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EFFECTIVENESS OF DEVOLUTION ON SUSTAINABILITY OF WATER SUPPLY IN KENYA: A CASE OF ATHI WATER WORKS DEVELOPMENT AGENCY

Daniel Ng’ang’a - Masters Student, Kenyatta University, Kenya

Patrick Mbataru - Lecturer, Kenyatta University. Kenya


ABSTRACT

Kenya's water industry has experienced a number of reforms, the most recent of which being the adoption of the Water Act 2016 in April 2017. With regard to the provisions of the 2010 Kenyan Constitution that devolve water and sanitation services to county governments, the new law brought national water management and service provision into compliance. In Kenya, the counties that are the owners of the water service providers mandate is providing water services (WSPs). The 2010 Constitution's implementation and effects are still being felt. This study should help us better comprehend how the county's reality is developing. It is crucial to comprehend how well the decentralized systems offer services. The goal of this study is to determine whether devolution has a positive impact on the long-term viability of Kenya's Athi Water's water service providers. Decision-making, management, lobbying, involvement and consensus building, research, and analysis all require careful consideration of sustainability. The Athi Water Works Development Authority's water service providers was the focus in the study's analysis of the effects of devolution on them. Water resource management, strategies frequently include conflicts. The game theory and resource dependence theory assesses how stakeholder actions, often intended to improve things and create a win-win scenario, can instead make things worse for everyone involved. Cross-sectional survey and descriptive research designs anchor the study. Thirteen Water Services Providers (WSPs), registered and spread out across three counties made up the study's population. Open and closed surveys were the data collection tools. Regression modeling was used in compiling, coding, and evaluating the data gathered from each WSP in order to determine the link between the various variables. Additionally, data presentation will be through means and percentages. The study offer crucial baseline data on the viability of the water service providers' economies under devolution and the extent of the Water Act 2016's repeal. The water service providers anticipate using the study's findings to address sustainability-related challenges.


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EFFECT OF ORGANIZATIONAL CULTURE ON PERFORMANCE OF LARGE PRIVATE HEALTH FACILITIES IN KENYA

Mati Alexander - University of Nairobi, Kenya


ABSTRACT

Although strategy implementation is a key factor in organizational performance, other factors too enter into play. The main objective of this study was to establish the influence of organizational culture on performance of large private health facilities. By use of a cross-sectional descriptive survey, data from 58 large private health facilities were gathered using a structured questionnaire. It was further analyzed using descriptive statistics and multiple linear regressions statistical methods. The results revealed that organizational culture has not statistically significant effects on the performance of the facilities. The findings contribute to the general body of knowledge and provide a backdrop for further advancement of theory and research. The study informs the policy makers on the need to set mechanisms that support culture. The study limitations included the limited generalizability and a wide geographical spread of the facilities. Based on the limitations of the study, areas for further research have been suggested to address other contexts. Besides, different other methodologies and conceptualizations may be used.


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THE INFLUENCE OF STRATEGIC LEADERSHIP ON THE ORGANIZATIONAL PERFORMANCE OF SELECTED SUPERMARKET CHAINS IN KIAMBU COUNTY, KENYA

Munyi Lydia Mbura - Masters Student, Jomo Kenyatta University of Agriculture and Technology, Kenya

Dr. Lawrence Odollo - Lecturer, Jomo Kenyatta University of Agriculture and Technology, Kenya


ABSTRACT

The business world has experienced tremendous changes in the 21st century which can be attributed to various factors including extreme competition, uncertainty in different markets, and complexity of business operations. Business leaders with the necessary capabilities have therefore become extremely vital for the survival of business entities in the current world. The retail industry in Kenya has experienced tremendous challenges over the past two decades. Despite the leadership challenges facing supermarkets in Kenya, there is no research that has been conducted to determine how the adoption of strategic leadership could positively impact the organizational performance of supermarket chains in Kiambu or Kenya in General. The objective of the study was to determine the influence of strategic leadership on the organizational performance of selected supermarket chains in Kiambu County, Kenya. The study adopted a quantitative research design to explain the relationship between the study variables. A sample of 120 respondents was selected from 40 supermarket chains in Kiambu. The research used questionnaires to collect the required information. Leadership style has a coefficient value of tobt = 3.321>1.96 hence the null hypothesis is rejected and the research hypothesis accepted. Therefore, it was concluded that leadership style had a statistical influence in organizational performance. Leadership culture had a coefficient value of tobt = 2.369>1.96. hence leadership culture had a statistical influence in organizational performance. Development of human capital had a coefficient value of tobt = 0.205<1.96. hence human capital had no statistical influence in organizational performance. Ethical Practices had a coefficient value of tobt = 2.245>1.96. hence ethical practices had a statistical influence in organizational performance. The study found that strategic leadership does influence the organizational performance of supermarket chains in Kiambu County, Kenya. In particular, leadership style, leadership culture, and ethical practices were found to have a significant impact on organizational performance. Development of human capital was not found to have a significant impact on organizational performance. These findings suggest that supermarket chains in Kiambu County, Kenya should focus on developing their leadership style, leadership culture, and ethical practices in order to improve organizational performance.


