Investigating How Budget Plan Contributes to Successful Implementation of Level Two Healthcare Infrastructure Projects in Kiminini Sub-County, Trans Nzoia County, Kenya

Abstract

Healthcare is a critical pillar of long-term development. It is therefore up to nations and governments to ensure their healthcare systems are up to date to meet the growing needs of their populations. Developing healthcare infrastructure is critical to achieving this goal. The overall goal of this research was to investigate the influence of project planning on successful implementation of functional level two hospital infrastructure projects in Kiminini Sub-County. The specific objective was to investigate how cost and budget plan influences successful implementation of projects in Kiminini sub- County, Trans Nzoia County, Kenya. Kenya Health Policy 2014-2030 was the intervening variable. Explanatory research design that utilizes both qualitative and quantitative data collection methods was used. The target population included the County departments of health, public works, and finance, heads and staff of the sampled facilities, political and community representatives and contractors. Sample size was 100 respondents. Questionnaires and interview guides were used to collect primary data. Quantitative data was analysed using SPSS version 25. Qualitative data was analysed using content analysis method and presented in narrative form. According to study findings, while some projects were completed within budget, others failed to meet their objectives. Budget estimates and funding were planned though not all were implemented as planned due to delayed disbursement of funds and delay in approving the budgetary allocation for projects due to political differences. The study recommended better collaboration between County and National governments and County assembly, and political good will. The study concluded that planning, and cost and budget plan are crucial in implementation of successful projects. The study aimed at adding value to existing knowledge in the field of study and aiding in implementing successful healthcare infrastructure projects as envisioned in Kenya Vision 2030, and Kenya Health Policy 2014-2030.