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Ranking factors for coordinated supply chain management of ACTs in Uganda's general hospitals using the analytical
Oluka Pross Nagitta1, Marcia Mkansi2, George William Kajjumba3,4
1Department of Economics and Managerial Sciences, School of Management Science, Uganda Management Institute, Kampala, Uganda.
Background:
Managing the coordination of the medicine supply chain in developing countries is highly challenging, particularly for malaria treatment drugs such as artemisinin-based combination therapies (ACTs). Numerous factors contribute to poor coordination in the ACT supply chain.
Objectives:
This study aimed to identify and prioritize supply chain coordination factors at the micro-, logistics, market and macro-levels that influence the availability of ACTs in Uganda's general hospitals.
Methods:
Using the Analytic Hierarchy Process (AHP), 20 factors across the micro-, logistics, market and macro-environments were evaluated through expert input collected from four public hospitals in Uganda.
Results:
Micro-environmental factors - especially top management support, mutual understanding and information sharing - were identified as the most critical. Logistics, macro-environment and market factors followed in decreasing order of influence.
Conclusion:
A structured, context-sensitive approach is essential for improving supply chain coordination and ACT availability in resource-limited settings. These findings offer insights for healthcare managers and policymakers in similar contexts.
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