Browsing by Author "Ndege, Josephine Muthoni"

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    Influence of Corporate Governance Practices on Performance of Faith-Based Hospitals: A Systematic Review
    (Open Access Library Journal, 2022-05-19) Ndege, Josephine Muthoni; Tenambergen, Mwaura Wanja; Njoroge, Kezia Muthoni
    Faith-based health facilities form a key pillar in the provision of health services, especially in the rural and marginalized areas of the country where public health service provision is low, failed or non-existent. However, these institutions are exposed to the risks of continued reliance on boards of management constituted by religious leaders, leading to weak governance structures. This review focused on the effect of corporate governance on the performance of faith-based hospitals. A systematic review of the literature was conducted from January 2017 until February 2022. Google Scholar databases were searched using keywords such as corporate governance practices, hospital board shared strategic direction, hospital board accountability, and faith-based hospital performance. Studies were included if their outcome measure was hospital performance or health service delivery. The search was restricted to the English language. The methodology was aligned with the guidelines of Preferred Reporting Items for Systematic Reviews and Meta- Analyses (PRISMA). 10 articles met the inclusion criteria. Of these studies, 7 investigated hospital performance and 3 investigated health service delivery. 100% of the articles showed that good corporate governance practices improved performance and health service delivery. On average, there was a 30% and 40% increase in hospital performance due to accountability and shared strategic direction respectively. The shared strategic direction was effective compared with accountability. Good corporate governance such as having a shared strategic direction and holding board members accountable improved the performance of the hospitals.
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    The Role of Organizational Culture in Moderating Corporate Governance Practice Influence on Faith-Based Hospitals Performance in Kenya
    (Open Access Library Journal, 2022-07-21) Ndege, Josephine Muthoni; Tenambergen, Mwaura Wanja; Njoroge, Kezia Muthoni
    In Kenya, faith-based hospitals provide 40% health care services to the medium and low-income populations in the rural areas. These hospitals are facing sustainability challenges because of poor organizational performance. These failures have been attributed to overlooking the adoption of corporate governance practices where for instance boards of management of health facilities are largely made up of religious officials, therefore making the facilities lack proper corporate culture when compared to their more privately owned health facilities counterparts. It is against this background that this study sought to examine the influence of corporate governance on hospitals overall and the moderating effect of corporate culture on the influence. A hospital based census with mixed data collection method was employed. For quantitative data, questionnaires were used with senior managers of Christian faith-based hospitals Key Informant Interviews with 9 purposively sampled informants: 2 from CHAK secretariat, 2 from KCCB secretariat and 5 board chairpersons of governing boards in purposively selected level 5 faiths based hospital. For quantitative data, descriptive and inferential analysis techniques were used while for qualitative data, content analysis was done. From the regression results, corporate governance practices of board composition, accountability, stewardship of resources and shared strategic direction had significant and positive influences on the performance of faith-based hospitals in Kenya. The study recommends that proprietors ensure that the criteria for choosing their board members are enhanced and improved to ensure there is no bias in the selection process and that boards intentionally and actively involve all stakeholders in the decision-making process of the organization, management should ensure accountability aspects and the related policies are adhered to, board members should be properly inducted and continuously trained on governance to ensure they execute their mandate effectively.