Influence of Government Supported Infrastructure Measures on Operational Performance at Nakuru Level Six Hospital, Kenya

Public hospitals play a vital role in delivering essential healthcare services, yet many face operational challenges related to staffing shortages, limited funding and infrastructural inadequacies. This study aimed to examine the influence of government supported infrastructure measures on operational performance at Nakuru Level Six Hospital, Kenya. The study was guided by the Resource-Based View (RBV) theory and employed a cross-sectional survey research design. The target population comprised 634 hospital staff, from whom a sample of 245 respondents was obtained using Yamane’s formula and selected through stratified random sampling. Data were collected using self-administered questionnaires. A pilot test involving 10% of the sample was conducted at KTRH. Content and construct validity were used to test validity, while Cronbach’s alpha was used to test reliability. The study was purely quantitative, and data were analyzed using descriptive statistics and inferential analysis, namely Pearson correlation and simple linear regression, to examine the relationship between government supported infrastructure measures and operational performance. Government supported infrastructure measures recorded a mean of 3.86 (SD = 0.66), which indicates that respondents perceived the measures as being implemented efficiently. A strong positive correlation was established (r = 0.899, p < 0.001), and infrastructure measures explained 80.8% of the variation in operational performance (R² = 0.808). The regression coefficient (B = 0.884) indicates that a unit increase in infrastructure measures leads to a 0.884 increase in operational performance. The null hypothesis was rejected at p < 0.001, confirming that government supported infrastructure measures significantly affect operational performance in hospitals. The study concludes that government supported infrastructure measures significantly influence operational performance in public hospitals. The study therefore recommends that the government and health sector stakeholders sustain investment in hospital infrastructure to improve operational performance. The findings provide empirical evidence on how government supported infrastructure measures influence the operational performance of hospitals. The results may be used to inform health sector policy and planning, particularly in strengthening the performance of referral hospitals across Kenya.