Abstract:
Before the Ministry of Health and Social Welfare (MoHSW) started outsourcing non consultancy services, security service and cleanliness service at Mbeya referral Hospital are totally seems to be below standard to MoHSW and due to that the MoHSW started outsourcing those services researcher. This study aimed at assessing the effectiveness of services outsourcing in public health institutions. The case of Mbeya Referral hospital, the services outsourced at MRH are two which are cleaning and security services, the study based on non consultancy services. The study was carried out by using a case study design, mixed study, cross-sectional and retrospective cohort. The researcher employed the following instruments in collecting data which are interviews, Questionnaires, Observations and documentary sources. The study revealed that outsourcing at MRH is effective through adherence of contract terms and conditions were supported by 83.3% of respondents, cost effectiveness of supplier through cost sharing were supported by 97% of respondents, consistency in quality in delivering of service were supported by 70% of respondents and good performance of service providers were supported by 70% of respondents. Though outsourcing at MRH are effective but there some problems like Low knowledge and skills to services providers which forced the MRH to employ health attendants to performs cleanness also modern equipment are not user friendly by service providers were supported by 55% of respondents and the organization faced with theft incidence were supported by 93% of respondents. These findings are both consistent and inconsistent with the previous research findings. The researcher recommends that for the effectiveness of services outsourcing at MRH, the service provider for cleaning service should be the one who have competent workers who can clean both infectious (IPC) and non infectious products in hospital while for security service there should be competent workers who are well equipped with technological advancement in securing the hospital. The results obtained from the research that was conducted in Mbeya referral hospital cannot be generalized to all services outsourcing as the services providers at MRH may be different to that of Muhimbili National Hospital.
