Procurement and Logistics Management

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    Assessment of agile supply chain practices towards performance of health care sector, in Tanzania: A case of selected public hospitals in Dodoma Municipality
    (Mzumbe University, 2018) Mwaiseje, Shadrack
    The study was all about agile supply chain practices towards performance of healthcare sector. This research was conducted at Dodoma Municipality in Benjamin Mkapa hospital and Dodoma general hospital. The specific objectives of the study were to assess timely delivery of treatment to the patients on performance of healthcare in Dodoma Municipality, to evaluate integration and coordination of process towards performance of healthcare in Dodoma Municipality, to assess the extent to which quick response to patients enhance performance of healthcare in Dodoma Municipality and to ascertain the effects of agile supply chain practices on performance of healthcare in Dodoma Municipal. Data were collected by using both primary source of data and secondary source of data. Primary data was collected by using questionnaire and interview while the secondary data was collected by using documentary review and the study used the sample size of 236 respondents. Data was analyzed by both qualitative and quantitative analysis. To determine the effects of agile supply chain practices on performance of healthcare logistic regression model was used and Pearson chi-square was used to determine the influence of timely delivery of treatment, integration and coordination of process and quick response to the patients towards performance of healthcare in terms of patient‟s satisfaction. Results indicated that treatment conducted at reasonable time, waiting for registration, ICT uses in healthcare operations, reduction of path flows and quick medical assistance have positive significantly relationship on performance of healthcare in terms of patients satisfaction whereas time to contact medical personnel, effective communication and quick response with change number of patients has insignificant relationship towards patients satisfaction. Results from Pearson chi-square indicated significant relationship between timely delivery of treatment, integration and coordination of process with performance of healthcare in terms of patient‟s satisfaction, whereas quick response to the patients has insignificant relationship with performance of healthcare. The study recommends that the Government should employ adequate number of doctors, nurses, pharmacists and laboratory technicians in order to smoothen the daily operations of public hospitals.
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    Assessment of the effectiveness of services outsourcing in public health institutions: A case of Mbeya Referral Hospital (MRH)
    (Mzumbe University, 2013) Mwashiuya, Stephano
    Before the Ministry of Health and Social Welfare (MoHSW) started outsourcing non consultancy services, security service and cleanliness service at Mbeya referral Hospital are totally seems to be below standard to MoHSW and due to that the MoHSW started outsourcing those services researcher. This study aimed at assessing the effectiveness of services outsourcing in public health institutions. The case of Mbeya Referral hospital, the services outsourced at MRH are two which are cleaning and security services, the study based on non consultancy services. The study was carried out by using a case study design, mixed study, cross-sectional and retrospective cohort. The researcher employed the following instruments in collecting data which are interviews, Questionnaires, Observations and documentary sources. The study revealed that outsourcing at MRH is effective through adherence of contract terms and conditions were supported by 83.3% of respondents, cost effectiveness of supplier through cost sharing were supported by 97% of respondents, consistency in quality in delivering of service were supported by 70% of respondents and good performance of service providers were supported by 70% of respondents. Though outsourcing at MRH are effective but there some problems like Low knowledge and skills to services providers which forced the MRH to employ health attendants to performs cleanness also modern equipment are not user friendly by service providers were supported by 55% of respondents and the organization faced with theft incidence were supported by 93% of respondents. These findings are both consistent and inconsistent with the previous research findings. The researcher recommends that for the effectiveness of services outsourcing at MRH, the service provider for cleaning service should be the one who have competent workers who can clean both infectious (IPC) and non-infectious products in hospital while for security service there should be competent workers who are well equipped with technological advancement in securing the hospital. The results obtained from the research that was conducted in Mbeya referral hospital cannot be generalized to all services outsourcing as the services providers at MRH may be different to that of Muhimbili National Hospital.
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    Assessing the impact of strategic procurement on public organisation’s performance: A case of Arusha City Council
    (Mzumbe University, 2019) Mwitango, Robert D.
