Healthcare service quality measurement towards successful implementation of intervention strategies in three Namibian public healthcares facilities: a deterministic framework

Abner Kukeyinge Shopati; Kabwebwe Honore Mitonga; Lydia Penomuntu Aipinge

doi:10.18203/2394-6040.ijcmph20180227

Authors

Abner Kukeyinge Shopati Namibia Business School, Namibia
Kabwebwe Honore Mitonga School of Public Health, University of Namibia, Namibia
Lydia Penomuntu Aipinge National Institute for Educational Development (NIED), Namibia

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20180227

Keywords:

Implementation science, Implementation strategy, Service quality measurement, Public healthcare, Deterministic framework

Abstract

Background: Implementation science has advanced towards improved use of theoretical tactics to provide better understanding and explanation of how and why implementation succeeds or fails. The aim of the study is to develop a deterministic framework for the successful measurement of healthcare service quality in public healthcare organisations, focusing on the staff member’s satisfaction level with 2009 - 2013 strategic decisions implementation in the three Namibian Public healthcares.

Methods: The research utilized quantitative approach, a survey design and questionnaire was employed to collect data. The study used Gaskin’s CFA/SEM procedure and applies the SPSS 23 AMOS plugins, Pattern Matrix Model Builder”(PMMB), “Master Validity”(MV), “Model fit measures”(MFM) to validate and determine the interrelationships between variables. A quantitative interpretive structural modelling (ISM) approach was used within an action implementation framework (AIF). This study employed three models that complied with the action implementation framework’s dual roles. The EIS model provided the hands on support to implementing strategy role by retrospectively focusing on the 2009-2013 MoHSS Strategic plan implementations. While, the ISF model and IFF models were used to identify the determinants for its evaluation.

Results: The study found no direct link between PHOs and the public sector institutions in implementing strategic plans. However, there is 1:2 mediation effect facilitated by the MoHSS and the PHOs are responsible for implementing 33% of the mandates of the Ministry of Health and Social Services in Namibia.

Conclusions: This study had demonstrated why strategic plans failed in the public sectors in Namibia in that the objectives in the plans were formulated without determining whether they had an effect or not on the implementation outcome.

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