TOTAL QUALITY MANAGEMENT PRACTICES AND PERFORMANCE OF HIV/AIDS PROJECTS IN RWANDA - A CASE OF AIDS HEALTH CARE FOUNDATION

Walter Nyakundi Matoke, Eugenia Nkechi Irechukwu

Abstract


Rwanda’s Vision 2030 puts healthcare as one of its integral pillars. HIV/AIDS is one of the biggest challenges in the health sector and Rwanda’s economy at large since the disease led to reduction of labour supply and productivity as well as increased government expenditure on importation of expensive healthcare goods. Total quality management is one of the key factors that affect the success of projects and has gained popularity among project managers overtime. This study sought to investigate total quality management practices and performance of HIV/AIDS projects in Rwanda. Specifically, the study analyzed the effects of top management commitment, employee involvement and staff training on the performance of HIV/AIDS control projects. The study is helpful to project managers in policy formulation and rational decision making. It is also helpful to the Rwandan government in making informed decisions towards achieving health care provision objectives. The donors’ confidence in funding health projects may also be boosted by the findings of this research. The study adopted descriptive and correlational research designs. A sample of 98 respondents was drawn from a population of 130 consisting of the staff and project managers of Aids Healthcare Foundation (AHF) Rwanda. Simple random sampling technique was used to select the sample size in this study. Data used was of primary nature collected using questionnaires. Quantitative and qualitative data collected were analyzed using IBM SPSS version 22 and the findings presented in tables and figures. Regression and correlation analysis were used to establish an interaction between the dependent and independent variables. Descriptive findings indicated that over 75%, 85% and 90% of respondents did agree that at top management commitment, employee involvement and training practices respectively are practiced at AHF Rwanda. Correlation findings did indicate a Pearson correlation coefficient of 0.780, 0.630 and 0.690 for top management commitment, employee involvement and training practices respectively with significance values of 0.01 for all. Lastly the betta coefficients for top management training, employee involvement and training practices were 0.163, 0.235 and 0.126 respectively with corresponding probability values of 0.011, 0.002 and 0.036 and R squared value was found to be 71.5%. The study concluded that TQM including top management commitment, employee involvement and training are practiced largely at Aids Healthcare Foundation. Hence, a strong positive significant relationship between TQM practices and performance of HIV/AIDS projects in Rwanda. The study recommends AHF project managers to focus more on TQM practices, particularly management commitment on project activities, involvement of other employees in decision making and creating an enabling working environment and lastly, they should consider enhancing human resource training as a way to enhance project performance. Additionally, the government and the donors should ensure that TQM practices are implemented in the healthcare projects in order to realize positive results from such projects.

JEL: I10; I18; J21

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total quality management, HIV/AIDS projects, top management commitment, employee involvement, staff training, project performance

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References


Anunda J. (2016). Factors Influencing the Performance of Projects Implemented by the NGOs in the Health Sector. A Case of HIV/AIDS Projects in Nairobi County, Kenya. Nairobi: University of Nairobi.

Berg B. (1998). Qualitative Research Methods for Social Sciences. Boston: Allyn and Bacon.

Berman J. (2007). Maximizing Project Value. Defining, Managing and Measuring for Optimal Return. New York: American Management Association.

Brown J. (2008). The Handbook of Program Management. How to facilitate Project success with Optimal Program Management. New York: Mc Graw Hill.

Chandra B. (2004). Principles of Management and Administration. New Delhi, India: Prentice Hall.

Chinyio E. (2010). Construction Stakeholder Management. Chichester: Wiley Black.

Cooper D.R and Schindler P. (2014). Business Research Methods. New York: Mc Graw Hill.

Crawford N. (2010). Competencies for Managing Change. International Journal of Project Management, 405-412.

Crosby P. (2000). Let’s Talk Quality. 96 questions that you always wanted to ask Phil Crosby. New York: Mc Graw Hill.

Everett C. (2002). Penn States Commitment to Quality Improvement. Quality Progress Journal, 35(1), 44-49.

Fawcett S. B. (1995). Using Empowerment Theory in Collaborative Partnerships for Community Health and Development. American Journal of Community Psychology, 677-697.

