Abdulkadir, R (2024) THE DYNAMICS OF SUPPLY CHAIN INTEGRATION: EMPIRICAL EVIDENCE FROM PUBLIC HEALTH SUPPLY CHAINS IN KADUNA STATE, NIGERIA. Doctoral thesis, Liverpool John Moores University.

Preview	Text 2023ramatuphd.pdf - Published Version Available under License Creative Commons Attribution Non-commercial. Download (24MB) | Preview
	Text 2023-abdulkadir-phd-permissions.pdf - Supplemental Material Restricted to Repository staff only Download (176kB)

Abstract

The Kaduna State supply chain transformation initiative aims to integrate all state-fragmented supply chains to improve medicine availability performance. Supply chain integration enables organisations to collaboratively work with medicine suppliers and customers to achieve cost savings and improve service delivery, lead times, and performance. This study empirically assesses public healthcare supply chains and builds a dynamic theory of integrated healthcare supply chains based on systems dynamics. Underpinned by systems engineering theory and the system dynamics integrative paradigm, this study used interplay paradigm crossing in a mixed-method multiple case study to measure the availability of medicines in five public healthcare supply chains and developed a dynamic hypothesis from the mental models of system actors to increase the Medicine Fill Rate (MFR). Constraints in each supply chain were analysed to understand the perception of the structure, feedbacks, and dynamic behaviours that drive medicine availability. A network conceptual model was used to design a three-tiered stock-and-flow model for an integrated supply chain. Policies for financial management, government funding, order management, and inventory management were developed and tested to achieve a 90% MFR.

The findings of this study show that the five supply chains can benefit from integration by forming strategic alliances with suppliers for pooled procurement. Sharing resources, risks, and benefits through the adoption of digital platforms to improve communication, visibility, and trust serves as a fulcrum for network integration. The use of supply chain finance and a performance-driven approach by the integrated network assists in breaking the capability and bailout trap of resource dependency on government funding. This study enriches the development of a dynamic theory of supply chain integration that will benefit managers, essential medicine stakeholders, donors, and policymakers by developing network-revolving fund model policies to reduce medicine stockouts and increase essential MFR for the treatment of diseases.

Item Type:	Thesis (Doctoral)
Uncontrolled Keywords:	Supply Chain Integration; Public Health Supply Chains; Essential medicines; System Dynamics; Medicine Fill Rate Performance
Subjects:	H Social Sciences > HD Industries. Land use. Labor H Social Sciences > HE Transportation and Communications
Divisions:	Engineering
SWORD Depositor:	A Symplectic
Date Deposited:	08 Jan 2024 13:27
Last Modified:	08 Jan 2024 13:27
DOI or ID number:	10.24377/LJMU.t.00022145
Supervisors:	Matellini, DB, Jenkinson, I, Pyne, R and Nguyen, TT
URI:	https://researchonline.ljmu.ac.uk/id/eprint/22145

View Item