Determinants of Health Supply Chain Performance in Baringo County – Kenya

Over 4 billion USD are spent annually to procure health products and technologies in low and middle –income countries. In 2012/2013, Kenya spent 234 billion (USD 2743) on health while Baringo spends over Ksh 150 million annually on the procurement of these products. Baringo County Health Department has been working to improve services, but health supply chain performance has been persistently criticized. The objective of this study was to establish the relationship between determinants of health supply chain performance in Baringo County, Kenya. The null hypothesis stated that there is no relationship between the selected four variables and HSCP. A descriptive cross-sectional design was adopted. Ninety six staff involved in health supply chain activities were selected using purposive sampling. Data was collected using a 5-point Likert scale questionnaire. Descriptive statistics, Spearman’s correlation, Kruskal-Wallis H tests and multiple regression analysis were used. SPSS version28 was used. The findings showed that the independent variables significantly predict HSCP (F=22.558, p < 0.001) and collectively explain 49.8% of the variance (R ² = 0.498). Physical infrastructure (β = .308, p = .003), procurement and sourcing practices (β = .293, p = .003), and employee competencies (β = .237, p = .001) were significant predictors. Information systems (β = .055, p = .624) was not significant. Conclusion: Infrastructure, procurement and sourcing practices and employee competencies significantly influence HSCP. Strengthening these areas can enhance performance.