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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