scholarly journals The use of Public-Private Partnerships in Health Supply Chain Management in Rwanda

2021 ◽  
Vol 4 (2) ◽  
pp. 237-256
Author(s):  
Evariste Byomuhangi ◽  
Pierre Claver Kayumba ◽  
Stella Matutina Umuhoza

BackgroundThe Government of Rwanda considers the private sector to play an important role in supporting provision of strategic national investments through Public-Private Partnerships (PPPs).ObjectiveThis study aims to describe the various aspects of PPPs in Health Supply Chain Management (HSCM) in Rwanda.MethodsA questionnaire was used to collect data from health professionals and individuals familiar with HSCM Public-Private Partnerships for this descriptive, cross-sectional and quantitative study.ResultsThe PPP interventional areas used in HSCM in Rwanda were namely supply of commodities (99%), delivered health Information Technology (IT) supplies and equipment (operate) (53%), finance (52%), and maintenance area (40%). The main challenges were limited conversation and absence of formal platforms for public and private engagement (83.7%) and complex procurement requirements for medical products and equipment by public institutions (73.3%). The strategies to improve the PPPs in HSCM were effective coordination of PPPs (93.3%) and improved dialogue and formal platforms (90.6%)ConclusionThese findings indicated that private sector through PPPs plays an important role in HSCM in Rwanda. The engagement of the private sector can increase the financial support in terms of financing HSCM activities like supply of health commodities and equipment. Rwanda J Med Health Sci 2021;4(2): 237-256

2019 ◽  
Vol 30 (1) ◽  
pp. 303-328 ◽  
Author(s):  
Marek Michalski ◽  
Jose Luis Montes ◽  
Ram Narasimhan

PurposeThe purpose of this paper is to examine the non-linear aspects of the asymmetry-performance relationship under varying conditions of trust and innovation. Its novel approach is useful for addressing the strategic elements of supply chain management (SCM) relationships based on trust and innovation decisions.Design/methodology/approachResults are based on a study of 90 managers from small- and medium-sized firms in Spain. Instead of a classical linear relationship analysis, the authors performed a non-linear analysis, using polynomial modeling and Warp 3 partial least squares method, which provides a more nuanced view of the data and constitutes an original approach to empirical research in SCM.FindingsThis study adds a new viewpoint on SC relationships by suggesting that not all trust and innovation development leads directly to performance improvement. The principal finding is, in varying trust and innovation contexts, that the influences of asymmetry on performance have uneven characteristics and follow non-linear paths.Research limitations/implicationsThis study focuses on only one particular institutional environment in one country. The data are also cross-sectional, which makes it difficult to empirically test causality.Practical implicationsThe findings provide rational insights to managers on when it is appropriate to reduce (or not) asymmetric relationships with partners.Originality/valueTrust and innovation are important and ones of the key requirements of supply chain relationships in any environment, this study argues that the interactions of key SCM elements that drive members to better performance are more complex and non-linear.


2017 ◽  
Vol 13 (4) ◽  
pp. 871-874 ◽  
Author(s):  
Otuto Amarauche Chukwu ◽  
Valentine Nnaemeka Ezeanochikwa ◽  
Benedict Ejikeme Eya

2021 ◽  
Vol 4 (2) ◽  
pp. 281-291
Author(s):  
Theogene Hakuzimana ◽  
Pierre Claver Kayumba ◽  
Innocent Hahirwa ◽  
Max Kabalisa

BackgroundRegardless of the significant efforts used and put in place to enhance supply chain performance in Rwanda, there is still poor inventory management and big loss due to expiry of medicines at Medical Procurement and Production Division (MPPD).ObjectiveTo assess the factors that contributes to expiry of medicines at MPPD and formulate recommendations for the improvement of the current situation.MethodsThis is a descriptive cross-sectional study used for 25 respondents. A questionnaire containing closed-ended questions was used focusing on factors contributing to expiries of medicines for each product category managed by MPPD from 2014-2018. Additionally, the researcher reviewed all inventory reports, including expiries for the same period under study. The study focused on targeting respondents working at MPPD as pharmacists both technical and administrative, also other non-pharmacist working in the warehouse were considered as respondents. The hard copy of questionnaire was handed over to 26 respondents and requested to provide filled questionnaire within seven days. Twenty-five respondents were able to return the filled questionnaire on time, giving 96% response rate.ResultsThe study found that in MPPD, medicines are still expiring. During five years (from 2014 up to 2018) the total expired products were valued at RWF 6,046,778,655 for all program categories: HIV commodities had the largest share 53.3%, Essential Medicines 22.5%, Malaria 13%, Maternal Child Health commodities 5.7%, Products used for Community health workers 4.5%, TB products 1% and 0.1% for Family Planning products. The study found that major contributing factors for expiry of health commodities at MPPD, are ranked as follows: Supply chain management 90%, other factors 73%, Poor storage management 68% and Excessive drug supply 67%. ConclusionConsidering the study results, it looks like no significant effect of excessive drug supply and inventory management on the expiration of medicines at MPPD. However, the Supply Chain Management components are the most vulnerable to contribute to the expiration of medicines at MPPD. There are many changes to be done inside the institution to remedy the issue of expiration like working according to the standard operating procedures, improving the Skills of personnel in supply chain management, empowering the procurement unit with skilled personnel and improving the communication with stakeholders to facilitate the smooth and quick replenishment and distribution of the stock. Rwanda J Med Health Sci 2021;4(2): 281-291


Author(s):  
Thomas F. Humphrey

The University of Rhode Island requested an assessment of the potential demand for developing new academic programs in the areas of transportation and logistics. Although the research focused on Rhode Island public- and private-sector organizations, it was concluded that the results have broader applications for the academic community. The research was accomplished by interviewing a total of 24 key executives in four large private companies and five large public-sector organizations. The questions focused on “skills required to do your job.” The interviews resulted in the following conclusions: ( a) a distinct difference must be made between education needs, training needs, and outreach needs; ( b) concerning public agency needs, responses tracked closely to the several national studies that have taken place over the past several years; ( c) private-sector organizations view logistics and supply chain management as critical to their bottom line; ( d) there appears to be a common interest among interviewees for universities to establish more outreach programs; ( e) private-sector companies all expressed possible interest in targeted logistics and supply chain management programs (certificate programs or individual courses could be of interest, either as traditional classroom or Internet-based); ( f) definite interest existed among public agencies to establish courses and distance-learning–based certificate programs in “transportation policy and management” (the author's label); and ( g) there were a surprising number of common needs.


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