THE DETERMINANTS FOR MEDICAL TOURISM IN PRIVATE HOSPITALS: A CASE STUDY OF NAIROBI COUNTY, KENYA

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dc.contributor.authorKambaga, Dunstan
dc.contributor.authorMongare, Omare
dc.contributor.authorOndara, R. O
dc.date.accessioned2023-01-13T07:37:37Z
dc.date.available2023-01-13T07:37:37Z
dc.date.issued2023-01-13
dc.description.abstractThe Kenya government is expected to lead in developing medical experts and facilities to take care of the well-being of its citizens and beyond the borders, since health is one of the pillars in the government’s agenda of Vision 2030. Therefore, the study is to find out determinants for medical tourism for private hospitals in Nairobi County, with a view of improving medical tourism in Kenya. The study examined a sample of cross-section of the tourist stakeholders to establish the impact of quality medical treatment facility, service delivery offered, competent doctors and the cost for medical treatments for private hospitals in Nairobi County. A descriptive and exploratory strategy were used for the study, whereby, the population was 400 medical tourists per month visiting the 25 private hospitals (Table 4) using census method. While, Krejcie and Morgan Table (1970) was used to sample 196 respondents, by use of convenient sampling to select medical tourists in each hospital selected. The data was collected by a structured questionnaire and analyzed by Statistical Package for Social Sciences (SPSS). The presentations and conclusions of the study was done after descriptive and inferential 36 statistics was investigated. The findings revealed that predictors were statistically significant at α=0.05 and the p-values < 0.05 (Quality medical treatment facility, p=0.00; Service delivery, p=0.00; Competent doctors, p=0.03; Costs, p=0.00). This is an indication that Quality medical treatment facility, Service delivery and Competence of doctors all have a significant outcome on medical tourists coming to Kenya. The study recommended that the management of private hospitals ensure that they have quality medical treatment equipment/facilities and competent medical doctors who will offer quality services to motivate more tourists to visit hospitals. The government to put in place policies to protect medical tourists from being exploited by private hospitals as well as to manage public hospitals to compete favorably with private hospitals. In such a scenario, medical tourism would expand and lead to the creation of employment and generate revenues for the country. Finally, the study will assist the government and tourism stakeholders in addressing the obstacles facing local and international medical tourism in the country. The researcher suggested a comparative study between private and public hospitals on medical tourism in Nairobi, Kenya.en_US
dc.identifier.urihttp://hdl.handle.net/123456789/1838
dc.language.isoenen_US
dc.relation.ispartofseries;Page 24
dc.subject: Tourists; Medical tourism; Private hospitalsen_US
dc.titleTHE DETERMINANTS FOR MEDICAL TOURISM IN PRIVATE HOSPITALS: A CASE STUDY OF NAIROBI COUNTY, KENYAen_US
dc.typeArticleen_US

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Tourism sector is one of the sectors most countries in the world depends on its development of their economy to drive their social-economic agendas. In such a case, through socio-economic drivers, more tourist destinations are established for the development of an economy to create employments and enterprises, export revenues, and infrastructure development (United Nations World Tourism Organization: UNWTO, 2015). World Health Organization (2018), expenditure on healthcare most of the countries in the world have doubled for the last 16 years (2000 to 2016 years). According to World Bank (2014), Kenya has made great progress in medical care between 1995 and 2014, whereby, the health expenditure doubled from 6.4% to 12.8% thus, improving the life expectancy of its citizens. The passage of Kenya’s 2010 constitution, healthcare was handed over to the County government, which has made rural population to access primary health care for health population in future, unlike in the past. Medical tourism is where tourists travel to a destination with a sole purpose to have medical services in that country. The medical services being sought by medical tourists includes dental care, surgery and fertility treatments among others (The Organization for Economic Co-operation and Development, OECD, 2010). Medical care in foreign 37 countries started in ancient times. In the 19th Century, Europeans of middle-levelincome class people travelled to places assumed to get medical attention and improve their health. In 20th Century, rich individuals travel from developing to developed countries, although, of late some medical cases it is vice versa, owing to affordability and available of facilities in the hospitals (OECD, 2010). Private hospitals in Kenya are for making profits while NGOs and faith based are for non-profit making. The government earns revenue in terms of tax from these private hospitals for development. Quality service is the variance among the customer’s expectation before and after the delivery of the service provided by the hospital (Lewis and Mitchell, 2010). Competition is a key to customer’s satisfaction which makes the private hospitals improve their services to patients (Gole, 2015). According to Cummings and Worley (2012), customers’ expectations depend on marketing determinants like the image of the business/hospital, public relations and communication to have improved service. According to The Netherlands Enterprise Agency report (2016), Kenya’s private health sector today, 60% of healthcare facilities are managed by private or faith-based organizations and is among the most improved and vibrant private health sector in subSaharan Africa. Through the private health sector’s International Medical connections, Kenyan have benefited such as Kijabe hospital and The Mater hospital which have highly skilled doctors from foreign countries like India and Britain who have relocated to Kenya permanently or partially to provide medical services. Therefore, Kenya needs to be a front runner in medical tourism than other countries, particularly on quality and price. In order to deliver quality health and the government has to recognize the Public Private Partnerships (PPPs) as one of the supports in medical care.
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