Background: Since the beginning of the epidemic, more than 70 million people have been infected with the Human Immune Virus (HIV), and about 35 million people have died of HIV. Globally, 36.7 million [34.0–39.8 million] people were living with HIV at the end of 2015. Sub-Saharan Africa remains most severely affected accounting for nearly 70% of the people living with HIV worldwide, Kenya has the fourth largest epidemic globally. Health system strengthening is about building the capacity of the critical components of the health system to achieve more equitable and sustained improvements across health services and health outcomes. To achieve sustained health outcomes and to ensure sustainability of gains, strengthening service delivery as the health system block is necessary. The issue of sustainability of projects in the health sector is a major challenge worldwide, and more specifically in Kenya. This study sought to establish the factors that determine the sustainability of HIV project in Muranga County and was anchored on the service delivery block of the health system. The specific objectives of this study were; to determine how leadership approaches, funding mechanisms, capacity building and Human Resource Management (HRM) planning influence the sustainability of HIV projects within Muranga County
Method: A cross sectional study design with qualitative and quantitative approaches to data collection and data analyzed using Statistical Package for Social Scientists.
Results: The results were, Majority of the respondents were female, 38(51.4%) aged between 30 and 39 years, 47(64.4%) worked in Muranga county for a period of 4 to 6 years, 30(42.9%). Most of the respondents were clinical officers by profession, 37(50%) with diplomas, 60(81.1%). There was statistically significant positive correlations between funding mechanism and leadership, r=0.3264 (p=0.004), capacity building and leadership, r=0.4034 (p<0.001), HRM practices and leadership, r=0.3995 (p<0.001), HRM practices and capacity building, r=0.4991 (p<0.001), sustainability and funding mechanism, r=0.2779 (p=0.017), sustainability and capacity building, r=0.3880 (p=0.003) and, sustainability and HRM practices, r=0.4984 (p<0.001. Every unit increase in funding mechanism score was associated with a significant increase in sustainability score by 0.252 units (95% CI: 0.005-0.499). Similarly, there was a significant increase in sustainability score for every unit increase in HRM practices score by 0.461 units (95% CI: 0.202-0.72).The study recommended diversifying of sources of funding, ensuring health care workers are trained both at pre-service and in service to increase pool of trained workers. Futher the county should structure Human resource planning approaches adopted by the county and strengthen leadership approaches.
Determinants, Sustainability, HIV projects
