Supply Chain Resilience and Service Delivery of Public Health Care Facilities in Western Region Kenya




Supply Chain Resilience, Service Delivery, Public Health Care Facilities, Western Region, Kenya


Supply chain management is a crucial activity that entails overseeing the movement of materials from the source, throughput, to the end consumer. However, in this endeavour, there are increased instances of uncertainties, i.e., speeds of delivery, flexibility, and environmental factors that affect the services rendered to the end consumer. This drives the concept of supply chain resilience as the ability of an organization to cope with stress from any factors in its environment and manage to maintain functionality in spite of unexpected or disruptive events. The healthcare sector has undergone significant changes over the past decades. Amidst these changes, attaining efficient and effective healthcare service delivery remains a distant prospect for many nations. This study therefore sought to find out the effect of supply chain resilience on service delivery in the public health care sector in the Western Region of Kenya. The hypothesis for the study was that supply chain resilience has no significant influence on service delivery in the public health care sector in the Western Region of Kenya. The study was anchored on two theories: the theory of human service delivery and strategic choice theory. The study adopted a positivist research philosophy and a descriptive survey research design, and the target population was 284 respondents from the four level 5 county hospitals in the western region. Questionnaires were used for data collection and analyzed using descriptive and inferential statistics. Data was presented using tables, scree plots, and scatter plots. The study is of value to researchers and academicians, county government authorities, and residents of the four counties. 258 respondents participated in the study, and preliminary data checking, screening, and cleaning were done. Validity and reliability statistics were done, and they indicated that the research instruments were adequate for their purpose. Diagnostic tests were also conducted, and none of the variables violated normality, linearity, homoscedasticity and multicollinearity assumptions. Regression analysis shows that there is a statistically significant relationship between resilience and service delivery (t = 6.115, p<0.05). The null hypothesis was thus rejected. The study recommended that hospitals maintain communication and information sharing with suppliers to enhance collaboration, resilience, and responsiveness in their supply chains. Hospitals should engage in frequent forecasting of demand to ensure that their services are aligned with seasonal changes in demand.


Agency for Healthcare Research and Quality. (2018). Elements of Access to Health Care. Retrieved from %20to%20health%20care%20means,into%20the%20health%20care%20system.

Alfarsi, F., Lemke, F., & Yang, Y. (2019). The importance of supply chain resilience: an empirical investigation. Procedia Manufacturing, 39, 1525-1529. DOI:

Asamoah, D., Agyei-Owusu, B., & Ashun, E. (2020). Social network relationship, supply chain resilience and customer-oriented performance of small and medium enterprises in a developing economy. Benchmarking: An International Journal. 27. 1793-1813. 10.1108/BIJ-08-2019-0374. DOI:

Blackhurst, J., Craighead, C., Elkins, D., Handfield, R. (2005). An Empirically Derived Agenda of Critical Research Issues for Managing Supply-Chain Disruptions. International Journal of Production Research - INT J PROD RES. 43. 4067-4081. DOI:

Carvalho, H., Azevedo, S. G., & Cruz-Machado, V. (2012). Agile and resilient approaches to supply chain management: influence on performance and competitiveness. Logistics research, 4(1), 49-62. DOI:

Chunsheng, L & Christina W., Ching-Chiao Y. & Kuo-chung S. & Taih-Cherng, L. (2019). Value of supply chain resilience: roles of culture, flexibility, and integration. International Journal of Physical Distribution & Logistics Management. 50. 80-100. DOI:

Deloitte. (2021). Global Health Care Outlook: Accelerating industry change. Deloitte. Retrieved from

Dickens, J. M., Anderson, J. R., Reiman, A., Uvet, H., & Nowicki, D. R. (2021). Supply chain resilience: an empirical examination of the bouncing back or forward phenomenon. International Journal of Logistics Research and Applications, 1-21. DOI:

Dubey, R., Gunasekaran, A., Childe, S. J., Papadopoulos, T., Blome, C., & Luo, Z. (2017). Antecedents of resilient supply chains: An empirical study. IEEE Transactions on Engineering Management, 66(1), 8-19. DOI:

Guzami, E. (2013). Factors influencing strategy implementation in community-based organizations in Seme Sub-County, Kenya (Unpublished MBA Thesis), United States International University.

Hair, J.F.J., Black, W., Babin, B., Anderson, R. & Tatham, R.L. (2010). Multivariate Data Analysis. (7th Ed.). Pearson Prentice Hall.

Hohenstein, N. O., Feisel, E., Hartmann, E., & Giunipero, L. (2015). Research on the phenomenon of supply chain resilience: a systematic review and paths for further investigation. International Journal of Physical Distribution & Logistics. DOI:

Hosseini, S., Ivanov, D., & Dolgui, A. (2019). Review of quantitative methods for supply chain resilience analysis. Transportation Research Part E: Logistics and Transportation Review, 125, 285-307. DOI:

Ivanov, D. & Das, A. (2020). Coronavirus (COVID-19/SARS-CoV-2) and supply chain resilience: a research note. International Journal of Integrated Supply Management. 13. 90. DOI:

Jüttner, U., & Maklan, S. (2011). Supply chain resilience in the global financial crisis: an empirical study. Supply chain management: An international journal. DOI:

Kariuki, J. N. (2018). Influence Of Supply Chain Ambidexterity On Performance Of Accredited Hospitals In Kenya (Doctoral dissertation, JKUAT-COHRED). Retrieved from

