1. Ishak Kamaradi Masembe, PhD candidate, Nkumba University, Uganda
  2. Prof. Wilson Muyinda Mande, Nkumba University, Uganda

 

This study was an analysis of the effect of strategic planning on procurement of medicals in Uganda’s regional referral hospitals (RRH’s). Medicals were defined as essential medicines, medical devices and medical equipment. Ministry of health (MOH) has been carrying out strategic planning for the last 15 years vide the  Health Sector Strategic Plans. The assumption was that strategic planning would translate to strategic procurement and consequently availability of medicals in the RRH’s. However, despite the existence of these plans, there have been many complaints about expired drugs and shortages in RRH’s. To establish the effect of strategic planning on procurement of medicals a third variable (funding) was important because it served the role of mediation. Cross – sectional survey design was adopted and the specific methods were survey, interviews, observations and focus group discussions. The findings were that strategic planning was affected by funding to about 34% while the relationship between funding and procurement was 35%. The direct relationship between strategic planning and procurement was 18%. However when the total causal effect was computed it turned out that strategic planning and the related variable of funding contributed 77% to procurement of medicals under the current hierarchical model. Since even with this contribution there were complaints, the study proposed a new model called CALF which according to a simulation, if adopted by MOH, strategic planning would contribute 87% to effectiveness in procurement of medicals.