The Role of Organizational Factors in Strengthening Public Health Officers’ Engagement in RTI Prevention


Authors : Sharon Muteheli; Dr. Peter Omemo; Dr. Stephen Ombere; Lyndon Aduda

Volume/Issue : Volume 10 - 2025, Issue 11 - November


Google Scholar : https://tinyurl.com/3uvns768

Scribd : https://tinyurl.com/yu9zza8b

DOI : https://doi.org/10.38124/ijisrt/25nov1268

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.

Note : Google Scholar may take 30 to 40 days to display the article.


Abstract : Introduction Public Health Officers (PHOs) play a vital role in disease/injury prevention and health promotion. In developed countries, their involvement in road traffic injury (RTI) prevention has contributed to notable reductions in RTI-related morbidity and mortality. However, in developing countries such as Kenya, PHO participation in RTI prevention remains limited. This study examined organizational factors influencing PHO participation in RTI prevention within Nairobi County.  Methodology Descriptive cross-sectional study design was employed in this study to collect data from PHOs serving in Nairobi County. A structured questionnaire and a key informant interview guide were instruments used to collect quantitative and qualitative data, respectively. Quantitative data was analysed using SPSS software while qualitative was thematically analysed using NVivo software.  Results The study found that strong organizational leadership through mentorship, coaching, provision of resources, and open communication enhances the participation of Public Health Officers (PHOs) in road traffic injury (RTI) prevention. Effective interdepartmental collaboration also emerged as a key enabler, promoting shared responsibility and resource efficiency. However, bureaucratic structures were identified as both supportive and obstructive; while some viewed them as essential for governance, others saw them as barriers due to administrative delays. Overall, the findings underscore the importance of supportive leadership and streamlined organizational structures in empowering PHOs to engage actively in RTI prevention efforts.  Conclusion and Recommendations The study concludes that organizational factors are critical determinants of PHO involvement in RTI prevention. Addressing structural inefficiencies and promoting leadership support are essential to empowering PHOs to contribute meaningfully to RTI prevention and broader public health goals. To strengthen PHO participation in RTI prevention, the study recommends regular mentorship, leadership support, and provision of IEC materials to build capacity. It also highlights the need for clear job descriptions and streamlined processes to enhance effectiveness and accountability.

Keywords : Public Health Officers, Road Traffic Injury and Organizational Factors.

References :

