The Influence of Strategy Execution on Performance of Health Non-Governmental Organizations in Kenya

Purpose of the Study: This study examined the influence of strategy execution on the performance of health non-governmental organizations (NGOs) in Kenya. It specifically assessed how leadership commitment, resource alignment, accountability, communication, and monitoring of implementation influence organizational performance, with the aim of generating evidence to strengthen strategy implementation and improve health NGO effectiveness. Methodology: The study adopted a positivist philosophy and a descriptive cross-sectional research design. A sample of 183 programme managers was selected from 340 registered health NGOs using stratified random sampling. Primary data were collected through structured self-administered questionnaires and analyzed using descriptive statistics, Pearson correlation, and simple linear regression techniques. Findings: Of the 183 questionnaires distributed, 175 were completed and returned, representing a 95.6% response rate. The findings showed that health NGOs generally maintained clear implementation plans and strong leadership commitment, although staff capacity building and resource alignment required improvement. Pearson correlation analysis revealed a strong, positive, and statistically significant relationship between strategy execution and organizational performance (r = 0.692, p < 0.001). Regression analysis further confirmed that strategy execution significantly predicted organizational performance (β = 0.391, t = 3.939, p < 0.001), explaining 47.9% of the variation in performance and leading to the rejection of the null hypothesis. Conclusion: The study concludes that strategy execution is a critical determinant of organizational performance among health NGOs in Kenya. Effective implementation, supported by leadership commitment, adequate resource alignment, staff capacity development, and continuous monitoring, significantly enhances organizational outcomes. Strengthening execution systems will improve service delivery, accountability, sustainability, and overall organizational performance.