    This research aimed at assessing the impact of strategic procurement on public organization performance using Arusha City Council (ACC) as a case study. The study had three specific objectives; the first was to examine the influence of strategic procurement on procurement execution, the second was to assess the influence of supplier base on organization performance, and the third objective was to examine the influence of supplier selection on organization performance. The researcher applied a case study research design, and samples were selected by using purposive sampling techniques, where by questionnaire were used as primary data collection method and documentary review and internet source were used as secondary data collection method. A sample of 79 respondents was purposively selected from different department and section at ACC. The analyzed data was then presented in tables and figures for interpretation. Factor analysis and multiple regression analysis were employed for data reduction and assessing relationship between independent and dependent variables. The study realized relationship between the procurement execution, strategic supplier base, and strategic supplier selection on public organization performance The study findings revealed that the impact of strategic purchasing are contribute by the skilled workers, training and seminars to workers and suppliers, effective negotiation during materials purchasing, effective specification, strategically supplier selection, professionalism, and applicability of regulation in all the purchasing activities. The study concluded that strategic procurement within an organization contributes as much to the success and performance of the organization operations. Researcher recommend that, seminars and training could be provided to the procurement personnel and users, online purchasing system should be established at ACC, effective negotiation should be well conducted during purchasing process, the kraljic approach could be used to specify the purchasing techniques, and all purchasing should be guided by the rules and regulation and should be free from any interference such as political interference.
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    The determinants of value for money in procurement of works in Tanzania’s Local Government Authorities: A case of selected LGAS in Dar es Salaam region
    (Mzumbe University, 2018) Nyaonge, Mbiji M.
    This study titled “The determinants of Value for Money in Procurement of works in Tanzania‟s LGAs” was carried out at Ilala, Kinondoni and Kigamboni Municipal Councils in Dar es Salaam Region. A review of the literature indicated that for several times LGAs in Tanzania has failed to attain VfM when performing procurement activities. In relation to this, this study sought to establish the effect of STDs, impact of ICT in procurement activities, relationship management/collaboration and institutional factors as the determinants of VfM in procurement of works in Tanzania’s LGAs. To achieve these objectives, this study employed explanatory study to explain the relationship between variables. The study collected both primary and secondary data. Closed-ended questionnaire were used to collect primary data while secondary data was collected from published journals, reports and books. The study constituted fifty nine units sample which comprised members from PMU, engineering department, TB, accounts section, audit section, and ICT department. The study used quantitative method of data collection. In data presentation and analysis descriptive analysis with the help of statistical package for social sciences (SPSS) version 23.0 were used. Factor analysis and regression analysis was employed for data reduction and assessing relationship between independent and dependent variables. The study found significant relationship between the language used in the STDs,cost of preparing STDs, ICT competence, trust, commitment, respect, political interference and community participation on VfM.However, the study failed to establish a significant relationship between the contents of STDs and ICT knowledge on VfM. The study therefore recommended that in order for the LGAs and other public institutions to attain VfM in procurement activities they should make sure that they use simple and clear language to prepare STDs, also competent personnel should be used to prepare STDs in order to minimize unnecessary cost. Also the government should provide ICT knowledge building capacity to LGAs staff. Furthermore, first priorities should be given to the local contractors in works contract activities as the study revealed that it is easier to enter into relational governancewith the local contractors rather than foreigners. Lastly, procurement activities should be conducted in accordance with the existing rules and procedures, and that the function should be free from political or other interferences.
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    The determination of factors influencing construction project performance in public institutions : A case of Musoma & Butiama district council
    (Mzumbe University, 2019) Kazare, Buzana
    The aim of this study was to assess the determination of factors influencing construction project performance in public institutions which was carried out at Musoma and Butiama District Councils. The study comprises individuals from Musoma District Council and Butiama District Council. The study was guided by four objectives which are the effect of project planning on construction projects, the effect of relationship management on construction projects, the effect of institutional factors on construction projects in public institutions and the challenges affecting construction project performance in Tanzania public institutions. The study adopted explanatory research design were 114 respondents obtained through random sampling and purposive sampling. Explanatory research design employed to determine the relationships between variables. Data were collected through questionnaire and documentary review to supplement the study, both quantitative and qualitative approach was used. The collected data were analyzed using factor analysis, linear regression analysis and correlation analysis. The study found a significant relationship between project preparation, project schedule, trust, communication, political interference, project supervision and technical competency with project performance as all predicators were < 0.05. Furthermore, the study revealed that lack of technical staffs, delay of project completion and inadequate fund are the major challenges facing construction projects in public institutions. The dissertation concluded that construction project performance in Tanzania public institution is influenced by project planning, relationship management and institutional factors, and revealed that 63% of the respondents agreed that lack of technical staffs is the main challenges facing construction project in public institution. The study recommended that public institutions should ensure proper preparation of projects; also project schedule should be prepared by skilled personnel in order to ensure VfM in public construction projects. Also the government needs to ensure that project funds are available before commencement of the projects. Additionally, the government should make sure that the public institutions equipped with adequate, skilled, competency and knowledgeable practitioners in order the public institutions to achieve VfM in construction projects.