Health in Vision 2030 targets improvement of infrastructure, healthcare financing, management style including devolution, ICT, procurement processes, training and basic sanitation. Most of these processes are taking longer than expected time to achieve, especially after the failure by the country to achieve fully the Millennium Development Goals which were laid down by the United Nations. This has prompted a study on Determinants of Healthcare Provision in Public Facilities in Nakuru County, Kenya. This study identified four aspects of the system which included management style, IT, training of health practitioners and resource allocation. The objectives of the study are to understand how these four factors influence healthcare provision in selected facilities. Data was collected by use of a structured questionnaire from 74 sampled Administration staff, Pharmacists, Procurement officers, financial officers, IT support staff and nurses across 36 health facilities in Nakuru County. A stratified random sampling technique was used to achieve the desired representation of the various subgroups within the population and simple random sampling was applied to identify respondents from the facilities. Data was analyzed through inferential statistics using SPSS. The study found out that training and delivery of health services are positively and significant related (r=0.245, p=0.036), management style and delivery of health services are positively and significant related (r=0.364, p=0.011). It was further established that information and technology and delivery of health services were positively and significantly related (r=0.234, p=0.030) while resource allocation and delivery of health services were also positively and significantly related (r=0.139, p=0.021). Based on the findings and conclusion, the study recommend that public facilities needs to adopt favorable training program since it was found to have positive and significant effect on healthcare provision The study recommends facilities to have a good management style that will ensure that management is effective; one of these is to embrace a good communication channel where issues can be addressed soberly and amicably.