Building supply chain coordination frameworks is a popular practice in the private sector in
many developed countries. Despite this fact, in developing countries such as Uganda, the
public health sector has hardly adopted this practice. Although the existing frameworks offer a
good platform for measuring and improving the understanding of concepts underlying
coordination dimensions at the micro-environment, they have limited capacity to analyse
coordination interactions within the health sector, especially in developing countries like
Uganda.
Using the business management environment framework, this study explored the critical
supply chain coordination dimensions, logistics activities dimensions and the management
environment (market and macro) dimensions affecting the availability of Artemisinin-based
Combination Therapies for malaria (ACTs). The overall main research goal of this thesis was
to develop a supply chain coordination framework for malaria treatment therapies (ACTs) in
general hospitals in Uganda. To understand the coordination dimensions of ACTs, the study
adopted an exploratory sequential mixed research design, which involved a mixture of
qualitative and quantitative approaches. For the qualitative phase, four focus group discussions
were held. From the results, an instrument was developed and later validated using the
quantitative approach. Specifically, Exploratory Factor Analysis (EFA) with a maximum
likelihood extraction method followed by Confirmatory Factor Analysis (CFA) were used to
analyse quantitative data. Considering the volume of the dimensions, Analytical Process
Hierarchy (AHP) was carried out to rank the dimensions in order of priority.
Analysis of the factor correlation matrix shows no common variance among the components;
therefore, the principal components were distinct from one another and there was no
discriminant validity. The CFA results showed that the standardised parameter estimates of the
initial measurement models were all significant (p<.05). CFA and APH outputs were somehow
different simply because each technique has its own purpose and principles. It was indicated
that the correlation between critical supply chain coordination dimensions and level of ACTs
availability is moderately higher, followed by logistics, macro and market environments.
By better understanding the supply coordination dimensions effects on ACTs in Uganda, the
research provides important direction to African governments and international donor agencies
in their efforts to make malaria treatment therapies available, especially to the rural poor and
avert death. The findings serve as a platform to argue for revisiting coordination dimensions in view of conditions that include a resurgent market and macro-environment in developing
countries. The insight raises implications for extending coordination frameworks that are
geographically focused, and specific to ACTs. It may influence policy direction in this regard
and thus contribute to the body of knowledge. / Business Management / D. Phil. (Management Studies)
| Identifer | oai:union.ndltd.org:netd.ac.za/oai:union.ndltd.org:unisa/oai:uir.unisa.ac.za:10500/25644 |
| Date | 03 1900 |
| Creators | Nagitta, Oluka Pross |
| Contributors | Mkansi, Marcia, Ambe, Intaher Marcus |
| Source Sets | South African National ETD Portal |
| Language | English |
| Detected Language | English |
| Type | Thesis |
| Format | 1 online resource (xvi, 360 leaves) : illustrations (some color), application/pdf |
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