DETERMINANTS OF EFFECTIVE FINANCIAL MANAGEMENT IN CATHOLIC CHURCH MANAGED HEALTH INSTITUTIONS IN KENYA

  • Esther Wambui Gitee Catholic University of Eastern Africa
  • Dr. Henry Kimani Mburu Catholic University of Eastern Africa
  • Mrs. Agnes Muhavani Catholic University of Eastern Africa

Abstract

Purpose of the Study: This study purposed to assess the determinants of effective financial management in Catholic Church managed health institutions so as to provide better understanding in the local arena.

Problem Statement: Most of the Church institutions particularly health institutions within the Archdiocese of Nairobi have been characterized by various challenges such as financial mismanagement, poor leadership and lack of competent personnel. With this in mind, the objective of the study was to assess the determinants of effective financial management in Catholic Church managed health institutions in Kenya.

The study Methodology: The researcher used a mixed method paradigm specifically the convergent parallel design. Under this strategy, the researcher used cross-sectional survey design for quantitative data and phenomenology for qualitative data. Under sampling, both probability and non-probability sampling were used where the clusters were hospitals, health centers and dispensaries. Simple random sampling was employed to select 22 health institutions from the clusters.  Data was collected using questionnaires and interview schedule in Catholic Church managed health institutions sampled within Nairobi Archdiocese. Data was analysed quantitatively and presented descriptively, and illustrated by use of tables and charts. Information was sorted, coded and input into the statistical package for social sciences (SPSS) for generation of graphs, tables, descriptive statistics and inferential statistics.  In particular, means, standard deviations, and frequencies. Inferential statistics such as factor analysis, correlation and regression were also used.

Results of the Study: The study results indicated that, corporate governance, sources of funds and financial training were determinants of effective financial management.

Conclusion: The study concluded that financial training determines effective financial management. Well trained finance personnel contribute to effective financial management. 

Recommendation: The study recommended that the management must ensure that policies are put in place and procedures are adhered to in the management of finances. Based on the study there is need for Catholic managed health institutions management to ensure the institutions have proper systems that will detect fraud activities. The management should improve finance personnel through regular capacity building, workshops and seminars which will help to impart the basic and necessary financial skills.

Keywords: Institutional age, corporate governance, sources of funds, financial training and effective financial management.

Author Biographies

Esther Wambui Gitee, Catholic University of Eastern Africa

Master of Business Administration

Dr. Henry Kimani Mburu , Catholic University of Eastern Africa

Senior Lecturer

Mrs. Agnes Muhavani, Catholic University of Eastern Africa

Lecturer

References

Abanis, T., Arthur, S., Aluonzi, B., & Byamukama, E. (2013). Financial management in small and medium enterprises in selected districts in western Uganda. Research journal of finance and accounting 4(2), 29-42.

Abdulkadir, H. (2014). Challenges of implementing internal control systems in non-government organizations in Kenya. A case of faith based organizations in Coast Region. Journal of Business and Management, 16(3), 57-62.

Bartholomew, D. (2018). Elsequndo-Based operator of St. Vincent medical center declares bankruptcy: http://labusinessjournal.com/news/2018/aug/ 31/el-segundo- based-operator-st-vincent-medical-cente/ retrieved on 11/11/2018 at 5:21 PM.

Brigham, E. F., Ehrhardt, M. C., Nason, R. R., & Gessaroli, J. (2016). Financial Management: Theory and Practice, Canadian Edition. Nelson Education.

Catholic News Agency, (2010). Catholic hospitals comprise one quarter of world's healthcare, council reports. Catholic News Agency, 10 February.

Creswell, J. W., & Plano Clark, V. L. (2011). Designing and conducting mixed methods research. Thousand Oaks, CA: Sage.

Dave-Sen P, McPake B. 1993. Planning and management of community financing: a review of NGO approaches in the health sector. Voluntas 4(3): 345–37.

Dzomira, S. (2014). Internal Controls and Fraud Schemes in Not-For-Profit Organizations: A Guide to Good Practice. Research Journal of Finance and Accounting, 5(2), 118-126.

Field A. (2009), Discovering statistics using SPSS, 3rd edition, SAGE. Publication ltd.

Gapenski, L.C., Pink, G.H., (2015) American College of Healthcare Executives& Association of University Programs in Health Administration. Understanding healthcare financial management.

Gitman, L. (2011). Principles of Managerial Finance.10th Ed., Addison, Wesley Publishing.
Hair, J. F., Black, W. C., Babin, B. J., Anderson, R. E., & Tatham, R. L. (2010). Multivariate data analysis (6). NJ: Pearson Prentice Hall.

Hoe, C. H. (2010). Financial management practices: an in-depth study among the CEOs of Small and Medium Enterprises (SMEs). International Review of Business Research Papers, 6(6), 13-35.

