STRENGTHENING HEALTHCARE SUPPLY CHAIN TO FACILITATE UNIVERSAL HEALTH COVERAGE: AN EMPIRICAL REVIEW IN KENYA

KENNEDY OTIENO PANYA, JOSHUA OLANGO ABUYA, PhD

Abstract


The main objective of this study was to find out the effect of health supply chain in facilitating Universal Health Coverage in Kenya. Specifically, the study identified the effect of Inventory Optimization, Supply Chain Data Analytics, Supply Chain Integration and the influence of Strategic Purchasing on the achievement of Universal Health Coverage (UHC) in Kenya. The research design employed in this study was descriptive. This study relied heavily on secondary data as is the case with most desktop research study. The study reviewed journal articles, unpublished papers and conference papers on Supply Chain Management and Universal Health Coverage. The paper employed a desktop approach to provide answers to the research objectives. Specifically, the paper used a descriptive approach to gather information from peer reviewed publications such as, journal articles, organizations reports and books. The study found that the attainment of UHC in Kenya had remained elusive due to many challenges, which included unequal access to different healthcare services due to poor distribution and use of resources, shortfall in the number of medical personnel, skewed distribution of healthcare workforce, inability of the country’s health system to deal effectively with epidemics, corruption in the health sector, the growing burden of chronic diseases, epidemiological as well as a demographic transition with a steep increase among non-communicable diseases (NCDs), health leadership and governance issues, the need to strengthen health purchasing activities, among other myriads of issues. The study recommended that policy makers must purpose to implement strategies to deliver UHC. They must also undertake health financing reforms to mobilize more financing for health and ensure that available funds for health are used optimally and equitably. The state should reorient its health financing strategy away from a focus on contributory, voluntary health insurance, and instead recognize that increased healthcare funding is critical.

Key Words: Inventory Optimization, Supply Chain, Supply Chain Integration, Strategic Purchasing

 CITATION: Panya, K. O., & Abuya, J. O. (2023). Strengthening healthcare supply chain to facilitate universal health coverage: An empirical review in Kenya. The Strategic Journal of Business & Change Management, 10 (4), 233 – 260. http://dx.doi.org/10.61426/sjbcm.v10i4.2746.


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References


Aamir R., & Rizwana R., (2023). Mediation of Inventory Management in the Relationship Between Knowledge and Firm Performance. SAGE Open April-June 2023: 1–11, The Author(s). DOI: 10.1177/21582440231164593 journals.sagepub.com/home/sgo.

Afrifa S., Amoah N., Fianko S.K., Dzogbewu T.C., (2021). Supply chain integration and operational performance in health institutions: A structural model for mediation effects. Polish Journal of Management Studies. DOI: 10.17512/pjms.2021.24.1.01 Received June 17, 2021.

Al-Mansur, A.-M. S., Oluwatomisin, L. A., Olatunji, T. Y., Adekunle, A. A.-R., & Oluwatobi, O. P. (2023). Achieving Universal Health Coverage in Nigeria: Current Challenges and Recommendations. International Journal of TROPICAL DISEASE & Health, 44(7), 1–5. https://doi.org/10.9734/ijtdh/2023/v44i71416.

Amoako-Gyampah., K., Boakye., K., G., Famiyeh., S., & Adak U., E., (2019). Supplier integration, operational capability and firm performance: an investigation in an emerging economy environment. Production Planning and Control, 31:13, 1128-1148. https://doi.org/10.1080/09537287.2019.1700570.

Auwal, A.-M. S., Oluwatomisin, L. A., Olatunji, T. Y., Adekunle, A. A.-R., & Oluwatobi, O. P. (2023). Achieving Universal Health Coverage in Nigeria: Current Challenges and Recommendations. International Journal of TROPICAL DISEASE & Health, 44(7), 1–5. https://doi.org/10.9734/ijtdh/2023/v44i71416.

Ayyub, S., (2022). Data Analytics in Supply Chain Management. https://www.researchgate.net/publication/358904358. DOI: 10.13140/RG.2.2.16437.35043.

AzeeZ., Y., O, Babatunde Y., O., Babatunde D, Olasupo., J., Alabi, E., Bakare., P., & Oluwakorede, A. J., (2021). Towards Universal Health Coverage: An Analysis of the Health Insurance Coverage in Nigeria. Journal of Health Reproductive Technology 2021;7(3). e08727. https://doi.org/10.5812/ijhls.108727.

