Health Management Information System and Health Products and Technologies Management in Level Four and Five Hospitals in Nyeri County, Kenya

Abstract

INTRODUCTION An effective health system is based on well-managed health products and technologies. However, the efficient administration of medical supplies and equipment in Kenya's public hospitals faces several challenges. This research focused on Level Four and Five hospitals in Nyeri County, in Kenya, aiming to identify the factors influencing health product and technology (HPT) management in relation to health management practices. METHODOLOGY This study employed a cross-sectional research design with a mixed-methods approach. Six key informants were identified through purposive sampling, while 51 health professionals were selected using a census technique. Data were gathered using structured questionnaires, which were piloted in Laikipia County to ensure accuracy. Quantitative data were analyzed using SPSS version 25, employing hierarchical regression methods, descriptive statistics, and correlation analysis. Qualitative data were analyzed thematically and presented verbatim. RESULTS The Health Management Information Systems (HMIS) accounted for 43.3% of the variation in HPT management. The explanatory power slightly improved to 43.9% with the addition of the leadership style as the mediating variable, indicating its contribution to the model. The regression analysis revealed a positive and significant relationship between HMIS and HPT management (β = 0.331), suggesting that improvements in HMIS are associated with better management of HPTs. CONCLUSION Level Four and Five hospitals in Nyeri County rely heavily on the Health Management Information System (HMIS) for HPT management. Further research should explore additional factors—such as the regulatory environment, patient needs and preferences, healthcare provider adoption, healthcare infrastructure, and global health challenges—that account for the remaining 56.7% of the variation in HPT management, both in Nyeri County and beyond.