Risk Management and Performance of Health Supply Chain Projects in Uganda. The Case of Uganda Health Supply Chain Project

Abstract: This study aimed at assessing the effect of risk management on performance of Health supply chain projects in Uganda using a case of Uganda Health Supply Chain project. The specific objectives were; to determine the effect of risk identification on the performance of health supply chain projects in Uganda; assess the effect of risk analysis on the performance of health supply chain projects in Uganda; investigate the extent to which planning for risk management affects the performance of health supply chain projects in Uganda and lastly determine the extent to which risk response and control affect performance of health supply chain projects in Uganda. The study was based on the normative decision theory of risk management and the positivism research philosophy. It employed a cross-sectional study design and adopted both quantitative and qualitative approaches. A total sample population of 196 was used. Primary data was collected using self-administered questionnaires for quantitative data and analyzed using STATA while qualitative data was collected using an interview guide and analyzed using the content analysis method. In this study, four hypotheses were tested using the logistic regression technique employing the p-value and odds ratio approach. Findings revealed a good understanding of the risk management concept among a majority of the respondents, but however, there was a low adoption of standard risk management practices. The study further revealed that a majority of the investigated practices had a significant effect on the level of time, cost and quality performance of health supply chain projects in Uganda. The study concluded that performance of health supply chain projects in Uganda has been below average due to low adoption of standard risk management practices. The study recommended prioritizing risk management high on the project’s management agenda by all supply chain projects in Uganda.

摘要：本研究旨在评估风险管理对乌干达医疗供应链项目绩效的影响，以乌干达医疗供应链项目为例。具体目标包括：确定风险识别对乌干达医疗供应链项目绩效的影响；评估风险分析对乌干达医疗供应链项目绩效的影响；探究风险管理规划对乌干达医疗供应链项目绩效的影响程度；以及最后确定风险应对和控制对乌干达医疗供应链项目绩效的影响程度。研究基于风险管理规范决策理论及实证主义研究哲学。采用横断面研究设计，结合定量与定性研究方法。研究样本总量为196人。通过自填问卷收集定量数据，并使用STATA进行分析；定性数据通过访谈指南收集，并采用内容分析法进行分析。本研究利用逻辑回归技术对四个假设进行检验，采用p值和优势比方法。研究发现，大多数受访者对风险管理概念有良好的理解，然而，标准风险管理实践的采用率却相对较低。研究进一步表明，大多数调查的实践对乌干达医疗供应链项目的时间、成本和质量绩效水平有显著影响。研究得出结论，由于标准风险管理实践的采用率低，乌干达医疗供应链项目的绩效一直低于平均水平。研究建议乌干达所有供应链项目将风险管理置于管理议程的重要位置。