Influence of product selection on health commodity security among level four public health facilities in Nairobi County, Kenya
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20221735Keywords:
Product selection, Health system, Procurement, Health commodity securityAbstract
Background: Procurement of health products and technologies in Kenya faces challenges as seen by increased public complaints regarding erratic supplies of the essential drugs and other medical supplies in public health facilities. Often overlooked, is the need to build effective product selection systems which can ensure there is availability of health commodities.
Methods: The study adopted a cross sectional survey research design with descriptive approach involving 120 top management team, procurement officers, stores clerks, pharmaceutical officers and head of departments who were involved in procurement of health products and commodities from the 4 level four government health facilities in Nairobi County (Mbagathi Hospital, Pumwani Maternity Hospital, Mama Lucy Kibaki Hospital and Mutuini Hospital). The survey used questionnaires to collect data from the respondents. Consent was obtained from participantsabove the age of 18 years was included in to the study. Informed consent was taken prior to conduct of the study.
Results: Correlation analysis indicated that product selection and health commodity security were positively correlated (r=0.769, p<0.05) while regression analysis indicated that product selection influenced health commodity security in level four public health facilities in Nairobi City County, Kenya (β=0.457; p=0.05).
Conclusions: Product selection is important to ensure health commodity security. The management at the facilities should ensure product selection committees are available in the facilities, products selected are registered for use in the country and ensure that the user departments are involved in product selection.
Metrics
References
Kariuki J, Njeru MK, Wamae W, Mackintosh M. Improving the Supply Chains for the Health Sector: What Role for Locally Manufactured and Imported Medicines and Medical Supplies in Kenya. Eur J Logistics Purchasing and Supply Chain Management. 2015;3(4):62-72.
Kazi SK. Supply chain management practices and performance at Kenya Medical Supplies Authority (Doctoral dissertation. The University of Nairobi. 2012.
KEMSA. The Legal Mandate. 2010. Available at: http://www.kemsa.co.ke. Accessed on 05 March 2022.
KEMSA. The KEMSA Taskforce. 2008. Available at: http://www.usaid.gov/ke. Accessed on 05 March 2022.
Rao R, Mellon P, Sarley D. Procurement Strategies for Health Commodities: An Examination of Options and Mechanisms Within the Commodity Security Context, Arlington, Virginia: DELIVER/John Snow, Inc. 2009.
World Health Organization, Geneva. Everybody’s business. Strengthening health systems to improve health outcomes 2009. WHO’s framework for action. Available at: https://apps.who.int/iris/bitstream/ handle/10665/43918/9789241596077_eng.pdf. Accessed on 05 March 2022.
Akoko KO. Effects of Global Procurement on Supply Chain Performance among Medical Supply Agents in Kenya. J Int Business, Innovation and Strategic Management. 2018;1(1):89-110.
Kariuki J, Njeru MK, Wamae W, Mackintosh M. Improving the Supply Chains for the Health Sector: What Role for Locally Manufactured and Imported Medicines and Medical Supplies in Kenya. Eur J Logistics, Purchasing and Supply Chain Management. 2015;3(4):62-72.
AMREF. Commodity Management for HIV/AIDS. Available at: www.colfinder.net/materials/HIV_ Course/HIV_Unit_13_SG.doc. Accessed on 05 March 2022.
Majoro J. Availability of health commodities for public sector in Rwanda: case study of Medical Production and Procurement Division, MPPD (Doctoral dissertation, University of Rwanda). 2018.