Exploring the Supply Chain Coordination Dimensions for Artemisinin-Based Combination Therapies in Uganda
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Date
2019
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
International Journal of Supply Chain Management
Abstract
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.
Description
Keywords
Supply chain, Coordination, Dimensions artemisinin-based combination therapies, Availability
Citation
Nagitta, O. P., & Mkansi, M. (2019). Exploring the supply chain coordination dimensions for artemisinin-based combination therapies in Uganda. International Journal of Supply Chain Management, 8(4), 134-151.