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WORKING CAPITAL MANAGEMENT AND FINANCIAL PERFORMANCE OF MEDICAL INSURANCE COMPANIES IN KENYA

Jawahir Buthul Shurie - Masters Student, Management University of Africa, Kenya

John Cheluget - Lecturer, Management University of Africa, Kenya


ABSTRACT

The current study sought to investigate the influence of the components of working capital on the financial performance of medical insurance companies in Kenya. Specifically, it set out to establish the influence of inventory management and receivable management on the financial performance of medical insurance companies in Kenya. The study was guided by agency theory, stakeholders, and transaction cost theory. The study's Population target included 69 licensed medical insurance firms in Kenya. Sampling for the study was done through the Yamane formula to achieve 41 medical insurance companies. Data for the study was collected through secondary data collection schedules by perusing the published financial statements, and magazines, and seeking financial records from the financial managers in the medical insurance firms. Data collected was analyzed through both descriptive and inferential analysis. The inferential analysis involved the use of Analysis of Variance, regression coefficients or beta values, and t-statistics at a significance level of 0.05. The results of the study were tabulated and interpreted narratively. Inventory and financial performance revealed (β=0.173, t=1.101 &p-value=0.279), while Receivable management and financial performance revealed (β=0.335, t=2.323 &p-value=0.027). The study found that inventory management positively but insignificantly influenced the financial performance of medical insurance companies in Kenya. The study also recommended that the medical insurance companies need to enhance better practices on receivable management by asking their clients to pay for policies in good time to enhance better financial performance. The study also recommended that medical insurance companies adopt good practices on inventory management including having optimal quantities of inventories at all times by adopting practices such as economic order quantities.


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REVENUE CYCLE MANAGEMENT STRATEGIES AND FINANCIAL PERFORMANCE OF PROFIT MAKING PRIVATE HOSPITALS IN NAIROBI CITY COUNTY, KENYA

Mwaura James Njau - Master of Business Administration, Kenyatta University, Kenya

Dr. Farida Abdul - Department of Accounting and Finance, Kenyatta University, Kenya


ABSTRACT

The private healthcare sector in Kenya has made a remarkable contribution in the delivery of healthcare services. The growth of the sector is spurred by deteriorating performance in the public hospitals and lack of resources. However, their demonstrated significance in actualization of development goals, sustainability of private hospitals has been put to question, threatening the socio-economic status of both developing and emerging economies. These organizations struggle with ensuring that debts are collected while not pressuring the patients so much that they seek care at other facilities. There are however strategies advanced to ensure that the poor people have proper access to medical services in the private sector but its implementation is far from being effected due to the costs that are involved. This study sought to establish the effect of revenue cycle management strategies on financial performance of profit making private hospitals in Nairobi City County, Kenya. Specifically, this study focused on the effect of communication strategies between medical providers and billing staff, implementing payment strategies, billing strategies, and accounts receivable management strategies on financial performance of profit making private hospitals in Nairobi City County, Kenya. This study was anchored on the Transactions Cost Theory, Contingency Theory and Trade-off Theory. The study adopted a descriptive research design. This study targeted the private hospitals in Kenya. The unit of analysis is 47 profit making private hospitals. The unit of observation was the 780 respondents comprising of senior management. To determine how the sample was distributed among the targeted respondents, the study selected the respondents using the purposive sampling technique. Self-administered questionnaires were used to collect primary data. Data was analysed using Statistical Package for Social Sciences (SPSS Version 25.0). Descriptive statistics included mean, frequency, standard deviation and percentages was used to profile sample characteristics and major patterns emerging from the data. In addition to measures of central tendencies, measures of dispersion and graphical representations were used to tabulate the information. Content analysis was also used in processing of this data and results presented in prose form. Inferential data analysis was done using regression and correlation analysis. Cross sectional data was presented in tables and graphs while qualitative data analysis was presented in prose form. The research found that hospitals provide reminder calls to patients and include discussion regarding patient balances and point of service (POS) collection policies. The research also found that the hospitals assist uninsured patients by scheduling a meeting with financial counsellors to complete financial assistance applications. The study also found that the hospitals use concurrent coding to improve medical necessity documentation. The research found that was not certain whether the hospitals hold weekly nursing and health information management (HIM) team meetings to discuss medical necessity documentation and charge capture opportunities. The study concluded that communication strategies between medical providers and billing staff had the greatest effect on the financial performance of profit making private hospitals in Nairobi City County, Kenya, followed by accuracy of billing strategies, then consistent accounts receivable reviews while Implementing payment strategies had the least effect to the financial performance of profit making private hospitals in Nairobi City County, Kenya. The study recommends that the timeliness observed in billing service at profit making private hospitals should be upheld in order to achieve its effectiveness and efficiency and consequently result to customer satisfaction. The study recommends long-term initiatives captured in a communication plan to enable conceptualization of dealing with complex issues such as conservation and to provide time for diverse functions including consensus building and forming networks.


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