Determinants of Service Delivery in the Health Sector among Selected Counties in Kenya

Abstract

This study investigated determinants of service delivery in the health sector in Kenya.The study examined the effect of Public-Private Partnership (PPPs), Transfer Pricing, New public management in Service Delivery. The research adapted pragmatism paradigm, Research approach utilized was mixed method approach, design. Research utilized was s descriptive survey design, target population consisted of health workers 1,740, a sample size of 314 respondents was adopted from a thesis. Analysis was employed by Structure Equation Modeling.Findings: Two null hypotheses were rejected hence Public-Private Partnership positively affects Service Delivery. Transfer Pricing model was reliable and had good fit, (NFI = 0.912); New public management posted low CFI and GFI. Ant-Image for (PPP, TP& NPM posted: ai = 0.970, = 0.980 &=0.620) respectively. Results for transfer pricing indicate that ratio index, 2.15 is less than 5, in other words the model is a good fit. The relative chi-square should be 5 or less to reflect good fit or acceptable fit. New public management indicate ratio index , 6.30 more than 5 indicating a model of not good fit its, CFI .890, NFI, 0.7 lower than threshold . Public-Private Partnership had ratio, 1.907 which is less than 5 in other words the model is a good fit. Its also indicates NFI= 0.900, and GFI = 0.911.The study concludes that new public management loaded poorly hence the variable had lower weight as a predictor compared to the two predictors. Transfer pricing strongly influences Service Delivery, but its model is not fit. All in all the three constructs: PPP and TP are good contributors to Service Delivery, New public management loaded poorly with a lower weight and weak association compared to other predictors. This research recommends that New Public Management should be further researched.