Abstract:
This study aimed to assess the effect of risk management practices on the
performance of Healthcare Construction Projects in Tanzania, focusing on three
specific objectives: evaluating the effects of risk identification, mitigation, and
monitoring and evaluation practices on the performance of healthcare construction
projects undertaken by Temeke Municipal Council. A pragmatic research philosophy
was adopted, and a mixed-methods approach was employed, integrating qualitative
interviews and quantitative data analysis. A cross-sectional research design
facilitated the study. The research was conducted at Temeke Municipal Council
(TMC), and the sample size was 98. Both primary and secondary data were used:
primary data were collected through questionnaires and interviews, while secondary
data were obtained from document reviews. SPSS version 27.0 was used for
quantitative data analysis, employing descriptive statistics. Qualitative data from
interviews were analyzed using qualitative content analysis. Variables were
measured using a 5-point Likert scale. Content validity was ensured through expert
and supervisor reviews, and reliability was assessed using Cronbach’s Coefficient
Alpha. The analysis revealed that risk identification practices significantly influence
the performance of Healthcare Construction Projects to a high extent. In relation to
the second specific objective, the analysis showed a strong relationship between risk
mitigation practices and the performance of government projects. For the third
objective, the results indicated a substantial positive influence of monitoring and
evaluation practices on government project performance. The study concluded that
Temeke Municipal Council effectively employed risk monitoring and evaluation
tools to minimize project risks, resulting in improved quality of construction, cost
savings, and timely completion of projects. The study recommended that Temeke
Municipal Council continue to establish best risk management practices to further
minimize project risks. Additionally, it suggested further research on the factors
influencing the effective management of project risks in Tanzania.
