SERVICE OUTSOURCING AND THE PERFORMANCE OF PUBLIC HEALTH SECTOR IN KIAMBU COUNTY

MWANGI IRENE WAMBUI, KARANJA NGUGI

Abstract


This study’s aim was to establish how outsourcing influence the performance in public hospitals located in the Kiambu County. The main objectives guiding the study included the outsourcing of logistics, IT, suppliers and human resource which aim at finding the relationship on the overall performance of public hospitals in Kiambu County. This study was   supported by the agency theory, resource-based view theory and transaction cost theory. The study adopted a descriptive research design. This research had a population of 112 public hospitals and a total 88 hospitals were chosen as a sample using the stratified random sampling method. Primary data was gathered from the key respondents within the public hospitals using structured questionnaires. The collected data was be analyzed by use of the Statistical Package for Social Sciences (SPSS) version 20.0 with the main analysis tools being frequencies, mean and standard deviation and multivariate linear regression. The independent variables reported R value of 0.834 indicating that there is perfect relationship between dependent variable and independent variables. R square value of 0.695 means that 69.5 % of the corresponding variation in performance of hospitals can be explained or predicted by (Logistics Outsourcing, Technology Outsourcing, Supplier Outsourcing   and Human Resource Outsourcing) which indicated that the model fitted the study data. The results of regression analysis revealed that there was a significant positive relationship between dependent variable and independent variable at (β = 0.695), p=0.000 <0.05. The study recommends optimal outsourcing strategies that fits institutions model to discourage lag and optimize performance.

Keyword:  Health Sector, HR Outsourcing, IT Outsourcing, Logistics Outsourcing, Performance, Service Outsourcing and Supplier Outsourcing           


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References


Agburu, J.I., Anza, N.C. & Iyortsuun, A.S. (2017). Effect of Outsourcing Strategies on the Performance of Small and Medium Scale Enterprises (SMEs). Journal of Global Entrepreneurship Research, 7; 26-38 .

Ashraf, J. (2017). Examining the public sector recruitment and selection, in relation to job analysis in Pakistan. Cogent Social Sciences, 3(1), 1-11. Retrieved from https://www.tandfonline.com/doi/pdf/10.1080/23311886.2017.1309134

Barney, J. B. (1991). Firm Resources and Sustained Competitive Advantage. Journal of Management, 17(9); 99–120.

Berber, N., & Slavić, A. (2016). Human resource (HR) outsourcing in European compensation management in the light of CRANET research. Acta Polytechnica Hungarica, 13(3), 207-225.

Bharathi, K., & Munivenkatappa, D. (2015). A Study of Human Resource Outsourcing. International Journal in Commerce, IT & Social Sciences, 2(7); 58-78.

Chepwogen, B, H. & Moronge, M. (2019). Influence of procurement outsourcing practices on performance of manufacturing firms in Nairobi County, Kenya. The Strategic Journal of Business & Change Management, 6 (1); 410 – 417.

Cox, A. (2015). The Causes of Major Outsourcing Failures. IIAPS White Paper, p.1-7

Cronbach, L. J. (1951). Coefficient alpha and the internal structure of tests. Psychometrika. 16(3); 297-334.

Dunn, S. (2017). Statistics and Data Analysis for the Behavioural Sciences. McGraw Hill

Greve, H. R. & Argote, L. (2015). Behavioral Theories of Organization. International Encyclopedia of the Social & Behavioral Sciences, 2nd ed. Amsterdam: Elsevier, 481-486.

Hassan, I. Islam, M, Z.,& Ahmed, S.U. (2011). Corporate Social Responsibility and Financial Performance Linkage Evidence from the Banking Sector of Bangladesh. Journal of Organizational Management,1(1);14-21.

Hayati, R., Setoodehzadeh, F., Heydarvand, S., Khammarnia, M., Ravangard, R., Sadeghi, A., (2015). The decision-making matrix of propensity to outsourcing hospital services in Bandar Abbas, Iran. J Pakistan Med Assoc, 65(12);1288-1294.

