Browsing by Author "Mkansi, Marcia"

Now showing 1 - 4 of 4
  • Thumbnail Image
    Item
    Contractor commitment and the delivery of road infrastructure projects in Uganda: A practitioner perspective
    (Africa Journal of Management, 2021) Emejeit, Andrew; Nagitta, Oluka Pross; Okoche, Michael; Mkansi, Marcia
    This study examined the relationship between commitment (specifically the affective, continuance and normative aspects of commitment) and the delivery of road infrastructure in Uganda. The study employed a cross-sectional survey design with a sample of 266 that was purposively selected from road project engineers related to the Uganda National Roads Authority, the Ministry of Works and Transport, and the Uganda National Association of Building and Civil Engineering Contractors. A selfadministered questionnaire was used to collect the data. Exploratory factor analysis and multiple regression analysis were used to analyze the data. The findings indicate that all three indicators of commitment (affective, continuance, and normative) significantly affect the delivery of road infrastructure projects, though in varying degrees. The researchers recommend the implementation of mechanisms to enhance the three forms of commitment in the delivery of road infrastructure projects in Uganda. Notwithstanding other factors, the paper makes a contribution to the area of road construction in the developing country context by extending previous qualitative findings which focused solely on a case-based approach. This will enable policymakers and practitioners to gain an appreciation of the key dimensions of contractor commitment that may influence the delivery of road infrastructure projects in developing countries.
  • Thumbnail Image
    Item
    Deconstruction of a Multi-Embedded Supply Chain Coordination Problem Using Mixed Methods
    (Electronic Journal of Business Research Methods, 2020) Pross Nagitta, Oluka; Mkansi, Marcia
    It is without doubt that there are many overviews of mixed methods research in supply chain management. However, there is relatively little research and representation on the application of robust methodological approaches and techniques that take into account the dynamic nature of a multi-embedded and specialised medicine supply chain coordination (SCC) problem. In Uganda, the distribution of artemisinin-based combination therapies (ACTs) involves a multiembedded supply chain that runs across the macro, market, and micro levels of stakeholders. The multi-embedded levels have created a coordination challenge tied to stock-outs and unavailability of ACTs to the detriment of the patients. This study aimed to: 1) demonstrate how a mixed methods approach facilitated a better understanding of a multi-embedded and specialised supply chain coordination problem, and 2) reveal the major factors for coordinating a multi-embedded supply chain that can improve the availability of ACTs in the general hospitals of Uganda. An exploratory sequential mixed method approach was employed to disentangle the problem. In the first phase, focus group discussions were predominantly used to collect qualitative data, the findings of which acted as the foundation for the quantitative survey questionnaire. A Confirmatory Factor Analysis was used to determine and validate the market and macro supply chain dimensions that emerged from the survey results. The results showed that the most influential supply chain market environment dimensions that affect the availability of ACTs include information sharing with external stakeholders and supply chain interdependence. The results from the macro-environment showed that the socio-cultural, economic, technological, and legal dimensions influence the availability of ACTs. The contribution of this paper advances the use of mixed methods in deconstructing a complex embedded supply chain problem with implications for supply chain academics and practitioners and government bodies.
  • Thumbnail Image
    Item
    Exploring the Supply Chain Coordination Dimensions for Artemisinin-Based Combination Therapies in Uganda
    (International Journal of Supply Chain Management, 2019) Nagitta, Oluka Pross; Mkansi, Marcia
    The aim of the study was to explore how the logistics, micro, market and macro coordination dimensions affect the availability of artemisinin-based combination therapies (ACTs) in general hospitals in Uganda. Following a qualitative approach, a multiple case study strategy was used. Specifically, four focus group discussions, each consisting of 8 respondents were conducted from four purposively selected hospitals. The respondents were selected using simple random sampling from representatives of the Drug Therapeutic Management Committee (DTMC) for the purpose of exploring the supply chain coordination. Thereafter, cross-case analysis was done to identify the key coordination mechanisms that could be incorporated into the existing framework. A number of coordination dimensions were identified from the focus group discussions and regrouped using hierarchical coding scheme. Whilst the study’s findings on micro dimensions and logistics dimensions are in accordance with previous scholars, the market and macro dimensions reveal valuable insight into the dimensions necessary for supply chain coordination of ACTs. Market dimensions such as joint training, monitoring and quarterly meetings with key stakeholders are highly regarded for enhancing better coordination of ACTs. The macro coordination dimensions such as verification of ACTs, policies, and regulation are enablers, yet political interference, poverty and donor funding, culture, and lack of appropriate technology affect the availability of ACTs. The novelty of this study is that it adopts a holistic approach to the supply chain coordination of multiembedded distribution system and extends insight of coordination framework to include the market and macro dimensions that reflect practice.
  • Thumbnail Image
    Item
    The Relationship Between Market Environment Dimensions and Availability of Malaria Pills in Uganda
    (Global Advances in Health and Medicine, 2021) Nagitta Oluka, Pross; Mkansi, Marcia; Kajjumba, George William
    This study sought to examine the contribution of relationship building (in terms of collaboration, information sharing and supply chain interdependence) on the availability of malaria treatment pills in public hospitals in Sub-Saharan Africa using data from Uganda. Methods: By means of a cross-sectional survey research design, the study used a questionnaire strategy to collect quantitative data. Out of the 320 questionnaires that were distributed in 40 public hospitals, 283 were answered and returned, which yielded an 88% response rate. Structural equation modelling (SEM) was used to establish the relationship between measured variables and latent constructs. Results: Drawing on the survey results, the confirmatory factor analysist and the Structural Equation Modelling clearly demonstrate that relationship building (in terms of collaboration, information sharing and supply chain interdependence) significantly influences the availability of Artemisinin-based combination therapies in public general hospitals in Uganda. Conclusion: Policy-makers should focus on developing cheaper information technology tools to exchange information regarding stock levels, forecasting, quantification, orders, and dispensing. This study developed a measurement model for an inter-hospital relationship, using relational view theory, and it employs dimensions in terms of information sharing and supply chain interdependence to predict and explain the availability of malaria pills in government hospitals.