Effect of Risk Mitigation on Utilization of Expenditure Development: Evidence in Public Health Facilities in Kakamega County, Kenya
Abstract
Purpose: The paper aimed at Effect of risk mitigation on utilization of expenditure development: Evidence in Public Health Facilities in Kakamega County, Kenya.
Design/Methodology/Approach: The research design employed descriptive and correlational research design and focused on 115 hospital administrators/CEOs of the respective public health institutions in Kakamega County. A representative sample was obtained using simple random sampling technique. Calculating sample sizes based on the formula used by Yamane (1967), a 95 % confidence level and a 5% margin of error. Data collection was facilitated by use of structured questionnaires. The instrument was tested in terms of both validity and reliability. Both inferential statistics and descriptive were employed to analyze data.
Findings: The study established that Risk Mitigation exerted a positive and significant influence on expenditure development utilization.
Implications/Originality/Value: The research aims to inform policy makers in Public Health Facilities to design a more expressive and active organizations that would assist administrators, will assist in increasing administrator’s morale and enhancing the overall use of expenditure development results. The findings will be useful to organizations operating in the international Strategic Management ecosystem in developing resource acquisition and competence policies.
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Abubakar, M, Nazif, B, Muhammad, Y and Muktar, A (2022). Effect of institutional environment , risk analysis and control activities on financial performance of small and medium scale enterprises in Kebbi state. Journal of Economics and Allied Research Vol. 7, Issue 3 (September, 2022) ISSN: 2536-7447
Aris, S (2020) Risk management in public expenditure management and service delivery in Malaysia. University of Birmingham Research Archive, E-theses Repository.
Barasa, E Musiega, A Kara, H, Nyawira, L, Mulwa, A, Molyneux, S, Maina, S, Tsofa, B, Normand, C and Jemutai, J (2021). Level and determinants of county health system technical efficiency in Kenya: two stage data envelopment analysis. Cost Effectiveness and Resource Allocation 19:78 . DOI: https://doi.org/10.1186/s12962-021-00332-1
Asiimwe, C Namanya, D, Nuwagaba, G (2021). Internal control practices and health service delivery in local governments of Uganda. Business management.
Boulhaga, M, Bouri, A, Elamer, A and Bassam, A (2022). Ibrahim Environmental, social and governance ratings and firm performance: The moderating role of internal control quality. DOI: 10.1002/csr.2343 DOI: https://doi.org/10.1002/csr.2343
Boateng, K and Arthur, A (2024) Influence of Risk Management Practices on Service Quality in Health Care Delivery. Journal of Economics and Sustainable Development www.iiste.org ISSN 2222-1700 (Paper) ISSN 2222-2855 (Online) Vol.5, No.14
Bokello, A, Kibuuka, M & Maina, E (2024).The effect of institutional environment on public financial management in selected Local governments in Uganda. International Journal of Academic Multidisciplinary Research (IJAMR) ISSN: 2643-9670 Vol. 8 Issue 7 July - 2024, Pages: 356-360
Chelangat, and Mugo, R (2024) Effectiveness of internal control systems in the management of public resources in Nairobi City County Government, Kenya. Vol 6, Issue 2, pp 176-189. International Research Journal Publishers, ISSN 2710-2742 (online) www.irjp.org
Chililov, M & Abdula M. (2024). Financial Risk Management in Healthcare in the Provision of High-Tech Medical Assistance for Sustainable Development: Evidence from Russia. Risks 12: 134. https:// doi.org/10.3390/risks12090134 DOI: https://doi.org/10.3390/risks12090134
Chireshe, J,. Ocran, K & Tajani, F (2020). Financial development and health care expenditure in Sub Saharan Africa Countries. Article: 1771878 | Received 16 Mar 2020, Accepted 15 May 2020, Published online: 09 Jun 2020 DOI: https://doi.org/10.1080/23322039.2020.1771878
Efosa, F (2022), "The Role of Health Expenditure on Health Outcomes: Evidence in West Africa Countries." (2022). Graduate Research Theses & Dissertations. 7012. https://huskiecommons.lib.niu.edu/allgraduate-thesesdissertations/7012
Gitau, K. (2024). The institutional environment and risk analysis as factors of internal control systems on financial performance among listed commercial banks in Kenya. International Academic Journal of Economics and Finance, 4(4), 25-38
Gitonga, M (2021). Influence of direct government health funds on service delivery in primary healthcare facilities in Meru County, Kenya. Kenya Methodist University.