  1. World Health Organization Regional Office for Africa. Road safety in the WHO African Region: Situation report 2023. Brazzaville: WHO Regional Office for Africa; 2023. Available from: https://www.afro.who.int/publications/road-safety-who-african-region-2023
  2. World Health Organization. Global status report on road safety 2018. Geneva: WHO; 2018. Available from: https://www.who.int/publications/i/item/9789241565684
  3. World Health Organization. Global Health Estimates 2019: Deaths by cause, age, sex, by country and by region, 2000–2019. Geneva: WHO; 2020. Available from: https://data.who.int/indicators/i/B9D9E6A/D6176E2
  4. World Health Organization. Road traffic injuries [Internet]. Geneva: WHO; 2022 [cited 2025 May 29]. Available from: https://www.who.int/news-room/fact-sheets/detail/road-traffic-injuries
  5. World Health Organization. Global plan for the decade of action for road safety 2021–2030. Geneva: WHO; 2021. Available from: https://www.who.int/publications/m/item/global-plan-for-the-decade-of-action-for-road-safety-2021-2030
  6. McAndrews C, Marcus J, Piatkowski D, Garrick N. Road safety as a shared responsibility and a public problem in Swedish road safety policy. Sci Technol Hum Values. 2013;38(6):749–72. https://doi.org/10.1177/0162243913493675
  7. Carter D, Gelline D, Kirley B, Sundstrom C, Srinivasan R, Palcher-Less J. Road safety fundamentals: concepts, strategies and practices that reduce fatalities and injury on the road. Washington (DC): United States Federal Highway Administration, Office of Safety; 2017. Report No.: FHWA-SA-18-003. Available from: https://rosap.ntl.bts.gov/view/dot/49570
  8. Public Service Commission. Revised scheme of service for public health assistants and public health officers. Nairobi: Government of Kenya; 2014.
  9. Kenyatta University Teaching Referral and Research Hospital. Road safety sensitization week; purpose to be a safe road user. Nairobi: KUTRRH; 2021 Jun 30. Available from: https://www.kutrrh.go.ke/rpad-safety-sensitization-week-purpose-to-be-a-safety-road-user/
  10. Republic of Kenya. National Road Safety Action Plan 2024–2028. Nairobi: Ministry of Roads and Transport; 2024. Available from: https://libraryir.parliament.go.ke/handle/123456789/27722
  11. Chatuku M, Groce N, Mindell J, Kett M. Perception of healthcare workers on road traffic injuries in Namibia: An untapped source of expertise. Disabil Rehabil. 2021;44(18):5184–90. https://doi.org/10.1080/09638288.2021.1929512
  12. Mbau R, Gilson L. Influence of organizational culture on the implementation of health sector reforms in low- and middle-income countries: a qualitative interpretive review. Glob Health Action. 2018;11(1):1462579. https://doi.org/10.1080/16549716.2018.1462579
  13. Dayanti PR, Eliyana A, Emur AP, Pratama AS. Supportive leadership: A literature review. Int J Sci Manag Stud. 2022;5(2):74–80. https://doi.org/10.51386/25815946/ijsms-v5i2p109
  14. Novitasari D. Job stress and turnover intention: Understanding the role of leadership and organizational commitment. Int J Sci Manag Stud. 2020;3(5):1–14. https://doi.org/10.51386/25815946/ijsms-v3i5p101
  15. Lee CB, Chen MS, Chien S, Pelikan JM, Wang YW, Chu CM. Strengthening health promotion in hospitals with capacity building: a Taiwanese case study. Health Promot Int. 2015;30(3):625–36. https://doi.org/10.1093/heapro/dat089
  16. Valaitis R, Meagher-Stewart D, Martin-Misener R, Wong ST, MacDonald M, O'Mara L. Organizational factors influencing successful primary care and public health collaboration. BMC Health Serv Res. 2018;18(1):420. https://doi.org/10.1186/s12913-018-3194-7
  17. Ndegwa M. Effect of performance appraisal on employee motivation: The case of the National Housing Corporation, Kenya [master’s thesis]. Nairobi: University of Nairobi; 2018. Available from: http://erepository.uonbi.ac.ke/handle/11295/105015
  18. Ombese NM. Influence of strategic leadership on the performance of managed equipment services projects in level 4 and 5 hospitals in Nairobi Metropolitan Area in Kenya [master’s thesis]. Nairobi: University of Nairobi; 2021. Available from: https://erepository.uonbi.ac.ke/handle/11295/154377
  19. Kuria L, Namusonge G, Iravo M. Effect of leadership on organizational performance in health sector in Kenya. Int J Sci Res Publ. 2016;6(7).
  20. Nairobi City County. County integrated development plan 2018–2022. Nairobi: Nairobi City County; 2017.
  21. Nairobi City County. Health Sector Strategic and Investment Plan 2019–2025. Nairobi: Nairobi City County; 2019.
  22. Levin KA. Study design III: Cross-sectional studies. Evid Based Dent. 2006;7(1):24–5. https://doi.org/10.1038/sj.ebd.6400375
  23. Yang Y, Wang X, Li Z. Human resource management practices and employee engagement: The moderating effect of supervisory role. Cogent Bus Manag. 2024;11(1):2318802. https://doi.org/10.1080/23311975.2024.2318802
  24. Chaudhry AQ, Kalya AA, Rehman S. The impact of leadership on project performance: A case study of the construction sector in Pakistan. Int J Econ Manag Sci. 2012;1(4):28–35.
  25. Dinsdale R. The role of leadership in developing a positive organisational culture. Br J Healthc Manag. 2017;23(3):120–6. https://doi.org/10.12968/bjhc.2017.23.3.120
  26. Bot M, Olorunsuwa E, Olorusuwa EO, Shawulu T. Bureaucracy and decision-making process in public organisation: University of Jos in focus. Int J Intellect Prop Manag. 2022;5:325–42. Available from: https://www.researchgate.net/publication/364384944_Bureaucracy_and_decisionmaking_process_in_public_organisation_University_of_Jos_in_focus
  27. Obodozie NM, Nwabufo IJ. Promoting collaboration in the modern workplace: A path to productivity and resilience. World J Adv Res Rev. 2025;25(2):524–33. https://doi.org/10.30574/wjarr.2025.25.2.0343
  28. Sørensen E, Torfing J. The ideational robustness of bureaucracy. Policy Soc. 2024;43(2):141–58. https://doi.org/10.1093/polsoc/puae015
  29. Van Woerkom M, Kroon B. The effect of strengths-based performance appraisal on perceived supervisor support and the motivation to improve performance. Front Psychol. 2020;11:1883. https://doi.org/10.3389/fpsyg.2020.01883

30. Lewin K. Frontiers in group dynamics. In: Lewin K, editor. Resolving social conflicts and field theory in social science. Washington (DC): American Psychological Association; 1997. p. 301–

Introduction Public Health Officers (PHOs) play a vital role in disease/injury prevention and health promotion. In developed countries, their involvement in road traffic injury (RTI) prevention has contributed to notable reductions in RTI-related morbidity and mortality. However, in developing countries such as Kenya, PHO participation in RTI prevention remains limited. This study examined organizational factors influencing PHO participation in RTI prevention within Nairobi County.  Methodology Descriptive cross-sectional study design was employed in this study to collect data from PHOs serving in Nairobi County. A structured questionnaire and a key informant interview guide were instruments used to collect quantitative and qualitative data, respectively. Quantitative data was analysed using SPSS software while qualitative was thematically analysed using NVivo software.  Results The study found that strong organizational leadership through mentorship, coaching, provision of resources, and open communication enhances the participation of Public Health Officers (PHOs) in road traffic injury (RTI) prevention. Effective interdepartmental collaboration also emerged as a key enabler, promoting shared responsibility and resource efficiency. However, bureaucratic structures were identified as both supportive and obstructive; while some viewed them as essential for governance, others saw them as barriers due to administrative delays. Overall, the findings underscore the importance of supportive leadership and streamlined organizational structures in empowering PHOs to engage actively in RTI prevention efforts.  Conclusion and Recommendations The study concludes that organizational factors are critical determinants of PHO involvement in RTI prevention. Addressing structural inefficiencies and promoting leadership support are essential to empowering PHOs to contribute meaningfully to RTI prevention and broader public health goals. To strengthen PHO participation in RTI prevention, the study recommends regular mentorship, leadership support, and provision of IEC materials to build capacity. It also highlights the need for clear job descriptions and streamlined processes to enhance effectiveness and accountability.

Keywords : Public Health Officers, Road Traffic Injury and Organizational Factors.

CALL FOR PAPERS


Paper Submission Last Date
31 - December - 2025

Video Explanation for Published paper

Never miss an update from Papermashup

Get notified about the latest tutorials and downloads.

Subscribe by Email

Get alerts directly into your inbox after each post and stay updated.
Subscribe
OR

Subscribe by RSS

Add our RSS to your feedreader to get regular updates from us.
Subscribe