Mixed-methods analysis reveals devolved human resources enhance service delivery in county government hospitals, suggesting leadership reforms are crucial.
Key Points
Devolved human resources for health significantly improves service delivery in county hospitals, and the influence is further enhanced by intergovernmental leadership.
Analysis showed a positive relationship between HRH devolution and service performance metrics, indicating areas for improvement.
Mixed-methods approach utilizing SPSS analyzed data from 385 participants across 137 hospitals, showcasing diverse perspectives on healthcare delivery.
The findings highlight the importance of staffing reforms and leadership enhancements for effective health service delivery in Kenya.