STRATEGIC ORIENTATION AND PERFORMANCE OF HEALTH NON-GOVERNMENTAL ORGANIZATIONS IN NAIROBI CITY COUNTY, KENYA

Abstract

Non-Governmental Organizations (NGOs) play a significant role in supporting socio-economic development and the delivery of essential services in Kenya, particularly in the health sector. Despite the substantial contributions made by NGOs to Kenya’s development, many organizations continue to experience performance challenges that affect the success of their programs and projects. The general objective of this study was to examine the effect of strategic orientation on performance of health non-governmental organizations in Nairobi city county, Kenya. Specifically, the study focused on determining the effect of stakeholder orientation on performance of health non-governmental organizations in Nairobi city county, Kenya and assessing the effect of technology orientation on performance of non-governmental organizations in Nairobi city county, Kenya. This study was guided by Stakeholder Theory and Technology Acceptance Model (TAM). The descriptive research design was employed. In this study, the target population comprises health non-governmental organizations operating in Nairobi City County, Kenya. Management employees in health sector NGOs in Nairobi City County were targeted. The unit of analysis was all (31) NGOs in the health sector in Nairobi City County. The unit of observation was management level employees. The total target population for this study therefore comprised of 341 employees at different managerial levels currently working with the thirty one health sector NGOs. The sample size was determined using the formula suggested by Yamane (1967). Therefore, a sample size of 184 respondents participated in the study. Data was collected using a self-administered semi-structured questionnaire. A pilot test was conducted to determine validity and reliability of the data collection instrument. Data obtained from the field was coded, cleaned, and entered into the computer for analysis using the SPSS version 25. Descriptive statistical included frequency, percentages, mean and standard deviation. Inferential statistical analysis used was multiple regression analysis and correlation analysis. The study concludes that stakeholder orientation has a positive and significant influence on performance of health non-governmental organizations in Nairobi city county, Kenya. The study also concludes that technology orientation has a positive and significant influence on performance of health non-governmental organizations in Nairobi city county, Kenya. Based on the findings, the study recommends that health non-governmental organizations in Kenya should enhance technology orientation through increased adoption of modern digital systems, data management tools, and communication technologies that improve operational efficiency and service delivery. Investing in technological infrastructure, staff digital skills, and online platforms for monitoring, reporting, and stakeholder engagement can strengthen organizational responsiveness and decision-making processes.

Key Words: Strategic Orientation, Stakeholder Orientation, Technology Orientation, Performance, Health Non-Governmental Organizations, Nairobi City County