THE INFLUENCE OF INVENTORY MANAGEMENT ON THE PERFORMANCE OF LEVEL FIVE COUNTY REFERRAL HOSPITALS IN KENYA
Abstract
Purpose of the Study: The purpose of the study was to evaluate inventory management on the performance of level five county referral hospitals in Kenya.
Problem Statement: Insufficient medicines in public health facilities is common in the current devolved system in most counties in Kenya and in particular in Bungoma County (Kaitany, 2022). Most health facilities experience medicines stock outs from time to time, making it incredibly difficult for them to continue providing the health care services (Atkins et al., 2022). Patients are often required to purchase drugs from private pharmacies, which are costly due to high markups in supply chain (Wandera et al., 2022a). In 2017, Bungoma county referral hospital, was hit by an acute shortage of medicines after KEMSA cut off supply over a Ksh 21 million debts (Barasa et al., 2018). This shortage included basic medicines such as painkillers, anti-malaria medicines and other medical suppliers (Omai, Ngugi & Kiarie, 2019).
Methodology: The resource-based view theory guided the study using cross-sectional census strategy of mixed methods research using random sampling on 47 county referral hospitals in Kenya with a target population of 150 respondents. Procurement, finance, and medical staffs were units of remark. The study piloted twenty (15) questionnaires (10 % of sample) to test validity and reliability of research instruments.
Results: Data on 82 questionnaires was transformed to interval scale, analyzed using exploratory factor analysis in developing multiple linear regression equation model. The final overall model was interpreted using F-test statistics and R2 value the overall final model results were; {F statistic (5, 76) = (4.613}, against critical F-value {(2.49), and general rule of thumb (F>2.5), R2 (.443)}.
Conclusion: This upshot suggests a substantial relationship amid all moderated independent variables on the dependent variable.
Recommendation: Future research be on suppliers' characteristics and behaviours on supplier visibility in pharmaceutical supply chains in Kenya, route planning and scheduling on sourcing optimization in county referral hospitals in Kenya, communication structures on performance of county referral hospitals in Kenya, order systems on performance of county referral hospitals in Kenya, and closed loop ended operations on performance of reverse logistics sourcing in referral hospitals in Kenya.
Keywords: Inventory management, Performance, Policies, Supply chain management
References
Atkins K, Musau A, Mugambi M, Odhyambo G, Tengah SA, Kamau M, et al. (2022). Health system opportunities and challenges for PrEP implementation in Kenya: A qualitative framework analysis. PLoS ONE, vol. 17, no.10, e0259738. https://doi.org/10.1371/journal.pone.0259738
Awle I. (2016). Relationship between effective drug inventory control management and stock-outs in Kenya’s public hospitals: a case study of Kenyatta national hospital and defence forces memorial hospital, Strathmore university; 2016.Availablefrom: plus.strathmore.edu/handle/11071/2474.
Ayiro Laban P. (2021). A functional approach to educational research methods and staThistics: Qualitative, quantitative, and mixed methods approaches, Edwin Mellen Pr, ISBN-13: 978-0773429017, ISBN-10: 0773429018
Barasa N, Oluchina S.,& Cholo W. (2018). Influence of inventory management practices on availability of medicines in public health facilities in Bungoma County, Kenya, Int J acad res dev, 3(6):53–60, https://www.researchgate.net/publication/329443491
Befekadu Abdi, Cheneke Waqtola, Kebebe Dereje., & Gudeta Tadesse. (2020). Inventory management performance for laboratory commodities in public hospitals of Jimma zone, Southwest Ethiopia, Journal of pharmaceutical policy and practice, vol.13:49 https://doi.org/10.1186/s40545-020-00251-1
Creswell., & Clark. (2017). Research design: Qualitative, quantitative and mixed methods approach, (4th ed.), Sage Publications, Inc
DeVellis, R. F. (2017). Scale development: Theory and applications (4th ed.), Thousand Oaks, CA: Sage
Eicker Themari., & Cilliers Orpha J. (2018). Inventory decision-making by small Sowetan retailers, Journal of transport and supply chain management, vol.12, a387, https://doi.org/10.4102/jtscm.v12i0.387
Gorane, S. J., & Kant, R. (2014). Supply chain practices: study and framework for future development. International journal of logistics systems and management, 17(1), 83-103.
