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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 main goal of a public hospital is to provide affordable and accessible health care; thus the achievement of strategic implementation. To do so, the hospital must develop a good performance appraisal system. This study purposed to assess the relationship between employee performance appraisal initiative and strategy implementation and was guided by the following research objectives: to; establish the relationship that performance and development agreement, performance resourcing, and performance review have with strategy implementation at Moi Teaching and Referral Hospital. The project employed descriptive research design, a target population for 2657 research participants out of which a sample of 96 research participants were selected. Questionnaires and interview schedules were used in data collection. Data was then coded and entered into Statistical Package for Social Sciences (SPSS). Data analysis using descriptive statistics was done and information presented in frequency, percentage, mean and standard deviation. Inferential statistics was applied to analyze correlation and multiple regression models which resulted in failing to reject the null hypotheses of the study. The results of the study were as follows: In relation to performance and development agreement, the highest number of participants agreed that the hospital makes performance and development agreement by specifying staff quality management; Based on performance reviewing, departmental performance was reviewed internally; Concerning performance resourcing, the hospital’s staffing process focused on using quality staff in professional staffing. The study recommended: that the hospital needed to establish proper policies and agreements that focused on improving the performance of individuals within each department; that the hospital should use a professional staffing process to employ qualified staff as this was to improve the general performance of the hospital; that the hospital should increase the capacity to reviewing staff performance so as to increase the ability of the human resource to assess the performance of each entity of the hospital. The results of the study were deemed important to MTRH as they provided the management with information that was to enhance service delivery through creating proper strategy implementation; the managers of other hospitals were to use the provided information to emphasize on performance appraisal initiative, which contributes to strategy implementation; to other researchers, this study was to increase knowledge on the use of performance appraisal initiative to improve strategy implementation in the health sector.

Full Length Research (PDF Format)