KNCHR. (2017). Realizing the value of Health and the right to water. A human rights assessment of county health and water services law. Kenya National Commission for Human Rights. Retrieved from

Kochan, T., Mckersie, R., & Cappelli, P. (1984). Strategic Choice and Industrial Relations Theory and Practice. Industrial Relations: A Journal of Economy and Society, 27. DOI:

Konstantinou, C., Chatzoudes, D., & Chatzoglou, P. (2021, August). Supply Chain Resilience during the COVID-19 pandemic. In 2021 IEEE International Conference on Technology and Entrepreneurship (ICTE) (pp. 1-6). IEEE. DOI:

Kumar, S., & Anbanandam, R. (2020). Impact of risk management culture on supply chain resilience: An empirical study from Indian manufacturing industry. Proceedings of the Institution of Mechanical Engineers, Part O: Journal of Risk and Reliability, 234(2), 246-259. DOI:

Kwon, I.W.G., Kim, S.H., & Martin, D.G. (2016). Healthcare supply chain management; strategic areas for quality and financial improvement. Technol. Forecast. Soc. Chang., 113, 422-428. DOI:

Martinez, C. (2018). Supply chain risks, resilience and firm performance: an empirical study (Doctoral dissertation).

Masaba, B. B., Moturi, J. K., Taiswa, J., & Mmusi-Phetoe, R. M. (2020). Devolution of healthcare system in Kenya: progress and challenges. Public Health, 189, 135-140. DOI:

Matheshe, J. O. & Inimah, G. (2017). Investigation of Crisis Prevalence in the Health Sector: A Case Study of Bungoma Referral Hospital. International Journal of Science and Research (IJSR). Vol. 6 (10).

Mathur, B., Gupta, S., Meena, M.L. & Dangayach, G. (2018). Healthcare supply chain management: literature review and some issues. Journal of Advances in Management Research, 15. DOI:

Miles, R.E., Snow, C.C. (1978). Organizational Strategy, Structure, and Process. McGraw-Hill, New York. DOI:

Mugambi, J. M., & Kiruthu, Z. (2015). Service Quality Dimension in Health Care Service Delivery: The Case for Healthstrat in Kenya. Science Journal of Business and Management, 3(5), 164-174. DOI:

Ndiema, A. C., & Muli, S. (2021). Influence of supply chain resilience strategies on performance of retail stores in Kenya. International Journal of Advance Research and Innovative Ideas in Education, 7(5), 15402.

Ochieng, A. O. (2018). Supply Chain Resilience and Organizational Performance of Pharmaceutical Manufacturing Companies in Nairobi (Doctoral Dissertation, University of Nairobi).

Ogundele, B.O. & Olafimihan, H.O. (2009) Facilities and Equipment as Predictors of Effective Health Care Delivery Services in Selected State Government Hospitals in Oyo State, Nigeria. The Anthropologist, 11(3), 181-187. DOI:

Okedi, W. & Adungo, F. (2021). Effectiveness of Hospital Management Committees in Busia County, Kenya. Health, 13. 1129-1144. 10.4236/health.2021.1310084. DOI:

Olaleye, B., Anifowose, O., Efuntade, A., &Arije, B. (2021). The role of innovation and strategic agility on firms' resilience: A case study of tertiary institutions in Nigeria. Management Science Letters, 11(1), 297-304. DOI:

Otieno, P.O., Wambiya, E.O.A., & Mohamed, S.M. (2020). Access to primary healthcare services and associated factors in urban slums in Nairobi-Kenya. BMC Public Health 20, 981 (2020). DOI:

Parasuraman, A., Zeithaml, V. A., & Berry, L. L. (1985). A conceptual model of service quality and its implications for future research. Journal of marketing, 49(4), 41-50. DOI:

Pue, R.O. (1996). A dynamic theory of service delivery: implications for managing service quality. Master's Thesis. University of Lancaster, UK.

Rajesh, R. (2018). On sustainability, resilience, and the sustainable-resilient supply networks. Sustainable Production and Consumption, 15, 74-88. DOI:

Rohof, J. W. (2013). Strategic choice theory in purchasing (Bachelor's thesis, University of Twente). Retrieved from

Senge, P. M. (1978). The system dynamics national model investment function: a comparison to the neoclassical investment function (Doctoral dissertation, Massachusetts Institute of Technology).

Shahin, A., & Samea, M. (2010). Developing the Models of Service Quality Gaps: A Critical Discussion. Business Management and Strategy. 1. 10.5296/bms.v1i1.395. DOI:

Shepherd, C., & Günter, H. (2010). Measuring supply chain performance: current research and future directions. Behavioral operations in planning and scheduling, 105-121. DOI:

Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics (5th Ed.). Allyn & Bacon/Pearson Education.

The Global Fund (2021). Audit of procurement and supply chain during the COVID-19 Pandemic. Global fund. Retrieved from

Transparency International. (2020). A Social Audit Report on Service Delivery in the Health Sector in Vihiga County, Kenya. Transparency International. Retrieved from

Yamane, T. (1973). Statistics: An introductory analysis (2nd Ed.). New York: Harper and Row.

Yang, H., Guo, X., & Wu, T. (2015). Exploring the influence of the online physician service delivery process on patient satisfaction. Decision Support Systems, 78, 113-121. DOI:

Zamzam H. A., Wahab A., Ahmad, Muhammad A., Suresh A., Wee K. L., & