospitals in Kiambu County leads to improvement in information technology and proper financial management which in turn has a ripple effect on the service that is decimated to the patients which they can attest if it’s positive or not positive.
Keywords: Factors, Sustainability, Donor Funded Projects.
Title: FACTORS INFLUENCING SUSTAINABILITY OF HEALTH DONOR FUNDED PROJECTS IMPLEMENTED BY FAITH BASED LEVEL 4 HOSPITALS IN KIAMBU COUNTY, KENYA
Author: GLADYS WANGECHI WAMBUGU, DR.ASSUMPTAH .W.KAGIRI
International Journal of Management and Commerce Innovations
ISSN 2348-7585 (Online)
Research Publish Journals
