CHANGE MANAGEMENT STRATEGIES AND HEALTH CARE PERFORMANCE IN NAIROBI COUNTY, KENYA: LEWIN’S CHANGE MODEL APPROACH

Health Sciences

This paper sought to assess the effect of change management strategies on healthcare performance in Nairobi County, Kenya. Due to the ever-changing demographic characteristics and the health care needs, there is need for change and improvement in service delivery as far as health care is concerned. Specifically, the study sought to examine the influence of unfreezing strategy on health care performance, to evaluate the influence of transition strategy on health care performance, and to assess the influence of freezing strategy on health care performance in Nairobi County, Kenya. The theoretical review that guided this study was Kurt Lewin 3 steps change model, Thurley change management model and Kotter 8 step change model. The researcher used descriptive research design. Target population for the study was the healthcare workers under Nairobi County. A sampling formula was used to sample 372 respondents, who were randomly selected. A structured questionnaire was used to collect data for the study, which was analysed using descriptive and inferential statistics. The study findings revealed that unfreezing strategy, transition strategy and refreezing strategy had a positive significant influence on health care performance. The study recommended that health care sector need to simultaneously adopt the three change management strategies by investing in training, motivation, environmental adaptiveness by cultivating a culture of participatory strategy, customer satisfaction and commitment to quality service delivery for all employees and across the health care sector.

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