Factors affecting supply chain performance in government health institutions in Kisumu central sub-county, Kenya
View/ Open
Date
2015-11Author
Odeny, Monica A
Type
ThesisLanguage
enMetadata
Show full item recordAbstract
The concept of Supply Chain Management is inevitable for efficient resource
utilization in the modern organization. Chopra et al. (2010) portend that supply chain
management represent the confluence of at least three main streams of knowledge and
practical experience of the business world spanning almost 60 years. Effective Supply
chain management is key to efficient resource utilization and customer satisfaction in
service sectors including government health institutions. Efficient Government health
supply chain performance is essential for assuring access to health supplies, and thus
for positive health outcomes. The Council of Logistics Management defines SCM as
the systemic, strategic coordination of the traditional business functions and the
tactics across these business functions within a particular company and across
business within the supply chain for the purpose of improving the long-term
performance of the individual companies and the supply chain as a whole. Supply
chain within Government health institutions must effectively link the supply chain
trading partners to achieve breakthrough performance in satisfying the end users. To
realize the benefits of supply chain management, the government health institutions
must therefore address bottlenecks that might be inherent in their systems and which
play to impede supply chain efficiency. The study sought to determine factors
affecting supply chain performance in government health institutions in Kisumu
Central Sub-County. To achieve the study objective, the study employed a descriptive
census survey. The targeted population was all the 9 Government health institutions
within Kisumu Central Sub-County, while the accessible populations were all stores
managers, supply chain managers and administrators of these health institutions. The
study collected qualitative likert scale and quantitative data primarily using
questionnaires and interview guides from employees of various cadres in Government
health institutions within Kisumu Central Sub- County. The study used selfadministered
semi-structured questionnaires which were delivered to the respondents
in their offices by research assistants. Nine Key Informants interviews (KII) were also
conducted by the researcher. Descriptive statistics and factor analysis were used to
analyze the collected data with the help of SPSS 20.0 software. The findings are
presented in frequency tables and percentages and discussed. The findings show that
inadequate funding, lack of cooperation among supply chain users, poor management
support and non-compliance to rules and market price fluctuations can impact
negatively on effective functioning of SC system with a sample mean of 4.72, 4.38,
4.33 and 4.31 respectively. Inadequate information flow/ sharing can have moderate
negative effects with a mean of 3.94, while well aligned value-added processes have a
mean of 3.94. Timely information flow through ICT resources can improve the
performance of supply chain system with a mean of 3.67, while environmental
uncertainty variables can hamper the performance of supply chain system with a
sample mean of 3.61. The study recommends that the management remains
committed to offering satisfactory health care services to patients through a sense of
positive commitment in ensuring adequate funding that supports investment in ICT
resources. There is need to establish independent compliant units within the
institutions to ensure that rules and regulations are adhered to in order to curb
malpractices that reduces effectiveness of supply chain performance. The study
recommends establishment of stronger networking and collaboration platform that
facilitates sharing of real-time information between supply chain partners. The study
further recommends flexible systems that allow for modern state of art technology
like just-in-time supply of the required items to reduce storage-related cost.
Publisher
University of Nairobi