ORGANIZATIONAL REVIEW SYSTEMS AND SUSTAINABILITY OF COMMUNITY DEVELOPMENT PROJECTS; A CASE OF PUBLIC HEALTH CENTRES IN NAIROBI COUNTY, KENYA

Abstract

ABSTRACT This study focused on organizational review systems and sustainability of community development projects; a case study of hospitals in Nairobi County, Kenya. The following research objectives guided this study; to determining the effect of assessment meetings on sustainability of community development public health hospitals, to assess the influence of multi-stakeholder dialogue workshops on sustainability of community development public health hospitals and to investigate the influence of review sessions on community development hospitals projects’ sustainability of public health hospitals. Theory of Change Freirean Theory of Dialogue and Society, and Systems theory guided the study. The study employed descriptive survey design. The target population of this study was 3600 respondents. Yamane (1967) formula was applied to sampled 360 respondents and 6 key respondents therefore sample size was 366. Quantitative data was analyzed and presented in frequency distribution tables, pie charts and bar graphs (SPSS version 25). Qualitative data was analyzed thematically according to each research questions and presented in a narrative form. Findings revealed that assessment meetings in community development public health centres in Nairobi County gives the foundation on effective measures both substantive and operation to improve the project design, manner of implementation and quality of results for the sustainability of community development hospitals projects. Multi-stakeholder dialogue workshops were found to be assisting in the perfection of practices and provide a platform for liability so as to ascertain whether the objectives have been achieved for the sustainability of the community development projects. Review sessions also ensures that there is logical reporting; the process that interconnects result and demonstration accountability, it quantifies efficiency and effectiveness, guarantees effective resource distribution, stimulates learning that is continuous along with enhancing better decision making for successful and sustainability of community development hospitals projects in Nairobi County. This study recommended that there is need for managers of community development hospitals projects in Nairobi County to establish multi-stakeholder dialogue workshops roles at a departmental level in order to strengthen the consistency of project management across the various community projects. This will improve the project development.