The study aimed to assess the impact of Health Products and Technologies (HPTs) financing on the management of HPTs in level four and five hospitals in Nyeri County, Kenya. A mixed-methods research design was employed, integrating both cross-sectional data and interviews. The census method was used to involve 51 health professionals, while 6 key informants were purposively sampled. Data were gathered using questionnaires, which were pre-tested in Laikipia County to ensure reliability. Quantitative data were summarized through descriptive statistics, such as frequencies and percentages, while correlations and multiple hierarchical regression were performed to determine the relationship between HPTs financing and management, analyzed via SPSS version 25. The qualitative data were thematically analyzed and presented verbatim. Results indicated that HPTs financing had a significant influence on the management of these resources, explaining 43.3% of the variance, and 43.9% when leadership practices were controlled for. The regression model was: Management of HPTs = 20.162 + 0.321 Financing. The study rejected the null hypothesis, confirming that financing significantly affects the management of HPTs in public hospitals in Nyeri County. Recommendations included allocating more flexible and targeted funding for HPTs, using data analytics for more informed budgeting, and improving the timeliness of fund disbursement processes. These actions are vital for enhancing healthcare services, especially in resource-limited settings. The study provides essential insights for policymakers, hospital administrators, and researchers, contributing to future academic work and the development of efficient financial strategies for HPTs management in public healthcare systems.
References
[1]
Adeniran, A. O. (2019). Application of Likert Scale’s Type and Cronbach’s α Analysis in an Airport Perception Study. Scholar Journal of Applied Sciences and Research, 2, 1-5. https://innovationinfo.org/articles/SJASR/SJASR-4-223.pdf
[2]
Ahlness, E. A., Molloy-Paolillo, B. K., Brunner, J., Cutrona, S. L., Kim, B., Matteau, E. et al. (2023). Impacts of an Electronic Health Record Transition on Veterans Health Administration Health Professions Trainee Experience. Journal of General Internal Medicine, 38, 1031-1039. https://doi.org/10.1007/s11606-023-08283-4
[3]
Amos, D., Au-Yong, C. P., & Musa, Z. N. (2021). The Mediating Effects of Finance on the Performance of Hospital Facilities Management Services. Journal of Building Engineering, 34, Article ID: 101899. https://doi.org/10.1016/j.jobe.2020.101899
[4]
Ayako, J. A., Karimi, P. N., Rutungwa, E., Ngenzi, J. L., Nyongesa, K. W., Jillo, R. H. et al. (2023). Factors Affecting the Availability of Tracer Health Commodities in Public Facilities at Tana River County, Kenya. Journal of Pharmaceutical Policy and Practice, 16, Article 145. https://doi.org/10.1186/s40545-023-00658-6
[5]
Babar, P., Mahmood, J., Maligal-Ganesh, R. V., Kim, S., Xue, Z., & Yavuz, C. T. (2022). Electronic Structure Engineering for Electrochemical Water Oxidation. Journal of Materials Chemistry A, 10, 20218-20241. https://doi.org/10.1039/d2ta04833g
[6]
Baporikar, N. (2022). Influencing Factors in Employee Performance at Public Enterprises. Human Resources Management and Services, 4, 3370. https://doi.org/10.18282/hrms.v4i1.3370
[7]
Behzadifar, M., Ghanbari, M. K., Bakhtiari, A., Behzadifar, M., & Bragazzi, N. L. (2020). Ensuring Adequate Health Financing to Prevent and Control the COVID-19 in Iran. International Journal for Equity in Health, 19, Article No. 61. https://doi.org/10.1186/s12939-020-01181-9
[8]
Brook, R. H. (2020). Health Products and Technologies: Definitions and Importance. Journal of Health Systems, 12, 45-56.
