STRATEGY IMPLEMENTATION AND OPERATIONAL PERFORMANCE OF CATHOLIC FAITH-BASED HOSPITALS IN THE CATHOLIC ARCHDIOCESE OF NAIROBI, KENYA.

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dc.contributor.authorMARGARET JEMAIYO KIROP
dc.date.accessioned2026-03-31T17:37:34Z
dc.date.available2026-03-31T17:37:34Z
dc.date.issued2025-09
dc.descriptionThesis
dc.description.abstractCatholic Faith-based hospitals play an essential role in delivering healthcare services, particularly to the underprivileged. Despite the significant contributions to improve access to quality and affordable healthcare services, these institutions continue to face dynamic operational challenges that hinder optimal performance. Therefore, this study aim was to examine how strategy implementation affects the Catholic faith-based hospitals’ operational performance in the Archdiocese of Nairobi, Kenya. Specifically, it explored how monitoring and evaluation, organizational culture, resource allocation and organizational leadership influence hospitals` operational performance. The study anchored on Stakeholders' theory, Resource-based view theory, Dynamic capability theory, Theory of change, and the Balance Scorecard model. The target population were the employees of Catholic Faith-based hospitals in Archdiocese of Nairobi. A sample of 294 respondents was purposively chosen comprising of top -level managers, middle-level managers, and line supervisors. The respondents were drawn from 21 Catholic faith-based hospitals, which were also purposively selected based on homogeneous traits. To ensure fair representation from across hospital levels proportional sampling technique was used. The study adopted a descriptive research design and structured questionnaire was employed to gathered Quantitative data which was analyzed with SPSS. Inferential statistics that is multiple regression and Spearman`s correlation coefficient and descriptive statistics were performed to assess the relationship and the predictive power among variables. Cronbach`s Alpha was used to assess reliability of the study tool, which achieved a score above 0.8 for all constructs and Validity was further ensured through expert reviews by supervisors and colleagues to ensure readability and clarity. Ethical guidelines such as informed consent, integrity, confidentiality, and anonymity, were strictly adhered to. The findings of resource allocation (β =0.896, P = 0.000), Monitoring and evaluation (β = 0.773, P = 0.000), Organizational culture (β =0.739, P = 0.000), and Organizational leadership (β= 0.719, P = 0.000), each showed that operational performance of Catholic faith-based hospital in the Archdiocese of Nairobi are statistically significantly and positively correlated. Based on these results, the study concluded that operational performance is positively and statistically significantly impacted by the four strategy implementation practices: resource allocation, organizational culture monitoring and evaluation, and Organizational leadership. The study recommends that Catholic faith-based hospitals in the Archdiocese of Nairobi strengthen resource allocation strategies and ensure fair distribution of resources in line with hospitals' strategic priorities. cultivating and institutionalize an adaptive culture that fosters continuous learning, teamwork and open feedback, adopting participatory and empowering leadership practices. Furthers to implement monitoring and evaluation frameworks that incorporate internal control, regular appraisals and timely corrective actions.
dc.identifier.urihttps://repository.cuea.edu/handle/123456789/658
dc.language.isoen_US
dc.publisherTHE CATHOLIC UNIVERSITY OF EASTERN AFRICA
dc.subjectStrategy implementation
dc.subjectoperational performance
dc.subjecthealthcare management
dc.subjectorganizational effectiveness
dc.subjectfaith-based hospitals.
dc.titleSTRATEGY IMPLEMENTATION AND OPERATIONAL PERFORMANCE OF CATHOLIC FAITH-BASED HOSPITALS IN THE CATHOLIC ARCHDIOCESE OF NAIROBI, KENYA.
dc.typeThesis

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