Healthcare delivery in resource-limited settings faces significant organizational dynamics and resource management challenges. Recognizing the difficulties in healthcare for resource-limited regions, the study focused on determining which elements in an organization play a significant role in deciding how services are provided. The study focused on exploring role culture, task culture, how human resources are distributed, and the number of financial resources any activity needs. A cross-sectional survey collected information from 61 managers working in 75 public health facilities. It was confirmed that task culture contributed positively and significantly to organizational performance, showing that teamwork, joint effort, and team-based choices are important factors. Role culture did not significantly affect performance, revealing that strict rules between roles are insufficient to boost performance. The best predictor was how staff were assigned, which strongly underlines that having sufficient staff with proper training and pay greatly improves healthcare outcomes. The combined effect of cultural and financial variables explained over 71% of the variation in performance and showed that the two are essential for success. The study points out that to boost the performance of public health facilities in Taita Taveta, task culture, human resource management, and careful financial planning should be used. The results suggest helpful steps for decision-makers and health managers who face resource limitations.
Mwafwaida et al. (Fri,) studied this question.