Operational Strategies And Enhancement Of Maternal And Child Healthcare Service Delivery In Devolved Healthcare Units In Machakos County

ABSTRACT

The purpose of this study was to establish the influence of operational strategies on

enhancement of maternal and child healthcare service delivery in devolved healthcare units in

Machakos County. The study objectives included: determining how capacity building mother

child care strategy influence enhancement of MCH service delivery in Machakos County;

establishing how resource mobilization strategy influence enhancement of MCH service

delivery in Machakos County; investigating the influence of community awareness strategy

on enhancement of MCH service delivery in Machakos County; establishing how sectoral

integration strategy influence enhancement of MCH service delivery in Machakos County.

To meet these objectives, the study was carried out in the County referral and sub county

hospitals in Machakos County. The department of health services will gain from the study by

getting to know whether operating strategies influence enhancement of MCH services

delivery and thus affect measures which will inform use of operating strategies that result in

effective and timely quality service in the hospitals. The proposed research will give

stakeholders better insights into operating strategies and how the same determines MCH

service delivery and will help them formulate better strategies for quality healthcare. The

study population constituted 600 employees who included County Executive Committee

Member, Medical Superintendent, MOH‟s, Clinical Officers, Nurses and Subordinates. A

sample of 180 employees was selected. Ten employees were used for the pilot study who

were randomly selected from county and sub county hospitals in Kitui County. The study

utilized descriptive research design. The data was collected using questionnaires mainly and

a mixture of cluster and purposive sampling techniques. The data was then analyzed both

descriptive and inferential statistics using the Statistical Package for Social Sciences (SPSS)

version 24.0 and findings tabulated and presented in form of tables. The study results

indicated that capacity building (β1=0.1415; P=0.062