Welfare Policies and Employee Satisfaction in Private Hospitals in Nairobi City County


  • Agure Michael Yugi The Catholic University of Eastern Africa
  • Dr. Doreen Njeje The Catholic University of Eastern Africa
  • Dr. Elias Mwangi The Catholic University of Eastern Africa




Employee satisfaction in certain private hospitals in Kenya has been inadequate, possibly leading to cases of negligence. This shortfall in job satisfaction can markedly influence the overall quality of healthcare services delivered. Thus, the study examined the effect of welfare policies on employee satisfaction in private hospitals in Nairobi. The study was based on role stress theory. The research methodology of this study encompassed several different elements. A positivist philosophy was employed to test hypotheses derived from existing theories, specifically through the use of a descriptive research design. This design incorporated both qualitative and quantitative data to mitigate the limitations of employing just one type of method. The study was centered on 19 private hospitals in Nairobi City County, specifically those classified as level 4 and 5 hospitals, and included both management and support personnel. Data were collected through questionnaires for the support staff and interviews for the upper management. A sample size of 332 respondents, calculated using Yamane's formula, was distributed proportionally across the categories of management and support personnel. The data collection procedure involved the use of questionnaires, interview guidelines, and the SPSS version 27 for data analysis. The study found that welfare policies are positively and significantly connected with employee satisfaction (r=.271, p=0.000).  The study concluded, when welfare policies are well-designed and well-communicated, they can positively impact employee satisfaction and can be an important retention tool for employers. It is recommended that private hospitals in Nairobi City County should have adequate welfare policies in place to support their employees. The stress theory of welfare suggests that employee stress levels should be addressed through welfare policies. Hence, private hospitals in Nairobi City County should provide support for employees who are experiencing stress due to work-related or personal reasons. The welfare policies in the hospitals such as stress management programs, counseling services, and flexible work arrangements, can help employees manage stress levels and improve their wellbeing.

Keywords: Welfare policies, employee satisfaction, private hospitals, Nairobi City County, Kenya

Author Biographies

Agure Michael Yugi, The Catholic University of Eastern Africa

Postgraduate Student, The Catholic University of Eastern Africa

Dr. Doreen Njeje , The Catholic University of Eastern Africa

Senior Lecturer (Human Resource Management) School of Business, The Catholic University of Eastern Africa

Dr. Elias Mwangi, The Catholic University of Eastern Africa

Lecturer (Human Resource Management) School of Business, The Catholic University of Eastern Africa


Abdirahman, H. I. H. (2018). The relationship between job satisfaction, work-life balance and organizational commitment on employee performance. International Journal of Human Resources, 3(1), 18-31

Amponsah-Tawiah, K., Ankrah, E. M., & Kofi Amankwah-Amoah, J. (2020). Organizational culture and work-life balance practices: evidence from the Ghanaian banking sector. Personnel Review, 49(3), 817-836.

Apinde, A. (2018). Factors influencing employee retention at M.P. Shah hospitals in Nairobi, Kenya (Thesis). Strathmore University

Auka, O. P., & Nyangau, A. (2020). Effects of Work-Life Balance Practices on Organization Performance in Homa Bay County Referral Hospitals, Kenya. Journal of Human Resource and Leadership, 5(1), 63 – 81. https://doi.org/10.47604/jhrl.1151

Business and Human Rights Resource Centre (2020). MP Shah Hospitals fined Sh3 million for woman's death. Retrieved from https://www.business-humanrights.org/de/latest-news/kenya-senate-fines-mp-shah-hospitals-for-failure-for-to-provide-emergency-treatment-due-to-financial-motives-leading-to-patients-death/

Chatterjee, S., Wadhwa, M., & Patel, D. (2018). A study on employee welfare and its impact on their performance at private hospitals and its research centre-cross sectional descriptive study. International Journal of Medicine 14 (3), 185-194

Dannefer, D. (2003). Cumulative advantage/disadvantage and the life course: Cross-fertilizing age and social science theory. The Journals of Gerontology Series B: Psychological Sciences. https://doi.org/10.1093/geronb/58.6.S327

Dousin, O., Collins, N., & Kaur Kler, B. (2019). Work-life balance, employee job performance and satisfaction among doctors and nurses in Malaysia. International Journal of Human Resource Studies, 9(4), 306-319. https://doi.org/10.5296/ijhrs.v9i4.15697

Garg, M., & Jain, P. (2013). Implications of labour welfare measures on job satisfaction and productivity: a study of cotton textile industry in Punjab. International Journal of Management & Information Technology, 5(2), 536-541. https://doi.org/10.24297/ijmit.v5i2.4458

Gatimu, J. W., & Kagiri, A. W. (2017). Influence of leave policy on employee satisfaction in telecommunication industry in Kenya. Journal of Human Resource and Leadership, 2(7), 41-57.

