Strategic Management Practices, Government Health Policies and Performance of AMPATH Research Projects in Kenya

This study investigated the effect of strategic management practices on the performance of AMPATH research projects in Kenya, moderated by government health policies. The specific objectives were: to examine the effect of planning; to assess the impact of leadership; to evaluate the role of monitoring; to determine the influence of strategy formulation; and to analyse the moderating effect of government policies on the relationship between strategic management practices and project performance. Grounded in the Resource-Based View (RBV) Theory, the study posited that AMPATH’s unique capabilities enhanced performance when aligned with strategic practices. An explanatory sequential mixed-methods design was employed, targeting 219 project personnel and 60 external stakeholders across AMPATH’s 73 projects. Stratified sampling and purposive sampling techniques were used to select 107 personnel and 40 stakeholders, with data collected via questionnaires, interviews, and document analysis. Validity was ensured through expert reviews and factor analysis, while reliability was tested using Cronbach’s Alpha (α ≥ 0.7). Quantitative data was analysed using regression analysis with the aid of SPSS Version 29, and qualitative data were thematically analysed using NVivo 12. The findings revealed that planning, leadership, monitoring, and strategy formulation significantly influence AMPATH research project performance in Kenya. Effective strategic management practices improve outcomes, while government health policies positively moderate this relationship. Strong policy support enhances the effect of strategic practices, reinforcing efficiency, accountability, and overall project success. The study contributes to the Resource-Based View (RBV) Theory literature by demonstrating that the performance value of strategic resources and capabilities is contingent on the external institutional environment, extending RBV through the integration of government policy as a critical contextual moderator in research project management. The study recommended strengthening structured planning, leadership development, systematic monitoring, and strategic alignment to improve project performance. It also urged AMPATH to actively engage with government health policies to enhance support, compliance, funding opportunities, and overall research effectiveness.