Linking Project Management Dynamics to Healthcare Projects Outcomes: A Case of Migori County, Kenya

Abstract: Healthcare projects in Migori County, Kenya, operate in complex environments with diverse stakeholders, fluctuating external conditions, and reliance on volunteers or temporary staff who may lack project management skills. This study examined the influence of project management team dynamics, stakeholder dynamics, communication dynamics, and risk dynamics on healthcare project performance in the county. Guided by the Balanced Scorecard Model and Stakeholder Theory, a descriptive research design was applied to five major healthcare projects, involving all 138 staff members as the study population through a census approach. Data were collected using semi-structured questionnaires, pre-tested with 14 respondents from a similar project at the United Nations Development Programme. Instrument validity was confirmed through content, face, and construct validity, while reliability achieved a Cronbach’s alpha of at least 0.7. Quantitative data were analyzed using descriptive and inferential statistics, while qualitative data underwent content analysis. Findings indicated that all four dynamics significantly and positively influenced project performance. Effective team environments—characterized by diversity, trust, clear roles, and collaboration—enhanced outcomes. Active stakeholder engagement, including community members, healthcare professionals, and authorities, improved decision-making. A strong communication culture was vital for operational efficiency. Proactive risk management supported project resilience. The study concluded that aligning team composition, stakeholder involvement, communication strategies, and risk assessments strengthens healthcare project outcomes. Recommendations included clearly defining roles, briefing stakeholders on contributions, respecting local culture and language, conducting systematic risk assessments, and investing in team training for risk management and project execution in Migori County’s healthcare sector. Keywords: Healthcare project management, Team dynamics, Stakeholder engagement, Communication strategies, Risk management in healthcare management. Title: Linking Project Management Dynamics to Healthcare Projects Outcomes: A Case of Migori County, Kenya Author: Joseph Gibuka Mairi, Morrisson Mutuku International Journal of Management and Commerce Innovations ISSN 2348-7585 (Online) Vol. 13, Issue 1, April 2025 - September 2025 Page No: 444-452 Research Publish Journals Website: www.researchpublish.com Published Date: 15-August-2025 DOI: https://doi.org/10.5281/zenodo.16881315 Paper Download Link (Source) https://www.researchpublish.com/papers/linking-project-management-dynamics-to-healthcare-projects-outcomes-a-case-of-migori-county-kenya