Hazrati E, Paknejad B, Azerashik A., & Tahera M. (2018). ABC and VED analysis of Imam Reza educational hospital pharmacy, Ann mil health Sci Res, vol.16, no.3, e86183, https://doi.org/10.5812/amh.86183
Kaewchur Pornthep, Sritong Charcrit, Sriard Banterng.,& Nimad Thawatchai. (2021). Role of inventory management on competitive advantage of small and medium companies in Thailand, Turkish journal of computer and mathematics education,vol.12,no. 8 (2021), 2753-2759
Kaitany Fridah Chebet. (2022). Influence of supply chain management practices on Health commodity security among level four public hospitals in Nairobi County, Kenya, unpublished Master’s Thesis Methodist university, Kenya
Kepher, A, B., Shalle, I. N., & Oduma, E. (2018). Role of supplier management on procurement performance in manufacturing sector in Kenya: A case of East African Breweries, Kenya. International journal of social science and humanities research, 3(4), 540-555.
Kissell Robert.,& Poserina Jim. (2017). Optimal sports math, statistics, and fantasy, London, Academic Press, ISBN: 9780128052938 0128052937
Korir Kiprotich Geoffrey, Kaitany Pauline., & Sang Hellen. (2021). Economic order quantity stock control technique and performance of selected level five hospitals: An evidence of Kenya, International journal of business marketing and management, vol.6, Issue 6 June 2021, Pp. 08-13, ISSN: 2456-4559 www.ijbmm.com
Mabizela S, Nakambale HN., & Bangalee V. (2023). Predictors of medicine redistribution at public healthcare facilities in King Cetshwayo District, KwaZulu-Natal, South Africa. Bmc health serv res, vol. 23, no.1:1108, https://dx.doi.org/10.1186/s12913-023-10096-4
Makori Jacinter Kwamboka.,& Muturi Willy. (2018). Influence of inventory management practices on performance of procurement function in health institutions in Kenya. A survey of selected public health institutions in Western Kenya, International journal of social sciences and information technology, vol .iv, issue X, ISSN 2412-0294
Mathur, B., Gupta, S., Meena, M., & Dangayach, G. (2018). Healthcare supply chain management: literature review and some issues. Journal of advances in management research, 15(3), Pp. 265–287.
Okello, S. O., Arani, W., & Sitienei, C. K. (2020). Inventory categorization and operational performance: A supply chain analysis of public hospitals in Kenya, Journal of business management and economic research, vol: 4, Issue: 5
Olaniran Abimbola, Briggs Jane, Pradhan Ami, Bogue Erin, Schreiber Benjamin, Dini Hannah Sarah, Hurkchand Hitesh.,& Ballard Madeleine. (2022). Stock-outs of essential medicines among community health workers (CHWs) in low-and middle-income countries (LMICs): a systematic literature review of the extent, reasons, and consequences, Human resources for health, 20:58 https://doi.org/10.1186/s12960-022-00755-8
Oliech Charles Omondi., &Mwangangi Patrick. (2019). Effect of strategic procurement management on performance of level five in Kenya, International journal of supply chain management, vol.4,no.1
Omai Kevin Moindi, Ngugi Patrick Karanja.,& Kiarie David. (2019). Influence of supply chain practices on performance of textile and apparel firms in Kenya, http://hdl.handle.net/123456789/5042
Sadr-Azodi Nahad.,& Rodríguez Marisol. (2019). Following the 2001 Abuja Declaration of committing 15 percent government expenditure on health, is Africa making progress towards universal health coverage? Barcelona school of management, published Master’s thesis.
Saunders Mark, Lewis Philip., & Thornhill Adrian. (2016). Research methods for business students, (7th ed.), L.E.G.O. S.p.A
Wandera, R. W. , Namusonge, G. S., & Sakwa, M. M. (2022b). The effect of inter-supplier rivalry practices on the performance of motor vehicle assembly companies in Kenya. American journal of supply chain management, 7, no.1, Pp. 42-60,
https://doi.org/10.47672/ajscm.1255, https://ajpojournals.org/journals/index.php/AJSCM/article/view/1255
Wandera, R. W., Namusonge, G. S., & Sakwa, M. M. (2022a). The effect of supplier-buyer relationship practices on the performance of motor vehicle assembly companies in Kenya. A merican journal of supply chain management, vol. 7, no.1, Pp.19-41,https://doi.org/10.47672/ajscm.1254, https://ajpojournals.org/journals/index.php/AJSCM/article/view/1254
Wisner, J.L., Tan, K-C., & Leong, G.K. (2016). Principles of supply chain management: A balanced approach, Cengage Learning
Xiao Ting, Arikan Asli M., & Barney Jay B. (2018). Resource-based view, https://doi.org/10.1057/978-1-137-00772-8_512
Yin, Robert. K. (2017). Case study research and applications: Design and methods, (6th ed.), Sage Publications Inc
Yolsal, Murat. (2021). Re: Acceptable ranges of R2 (Square) in Social Sciences?