Browsing by Author "Crossman, Mayavo"

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    Evaluating the efficacy of donor-funded procurement processes in public health laboratory services
    (University of the Witwatersrand, Johannesburg, 2023) Crossman, Mayavo
    The governments in sub-Saharan African countries seem to have failed to fund public health medical laboratory services adequately, and the donors have taken over such critical services. This paper assesses donor-funded procurement processes in Zimbabwean public health medical laboratory services. As a build-up to the assessment, the study aimed to examine the donor- funded procurement processes followed by the public health medical laboratory services in Zimbabwe to establish the effectiveness of donor-funded procurements in the medical laboratory services. The study integrates Transaction Cost Economics, Person-Situation Interaction, and Agency theories to support the research's argument. The World Health Organisation's principles and guidelines on donations of health commodities further guide the research. Guided by the pragmatism philosophy and the descriptive-exploratory nature of the research objectives, the research utilised mixed research methods in which 214 questionnaires responses were received from the medical laboratory scientists, State-certified medical laboratory technicians, and procurement officers, while seven online interviews were held with provincial scientists. Structural equation modelling (SEM) helped the researchers establish the relationships among and between the variables. The research results revealed that the donor- funded procurements processes followed by the public health medical laboratory services in Zimbabwe might be strengthened by close collaboration between the government and the donor community. The study results showed no association between the pre-donation planning process and effective donor-funded procurement. The results further established an indirect effect between the donation requirement process and effective donor-funded procurement with a positive result; the donation recipient preparation process has positive direct and indirect effects on effective donor-funded procurement.