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 本研究以乌干达卫生供应链项目为案例，旨在评估风险管理对乌干达卫生供应链项目绩效的影响。具体研究目标如下：一是确定风险识别对乌干达卫生供应链项目绩效的影响；二是评估风险分析对乌干达卫生供应链项目绩效的影响；三是探究风险管理规划对乌干达卫生供应链项目绩效的影响程度；最后明确风险应对与管控对乌干达卫生供应链项目绩效的影响程度。本研究基于风险管理的规范决策理论与实证主义（positivism）研究哲学，采用横断面研究设计，同时运用定量与定性研究方法。本研究的总样本量为196。定量数据通过自填式问卷收集，并采用STATA软件进行分析；定性数据通过访谈提纲收集，并采用内容分析法进行分析。本研究共提出四项假设，采用逻辑回归（logistic regression）技术，结合p值与优势比（odds ratio）方法开展检验。研究结果显示，多数受访者对风险管理概念具备较好的认知，但标准风险管理实践的采用率偏低。进一步研究发现，多数被调研的风险管理实践对乌干达卫生供应链项目的时间、成本与质量绩效水平均存在显著影响。研究得出结论：乌干达卫生供应链项目的绩效处于平均水平以下，其原因为标准风险管理实践的采用率较低。本研究建议乌干达所有供应链项目应将风险管理置于项目管理议程的优先位置。