Purpose: There are efforts to combat HIV/AIDS through Sustainable Development Goal and so, HIV/AIDS community health projects have been implemented to shape HIV/AIDS management and care. The present study examined influence of participatory decision-making on performance of HIV/AIDS community health projects in Kisumu County, Kenya. The study was grounded on stakeholder’s theory because the HIV/AIDS community health projects in Kenya is a results-oriented performance measurement system. Design/Method/Approach: The research design was descriptive survey design and purposively selected 59 HIV/AIDS project managers and 59 Monitoring and evaluation officers, while 379 beneficiaries were randomly selected using Krejcie and Morgan formula. Structured questionnaires were used to collect quantitative data, which was analyzed through descriptive statistics (frequencies, percentages, mean score and standard deviation) as well as Pearson correlation and regression analysis. Findings: The study found a significant positive effect of participatory decision-making on performance of HIV/AIDs Community Health Projects at p<0.05. Participatory decision-making increases or enhances performance of HIV/AIDS Community Health Projects in Kisumu County. Theoretical and Practical Implications: This paper contributed to the body of research on participatory management by underscoring the argument that participatory decision making enhances the performance of HIV/AIDs community health projects. Originality/Value: This research not only demonstrates how community health projects can be efficiently run through involvement of primary stakeholders (beneficiaries), it is also an example of an application of stakeholder’s theory to a practical field. Research Limitations/Future Research: This research opens opportunities for future research on participatory management in community health projects. Paper Type: Empirical JEL Classification: D83, I18, L31, O15
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