Open Access Article

Title: Donor-funded procurement determinants and effectiveness of procurement in the public health medical laboratory services: examining the mediating factors

Authors: Crossman Mayavo; Fanny Saruchera

Addresses: School of Business Sciences, University of the Witwatersrand, 1 Jan Smuts Ave, Braamfontein, 2000, Johannesburg, South Africa ' School of Business Sciences, University of the Witwatersrand, 1 Jan Smuts Ave, Braamfontein, 2000, Johannesburg, South Africa

Abstract: This study examines the role of mediating factors in the relationship between donor-funded procurement determinants and their effectiveness in public health medical laboratory services, specifically targeting operational efficiency improvements. Data for this comprehensive analysis were gathered using a mixed-method approach from 221 participants, including healthcare professionals and administrative personnel within the Ministry of Health and Childcare's laboratory services in a developing African country. Employing advanced statistical tools, including structural equation modelling (SEM), this study clarifies the substantial influence of the donation recipient planning process (DRPP) as a mediating factor that significantly enhances the effectiveness of donor-funded procurement (EDFP). In contrast, the results indicate that the donation implementation process (DIP) does not significantly impact the determinants of donor-funded procurement (DDFP). These findings not only highlight the critical importance of strategic planning in donor-funded procurement but also suggest areas for policy and operational enhancements to sustain essential government health institutions. The implications of this study are particularly relevant to similar healthcare settings in developing countries, offering a pathway to refine and optimise procurement processes for improved operational outcomes.

Keywords: donor-funded procurement; procurement; public health laboratories; operational efficiency; mediating factors; structural equation modelling; SEM.

DOI: 10.1504/IJPM.2024.138755

International Journal of Procurement Management, 2024 Vol.20 No.5, pp.1 - 19

Received: 25 Sep 2023
Accepted: 28 Sep 2023

Published online: 30 May 2024 *