- Research Article
- 10.9790/0837-3007074859
Leadership Support For Disability Participation-Inclusion And Service-Delivery In Level-Six Hospitals In Kenya
- Jul 01, 2025
- IOSR Journal of Humanities and Social Science
- Christine Mwikali Musee + 2 more +2
Background: Participation-inclusion facilitates employees with disability through employment, policies and culture, whose implementation falls below colleagues without disability. At level-6 hospitals, participationinclusion and its influence on service-delivery from employees with disability had not been studied. This research sought to determine the influence of leadership-support for participation-inclusion on service-delivery at level-6 hospitals in Kenya. The objective was informed by aspects of social and human rights models, stakeholder theory, and theory of stigma. Methods: In this cross-sectional study, data was collected from 211 employees with disability and 196 supervisors, sampled by census, in five purposively-selected hospitals. Tools used were two Likert-scale-based questionnaires (with qualitative and quantitative aspects) and observation checklists. Secondary data from study facility employee databases, strategic plans and disability mainstreaming policy documents were used. Data analysis was done using SPSS version 29 and N-Vivo version 15 for quantitative and qualitative aspects respectively, for measures of central tendency, dispersion, percentages; associations using Peason’s correlation coefficients and ANOVA for hypothesis testing, with cut of p-value < 0.05 indicating significance. Results: Response-rate for employees with disability was 211(92.1%) and immediate supervisors 196(85.6%). Quota employment representation deficit was 0.5-4.1%, influence of employment 71%, promotions 72%, database 48%, policy 75%, disability committees 72%, programs 66%, awareness 72%, support-supervision 78% and collegial-support 78%. Service-delivery from employees with disability was rated 80% and satisfaction of supervisors 86%. The value of R square was 0.423, inferring that 42.3% change in servicedelivery was accounted for by leadership-support for participation-inclusion, F statistic was 130.695 being greater than F critical at 3.909 and significant p-value 0.000. Thus, the null hypothesis, ‘participation-inclusion has no significant influence on service-delivery at level-6 hospitals in Kenya,’ was rejected. An employee with disability said, "… sometimes colleagues assume I need… help when I don't…They should ask us…." A supervisor said, “...Some outperform their colleagues without disability…” Conclusions: Participation-inclusion has positive significant influence on service-delivery from employees with disability. They have potential talent-reservoirs that can be objectively exploited through leadership-led participation-inclusion and timely data to dispel misconceptions
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