Beibei, Yuan et al, (2019). Strengthening public health services to achieve Universal Health Coverage in China. China’s Health System Reforms: Review of 10 Years of Progress. BMJ 2019; 365 DOI: https://doi.org/10.1136/bmj.l2358 (Published 21 June 2019).

Benatar S, & Gill S. (2020). Universal access to healthcare: The case of South Africa in the comparative global context of the late Anthropocene era. Int J Health Policy Manag. doi:10.34172/ijhpm.2020.28

Bundi., D., Kirongo., A., & Thiga., M., (2020). Digital Technologies as a Driver in the Provision of Universal Health Coverage. Proceedings of the Kabarak University International Research Conference on Computing and Information Systems 5th - 9th October 2020 Nakuru, Kenya. Digital Technologies as a Driver in the Provision of Universal Health Coverage.

Chebichii B., D., Namusonge G., S., Makokha E., N., (2021). Influence of Supplier Integration on Organizational Performance in Food and Beverage Manufacturing Companies in Kenya DOI: 10.29322/IJSRP.11.11.2021. p.11949.

Chen et al, (2023). Achievements and Challenges of the Healthcare System in China Cui Chen, Mao Liu© Copyright 2023.Cureus. 2023 May; 15(5): e39030. Published online May 15, 2023. doi: 10.7759/cureus.39030PMCID: PMC10292030PMID: 37378106

Chen M, Zhou G, & Si, L., (2023). Ten years of progress towards Universal Health Coverage: has China achieved equitable healthcare financing? BMJ Global Health 2020;5:e003570. doi:10.1136/ bmjgh-2020-003570

Dubey, R., Bryde, D.J., Foropon, C. et al. (2022). Agility in humanitarian supply chain: an organizational information processing perspective and relational view. Ann Oper Res, p.319, 559–579 (2022). https://doi.org/10.1007/s10479-020-03824-0

Ekirapa-Kirach,o E., Ssennyonjo, A., Cashin, C., Gatome-Munyua, A., Olalere, N., Ssempala, R., Mayora, C., & Ssengooba, F., (2022). Strategic Purchasing Arrangements in Uganda and Their Implications for Universal Health Coverage. Health Systems & Reform, 8:2, 2084215, DOI: 10.1080/23288604.2022.2084215 https://doi.org/10.1080/23288604.2022.2084215

Etiaba, E., Onwujekwe, O., Honda, A., et al, (2018). Strategic purchasing for Universal Health Coverage: examining the purchaser–provider relationship within a social health insurance scheme in Nigeria. BMJ Glob Health (3). e000917. doi:10.1136/ bmjgh-2018-000917

Ezenduka, C., Obikeze, E., Uzochukwu, B., & Onwujekwe, O., (2022). Examining healthcare purchasing arrangements for strategic purchasing in Nigeria: a case study of the Imo state healthcare system.

Friebel, R., Molloy, A., Leatherman, S., et al. (2018). Achieving high-quality Universal Health Coverage: a perspective from the National Health Service in England. BMJ Glob Health, (3). e000944. doi:10.1136/ bmjgh-2018-000944

Gabriel, Z., Zachary, Y. K., Justin, B. M., & Lee, S., (2020). Universal Healthcare in the United States of America: A Healthy Debate. Medicina (Kaunas). 2020 Nov; 56(11): 580. Published online 2020 Oct 30. doi: 10.3390/medicina56110580.

Gatome-Munyua A, Sieleunou I, Sory O, Cashin C. (2022). Why Is Strategic Purchasing Critical for Universal Health Coverage in Sub-Saharan Africa? Health Syst Reform. 2022 Mar 1;8(2). e2051795. DOI: 10.1080/23288604.2022.2051795.

Gita, S., Veloshnee, G., & El-Gamal., S., (2019). Universal Health Coverage, Gender Equality and Social Protection. A health Systems Approach. www.unwomen.org.

He, Z, & Xu, T. (2022). China's Actions to Achieve Universal Health Coverage for Children. China CDC Wkly. 2022 Sep 9;4(36):802-806. doi: 10.46234/ccdcw2022.167.

