Health is vital for the survival of any human being. Hospitals are increasingly looking for ways to improve efficiency and reduce overall costs that will help them thrive now and in the future. Hospitals pursue sustainability efforts that work best for their organizations. However, the majority of devolved units in Kenya have faced a number of challenges especially the working conditions and dissatisfaction of personnel culminating into strikes. Employee unrest that has been witnessed in health care facilities has affected service delivery in public hospitals. This study therefore sought to determine the effect of employee working conditions on sustainability of service delivery in devolved health services in Kericho County, Kenya. The objectives of the study were to establish the influence of psychological and physical working conditions on sustainability of service delivery in Kericho County, devolved health services. The study adopted Expectancy theory. Descriptive research design was adopted. The study targeted a population of 450 employees from 36 public health facilities in Kericho County. Using Yamane’s formula, a sample size of 120 respondents was used. Stratified and simple random sampling was applied. Questionnaires were used to collect data from the respondents. The data collected were coded and entered into SPSS V26 program to facilitate analysis. Data was analyzed using both descriptive and inferential statistics. From the linear regression model (R2 = .311) indicating that working conditions account for 31.1% of sustainability of service delivery. There was a positive significant relationship between working conditions and sustainable service delivery (β1=0.441 and p<0.05). The working conditions had a significant influence on sustainability of service delivery. The study recommended that there is a need to formulate, implement new strategies and policies that aim at improving working conditions and employee welfare practices in the health sector. The County hospital administration needs to provide a working environment that makes employees feel safe and secure.
05 July 2023
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