Ndung'u, Hellen Njeri2025-11-112025-11-112025-08http://repository.embuni.ac.ke/handle/123456789/4495The Kenya Vision 2030 development blueprint aspires to promote good health and well-being. Consequently, the Government of Kenya has instituted reforms aimed at achieving good health. These reforms include the establishment and revamping of the Kenya Medical Supplies Authority (KEMSA) and a recent establishment of the Social Health Authority. Despite these reforms, there is poor performance in the public hospitals in Kenya. To ensure efficient, financially viable and relevant service delivery, the entrepreneurial supply chain is critical, in public hospitals. Therefore, the study focused on entrepreneurial supply chain practices, healthcare financing, and the performance of public hospitals in Kenya. Specifically, the study investigated the effect of innovative inventory management on the performance of public hospitals in Kenya, the influence of proactive strategic sourcing on the performance of public hospitals in Kenya, and the effect of risk taking on the performance of public hospitals in Kenya. The study also sought to establish the moderating effect of healthcare financing on the relationship between entrepreneurial supply chain practices and the performance of public hospitals in Kenya. The study used resource orchestration, resource dependency, and Schumpeterian entrepreneurship theories. The study adopted a positivism philosophy and utilised descriptive and explanatory research designs. The study's target population was 243 public level 4, level 5 and level 6 hospitals in Kenya. The sample size was 151 public hospitals selected through proportionate sampling and simple random sampling techniques. The unit of observation was 302 respondents. The study utilised primary data collected through a semi-structured questionnaire, whose validity was evaluated using face and content analysis, while reliability was checked through the use of Cronbach Alpha with an acceptable coefficient value of 0.7. The collected data was analysed descriptively and inferentially, while qualitative data was analysed thematically using content analysis. The findings revealed that innovative inventory management, proactive strategic sourcing, and risk taking have a positive and statistically significant relationship with the performance of public hospitals in Kenya. The study revealed a statistically significant moderating effect of healthcare financing on the relationship between entrepreneurial supply chain practices and performance of public hospitals in Kenya. The study concluded that the adoption of entrepreneurial supply chain practices improves performance of public hospitals and therefore recommends the chief executive officers and medical superintendents of public hospitals to adopt innovative inventory management, proactive strategic sourcing and risk taking as they promote healthcare service delivery, enhance hospital financial viability, reduce operational costs, enhance hospital reputation and increase effectiveness. The study recommends the Ministry of Health, Social Health Authority, Treasury and County Executive Committee member for Health in the county governments to institute policies and reforms that promote entrepreneurial supply chain practices and sustainable healthcare financing in order to improve the performance of public hospitals in Kenya.en-USThesis