Hwang, I., & Cha, O. (2018). Examining technostress creators and role stress as potential threats to employees' information security compliance. Computers in Human Behavior, 81(12), 282-293. https://doi.org/10.1016/j.chb.2017.12.022

Igadwah, L. (2021). Nairobi Hospitals lays off over 200 amid fraud purge. Retrieved from https://www.businessdailyafrica.com/bd/corporate/health/nairobi-hospitals-over-200-amid-fraud-purge-3386964

Kangogo, J., & Wanambiro, V. (2019). Influence Of Flexible Working Schedules on Organizational Commitment Of Employees In Hospitals In Nakuru Town, Kenya. International Journal of Recent Research in Social Sciences and Humanities, 6(2), 62-76

Katrutsa, A., & Strijov, V. (2017). Comprehensive study of feature selection methods to solve multicollinearity problem according to evaluation criteria. Expert Systems with Applications, 2(1), 1-11. https://doi.org/10.1016/j.eswa.2017.01.048

Kemery, E. R. (2006). Clergy role stress and satisfaction: Role ambiguity isn’t always bad. Pastoral Psychology, 54(6), 561-570. https://doi.org/10.1007/s11089-006-0024-3

Khan, M. K., Ahmed, R. R., & Ahmed, J. (2022). Organizational culture and work-life balance practices: evidence from the banking sector of Pakistan. International Journal of Organizational Analysis, 30(2), 281-297.

Kipkoech, K. V. (2018). Flexible working arrangements on employee performance in Kericho County Referral Hospitals, Kenya (Doctoral dissertation, Kenyatta University).

Michael, C. (2019). The Impact of Welfare Programmes on Employees’ Performance in Public Sector: A Case of Ludewa District Council (Doctoral dissertation, Mzumbe University).

Mwangi, R. G., Nzulwa, D. J., & Kwena, R. (2016). Influence of Work-life balance on Employee Productivity in Government Institutions: a case of the Supreme Court, Nairobi. The Strategic Journal of Business & Change Management, 4(31), 567-591.

Nordenmark, M. (2004). Multiple social roles and well-being: a longitudinal test of the role stress theory and the role expansion theory. Acta Sociologica, 47(2), 115-126. https://doi.org/10.1177/0001699304043823

Nurhasanah, W. O., Kalimin, L. O., & Syaifuddin, D. T. (2019). The effect of work life balance on job satisfaction and female employee performance in commercial bank in Kendari City. Journal of Business and Management, 21(5), 01-07.

Tong, H., & Yin, A. (2011). Reactivation tendency analysis: A theory for predicting the temporal evolution of preexisting weakness under uniform stress state. Tectonophysics, 503(3-4), 195-200. https://doi.org/10.1016/j.tecto.2011.02.012

Tuwei, R., C. (2017). Effect of Work Life Balance on Service Delivery in Selected County Referral Hospitals in Kenya. International Journal of Economics, Commerce and Management, 5(10), 359-371

Wadhawan, S. (2019). Impact of flexible working arrangements on employee satisfaction in IT sector. BVIMSR’s Journal of Management Research, 11(1), 59-65.

Waititu, F., Kihara, P. & Senaji, T. (2017). Effect of employee welfare programmes on employee performance: A case study of Kenya Railways Corporation. International Academic Journal of Human Resource and Business Administration, 2(3), 611-631

Wamunyu, S. (2016). Factors Influencing Health Workers’ Job Satisfaction in Public Hospitals: A Case of Kiambu Level Four Hospitals in Kiambu County, Kenya (Doctoral dissertation, University of Nairobi).

Waters, R. D. (2013). The role of stewardship in leadership: Applying the contingency theory of leadership to relationship cultivation practices of public relations practitioners. Journal of Communication Management 4(2), 17-32. https://doi.org/10.1108/JCOM-05-2012-0041

Wolor, C. W., Solikhah, S., Fidhyallah, N. F., & Lestari, D. P. (2020). Effectiveness of E-Training, E-Leadership, and Work Life Balance on Employee Performance during COVID-19. The Journal of Asian Finance, Economics, and Business, 7(10), 443-450. https://doi.org/10.13106/jafeb.2020.vol7.no10.443.




How to Cite

Yugi, A. M., Njeje , D., & Mwangi, E. (2023). Welfare Policies and Employee Satisfaction in Private Hospitals in Nairobi City County. Journal of Human Resource & Leadership, 7(3), 44–56. https://doi.org/10.53819/81018102t5214