Felix L. (2016). Drivers of Improved Health Sector Performance in Rwanda. A Qualitative View from within. BMC Health Services Research, 16-123.

Griffin J. (2010). Residential Construction Management. Managing According to the Projects Life Cycle. Lauderdale: Ross Publications.

Halis, Mohammed and Muhsin (2017). Total Quality Management Implementation in the Health care Industry. Findings from Libya. Journal of Management Issues in Health Systems, 4-21.

Happy R. (2010). Microsoft Project Management. Real World Skills for Certification and Beyond. Indianapolis: Willey Publications.

Harris R. (2014). Workforce Development Perspectives and Issues. Singapore: Springer Publications.

Huq Z. (2005). Managing Change. A Barrier to TQM Implementation in service Industries. Managing Service Quality. An International Journal, 452-469.

Kelly D. (2006). Applying Quality Management in Health care. A Systems Approach. Chicago Illinois: Health Administration Press.

Kerzner H. (2009). Value Driven Project Management. Wiley: International Institute for Learning.

Kothari C. (2004). Research Methodology. Methods and Techniques. New Delhi: New Age International Publisher.

Mackenzie L. (2000). Perspectives in Social Research Methods and Analysis. New Delhi: Sage Publications.

Mugenda & Mugenda (2003). Research Methods. Quantitative and Qualitative. Nairobi: African Centre for Technology Studies.

Muli N. (2014). Quality Improvement Practices and Business Performance among Commercial State Corporations in the Ministry of Health, Kenya. Nairobi: University of Nairobi.

Naomi T. (2014). Indicators of NGOs Success and Impacts on NGOs Role in HIV Policy Process in Kenya. Malmo: Malmo University.

Oakland J. (2000). Total Quality Management. Text with Cases. Boston: Butterworth-Heinemann.

Orodho J. (Techniques of Writing Research Proposal and Reports in Education and Social Sciences. Maseno, Kisumu: Kanezja Enterprises.

Rad A. (2005). A Survey of total quality management in Iran. Barriers to Successful Implementation in Healthcare Organizations. Leadership in Health Sciences, 12-34.

Rao A. (2006). Total Quality Management: Across –functional Perspective. Willey: John and Sons.

Riaza(2016). Top management support and Project Performance: An Empirical study of Public Sector Projects. Proceedings of the American Society for Engineering Management 2016 International Annual Conference.

Rogers P. (2011). Purposeful Program Theory: Effective use of theories of Change and logic models. Wiley: Wiley Publications.

Saunders M. (1996). Research Methods for Business Students. New Delhi India: Pearson Education.

Sethuraman H. (2005). Total Quality Management in Health care. Healthcare Administration.com.

Taylor and Wright (2003). The Impact of Senior Managers Commitment on the success of TQM Programs: An Empirical Study. International Journal of Manpower, 24(5).

Theophile M. (2017). Effect of Stakeholders Management Practices on Performance of Construction Projects in Rwanda. Unpublished project.

Toledo, R. J. (2012). Effects of project management training on professional individual performance related to engineering and construction projects development. PA Project Management Institute. British Columbia, Canada.

UNAIDS (2016). Practical Guidelines for Intensifying HIV Prevention. Global Report on AIDS Pandemic. Geneva: UNAIDS.

Van, Moseley and Desinger (2012). Fundamentals of Performance Improvement. Optimizing Results Through People. Francisco: Willey Imprint.

Wanderi E. (2015). Evaluation of Factors influencing Total Quality Management Implementation in Rwanda Construction Industries. European Journal of Business and Social Sciences, 14-28.

Warnack M. (2003). Continual Improvement Programs and ISO 9001:2000. 42-49. Penang Malaysia: Quality Press.

World Bank (2008). World Bank’s Commitment to HIV/ AIIDS in Africa. World Bank Publications.

WHO (2013). Integrating Gender into HIV/AIDS Programs in the Health Sector: Tool to improve responsiveness to women’s needs. WHO Journal 87, 883.

Wilson and Mbogo (2016). Factors Affecting Performance of HIV/AIDS Programs in Kenya. The case of Eastern Deanery AIDS Relief Program. Nairobi: United States International University.




DOI: http://dx.doi.org/10.46827/ejmms.v6i3.1059

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