This purpose of the study was to establish the influence of outsourcing practices on performance of construction projects in public level four hospitals in Nakuru County, Kenya. The county grapples with the challenge of supply chain related performance notably; delayed delivery of essential drugs, supply interruptions, long lead times and inadequate health facilities, and social determinants of health such as widespread poverty, lack of infrastructure and lack of food security which are significant structural challenges in improving health outcomes. This study adopted a descriptive survey design which was deemed suitable and appropriate because the design clarifies a phenomenon under study by providing the opinions of the phenomena within a specified time frame. The target population of the study was all 60 staffs directly involved in the implementation of the construction projects at the seven level four hospitals in Nakuru County, Kenya. A pilot study was undertaken to establish the reliability and the validity of the research instrument. Before embarking on data collection, a research permit was sought and obtained. The collected data was first cleaned to ensure that only those questionnaires that were correctly filled were used in the final analysis. The collected data was then analyzed descriptively and inferentially with the aid of SPSS and the findings were presented in tables. The study established that there was a strong and positive correlation between outsourcing practices and performance of construction projects [r=0.622**]. From the regression model, it was established that Adjusted R-square of 0.357 implied that outsourcing practices explained 35.7% of performance of construction projects in public level four hospitals in Nakuru County, Kenya. The study recommends that construction project firms assess their activities critically to evaluate those that can be outsourced efficiently and thus lead to enhanced project performance.

This purpose of the study was to establish the influence of outsourcing practices on performance of construction projects in public level four hospitals in Nakuru County, Kenya. The county grapples with the challenge of supply chain related performance notably; delayed delivery of essential drugs, supply interruptions, long lead times and inadequate health facilities, and social determinants of health such as widespread poverty, lack of infrastructure and lack of food security which are significant structural challenges in improving health outcomes. This study adopted a descriptive survey design which was deemed suitable and appropriate because the design clarifies a phenomenon under study by providing the opinions of the phenomena within a specified time frame. The target population of the study was all 60 staffs directly involved in the implementation of the construction projects at the seven level four hospitals in Nakuru County, Kenya. A pilot study was undertaken to establish the reliability and the validity of the research instrument. Before embarking on data collection, a research permit was sought and obtained. The collected data was first cleaned to ensure that only those questionnaires that were correctly filled were used in the final analysis. The collected data was then analyzed descriptively and inferentially with the aid of SPSS and the findings were presented in tables. The study established that there was a strong and positive correlation between outsourcing practices and performance of construction projects [r=0.622**]. From the regression model, it was established that Adjusted R-square of 0.357 implied that outsourcing practices explained 35.7% of performance of construction projects in public level four hospitals in Nakuru County, Kenya. The study recommends that construction project firms assess their activities critically to evaluate those that can be outsourced efficiently and thus lead to enhanced project performance