Procurement Procedures and Employee Performance in the Health Sector in Tororo District,Uganda.

ABSTRACT 

Public procurement is a vice that is gradually taking shape in all departments. The procurement processes therefore are looked at by staff as a hindrance to quick accessibility to the health resources from amongst the service providers in terms of the documentation and aggregate time taken. In the study, the researcher endeavored to investigate the extent of the processes and the impact on the health care service delivery to establish the cost effectiveness as well as the efficiency of the systems. Thereafter the study findings were used to suggest future applicability of the systems. The variables highlighted as inputs for the Health sector procurements were the availability of medicines and medical supplies that are core to the department. The process involved looking at the sequence particularly; procurement planning, advertising and publication of procurement notices, the prequalification of the prospective suppliers, and having bid negotiations. This would lead to availability of medicines and supplies and also value for money achieved as outputs. A sample size of 167 health workers was drawn from the population of 288 across the District health facilities. The design was an exploratory research where qualitative as well as quantitative methods of data collection were employed using judgments, modes, means, correlations, and deviations. In the study, it was discovered that the standard procedures were synchronologically followed. It was also discovered that the process was quite long and time consuming and tended to disregard the emergency situations in the Health sector. In conclusion, the study highlighted the need to reduce on time frame and documentation of the process. The study recommended having the set of procedures cycle that are friendly to handle emergencies as well and also integrate the users in managing the procurement function.

TABLE OF CONTENTS

Chapter Page

One THE PROBLEM AND ITSSCOPE 1

Background of the Study 1

Statement of the Problem 3

Purpose of the Study 4

Research Objectives 5

Research Questions S

Hypothesis 6

Scope 6

Significance of the Study 7

Operational Definitions of Key Terms 8

Two REVIEW OF RELATED LITERATURE 10

Concepts, Ideas, Opinions From Authors/Experts 10

Theoretical Perspectives 19

Related Studies 21

Three METHODOLOGY 23

Research Design 23

Research Population 23

Sample Size 24

Sampling Procedure 24

Research Instrument 24

Validity and Reliability of the Instrument 25

Data Gathering Procedures 25

Data Analysis 26

Ethical Considerations 26

Limitations of the Study 27

Four PRESENTATION, ANALYSIS AND INTERPRETATION OF DATA 28

Five FINDINGS, CONCLUSIONS, RECOMMENDATIONS 38

Findings 39

Conclusions 44

Recommendations 44

References 46

Appendices

Appendix I - Transmittal Letter

Appendix II - Clearance from Ethics Committee

Appendix III - Informed Consent

Appendix IV - Research Instrument

Researchers Curriculum Vitae