High-Performing Reproductive Healthcare Facilities in Kenya: Why They Exceed Expectations

This report summarizes findings from Phase 2 of a two-phase case study to determine why certain reproductive healthcare facilities in low-resource settings perform better than others. The study examined the characteristics, behaviors, and coping strategies of high-performing reproductive healthcare facilities in Kenya, exploring elements of resilience and factors influencing performance. The study investigated the applicability of a performance improvement (PI) model that hypothesizes that both individual and organizational performance are influenced by seven performance factors: job expectations; motivation; knowledge and skills; performance feedback; infrastructure, equipment, and supplies; leadership and management systems; and client and community focus. The study further examined the presence or absence of elements of organizational resiliency at each facility. [publisher’s description]