Gyamerah, A, Laar, G and Asare, C (2024). Evaluating the impact of internal control systems on corporate performance of Ghanaian banks: The moderating role of information technology. https://doi.org/10.1016/j.sciaf.2024.e02476 DOI: https://doi.org/10.1016/j.sciaf.2024.e02476
Kakanda, M (2017) Moderating effect of internal control system on the relationship between government revenue and expenditure. Asian Economic and Financial Review, 2017, 7(4): 381-392 DOI: https://doi.org/10.18488/journal.aefr/2017.7.4/102.4.381.392
Hillow, R, Z (2019). Influence of effective implementation of health policy in devolved governments: a case of Mandera County. Kenyatta University.
Kanca, S, Cankaya, F Dinc, E, Karakaya, A (2022).The Moderator Effect of The Internal Control System on The Financial Success of Corporate Governance. International Journal of Economics and Innovation, 8 (2) 2022, 311-335 DOI: https://doi.org/10.20979/ueyd.1170268
Khoirul A, Jumansyah, J, Mulyani, S and Sumardjo, M (2021) Moderating effect of internal control system to determinants influencing the financial statement disclosure. Journal of Investment Management and Financial Innovations. Volume 18 2021, Issue, pp. 104-112 DOI: https://doi.org/10.21511/imfi.18(3).2021.10
Kilanko, O (2019) The Effects of Health Care Expenditures on Health Outcomes in West Africa: Analysis of Selected 14 Countries from 2000 to 2018.
Kipkemoi, C, Kiplangat, K and Langat, K (2020). Risk analysis and public expenditure management in Kericho county government, Kenya. ISSN (Online): 2455-3662 EPRA International Journal of Multidisciplinary Research (IJMR) - Peer Reviewed Journal Volume, Value: 1.188
Kinyeki, W, S (2022). Effect of Corporate Governance on Health Care Service Delivery in Kenya. Dissertation Jomo Kenyatta University of Agriculture and Technology
Lee, S.-N., Weng, T.-C., & Huang, H.-Y. (2021). Internal control effectiveness: A study of medical institutions. Corporate Ownership & Control, 18(3), 66-74. DOI: https://doi.org/10.22495/cocv18i3art6
Mbaru, E. M., Mathuva, V., & Nyamongo, M. (2022). Effect of governance on risk mitigation among county governments in Kenya. A case of Mombasa and Kilifi County. The Strategic Journal of Business & Change Management, 9 (1), 838 – 855 DOI: https://doi.org/10.61426/sjbcm.v9i1.2225
Moses M, Korir J & Zeng W, (2020). Performance analysis of the county healthcare systems in Kenya: a mixed-methods analysis. BMJ Global Health 2021;6:e004707. doi:10.1136/ bmjgh-2020-004707 DOI: https://doi.org/10.1136/bmjgh-2020-004707
Muraguri, I, Bunyasi, G & Muchiri, N (2017). Effects of Information System and Institutional environment on Financial Performance of State Owned Corporations in Kenya: A Case Study of the Ministry of Labour Social and Security Services. Stratford Peer Reviewed Journals and Book Publishing Journal of Finance and Accounting Volume 1||Issue 2||Page 14-26||November||2017| Email: stratfordjournals.org ISSN
Nana, F, Otoo, K Kaur, M & Rather, A (2023). Evaluating the impact of internal control systems on organizational effectiveness. Journal of Management & Research ISSN: 0972-8031
Otieno, O, Kalenzi, A & Chan, P (2021). Internal controls and financial accountability in a public health sector: An empirical investigation of a local government in Uganda. African Journal of Business Management.
Oyede, S and Aderibigbe, F (2022). Moderating Effect of Internal Control Activities on Risk Analysis and Performance of Insurance Companies in Nigeria. International Journal of Management and Social Sciences, Federal University, Gusau, Vol.5.
Pascarella, G, Matteo, R, Montella, E, Capasso, N and Morabito, A (2021). Risk Analysis in Healthcare Organizations: Methodological Framework and Critical Variables. Risk Management HealthPolicy;14:2897–2911. DOI: https://doi.org/10.2147/RMHP.S309098
Sahabi, I Diibuzie, G & Abubakari, M (2017).The Impact of Internal Control Systems on Financial Performance: The Case of Health Institutions in Upper West Region of Ghana. International Journal of Academic Research in Business and Social Sciences 2017, Vol. 7, No. 4 ISSN: 2222-6990. DOI: https://doi.org/10.6007/IJARBSS/v7-i4/2840
Wang, L (2018). Research on Risk Management for Healthcare Supply Chain in Hospital. Liverpool John Moores University
Wronka, F Aldona, W, Ingram, T Mlicka, S &Tworek, P (2021). Risk Management and Financial Stability in the Polish Public Hospitals: The Moderating Effect of the Stakeholders’ Engagement in the Decision-Making. Risks 9: 87. DOI: https://doi.org/10.3390/risks9050087
Zhang L and Su W (2023) corporate social responsibility, internal control, and firm financial performance. Front. Psychol. 13:977996. DOI: https://doi.org/10.3389/fpsyg.2022.977996
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