Influence of Competitive Procurement Practices On Service Delivery in Public Hospitals; The Case of Naguru Hospital

TABLE OF CONTENTS

Content

DECLARATION

APPROVAL

DEDICATION

ACKNOWLEDGEMENT iv

TABLE OF CONTENTS v

LIST OF TABLES ix

LIST OF FIGURES x

LIST OF ACRONYMS xi

ABSTRACT

CHAPTER ONE

INTRODUCTION 1

l.lBackground of the Study

1.2 Statement of the Problem 3

1.3 Objectives ofthe Study 3

1.3.1 General Objective 3

1.3.2 Specific Objectives 3

1.4 Research Questions 4

1.5 Scope ofthe Study 4

1.5.1 Content Scope 4

1.5.2 Geographical Scope 4

1.5.3 Time Scope 4

1.6 Significance of the Study 5

1.7 Conceptual framework 6

CHAPTER TWO 7

LITERATURE REVIEW 7

2.1 Introduction 7

2.2. Key Concepts 7

2.2.1 Competitive Procurement practices 7

2.2.2 Service Delivery 7

2.3 Theoretical Review 9

V

2.3.1 Efficiency Theory .9

2.3.2 Agency Theory 9

2.4 Empirical Review 10

2.4.1 Bid Placing 11

2.4.2 Evaluation Criteria 12

2.4.3 Supplier Capacity 13

2.4.4 Technology in Bidding Process 14

2.5 Related Studies 16

2.6 Summary of the Literature 17

2.7 Research Gaps 17

CHAPTER THREE 19

RESEARCH METHODOLOGY 19

3.1 Introduction 19

3.2 Research Design: 19

3.3 Target Populatiofl 19

3.4 Census Design 19

3.5 Research Instruments 19

3.6 Pilot Test 20

3.7 Data Collection Procedures 20

3.7.lValidity 20

3.7.2 Reliability 21

Table 3.1: Reliability Statistics 21

3.8 Data Processing and Analysis 21

3.9 Limitations of the Study 22

CHAPTER FOUR 23

DATA ANALYSIS, FINDINGS AND INTERPRETATIONS 23

4.1 Introduction 23

4.2 Response Rate 23

4.3 Demographic Information 23

4.3.1 Gender representation of the study subjects 23

Table 4.1: Gender representation of the study subjects 23

4.3.2 Respondents’ Highest Level of Education 24

Table 4.2: Respondents’ Highest Level of Education 24

vi

4.3.3 Duration Worked in the Current Organization 24

Table 4.3: Duration Worked in the Current Organization 24

4.4 Descriptive Statistics 25

4.4.1 Bids placing on service delivery in public hospitals 25

Table 4.4: Bids placing on service delivery in public hospitals 25

4.4.2 Evaluation criteria on service delivery in public hospitals 27

Table 4.5: Evaluation criteria on service delivery in public hospitals 27

4.4.3 Supplier Capacity on Service Delivery in Public Hospitals 28

Table 4.6: Supplier capacity on service delivery in public hospitals 28

4.4.4 Technology on Service Delivery in Public Hospitals 29

Table 4.7: Technology on service delivery in public hospitals 29

4.4.5 Service Delivery in Public Hospitals 30

Table 4.8: Service delivery in public hospitals 30

4.5 Inferential Statistics 31

4.5.lBids Placing and Service Delivery 31

Table 4.9: Bids placing and service delivery 31

4.5.2 Evaluation Criteria and Service Delivery 31

4.5.3 Suppliers Capacity and Service Delivery 32

Table 4.11: Suppliers capacity and Service Delivery 32

4.5.4 Technology and Service Delivery 32

4.6. Bids Placing and Service Delivery 33

Table 4.13: Model Summary on Bids Placing and Service Delivery 33

4.6.2 Evaluation Criteria and Service Delivery 34

15: Model Summary on Evaluation Criteria and Service Delivery 34

Table 4. 16: Anova on Evaluation Criteria and Service Delivery 34

4.6.3 Suppliers capacity and Service Delivery 35

17: Model Summary on Suppliers capacity and Service Delivery 35

Table 4.18: Anova on Suppliers capacity and Service Delivery 35

4.6.4 Technology and Service Delivery 36

Table 4.20: Anova on Technology and Service Delivery 36

4.7 Multiple Regression 37

Table 4.21: Model Summary 37

Table 4. 22: Regression Coefficients 38

VI

CHAPTER FIVE .39

SUMMARY, CONCLUSIONS AND RECOMMENDATIONS 39

5.1 Introduction 39

5.2 Summary of Major Finding 39

5.2.1 Bids placing on service delivery in public hospitals in Naguru-Uganda 39

5.2.3 Evaluation Criteria on Service Delivery 39

5.2.2 Suppliers Capacity on Service Delivery 40

5.2.4 Technology in Bidding Process on Service Delivery 40

5.2.5 Service Delivery in Public Hospital 41

5.3 Conclusions 41

5.4 Recommendations 42

REFERENCES 44

APPENDICES 5

ABSTRACT The study assessed the influence of competitive procurement practices on service delivery in public hospitals in Uganda with specific reference to Naguru government hospital. Specifically the study was guided by three objectives which included bids placing, evaluation criteria of suppliers’ capacity and technology in bidding process on service delivery in Naguru public hospital. The study adopted a census technique to incorporate all the targeted sample of 80 respondents from the hospital. A structured questionnaire was used to collect the primary data desirable for the study. Qualitative data was analyzed by use of content analysis and presented in a prose form. Quantitative data was analyzed by use of descriptive and inferential statistics through the help of Statistical Package for Social Sciences (SPSS). Results from the findings indicated that bid placing (R = 0.758), evaluation criteria (R = 0.477), supplier capacity (R = 0.478) and technology (R = 0.649) had a positive cori~elation with service delivery. Therefore, the study concluded that bid placing, evaluation criteria, supplier capacity and technology have a positive influence on service delivery. The study recommended that public hospitals should formulate more policies to emphasize on the use of competitive procurement contracting practices as it will help to reduce corruption, ensure quality and low cost as well as improve service delivery. Public hospitals should only be evaluated in terms of the criteria stipulated in the bidding documents.