The purpose of this study was to establish the influence of internal appraisal on the organizational performance of national health non-governmental organizations (NGOs) in Kenya. The study utilized positivism research philosophy and cross-sectional research design. The target population constituted 564 program directors and chief executive officers (CEOs) of 282 national NGOs registered with the NGO coordination board. Stratified random sampling technique was used to select a sample size of234, of which 227 responded to the questionnaire. Structured questionnaire was used for data collection, while descriptive and inferential statistical techniques were used for data analysis. Structural equation modelling (SEM) was applied to test the study hypothesis. Statistical package for social sciences (SPSS) Version 26 and Analysis of Moment Structures (AMOS) version 26 software were used for the analysis. The findings showed that the national health NGOs engaged in internal appraisal of leadership (M = 3.48, SD = 0.407), project development (M = 3.22, SD = 0.365) and funding (M = 3.20, SD = 0.397). In addition, it was established that conducting internal appraisal has a significant positive influence on the organizational performance of national health NGOs in Kenya(mn= 0.41,$ = 0.643,km = 6.578, 9 < 0.05). The study concluded that conducting internal appraisal is essential to enable national health NGOs in Kenya to accomplish their organizational performance objectives. This paper makes recommendations to the national health NGOs to regularly appraise internal strategic elements and continually analyze their organizations’ capacity to take advantage of current opportunities while mitigating threats.

Non-governmental organizations (NGOs) in the health sector help achieve national health objectives by delivering local health services. However, diminishing organization performance impacts their work and overall social impact. The purpose of this study was to assess the influence of strategic options on the performance of health NGOs in Kenya. The study was grounded on contingency theory and it utilized positivistic research philosophy and cross-sectional research design. The target population of the study was 564 chief executive officers (CEOs) and program directors of 282 national NGOs registered with the NGO coordination board. A sample size of 234 was selected using a random stratified sampling technique that involved 8 regions as strata. Data collection was through a structured questionnaire, while inferential (confirmatory factor analysis – CFA, and structural equation modelling – SEM) and descriptive statistical techniques (frequencies, percentages, means and standard deviations) were used for data analysis. SPSS Version 26 and Analysis of Moment Structures (AMOS) version 26 software were used for the analysis. The study findings established that strategic options have a significant positive influence on organization performance among national health NGOs in Kenya (r squared = 0.57, beta = 0.756, CR = 7.446, p < 0.05). The study concludes that selecting the strategic option that aligns with the organization’s context is essential for the organization performance of national health NGOs in Kenya. The study recommends that senior management of national health NGOs should critically consider the three generic strategies of cost leadership, focus and differentiation and select the one that aligns with their contexts to attain their organization performance objectives.

The primary purpose of this study was to apply structural equation modeling (SEM) and confirmatory factor analysis (CFA) to establish the relationship between external analysis of micro factors and the performance of non-governmental organizations (NGOs) in the health sector of Kenya. The study utilized a descriptive cross-sectional research design and a positivist research philosophy. The study’s target population was 564 program directors and chief executive officers (CEOs) from 282 nationalNGOs in the health sector registered with the NGO coordination board. A structured questionnaire was used to collect data from a sample size of 234 program directors and CEOs who were selected using a stratified random sampling procedure. The data were analyzed using descriptive statistics (percentages, frequencies, means, and standard deviations) and inferential statistical methods (CFA and SEM). Data analysis was aided by Analysis of Moment Structures (AMOS) Version 26 and Statistical Package for Social Sciences (SPSS) Version 26. The outcomes of the study revealed that conducting external analysis of micro factors had a significant influence on the performance of national NGOs in the health sector in Kenya (β = 0.559, CR = 4.642, p< 0.05). According to the findings, external analysis of the task environment is essential for national NGOs in the health sector in Kenya to achieve their organizational performance goals. The study has implications for national NGOs in the health sector to routinely analyze the task environment to ensure that all micro factors are aligned to the strategies of the organization and thus enhance organizational performance.