Browsing by Author "Muema, Duncan M."

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    Procurement governance practices and medical supply chain performance among level 5 and 6 hospitals in Kenya
    (KCA University, 2025) Muema, Duncan M.
    Effective procurement governance is critical to enhancing the performance of medical supply chains, particularly in public hospitals that rely heavily on transparent, efficient, and accountable resource utilization. In Kenya, persistent supply chain inefficiencies, delayed medical deliveries, and irregularities in procurement processes have raised serious concerns about governance and compliance in public health facilities. This study examined the influence of procurement governance practices on medical supply chain performance among Level 5 and Level 6 hospitals in Kenya. Specifically, it assessed the effects of complaints management, procurement performance monitoring, and policy compliance on supply chain performance. The study was grounded in four theoretical frameworks: The Institutional Theory, explaining how rules and norms shape compliance; the Kaizen Management Theory, emphasizing continuous improvement; the Linear Policy Implementation Theory, addressing policy execution and feedback; and the Balanced Scorecard Theory, linking performance measures to strategic governance objectives. A descriptive research design was adopted to determine the nature and strength of relationships between procurement governance variables and supply chain performance. Both quantitative and qualitative approaches were integrated to provide a comprehensive perspective. The target population comprised 109 officers drawn from three Level 6 national referral hospitals and forty-seven county Level 5 hospitals in Kenya. A total of 98 respondents participated, representing a 90% response rate, which was considered adequate for inferential analysis. Data were collected through a structured questionnaire that underwent a pilot test with five officers to ensure reliability and validity. Quantitative data were analyzed using descriptive statistics (means and standard deviations) and inferential statistics (Pearson correlation and multiple regression) with SPSS version 26. The findings revealed that complaints management positively influenced supply chain performance by enhancing responsiveness, accountability, and customer satisfaction. Procurement performance monitoring significantly improved cost efficiency and process transparency, demonstrating that systematic oversight strengthens institutional accountability. Compliance with policy exhibited a strong positive relationship with supply chain performance, confirming that adherence to regulatory frameworks promotes operational integrity and fairness. Regression results indicated that the three governance practices jointly explained 61.2% (R² = 0.612, p < 0.05) of the variance in supply chain performance, establishing that procurement governance practices significantly predict medical supply chain outcomes. The study concluded that robust procurement governance—characterized by effective complaint management, continuous performance monitoring, and strict policy compliance—is essential for achieving efficient, transparent, and responsive medical supply chains in Kenya’s public hospitals. It recommends strengthening digital monitoring systems, institutionalizing participatory grievance mechanisms, and investing in regular capacity building for procurement officers on policy and ethics. Future studies should explore the moderating role of digital procurement platforms on the relationship between governance practices and supply chain performance, conduct comparative analyses between public and private hospitals, and employ longitudinal designs to track governance effectiveness over time.