[9]
Chatterjee, S. (2020). AI Strategy of India: Policy Framework, Adoption Challenges and Actions for Government. Transforming Government: People, Process and Policy, 14, 757-775. https://doi.org/10.1108/tg-05-2019-0031
[10]
County Government of Nyeri (2017). Nyeri County Integrated Development Plan 2018-2022. https://www.nyeri.go.ke/wp-content/uploads/2017/01/CIDP-2018-2022.pdf
[11]
Folarin, R. A. (2020). Analysis of Real Sector Contributions to Economic Growth in Nigeria. Journal of Academic Research in Economics (JARE), 12, 347-357. https://www.ceeol.com/search/article-detail?id=982850
[12]
Gabaake, K. P., Lucero-Prisno, D. E., Thakadu, O. T., & Phaladze, N. A. (2023). A Mixed Method Analysis of the Botswana Schistosomiasis Control Policy and Plans Using the Policy Triangle Framework. Global Health Research and Policy, 8, Article No. 39. https://doi.org/10.1186/s41256-023-00321-2
[13]
Health Act (2017). Kenya Gazette Supplement. https://kenyalaw.org/kl/fileadmin/pdfdownloads/Acts/HealthActNo.21of2017.pdf
[14]
Kairu, A., Orangi, S., Mbuthia, B., Ondera, J., Ravishankar, N., & Barasa, E. (2021). Examining Health Facility Financing in Kenya in the Context of Devolution. BMC Health Services Research, 21, Article No. 1086. https://doi.org/10.1186/s12913-021-07123-7
[15]
Kocak, C., Sandal, S., Col, M., Kansu Tanca, A., Kuloglu, Z., & Kirsaclioglu, C. T. (2022). Turkish Validity-Reliability Study of the Celiac Disease-Specific Pediatric Quality of Life Scale. The Turkish Journal of Gastroenterology, 33, 248-256. https://doi.org/10.5152/tjg.2022.21242
[16]
Malakoane, B., Heunis, J. C., Chikobvu, P., Kigozi, N. G., & Kruger, W. H. (2020). Public Health System Challenges in the Free State, South Africa: A Situation Appraisal to Inform Health System Strengthening. BMC Health Services Research, 20, Article No. 58. https://doi.org/10.1186/s12913-019-4862-y
[17]
Ministry of Health (MOH) (2020). Guidelines on Management of Health Products and Technologies in Kenya. http://guidelines.health.go.ke:8000/media/Guidelines_on_Management_of_Health_Products_and_Technologies_in_Kenya_-_October_2020.pdf
[18]
Moro Visconti, R., & Morea, D. (2020). Healthcare Digitalization and Pay-For-Performance Incentives in Smart Hospital Project Financing. International Journal of Environmental Research and Public Health, 17, Article 2318. https://doi.org/10.3390/ijerph17072318
[19]
Mudogo, M. C., Jerusa, O., Eric, S., Justus, M. I., Mary, A., Mercy, A. et al. (2023). Routine Supportive Supervision and Management of Medicines and Other Health Products and Technologies in Vihiga County, Kenya. Pharmacology & Pharmacy, 14, 43-57. https://doi.org/10.4236/pp.2023.142004
[20]
Muiruri, C. (2017). Factors Influencing Availability of Essential Medicines in Public Health Facilities in Kenya: A Case of Embu County. Master’s Thesis, University of Nairobi. http://erepository.uonbi.ac.ke/handle/11295/101916
[21]
Njuguna, D. C., Muiruri, L., & Njoroge, K. (2023). Utilization of Health Information Data in Nairobi County Public Health Facilities; Lessons from the Field. International Journal of Community Medicine and Public Health, 10, 38-44. https://doi.org/10.18203/2394-6040.ijcmph20223523
[22]
Nwogbe, O. A., & Haliso, Y. (2020). Continuing Professional Development Assessment of Healthcare Professionals in Public Secondary Hospitals in Lagos State, Nigeria. Information Impact: Journal of Information and Knowledge Management, 11, 26-39. https://doi.org/10.4314/iijikm.v11i1.3
[23]
Nyawira, L., Tsofa, B., Musiega, A., Munywoki, J., Njuguna, R. G., Hanson, K. et al. (2022). Management of Human Resources for Health: Implications for Health Systems Efficiency in Kenya. BMC Health Services Research, 22, Article No. 1046. https://doi.org/10.1186/s12913-022-08432-1
[24]
Omware, I. M., Atheru, G., & Jagongo, A. (2020). Corporate Governance and Financial Performance of Selected Commercial Banks Listed at Nairobi Securities Exchange in Kenya. International Academic Journal of Economics and Finance, 3, 75-91. http://www.iajournals.org/articles/iajef_v3_i5_75_91.pdf
[25]
Sharma, A., Malviya, R., Sundaram, S., Verma, S., Fuloria, N. K., Fuloria, S. et al. (2023). Patient Care and Treatment Strategies for Skin Diseases in Sub-Saharan Africa: Role of Traditional and Western Medicines. Infectious Disorders—Drug Targets, 23, e190922208916. https://doi.org/10.2174/1871526522666220919105643
[26]
Sürücü, L., & Maslakçi, A. (2020). Validity and Reliability in Quantitative Research. Business & Management Studies: An International Journal, 8, 2694-2726. https://doi.org/10.15295/bmij.v8i3.1540
[27]
Wang, X., & Cheng, Z. (2020). Cross-sectional Studies: Strengths, Weaknesses, and Recommendations. Chest, 158, S65-S71. https://doi.org/10.1016/j.chest.2020.03.012
