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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Date
2018-06-10
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Addis Ababa University
Abstract
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.
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Keywords
Implementation challenges, kidney transplant, St. Paul’s Hospital