International Journal of Advanced Scientific Research

International Journal of Advanced Scientific Research


International Journal of Advanced Scientific Research
International Journal of Advanced Scientific Research
Vol. 6, Issue 6 (2021)

Influence of procurement process on availability of medicines in public health facilities in Bungoma county, Kenya


Nicholas Barasa, Wilberforce Cholo

Medicines are important in health care services delivery. Frequent stock outs of medicines have been a major challenge in public health facilities in low- and middle-income countries like Kenya. This research aimed at determining the influence of procurement process on availability of medicines in Bungoma County, Kenya. Descriptive cross sectional research design with mixed approach methods was applied. The target population included the county pharmacist, sub county pharmacists, medical superintendents, procurement officers, health administrative officers, the county procurement officer and the chief officer for health and sanitation. All the nine sub county hospitals were sampled and a census method used to sample four staff from each of the sub county that is the sub county pharmacists, medical superintendents, procurement officers and health administrative officers in all the nine sub counties of the county hence 36 respondents. This was achieved through G- power Priori power analysis. Additionally, the county procurement officer, the chief officer for health and sanitation and the county pharmacist were purposively sampled, making the total number of respondents to be 39. Semi structured questionnaires: in-depth interview guides and a checklist were the study data collection tools. Qualitative and quantitative data analysis methods were applied. Analysis of quantitative data was done using descriptive statistics while Chi square was used as appropriate. Data was presented in tables. Qualitative data was categorized into specific themes and reported in narrative form together with quantitative presentation. 81.2% of respondents reiterated that procurement processes were followed as compared to 18.8% who indicated that in some cases, laid down procurement procedures were not followed. Health administrative officers were a majority of those who reported adherence to these procedures while all the pharmacists and procurement officers said they had full adherence. An analysis of the different carders of health workers involved in this study revealed that there was no significant relationship between adherence to procurement procedures and the cadre of the health professional involved (χ2 =2.230: p= 0.534). On the same note, it was shown that there was a significant relationship between adherence to procurement procedures and the work experience of the health professional involved (χ 2= 11.24: p= 0.003). A significant relationship between adherence to procurement procedures and the incidences of discrepancies between received quantities and quantities on the delivery notes (χ2= 6.28: P= 0.025) was established. 87.5% of all respondents noted that their respective health facilities used direct tendering as a method of procuring medicines. Open tendering was said to be in use by only 3.1% of respondents while request for quotation was by 9.4%. Adherence to procurement procedures seemed to have a greater influence on the availability of medicines (OR=4.194, P=0.002). Those involved in the procurement process were health facilities in charges-nurses or clinical officers for rural health facilities or pharmaceutical personnel for hospitals who generate orders. The county pharmacist, county procurement officer, chief officer health & sanitation are involved in sending orders to suppliers and subsequently making payments. Inadequate funding for medicines procurement, inadequate procurement personnel and long procurement process were cited as the main challenges relating to procurement of medicines. The government needs to streamline the procurement process for medicines in order to ensure availability of medicines.
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How to cite this article:
Nicholas Barasa, Wilberforce Cholo. Influence of procurement process on availability of medicines in public health facilities in Bungoma county, Kenya. International Journal of Advanced Scientific Research, Volume 6, Issue 6, 2021, Pages 13-19
International Journal of Advanced Scientific Research International Journal of Advanced Scientific Research