Literature Review of Strategy Implementation and Skilled Births in Public Health Facilities in Western Kenya

Abstract

Maternal healthcare is very important because it ensures the health and well-being of mother and child. Equally, a healthy pregnancy is essential for healthy fetal growth and development. Additionally, it has the benefit of reducing infant mortality and morbidity. Past studies have dwelt on family planning, focusing on women's reproductive health but not skilled births that incorporate the health of mother and child. Strategy implementation is a multifaceted, changeable, repetitive process in which managers and employees carry out a number of decisions and tasks, influenced by various organisational and environmental factors and designed to realise strategic goals. The purpose of this study is to review literature on strategy implementation and skilled births in public health facilities in Western Kenya. The central research question is: Does strategy implementation influence organisational performance in public health facilities? We used a narrative literature review by searching Google Scholar to find journal articles related to strategy implementation, service delivery charter, vision and mission, staff commitment, human and physical resources and performance from 2013 to 2021. We find a paucity of knowledge about strategy implementation with regard to skilled births in the public health facilities in western Kenya. Even though strategy implementation variables, such as organisational structure, organisational culture, leadership, and communication, support organisational performance, in the banking sector, leadership and communication variables do not support performance. This feedback can be grounded in systems theory, which stresses relations between parts, rather than reducing an entity into its parts or elements. We recommend that further studies be conducted to establish why strategy implementation does not support skilled births in public health facilities in Western Kenya.