Regulatory Framework, Public-Private Partnership Management Processes and Performance of Healthcare Projects in Kenya
Keywords:
Regulatory Framework, Public-Private Partnerships, Healthcare Project PerformanceAbstract
Healthcare projects are crucial for improving service quality and accessibility, but they frequently encounter obstacles like budget overruns, delays, and quality issues. Public-Private Partnerships (PPPs) have emerged as a potential remedy, yet their efficacy in the context of sub-Saharan Africa remains inadequately documented. This research examined the moderating effect regulatory framework on the association between PPP management practices and healthcare project performance in Kenya, with a specific focus on the Managed Equipment Services (MES) initiative, which has encountered notable cost escalations and delays. The investigation, rooted in agency theory and institutional theory, employed a mixed methods strategy within a pragmatic framework. 250 participants, representing a range of health sector stakeholders, were purposefully chosen from eight counties. Using stratified random sampling, the sample size was established at 155 respondents. A wide range of techniques, such as focus groups, interviews, and semi-structured questionnaires, were used to gather data. The analysis combined thematic insights with statistical methods, revealing that PPP management practices account for 76% of the differences in project performance. Findings also indicate that a strong regulatory environment strengthens the connection between public-private partnerships (PPPs) and successful healthcare projects (β = 0.98, p = 0.02). Based on these findings, the study recommends that organizations and project leaders develop robust regulatory frameworks to ensure PPP-driven projects thrive. Future research could explore how different project settings affect this dynamic.
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