Kahouei, M., Farrokhi, M., Abadi, Z.N. & Karimi, A. (2016). Concerns and hopes about outsourcing decisions regarding health information management services at two teaching hospitals in Semnan, Iran. Health Inf Manage; 45(1); 36-44.

Kaveke, D. (2014). Application of outsourcing strategy among shipping firms in Kenya (Doctoral dissertation, University of Nairobi).

Kayumba, C.U. (2019). Effect of outsourcing on organizational performance in Rwanda. Master’s Thesis, Umea school of Business and Economics, Umea University.

Kingi, D. O. & Mwangangi, P. (2017). Influence of Quality Management on Procurement Performance in Public Universities in Kenya. International Journal of Social Sciences and Information Technology 3(10)

Kinyanjui, B.M. (2014). Procurement outsourcing and supply chain performance of manufacturing firms in Nairobi, Kenya. Unpublished MBA project, University of Nairobi.

Kiongera, F. N., Wanyonyi, K., Musiega, D. & Masinde, S. W. (2014). Does Outsourcing have any Effect on the Performance of Sugar Manufacturing Firms in Kenya? International Journal of Management Research and Review, 4(3); 47-61.

Kothari, C. & Garg, G. (2014). Research Methodology: Methods and Strategy. New age international.

Li, S., Kang, M., & Haney, M. H. (2017). The effect of supplier development on outsourcing performance: the mediating roles of opportunism and flexibility. Production Planning & Control, 28(6-8), 599-609.

Magutu, P. O., Chirchir, M. K. & Mulama, O. A. (2013). The Effect of Logistics Outsourcing Practices on the Performance of Large Manufacturing Firms in Nairobi, Kenya

Maher, A., Saadati, A. & Hosseini, S.M. (2016). Effect of Outsourced Pharmacies of Rural Healthcare Centers on Service Quality in Abharand Soltanieh Counties. Intel J Med Res Health Sci, 5(5):164-9.

Mola, J.A. (2015), Factors Influencing Human Resource Outsourcing at South Nyanza Sugar Company Limited, Unpublished MBA project, University of Nairobi, Kenya.

Muriithi, M. (2014). Outsourcing and Performance of Savings and Credit Societies in Nairobi, Kenya. International Journal of Humanities and Social Sciences, 2(3), 25–29.

Musau, C. N. (2016). The impact of strategic outsourcing on organizational performance: A case study of Bidco Africa Limited (Doctoral dissertation, United States International University-Africa).

Ngatia, K.(2013). Supply Chain Management Practices and Performance of Kenya Tea Development Authority Managed Factories. Unpublished MBA Thesis, University of Nairobi, Kenya.

Omoro, J. (2017). Crisis as hospital is hit by drugs shortage, Standard digital newspaper 25th May.

Owuor, E. A. & Noor, D. (2019). Influence of Logistics Outsourcing on Performance of Large Retail Firms in Nairobi City County, Kenya. American Based Research Journal, 8(10), 1–11.

Platonova, E., Asutay, M., Dixon, R., & Mohammad, S. (2018). The impact of corporate social

responsibility disclosure on financial performance: Evidence from the GCC Islamic banking sector. Journal of Business Ethics, 151(2), 451-471.

Rangeria, J., O. & Paul, S., N. (2018). Influence of Strategic Purchasing On Performance of Public Hospitals in Nairobi County, Kenya. International Journal of Strategic Management, 7 (3); 26 – 45.

Raue, J.S. & Wieland, A. (2015), the interplay of different types of governance in horizontal cooperations: a view on logistics service providers. The International Journal of Logistics Management, 26 (2); 26-43.

Thumbi I. N. & Mutiso J. M. (2018), Influence of Procurement Process Audit on Procurement Performance in Public Health Facilities in Kiambu County, Kenya. International Journal of Social Sciences and Information Technology, 6(10); 115-164.

Valmohammadi, C. & Ahmadi, M. (2015). The impact of knowledge management practices on organizational performance. Journal of Enterprise Information Management, 2(5); 234-265.

Zailani, S., Shaharudin, M. R., Razmi, K., & Iranmanesh, M. (2017). Influential factors and performance of logistics outsourcing practices: an evidence of malaysian companies. Review of Managerial Science, 11(1), 53-93.


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