Leadership Style, Culture and Service Delivery in Public Health Sector: A Case Study of Mbagathi District Hospital, Nairobi City County

The study investigated the influence of leadership style and leadership culture on the quality of service delivery in public hospitals. The target population for this study comprised of 273 employees and 10,000 patients in Mbagathi district hospitals within Nairobi City County. Simple random sampling was used to select 398 employees and patients while census was done on the 8 management staff. This study used primary data, both quantitative and qualitative. Primary data was obtained from the original sources using a structured questionnaire and captured through a 5-point type Likert scale. A Likert scale questionnaire was preferred as it makes it possible to convert responses into quantitative format for ease of data analysis using Statistical Package for Social Sciences (SPSS). Interview guide was also used to obtain information from the management of district hospital. The questionnaires were self-administered using the drop and pick later method. A pilot study was undertaken on 5% of the sample population. Findings indicated that there was a positive and significant relationship between leadership style, leadership culture and service delivery in public hospitals in Kenya. The study concluded that good working relationship between the management and staff, members of staff being conversant with their facility roles and goals, members of staff being well acquainted with their duties and responsibilities influenced service delivery in hospitals. It was recommended that leadership style should involve decision making process, and action oriented decision, performance appraisal and professionalism influenced service delivery in hospitals

Four Different Types of Intelligences and their Application in Strategic and Organisational Management and Leadership

This paper presents an overview of the concept of multiple intelligences by discussion of four types of intelligence: conative, cultural, emotional, and spiritual. The authors further discuss the important roles that an understanding of these types of intelligence can play in business contexts and how they can inform management and leadership decisions

FACTORS INFLUENCING SERVICE DELIVERY IN PUBLIC HEALTH SECTOR IN KENYA: A CASE STUDY OF MBAGATHI DISTRICT HOSPITAL NAIROBI

The study investigated the factors influencing service delivery in public health sector in Kenya: A survey of Mbagathi District hospital in Nairobi County. Specifically, the study sought to; establish the influence of leadership style, leadership culture, staff competences and management support on the quality of service delivery in public hospitals. The target population for this study comprised of 273 employees and 10,000 patients in Mbagathi District hospital within Nairobi County. Simple random sampling was used to select 398 employees and patients while census was done on the 8 management staff. This study used primary data, both quantitative and qualitative. Primary data was obtained from the original sources using a structured questionnaire and captured through a 5-point type Likert scale. A Likert scale questionnaire was preferred as it makes it possible to convert responses into quantitative format for ease of data analysis using Statistical Package for Social Sciences (SPSS). Interview guide was also used to obtain information from the management of the hospital. The questionnaires were self-administered using the drop and pick later method. A pilot study was undertaken on 10% of the sample population. Findings indicated that there was a positive and significant relationship between leadership style, leadership culture, staff competence, management support, work environment and service delivery in public hospitals in Kenya. Findings of the study indicated that transformation in service delivery, decision making process, and action oriented decision, performance appraisal and professionalism influenced service delivery in hospitals. Good working relationship between the management and staff, members of staff being conversant with their facility roles and goals, members of staff being well acquainted with their duties and responsibilities influences service delivery in hospitals. Facility offering training to the staff, staff trained regularly, staff equipped with adequate and necessary skills are key impetus to service delivery. Recognition and rewards to members of staff, championing for their achievement, openness and transparency, management encouraging professionalism, monitoring and evaluation of the facility performance influences service delivery in hospitals. Conducive working environment provides a motivating agent for employees to work better and experience job satisfaction in the hospital. This study shows a relationship on leadership style and decision making process and action oriented decision, performance appraisal and professionalism in service delivery in public hospitals. Management that maintains an open and transparent communication with the staff and offering adequate support (social) to all their staff is an important element to service delivery in hospitals. Hospital management should acquire, develop, and retain the qualified resources in order to address the dynamics of ever-changing technological environment. Management should recognize and reward members of staff and champion for the achievement of set goals and objectives. This study recommends that management in public hospitals should promote conscious leadership in a manner that will strengthen service based culture having emphasis on quality service delivery and at the same time maintain an open and transparent communication system with the staff and offering adequate support. It further recommends development of staff competencies and skills as well promote a good working environment so as to enhance better service delivery in public hospitals. The findings from the study is useful for dissemination to the hospitals’ management and staff, Ministry of Health stake holders and policy makers and other academicians for inclusion in quality management and quality service delivery in hospitals