THE INFLUENCE OF HEALTH WORKERS’ DISTRIBUTION ON THE QUALITY OF HEALTH SERVICE DELIVERY IN PUBLIC HOSPITALS IN MANDERA COUNTY, KENYA
Keywords:
Quality Healthcare, Health Workers’ Distribution, Skill Mix, Service Delivery, Individual Factors, Institutional Environment, Socio-Cultural FactorsAbstract
Background: Quality health care access remains a primary agenda on SDGs at global level. Locally, on personnel, the number of medical professionals per capita within the local governmental entities is frequently used to indicate the unequal distribution of healthcare personnel. Variances in increased mortality trends, the necessity for healthcare services per capita, and hence the human required resources per capita, may differ among units. Mandera County faces similar challenges. The main objective of this study was to determine how health workers’ distribution influences the quality of service delivery of health services at government hospitals in Mandera County.
Methods: Using a descriptive research design, health personnel from Mandera County Referral Hospital, Laffey, Rhamu and Banisa Sub County Hospitals formed the unit of analysis. The study conducted December 2022 used a random sample of 189 respondents from a population of 357 using proportional and simple systematic sampling procedures. A questionnaire method that was self-administered and 10 KII (patients) was used to gather data.
Results: The study found and concluded that at the significance level of 95%, skills mix, Individual Factors, Institutional Environment and socio-cultural factors were significant and positively correlated factors in influencing quality of health service delivery in public hospitals in Mandera County with significance values of 0.001, .005, .003 and .002 respectively.
Conclusion: All the studied variables only affect quality of healthcare service at 53.2%, implying 46.8% needs to be explored further.
