http://www.ijssit.com © Maosa, Muturi 202 FACTORS INFLUENCING PERFORMANCE OF PUBLIC-PRIVATE PARTNERSHIPS IN HEALTHCARE PROVISION IN KENYA; THE CASE OF NYAMIRA COUNTY 1* Robert Okari Maosa maosa.robert @gmail.com 2** Professor Willy Mwangi Muturi wmuturi@ihrd.jkuat.ac.ke 1 MSc. Leadership and Governance Student, Jomo Kenyatta University of Agriculture and Technology 2 Jomo Kenyatta University of Agriculture and Technology, Kenya Abstract: Huduma Public-Private-Partnerships programs are one way a country can accelerate development especially in the provision of healthcare to the citizens. Studies conducted in Kenya indicate that Nyamira County is poorly ranked in healthcare provision. This indicates inefficient Public-Private-Partnerships.The main objective of this study was to analyse factors influencing performance of public-private partnerships in healthcare provision in Kenya, using the case study of Nyamira County guided by the following specific objectives; to establish the influence of governance structures on performance of Public-Private Partnerships in healthcare in Nyamira County; assess the influence of the regulatory framework on performance of Public- Private Partnerships in healthcare in Nyamira County; and analyse the influence of socio-cultural environment on performance of Public-Private Partnerships in healthcare in Nyamira County. The research was underpinned on the Team Development Model, Agency Theory, Stakeholders Theory and Relational- bureaucratic Theory. The descriptive research design was employed in the study. The population of the study was drawn from the 64 senior top managers of the partnering organizations in the area where the 32 health facilities are located. Questionnaires with five-point Likert scale supplemented with interviews were conducted to collect primary data. Multiple regression analysis with the aid of a computer programme, SPSS was used to establish the influenceof Public-Private Partnerships in healthcare provision in Nyamira County.The study findings established that governance systems had the highest positive influence to public private partnership on healthcare provision, followed by regulatory factors and socio-cultural factors respectively. The study then suggested that similar studies be conducted across the other counties to establish the generality and therefore enable uniform policy formulation on matters to do with the performance of Public-Private Partnerships in the country. Keywords: Public Private Partnerships, Healthcare Provision, Governance Structures Introduction Different scientists and theorists have coined the definition of Public-private partnerships (PPPs) differently since its evolution. For instance, the World Economic Forum (2005), defined PPP as a form of agreement made with a joint responsibility for designing and executing projects with a reciprocal obligation to mutually be accountable, create voluntary or contractual relationships to share investment returns and reputational risks. Elsewhere, the Global Health Initiative (2013) defines PPPs as a plan between two or more groups or parties engaging to realize a mutual objective by amalgamating a set of agreeable assets. The public and private entities realized the need to work together in order to achieve project objectives that would not otherwise be achieved