Performance measurement system in the health delivery at Eastern Regional Medical Stores.

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Date
November, 2016
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Abstract
Health systems are complex entities with different stakeholders that are related by accountability relationships. The measurement of performance is to aid hold the different entities to account by enabling these stakeholders to make informed decisions. The researcher therefore found it interesting and necessary to evaluate the effective implementation of performance measurement systems in the health delivery system at the Eastern Regional medical stores. The research data was collected from the staff of the Eastern Regional Medical Stores, customers and face-face interview was carried out. A combination of quantitative and qualitative data collection instruments was used. This study revealed some indicators that enhance the implementation of performance measurement systems which included; ability to test the quality of products and service on time, adherence to quality standards by clients and health facilities, time frame for the placement of order at the Eastern Regional Medical stores and on time delivery of items in relation to the total number of deliveries recorded among others. Indications from the study showed that the implementation of the performance system is faced with challenges that comprise the inability to meet the demands of client and health facilities, coupled with the inability of clients to make payment on time and prompt payment of claims to health facilities by insurance providers as indicated by more than 40% of the respondents to impede the performance measurement systems. Another major challenge that impedes the performance measurement system was the poor working relationship with health facilities and suppliers as indicated by 47.8% of the respondents. Furthermore, data collection has become reliable and development of schedule delivery itinerary for all other health facilities has also become effective with the use of systems for performance measurement. In addition, proper and efficient systems to monitor the movement of goods and proper establishment of baseline were indicated to be mostly true success for the adoption of systems for performance measurement. The challenges expressed by the respondents need to be addressed through the adoption of effective performance measurement systems with appropriate enforcement mechanism. From the study, it is recommended that staff education on performance measurement system and enforcement of legislations should be intensified. Also, e-procurement, information technologies as well as the integration of supply chain management process should be intensified to meet the needs of their facilities and to help achieve effective implementation performance measurement systems in both public and private sector.
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A thesis submitted to the Department of Building Technology, College of Art and Built Environment in partial fulfillment of the requirements for the degree of Master of Science,
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