ILO, (2021). Extending social health protection: Accelerating progress towards Universal Health Coverage in Asia and the Pacific International Labour Organization. ISBN 9789220359280 (print) ISBN 9789220359297 (PDF)

Khalifa, A. Y., Jabbour, J. Y., Mataria, A., Bakr, M., Farid, M., & Mathauer, I., (2021). Purchasing health services under the Egypt's new Universal Health Insurance law: What are the implications for Universal Health Coverage? Int J Health Planning Management. 2022 Mar;37(2):619-631. DOI: 10.1002/hpm.3354.

Kihara, B., W., & Ngugi P., K., (2021). Inventory management systems and performance of public hospitals in Kenya; A case of counties under Universal Health Coverage programme International Journal of Social Sciences and Information Technology. ISSN 2412-0294 Vol 7(2), February, 2021.

Kitakal., M., N., & Omwenga, Q. J., (2022). Strategic sourcing for sustainability of Universal healthcare coverage: a case study of Kenya medical supplies authority. International Journal of Social Science and Humanities Research DOI: https://doi.org/10.5281/zenodo.6566610 Published Date: 20-May-2022. ISSN 2348-3156 (Print) ISSN 2348-3164 (online) Vol. 10, Issue 2, pp: (241-256),

Liu X, Wang Z, Zhang H, Meng Q. Measuring and evaluating progress towards Universal Health Coverage in China. Journal of global health. 2021;11: 08005.

Ly, M.S., Bassoum, O., & Faye, A., (2022). Universal health insurance in Africa: a narrative review of the literature on institutional models. BMJ Global Health, 2022;7. e008219. doi:10.1136/ bmjgh-2021-008219

Mathauer, I., Mathivet, B., Kutzin, J., (2017). Free Health Coverage’ Policies: Opportunities and Risks for Moving towards UHC. Health Financing Brief No. 2. World Health Organization (WHO), Geneva.

Mathauer, Inke, Dale, Elina, Meessen, & Bruno, (‎2017)‎. Strategic purchasing for Universal Health Coverage: key policy issues and questions: a summary from expert and practitioners’ discussions. World Health Organization. https://apps.who.int/iris/handle/10665/259423. License: CC BY-NC-SA 3.0 IGO.

Mametja, S., M., Semenya, M., Letshweni, M., Hattingh, J., & Moloabi, S,(2022). Critical Analysis of the South African Universal Health Coverage Policy in Relation to the WHO's Universal Health Coverage. Journal of Qual Healthcare Eco, Volume 5, Issue 2. Received Date: March 16, 2022 Published Date: March 25, 2022 DOI: 10.23880/jqhe-16000263

Manu, P., Asiedu, R., Mahamadu,, A. M., Olomolaiye, P., Booth, C., Manu, E., Ajayi, S., & Agyekum, K., (2021). Contribution of Procurement Capacity of Public Agencies to Attainment of Procurement Objectives in Infrastructure Procurement. Engineering, Construction and Architectural Management. ISSN 0969-9988 DOI: https://doi.org/10.1108/ECAM-05-2020-0375.

Mogaka, C. O., Odari, S., & Arani, W. (2022). Functional integration and competitive advantage of food and beverages manufacturing firms in Kenya. Journal of Sustainable Development of Transport and Logistics, 7(1), 99-111. doi:10.14254/jsdtl.2022.7-1.9

Mounde, M. I. (2021). Examining private sector engagement in provision of public health services towards Universal Health Coverage: A case study of Kisii County [Thesis, Strathmore University]. http://hdl.handle.net/11071/12948

Mutwiri I., N., Marendi., Riro., K., & Ratemo., M., (2018). Effects of Supply Chain Integration on Performance of Public Health Supply Chains: A Kenyan Perspective. International Journal of Management and Commerce Innovations, ISSN 2348-7585 (Online) Vol. 6, Issue 2, pp: 144-160. Month: October 2018 - March 2019, Available at: www.researchpublish.com.

NCPD, (2019). “Leave no one behind” in the implementation of Universal Health Coverage. National Council For Population and Development. https://ncpd.go.ke › uploads › 2021/02 ›Positi.

