ASSESSING INFLUENCE OF MANAGEMENT FUNCTIONS ON PROVISION OF HEALTHCARE SERVICES IN DEVOLVED SYSTEMS: A CASE OF MERU COUNTY GOVERNMENT, KENYA

Registration ID: IJNRD_202270

Published ID: IJNRDTH00086

: Click Here to Get

ANTHONY MWENDA MURUNGI , SAMUEL NYAMBEGA NYANGAU

Healthcare is a fundamental requirement for every human being. However, countries, especially in the third world have been facing many challenges pertaining to health. Lack of funds, unpreparedness, shortage of healthcare specialists, poor policy formulation, over-dependence on foreign aid, and corruption, are just but a few of the myriad of challenges facing global health. In Kenya, even with devolution, the health sector still faces challenges such as workers’ strikes and incapacity to give specialized care. This research project sought to discuss management functions influencing the delivery of healthcare services in the decentralized structures, focusing on Meru County, Igembe South Sub County. This research was directed by these objectives: To establish how funding influences the provision of healthcare services in Meru County; To stablish how medical staffing influence the delivery of health services within Meru County; To establish how referral management influences healthcare provision in Meru County and to establish how procurement of medical equipment influence the provision of healthcare services in Meru County. he study focused on county health facilities and the respondents were both medical personnel and the public. The study used descriptive research design with a target population of 796. Stratified random sampling was used in choosing 159 respondents within the research area, which represents 20% of the target population. Data collection was through open and close ended questionnaires. Statistical Packages for Social Sciences (SPSS) was employed for the analysis of qualitative data.om the research findings, most health centers in Meru County had long queues where patients had to wait for long periods of time before being treated. The existing referral policies were not adhered to due to lack of essential medical equipment at the lower-level health facilities. This had resulted in overcrowding at the sub-county level hospitals which were designed to tackle more complex cases. Many people felt that the health sector at the county level was not well funded and that there was need for more budget allocation. Most respondents stated that procurement of medical equipment did not follow the right procedures and standards but was instead marked by corruption and lack of accountability.

Published Paper   E-Certificate

ANTHONY MWENDA MURUNGI & SAMUEL NYAMBEGA NYANGAU (September 2023). ASSESSING INFLUENCE OF MANAGEMENT FUNCTIONS ON PROVISION OF HEALTHCARE SERVICES IN DEVOLVED SYSTEMS: A CASE OF MERU COUNTY GOVERNMENT, KENYA . INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT, 8(9), 442-495. https://ijnrd.org/papers/IJNRDTH00086.pdf

Volume 8 Issue 9, September-2023

Pages : 442-495

Paper Reg. ID: IJNRD_202270

Published Paper Id: IJNRDTH00086

Downloads: 000122045

Research Area: Social Science and Humanities 

Author Type: Foreign Author

Country: MAUA, MERU, Kenya

Published Paper PDF: https://ijnrd.org/papers/IJNRDTH00086.pdf

Published Paper URL: https://ijnrd.org/viewpaperforall?paper=IJNRDTH00086

Journal Name: INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT(IJNRD)

UGC CARE JOURNAL PUBLICATION | ISSN: 2456-4184 | IMPACT FACTOR: 8.76 Calculated By Google Scholar | ESTD YEAR: 2016

An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 8.76 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator

Publisher: IJNRD (IJ Publication) Janvi Wave | IJNRD.ORG | IJNRD.COM | IJPUB.ORG

© 2025 — Authors hold the copyright of this article. This work is licensed under a Creative Commons Attribution 4.0 International License. and The Open Definition.

You are free to share, adapt, and redistribute the material, provided proper credit is given to the original author. 🛡️ Disclaimer: The content, data, and findings in this article are based on the authors’ research and have been peer-reviewed for academic purposes only. Readers are advised to verify all information before practical or commercial use. The journal and its editorial board are not liable for any errors, losses, or consequences arising from its use.

Call For Paper - Volume 10 | Issue 11 | November 2025

IJNRD is a Scholarly Open Access, Peer-Reviewed, Refereed, and UGC CARE Journal Publication with a High Impact Factor of 8.76 (calculated by Google Scholar & Semantic Scholar | AI-Powered Research Tool). It is a Multidisciplinary, Monthly, Low-Cost, and Transparent Peer Review Journal Publication that adheres to the UGC CARE 2025 Peer-Reviewed Journal Policy and aligns with Scopus Journal Publication standards to ensure the highest level of research quality and credibility.

IJNRD offers comprehensive Journal Publication Services including indexing in all major databases and metadata repositories, Digital Object Identifier (Crossref DOI) assignment for each published article with additional fees, citation generation tools, and full Open Access visibility to enhance global research reach and citation impact.

The INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT (IJNRD) aims to advance applied, theoretical, and experimental research across diverse academic and professional fields. The journal promotes global knowledge exchange among researchers, developers, academicians, engineers, and practitioners, serving as a trusted platform for innovative, peer-reviewed journal publication and scientific collaboration.

Indexing Coverage: Google Scholar, SSRN, ResearcherID-Publons, Semantic Scholar (AI-Powered Research Tool), Microsoft Academic, Academia.edu, arXiv.org, ResearchGate, CiteSeerX, ResearcherID (Thomson Reuters), Mendeley, DocStoc, ISSUU, Scribd, and many other recognized academic repositories.

How to submit the paper?

By Our website

Click Here to Submit Paper Online

By Mail

Send your paper to editor@ijnrd.org

You can now publish your research in IJNRD. IJNRD is a Transparent Peer-Reviewed Open Access Journal Publication (Refereed Journal), aligning with New UGC and UGC CARE recommendations.

For more details, refer to the official notice: UGC Public Notice

Submit Paper Online

Important Dates for Current issue

Paper Submission Open For: November 2025

Current Issue: Volume 10 | Issue 11 | November 2025

Impact Factor: 8.76

Last Date for Paper Submission: Till 30-Nov-2025

Notification of Review Result: Within 1-2 Days after Submitting paper.

Publication of Paper: Within 01-02 Days after Submititng documents.

Frequency: Monthly (12 issue Annually).

Journal Type: IJNRD is an International Peer-reviewed, Refereed, and Open Access Journal with Transparent Peer Review as per the new UGC CARE 2025 guidelines, offering low-cost multidisciplinary publication with Crossref DOI and global indexing.

Subject Category: Research Area

Call for Paper: More Details

Approval, Licenses and Indexing: More Details