Project Implementation challenges of setting up Kidney Transplant Service in Ethiopia. The Case of St. Paul’s Hospital Millennium Medical College

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Addis Ababa University


The main objective of the present research was to assess the project implementation challenges of kidney transplant project in Ethiopia by considering the only project being implemented nationally, in the case of St. Paul’s hospital millennium Medical College. With this objective in mind this research assessed the four project implementation challenges related to project team, resource, top management support, risk identification and management. Therefore people working in the different level of the project after identifying the work flow of the project activities were contacted; including top managers, surgeons, clinicians and support staffs involved in pre, during and post kidney transplant activities were contacted. Using a convenient sample a total of 21 quantitative questionnaires were collected supported with ten in-depth interviews with key respondents. The data collection was conducted after checking for validity and reliability of the questionnaire. SPSS version 20 was employed for the data analysis process and a narrative analysis of in-depth interviews was done. The descriptive statistics was used to describe the general result of the variables. The mean average scores were presented in a table by considering the four project implementation challenges considered in the study. In the project team challenges adequacy of team number was the highest score and provision of on job training was with the lowest mean score of 2.52 in which more than 47% of the respondents complain about. Regarding the project resource challenges the highest mean score was on the allocation of appropriate budget where as on time delivery of purchase orders was the lowest mean showing more than 76% proportion of respondents complain. Similarly demand for project implementation progress reports was observed as a contributor for top management support challenge. The result also shows highest mean score of possible risk identification at the early phases of the project. Similarly the in-depth interview findings indicate lack of on job training as a project team challenge. Delayed request of purchase order and delay in obtaining purchased supplies were a major challenge in resource related factor. It is recommended that a continuous top management support is required to alleviate project implementation challenges and project team training is necessary for improving project performance and to manage challenges appropriately.



Implementation challenges, kidney transplant, St. Paul’s Hospital