Nyandekwe., M., et al. (2020). Universal health insurance in Rwanda: major challenges and solutions for financial sustainability case study of Rwanda community-based health insurance part I. Pan African Medical Journal. 2020; 37:55. DOI: 10.11604/pamj.2020.37.55.20376] Available online at: https://www.panafrican-med-journal.com/content/article/37/55/

Nyandekwe, M., Nzayirambaho, M., Baptiste, K. J. (2014). Universal Health Coverage in Rwanda: dream or reality. 27; 17:232. DOI: 10.11604/pamj.2014.17.232.3471.

Nyawira, L, Njuguna, R.G., Tsofa, B., Musiega, A., Munywoki, J., Hanson, K., Mulwa, A., Molyneux, S., Maina, I., Normand, C., Jemutai, J., & Barasa, E., (2023). Examining the influence of health sector coordination on the efficiency of county health systems in Kenya. BMC Health Serv Res. 2023 Apr 11; 23(1): 355. DOI: 10.1186/s12913-023-09344-4. PMID: 37041505; PMCID: PMC10091577.

Obi, U. S., Ogbuoji, O., Mao, W., Shahid, M., Onwujekwe, O., & Yamey, G., (2021). Progress in the face of cuts: a qualitative Nigerian case study of maintaining progress towards Universal Health Coverage after losing donor assistance. Health Policy Plan. 2021 Aug 12; 36(7): 1045-1057. doi: 10.1093/heapol/czab051. PMID: 33942865; PMCID: PMC8359748.

OECD (2016). Universal Health Coverage and Health outcomes Final Report. Available at: https://www.oecd.org/health/health-systems/Universal-Health-Coverage-andHealth-Outcomes-OECD-G7-Health-Ministerial-2016.pdf.

Olaniran, A., Briggs, J., Pradhan, A. et al., (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. Hum Resource Health 20, 58 (2022). https://doi.org/10.1186/s12960-022-00755-8

Osunde, N. R., Olorunfemi, O, & Oduyemi, R. O., (2023). Awareness, willingness, and challenges of the informal sector toward state National Health Insurance Services in Benin City, Nigeria. MGM J Med Sci 2023; 10:30-7.

Owino, L., Wangong'u, A., Were, N., & Maleche, A., (2020). The missing link in Kenya's Universal Health Coverage experiment: a preventive and promotive approach to SRHR. Sex Reprod Health Matters. 2020 Dec;28(2):1851347. doi: 10.1080/26410397.2020.1851347. PMID: 33393897; PMCID: PMC7887766.

Pakurár, M., Haddad, H., Popp, J., Khan, T., & Oláh, J. (2019). Supply chain integration, organizational performance and balanced scorecard: An empirical study of the banking sector in Jordan. Journal of International Studies, 12(2), 129-146. doi:10.14254/2071-8330.2019/12-2/8

Panya, K. O., & Abuya, J. O. (2022). Influence of digital payment systems in curbing of procurement fraud in state corporations in Kenya. The Strategic Journal of Business & Change Management, 9 (4), 30 - 41.

Panya, K. O., & Awuor, E., (2023). Public procurement reforms in Africa: challenges, constraints and improvement opportunities. The Strategic Journal of Business & Change Management, 10 (2), 1435 – 1456.

Panya, K. O., & Were, S., (2018). Determinants of public procurement regulatory compliance by county governments in Kenya: a case of Homabay county government. The Strategic Journal of Business & Change Management, Vol. 5, Iss. 4, pp 126 - 152, October 11, 2018. www.strategicjournals.com, ©Strategic Journals.

Phyllis, C., (2021). The role of supply chain management in the healthcare sector: A case study of dispensaries in Eldama Ravine, Baringo county, Kenya. African Journal of Emerging Issues, 3(10), 42-49. Retrieved from https://ajoeijournals.org/sys/index.php/ajoei/article/view/240

Ranabhat, C.L, Acharya, S.P., Adhikari, C., & Kim, C. B., (2023). Universal Health Coverage evolution, ongoing trend, and future challenge: A conceptual and historical policy review. Front. Public Health, 11:1041459. DOI: 10.3389/fpubh.2023.1041459

Saenyi, B., (2018). Opportunities and challenges of Big Data Analytics in healthcare: An exploratory study on the adoption of big data analytics in the Management of Sickle Cell Anemia. ISSN 1403-0462 URN: urn:nbn:se:hj:diva-42864ISRN: JU-IHH-IKA-2-20190088OAI: oai:DiVA.org:hj-42864DiVA, id: diva2:12857912018. , p. 87.

