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Janet Cheptaek Chemiat - Master of Business Administration (Strategic Management), Jomo Kenyatta University of Agriculture and Technology, Kenya 

Dr. Kiptum Kimutai Geofrey - Lecturer, Jomo Kenyatta University of Agriculture and Technology, Kenya


The ability of any institution to provide service to the public depends on its capacity to clearly state its target. The main target of a public hospital includes the ability to provide accessible health service at an affordable price. In order to achieve the strategic implementation, it is necessary for the hospital to develop a good performance appraisal system. The purpose of the study was to assess the relationship between employee performance appraisal initiative and strategy implementation and was guided by the following research objectives: to; identify the types of performance appraisal process and their effect on strategy implementation, assess the relationship between human resource competence on strategy implementation, determine the relationship between organizational structure on strategy implementation in Moi Teaching and Referral Hospital. The research employed descriptive research design. The target population for this study was 2657 respondents whereby a sample size of 96 respondents was selected. The study used questionnaires and interview schedules in data collection. The data collected was then coded and entered into computers for analysis using Statistical Package for Social Sciences (SPSS) version 20. Qualitative data was analyzed using descriptive analysis. On the other hand, quantitative data was analyzed using descriptive statistics including frequency and percentage tables which were used to interpret the respondents’ perception of issues raised in the questionnaires so as to answer the research questions. Inferential statistics was applied to draw conclusions and in some cases make predictions about the properties of a population based on multiple regression analysis technique to prove the hypotheses of the study. The findings of this study were deemed to be important to MTRH as it was to provide the management with information that was to enhance service delivery through creating proper strategy implementation; eliminate poor performance through quick identification of problem areas given that quality of delivery of its health services and accountability and transparency of its functions constitute important performance components of the Hospital’s mandate; the managers of other hospitals will use the provided information regarding performance appraisal process to emphasize on performance appraisal process contributing to an excellence strategy implementation; to other researchers, this study was to be able to increase knowledge on the use of performance appraisal process to improve strategy implementation in the health sector. The findings of the study were as follows: In relation to performance and development agreement, the main findings of the study were that majority of the respondents strongly agreed that the hospital makes performance and development agreement specifying staff quality management; Based on performance reviewing, the study found that the departmental performance is reviewed internally; concerning performance resourcing, the study found that the hospital’s staffing process focuses on using quality staff in professional staffing. The study recommended: that the hospital needs to establish proper policies and agreements that focus on improving the performance of individuals within each department; that the hospital should use a professional staffing process to employ qualified staff as this will improve the general performance of the hospital; that the hospital should increase the capacity to review staff performance so as to increase the ability of the human resource to assess the performance of each entity of the hospital.

Full Length Research (PDF Format)