Financial Resource Management at Mbagathi County Referral Hospital, Kenya: Staff Perceptions and Operational Implications

Abstract

Financial planning and timely access to resources can shape the conditions under which public hospitals deliver services. This article presents the financial resource management objective of a descriptive survey at Mbagathi County Referral Hospital, Nairobi, Kenya. The target population comprised 273 employees across management, clinical, administrative, procurement and finance functions. A stratified sample of 162 was planned, and 120 questionnaires were returned (74.1%). Five financial management statements were rated on a five-point agreement scale and summarized using means and standard deviations. Staff ratings were highest for financial controls supporting efficient resource use (M = 4.241, SD = 0.743) and accountability mechanisms (M = 4.073, SD = 0.934). Adequacy of daily operating funds (M = 3.986, SD = 1.329), allocation according to departmental needs (M = 3.917, SD = 1.070), and realistic operational budgets (M = 3.827, SD = 1.079) received lower ratings. The relatively wide variation in perceptions of operating funds suggests differing experiences across respondents. These descriptive data identify budgeting and resource availability as priorities for management review. The available results do not quantify an association between financial management and measured operational performance, and no causal inference is warranted.

Authors and affiliations

• Chepkirui Cheruiyot Monica; Dr. Daniel A. Otwori · Corresponding author

  Chepkirui Cheruiyot Monica: School of Management and Leadership, Management University of Africa, Nairobi, Kenya; Dr. Daniel A. Otwori: Management University of Africa, Nairobi, Kenya

  Kenya

Institution: Chepkirui Cheruiyot Monica: School of Management and Leadership, Management University of Africa, Nairobi, Kenya; Dr. Daniel A. Otwori: Management University of Africa, Nairobi, Kenya

Corresponding author: Chepkirui Cheruiyot Monica | monica.chepkirui@yahoo.com

Publication details

Journal

Nexus International Journal of Applied Science, Medicine and Social Sciences

Publication date

August 2026

Volume

1

Issue

2

Issue title

Volume 1, Issue 2

Pages

468-469

Article type

Original Research

Discipline

Hospital Management and Health Financing

Publisher

Nexus Academic Press

e-ISSN

3144-2196

Published paper ID

NIJAMSS-V1S2-AUG2026-027

Registration ID

NIJAMSS-V1S2-AUG2026-027

Paper number

027

Country

Kenya

Peer review

Peer Reviewed

Access

Open Access

Article URL: https://www.nijamss.org/articles/nijamss-v1s2-aug2026-027/

Full-text PDF: https://www.nijamss.org/articles/nijamss-v1s2-aug2026-027/full-text.pdf

References

References have not been supplied as separate metadata. Please consult the full-text PDF for the article's reference list.

Citation

Chepkirui Cheruiyot Monica; Dr. Daniel A. Otwori. Financial Resource Management at Mbagathi County Referral Hospital, Kenya: Staff Perceptions and Operational Implications. Nexus International Journal of Applied Science, Medicine and Social Sciences, Vol. 1, Issue 2, August 2026.