Singha., S., Vermaa., R., & Koul., S., (2017). Managing critical supply chain issues in Indian healthcare. Procedia Computer Science 122 (2017) 315–322. Available online at www.sciencedirect.com Procedia Computer Science 122 (2017) 315–322 1877-0509 © 2017

Steele, P., Nayler, J., Curtis, C., Cazzoli, L., Odingo, J., & Levitskiy, A., (2022). The Role of the Health Supply Chain in Facilitating Universal Health Coverage Across East Africa. Pamela Steele Associates.

Sonnati., R., (2017). Improving Healthcare Using Big Data Analytics. International Journal Of Scientific & Technology Research, 6(3), March 2017. ISSN 2277-8616 142 IJSTR©2017 www.ijstr.org.

Tao, W., Zeng, Z, Dang, H., et al, (2020). Towards Universal Health Coverage: Lessons from 10 years of healthcare reform in China. BMJ Global Health, 2020; 5: e002086. doi:10.1136/ bmjgh-2019-002086

United Nations (2022). Transforming our world: the 2030 agenda for sustainable development New York: Seventieth United Nations General Assembly. https://www.un.org/ga/search/view_doc.asp? symbol=A/RES/70/1&Lang=E. Accessed May 1, 2022.

Vikhrov I, Abdurakhimov Z, Ashirbaev S. (2021). The use of Big Data in healthcare: lessons for developing countries from Uzbekistan. Health Prob Civil. 2021; 15(2): 142-151. https://doi.org/10.5114/hpc.2021.106173.

World Bank, (2017). Tracking Universal Health Coverage: 2017 global monitoring report. World Health Organization and International Bank for Reconstruction and Development /The World Bank; 2017. Licence: CC BY-NC-SA 3.0 IGO.

Whyle E.B., Olivier, J., (2016). Towards an explanation of the social value of health systems: an interpretive synthesis. International Journal of Health Policy Management. 2020; x(x):x–x. doi:10.34172/ijhpm.2020.159

World health report 2013: Research for Universal Health Coverage. World Health Organization https://www.who.int

WHO (2022). Tracking Universal Health Coverage in the WHO African Region, 2022. Brazzaville: WHO Regional Office for Africa; 2022. Licence: CC BY-NC-SA 3.0 IGO.

WHO (2017) ‘Leading health system transformation to the next level’. World Health Organization. WHO (2019) Ten health issues WHO will tackle this year. Available at: https://www.who.int/emergencies/ten-threats-to-global-health-in-2019 (Accessed: 24 January 2019).

WHO (2019). Out-of-pocket payments, user fees and catastrophic expenditure (2019) WHO. Available at: http://www.who.int/health_financing/topics/financial-protection/out-ofpocket-payments/en/ (Accessed: 3 June 2019).

WHO (2019). What is Universal coverage? WHO. Available at: http://www.who.int/health_financing/Universal_coverage_definition/en/ (Accessed: 18 January 2019).

WHO (2019). Health systems in Africa: community perceptions and perspectives: the report of a multicountry study (2012). Available at: https://apps.who.int/iris/handle/10665/79711 (Accessed: 18 June 2019).

WHO (2016). WHO in Uganda Country Cooperation Strategy 2016-2020 (2016) WHO | Regional Office for Africa. Available at: https://www.afro.who.int/publications/who-uganda-countrycooperation-strategy-2016-2020 (Accessed: 13 June 2019).

Varun K., & Harwin D., V., Luk N. Van W., Sarah D., & Warnyta M., Ongarora D., Abuga.,K., & Yadav.,P., (2022). "Inventory Management Practices in Private Healthcare Facilities in Nairobi County," Production and Operations Management, Production and Operations Management Society, vol. 31(2), pages 828-846, February.

Yousef J., A., (2016). A Diagnosis of Supply Chain Integration in Healthcare. A Ph. D Dissertation Presented ARIZONA STATE UNIVERSITY May 2016.




DOI: http://dx.doi.org/10.61426/sjbcm.v10i4.2747

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