Strategic Leadership and Performance of Health Care Workers in the Northeastern Counties of Kenya


  • Abdikadir Ore Ahmed The Management University of Africa
  • Dr. Dinah Keino The Management University of Africa
  • Dr. Paul Machoka The Management University of Africa



The Kenya Constitution in 2010 devolved health services provision to counties. Under the county governments, the provision of the health services have faced many challenges relating to human resource management, remuneration, service delivery and turnover hence begging the question as to whether counties have the capacity to manage the health function. Hence, the study sought to establish the relationship between strategic leadership and performance of health care workers in North Eastern Kenya counties. The study was anchored on the upper echelons theory. A descriptive cross sectional research design was used. The study target population was 3,000 Health care workers and 10 health managers in the counties. The sample size for the health care workers was 353 obtained using Yamane Formular. Besides, a census approach was undertaken for the health managers in the counties. The number of the health managers are few and manageable. Questionnaire was used to collect the data. Both descriptive and inferential analysis was done on the collected data. The study findings indicated that strategic leadership (idealized influence, vision development, inspirational motivation and contingent reward) is positively and significantly related performance of health care workers in North Eastern Counties of Kenya. The study recommended the management within the counties (health managers) need to exercise strategic leadership and all health professions be registered with a professional regulatory body. The health workers should be encouraged to remain in North Eastern regions despite the circumstances. The authorities mandated with quality health provision to coordinate and harmonize the development of health policies and laws that are effective and applicable to all.

Keywords: Strategic leadership, performance, health care workers, northeastern counties, kanya

Author Biographies

Abdikadir Ore Ahmed, The Management University of Africa

Post Graduate Student, The Management University of Africa

Dr. Dinah Keino , The Management University of Africa

Lecturer, School of Management and Leadership, The Management University of Africa

Dr. Paul Machoka, The Management University of Africa

Lecturers, School of Management and Leadership, The Management University of Africa


Abatecola, G., & Cristofaro, M. (2018). Hambrick and Mason’s “Upper Echelons Theory”: evolution and open avenues. Journal of Management History.

Ahmed, M. A. (2021). Cancer Prevalence in Wajir County, Kenya: Estimation Using Cancer Data at the Healthcare Facilities. Journal of Medicine, Nursing & Public Health, 4(1), 25-45.

Allen, D. G., Peltokorpi, V., & Rubenstein, A. L. (2016). When “embedded” means “stuck”: Moderating effects of job embeddedness in adverse work environments. Journal of Applied Psychology, 101(12), 1670.

Anderson, M., Pitchforth, E., Asaria, M., Brayne, C., Casadei, B., Charlesworth, A., ... & Mossialos, E. (2021). LSE–Lancet Commission on the future of the NHS: re-laying the foundations for an equitable and efficient health and care service after COVID-19. The Lancet, 397(10288), 1915-1978.

Babbie, E. (2004). The practice of social research. Belmont, California

Birasnav, M., & Bienstock, J. (2019). Supply chain integration, advanced manufacturing technology, and strategic leadership: An empirical study. Computers & Industrial Engineering, 130, 142-157.

Creswell, J. W. (2014). A concise introduction to mixed methods research. SAGE publications.

Gilley, A., Gilley, J. W., & McMillan, H. S. (2019). Organizational change: Motivation, communication, and leadership effectiveness. Performance improvement quarterly, 21(4), 75-94.

Hassan, S. D., Njoroge, K., & Kimemia, F. (2021). Influence of Regular Promotion on Health Care Workers Retention in Public Health Facilities in Garissa County, Kenya.

Hinterhuber, H. H., & Friedrich, S. A. (2018). The technology dimension of strategic leadership: The leadership challenge for production economists. International Journal of Production Economics, 77(3), 191-203.

Jaleha, A. A., & Machuki, V. N. (2018). Strategic leadership and organizational performance: A critical review of literature. European Scientific Journal, 14(35), 124-149.

Kabetu, D. G., & Iravo, M. A. (2018). Influence of strategic leadership on performance of international humanitarian organizations in Kenya. International Academic Journal of Innovation, Leadership and Entrepreneurship, 2(2), 113-135.

Kasera, G. K. (2017). Strategic Management and Organizational Performance: Findings from Health Institutions in Nairobi County (Doctoral dissertation, United States International University-Africa).

Kegeni, G. M. (2021). Strategic Leadership Practices And Performance Of Charitable Ambulance Service Organizations In Nairobi City County Kenya (Doctoral Dissertation, Kenyatta University).

Kothari, C.R (2004) Research Methodology, 2nd Edition, New Age International Publishers, New Delhi

Li, A. Y. (2019). The weight of the metric: Performance funding and the retention of historically underserved students. The Journal of Higher Education, 90(6), 965-991.

Li, H., Hausknecht, J. P., & Dragoni, L. (2020). Initial and longer-term change in unit-level turnover following leader succession: Contingent effects of outgoing and incoming leader characteristics. Organization Science, 31(2), 458-476.

Mendelson, D. (2018). Legal protections for personal health information in the age of Big Data–a proposal for regulatory framework. Ethics, Medicine and Public Health, 3(1), 37-55.

Oliveira, H. C., Rodrigues, L. L., & Craig, R. (2020). Bureaucracy and the balanced scorecard in health care settings. International Journal of Health Care Quality Assurance.

Ombese, N. M. (2020). Influence Of Strategic Leadership On The Performance Of Managed Equipment Services (Mes) Projects In Level 4 & 5 Hospitals In Nairobi Metropolitan Area In Kenya (Doctoral dissertation, University of Nairobi).

Otwori, A. M., & Muturi, W. M. (2019). Influence of Strategic Leadership on Performance of Insurance Companies in Kenya. International Journal of Economics, Commerce and Management, 7(12), 169-181.

United Nations Inter-Agency Group for Child Mortality Estimation (2020). Retrieved from

Waldman, D. A., Javidan, M., & Varella, P. (2004). Charismatic leadership at the strategic level: A new application of upper echelons theory. The Leadership Quarterly, 15(3), 355-380.

Wang, W., Zhao, X., Cao, J., Li, H., & Zhang, Q. (2020). Barriers and requirements to climate change adaptation of mountainous rural communities in developing countries: The case of the eastern Qinghai-Tibetan Plateau of China. Land Use Policy, 95, 104354.

World Health Organization (WHO) (2013) Understanding the Labour Market of Human Resources for Health in Kenya, HEALTH SECTOR: Human Resources Strategy 2014-2018.




How to Cite

Ahmed, A. O. ., Keino , D. ., & Machoka, P. . (2022). Strategic Leadership and Performance of Health Care Workers in the Northeastern Counties of Kenya. Journal of Human Resource & Leadership, 6(4), 103–121.




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