Donor-funded procurement effectiveness in the public health medical laboratory services: Examining the moderation role for government policy in donor-support

Crossman Mayavo
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Abstract

Background: The paper seeks to provide evidence on the government policy’s moderating role in donor-funded procurement in the laboratory services of Zimbabwe. Procurement is a key component for any organizations to function optimally and the medical laboratory service is no exception considering that the donors are the major funders of the department hence the need for this study to examine the government policy as the moderating variable for this research. Medical laboratory services plays a very important role in the functioning of any health sector as every disease have to be tested to ascertain the actual disease a person suffering from before any treatment can be commenced. Aims: The aim of the paper was to examine the moderating role of government policy on donor-funded procurement in Zimbabwe’s laboratory services. Methods: The paper made use of a quantitative method research method. Data was collected from 260 respondents sampled from a total population of 795 using RaoSoftware but only 214 respondents successfully returned the questionnaire from the Ministry of Health and Child Care, Zimbabwe and the analysis was done using STATA to run the structural equation modeling. Results: The study found out that government policy (GP) moderates the pre-donation preparation process (PDPP) (β=0.15, p-value = 0.038) donation requirement process (DRP) (β=0.24, p-value =0.000), donation recipient planning process (DRPP) (β=0.22, p-value = 0.001) and donation implementation process (DIP) (β=0.18, p-value = 0.004) and the effectiveness of donor-funded procurement. Conclusion: Based on the results, the study concluded that government policy has a role to play to support donor-funded procurement in the laboratory services in Zimbabwe and the world over and the study recommended that policy maker should take into consideration the important role as government policy plays as it support key health outcomes considering the crucial role the medical laboratory also plays.   Received: 16 April 2024 | Reviewed: 22 April 2024 | Revised: 6 May 2024 | Accepted: 11 June 2024.
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公共卫生医学实验室服务中由捐助者资助的采购的有效性:考察政府政策在捐助方支持中的调节作用
背景:本文旨在提供证据,说明政府政策在津巴布韦实验室服务部门由捐助者资助的采购中的调节作用。采购是任何组织实现最佳运作的关键要素,医学实验室服务也不例外,因为捐助者是该部门的主要资助者,因此本研究需要将政府政策作为调节变量进行研究。医学实验室服务在任何卫生部门的运作中都扮演着非常重要的角色,因为每种疾病都必须经过检测以确定患者所患的实际疾病,然后才能开始治疗:本文采用了定量研究方法。使用 RaoSoftware 从总人口 795 中抽取了 260 名受访者进行数据收集,但只有 214 名受访者成功返回了津巴布韦卫生与儿童保健部的调查问卷,数据分析使用 STATA 进行结构方程建模:研究发现,政府政策(GP)对捐赠前准备过程(PDPP)(β=0.15,p 值=0.038)、捐赠需求过程(DRP)(β=0.24,p 值=0.000)、捐赠接收方规划过程(DRPP)(β=0.22,p 值=0.001)和捐赠实施过程(DIP)(β=0.18,p 值=0.004)以及捐赠方出资采购的有效性具有调节作用:根据研究结果,该研究得出结论:在津巴布韦乃至全世界,政府政策在支持实验室服务中的捐赠资助采购方面发挥着作用,研究建议政策制定者应考虑到政府政策的重要作用,因为考虑到医学实验室也发挥着关键作用,政府政策在支持关键健康成果方面发挥着重要作用。收稿日期2024年4月16日修订:2024 年 5 月 6 日 | 接受:2024 年 6 月 11 日:11 June 2024.
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