Authors : Alfred Laison Mwakalebela; Osca Gabone; Scola Malangalila

Volume/Issue : Volume 11 - 2026, Issue 7 - July

Google Scholar : https://tinyurl.com/48vhz88b

Scribd : https://tinyurl.com/4bvtjz6p

DOI : https://doi.org/10.38124/ijisrt/26jul485

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Abstract : Background The Comprehensive Hospital Plan (CHP) is a strategy framework for improving healthcare delivery in hospitals via better services, facilities, and resource management. Effective implementation of the CHP is crucial for enhancing healthcare quality, yet many health facilities encounter challenges that hinder the optimal use of resources, resulting in delays or incomplete execution of planned activities, the current case study aims to analyze variables impacting the implementation status of the Iringa Regional Referral Hospital's comprehensive plan for the years 2024/2025.  Methodology: A retrospective descriptive case study utilized secondary data from Hospital Quarterly (Q) Comprehensive Plan progress reports and an Excel monitoring database for the fiscal year July 2024 to June 2025. The standardized data extraction technique was employed to gather performance indicators, objectives, and expectations aligned with scheduled activities. Data were presented in frequency and percentage, with trend analysis conducted to summarize implementation levels across strategic objectives and reporting periods. Results were illustrated through tables, charts, and narrative summaries.

Keywords : Comprehensive Hospital Plan, Implementation Status.

References :

1. Mahmoudi N, Naghneh SA. Critical Factors Influencing Successful Implementation of Health System Policies. 2024;8(1):33–47.
2. Mtenga S. Public Health Policy and Planning Thematic Report [Internet]. Dar es Salaam; 2025. Available from: https://www.ihi.or.tz/media/List_and_report/MTR_Public_Health_Policy_and_Planning_-_REPORT_vT6IcfZ.pdf
3. Hutchinson RA, Witte KW, Vogel DP. Development and implementation of a strategic- planning process at a university tiospitai. 1989;46(May):952–7.
4. Wanjiku, H. K., Mwangi, J. K., & Mwangi J. Analysis of factors Influencing Strategic Plan Implementation in Public Level Four Hospitals in Nakuru County, Kenya Wanjiku, H. K., Mwangi, J. K., & Mwangi, J. Strateg J Bus Chang Manag [Internet]. 2018;5(3):392. Available from: www.strategicjournals.com
5. Afriyie DO, Hooley B, Mhalu G, Tediosi F, Mtenga SM. Governance factors that affect the implementation of health financing reforms in Tanzania : an exploratory study of stakeholders ’ perspectives. 2021;1–9.
6. Grossi A, Hoxhaj I, Gabutti I, Specchia ML, Cicchetti A, Boccia S. Hospital contextual factors affecting the implementation of health technologies : a systematic review. 2021;2:1–12.
7. Shopati AK, Mitonga KH, Aipinge LP. Factors affecting strategic plan execution process in public healthcare. Int J Community Med Public Heal. 2018;5(2):474–81.
8. NBS. The 2022 Population and Housing Census: Iringa Region Basic Demographic and Socio-Economic Profile Report; Tanzania, July 2024. [Internet]. 2024. Available from: https://www.nbs.go.tz/uploads/statistics/documents/en-1738323488-11. Iringa  Region Socio-Economic Profile.pdf
9. Sadeghifar J, Jafari M, Tofighi S, Ravaghi H, Maleki MR. Strategic Planning , Implementation , and Evaluation Processes in Hospital Systems : A Survey From Iran. 2015;7(2):56–65.
10. Alenezi GM, Aljameel FR, Anzi Z Al, Assiri H, Mohammed N, Ghumary A, et al. Review of Contemporary Philosophy The Implementation Challenges and Success Factors of Health Information Systems in Low-Resource Settings : A Comprehensive Review. 2023;22(1):5714–20.
11. Woretaw A. Factors Affecting the Implementation of Health Projects : Evidence from South Gondar Zone Public Hospitals. J Women’s Heal Care. 2021;1–9.
12. Dharyanti F, Jati SP, Pramukarso DT. IMPLEMENTATION PROCESS OF STRATEGIC PLANNING Proses Pelaksanaan Rencana Strategis Penyedia Pelayanan Kesehatan. 2019;7(2).