Resource Management Strategies and Organizational Performance of Donor Funded HIV Programmes in Kenya: A Multivariate Analysis

Abstract

Donor funded HIV programmes remain central to HIV prevention, treatment, laboratory monitoring, and continuity of care within Kenya’s health system. Despite substantial investments by global financing mechanisms, programme performance remains uneven due to persistent workforce, financial, infrastructural, and digital coordination challenges. Existing studies have examined these organizational dimensions independently, with limited empirical evidence regarding their integrated influence on programme performance within donor dependent HIV systems. This study examined the combined effect of resource management strategies on organizational performance of donor funded HIV programmes in Kenya. The study adopted a descriptive correlational research design. Quantitative data were collected from 404 senior programme managers drawn from implementing partner organizations, donor supported counties, and HIV service delivery facilities across Kenya. The data were analyzed using descriptive statistics, Pearson correlation analysis, and multiple regression analysis in SPSS Version 29. The findings established that strategic resource management systems jointly exerted a statistically significant influence on organizational performance (R = 0.6364, R² = 0.405, F = 37.979, p < 0.001). Human resource management strategies (B = 0.332, p < 0.001), financial resource management strategies (B = 0.351, p < 0.001), and information technology resource management strategies (B = 0.351, p < 0.001) emerged as significant predictors of organizational performance. The study concludes that sustainable organizational performance within donor funded HIV programmes is primarily driven by institutional capacity to integrate workforce systems, financial accountability mechanisms, and digital health infrastructure into coordinated and adaptive programme management systems capable of sustaining service continuity, operational efficiency, and healthcare responsiveness.