Hulin, C., Netemeyer, R., and Cudeck, R. (2001). Can a Reliability Coefficient Be Too High? Journal of Consumer Psychology, Vol. 10, Nr. 1, 55-58.

Kakah, M. (2018 May 17). Priest in St. Mary’s mission hospitals ownership row charged with fraud: Nairobi News Nation. Retrieved from https://www.kenyans.co.ke/news/29441 on 11/11/2018 at 4:58 Pm.

Kiernan, F. (2016). Resource allocation in healthcare: Have we misjudged societal values? ICU Management and Practice, 16(2), 119-120

Kiriza, R. K., Walela, K. B. & Kukubo, D. W. (2015). Financial Management in Public Secondary Schools in Kenya: A Case Study of Lurambi Sub-County Kakamega County. International Journal of Scientific & Technology Research, 4 (9), 167 –178.

Kubwa, C. (2019 April 6th).Mater lost 26M in overpayment: Retrieved from https://www.the-star.co.ke/news/2019-04-06-mater-lost-sh26m-in-overpayment--witness./.

Lakew, D. M., & Rao, D. (2012). Effect of financial management practices and characteristics on profitability: A study on business enterprises in Jimma Town, Ethiopia. National Monthly Refereed Journal of Research in Commerce and Management, 2(5), 2277-1166.

LaVelle, R.E. and Sandel, K. (2011). Beyond the checkbook. Retrieved on 11th November, 2018 from http://www.financeproject.org/special/irc/youth_about.cfm.

M‟Nyiri, J & Nyahu, S. (2018). “Influence of Financial Management Practices On Service Delivery in the Public Health Facilities in Nakuru East Sub-County, Kenya." IOSR Journal of Business and Management (IOSR-JBM) 20.4(2018): 64-74.

Mburu, H.K. (2017). An introduction to management accounting. Nairobi: Focus publishers Ltd.
McDonough, M. (2015). Catholic Health Care and the Affordable Care Act: A Matter of Social Justice. Intercultural Hum. Rts. L. Rev., 10, 69.

Mokhulu, L. M. (2014). Financial management by public school principals in Nkangala district of Mpumalanga province of South Africa. College of Law and Management Studies.

Munge, M.N., Kimani, M., & Ngugi, D.G. (2016). Factors influencing financial management in public secondary schools in Nakuru County, Kenya. International Journal of Economics, Commerce and Management, 14(9), 91-114.

Murunga, M.M & Njeru, A (2015).determinants of financial policies compliance in faith based hospitals in Kenya. International Journal of Scientific and Research Publications, Volume 5, Issue 12, December 2015 360ISSN 2250-315.

Noulas, A. Genimakis, G. (2011). The determinants of capital structure choice: evidence from Greek listed companies. Applied Financial Economics 21: 379-387.

Olusola, A. (1998). Church Accounting: (2nd Ed). Divine Stewardship Accounting, Akure: Misola Nigerian Ltd. Oxford Dictionary of the Christian Church.

Ozotambgo, C, (2009). Financial record keeping in religious organization, a case of Catholic Church in Enugu Diocese, University of Nigeria.

Pandey I.M., (2010), Financial Management, New Delhi, Vikas Publishing House.

Singh, A. S, & Masuku, M. B (2012): Fundamentals of applied research and sampling techniques, International Jr. of Medical and Applied Sciences, 2(4), 124-132.

Tran, M.D & Vu, T.S (2018). Determinants Influencing Financial Performance of Public Hospitals: The Case of Vietnam. Asian Business Research; Vol.3, No.1, 2018ISSN2424-8479E-ISSN2424-898.

Wango, G. M. and Gatere, A. W. (2012). School finance management: Fiscal management to enhance governance and accountability. Nairobi: The Jomo Kenyatta Foundation.

Wanjau, K.N., & Muiruri, B.W. (2012). Factors affecting provisions of service quality in the public health sector: A case of Kenyatta National Hospital. International Journal of Humanities and Social Science, 2(13), 114-125.

West, R., and Zech, C. (2008). Internal financial controls in the U.S. Catholic Church. Journal of Forensic Accounting, Vol. IX, pp. 129-156.

World Bank (2014). Facilitating SME financing through improved Credit Reporting. Report of International Committee on Credit Reporting, chaired by the World Bank.

Zainon, S. Atan, R., Bee Wah, Y. (2014) "An empirical study on the determinants of information disclosure of Malaysian non-profit organizations", Asian Review of Accounting, Vol. 22 Issue: 1, pp.35-55.
Published
2019-10-02
How to Cite
Wambui Gitee, E., Kimani Mburu , D. H., & Muhavani, M. A. (2019). DETERMINANTS OF EFFECTIVE FINANCIAL MANAGEMENT IN CATHOLIC CHURCH MANAGED HEALTH INSTITUTIONS IN KENYA. African Journal of Emerging Issues, 1(9), 48-68. Retrieved from https://ajoeijournals.org/sys/index.php/ajoei/article/view/56
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Articles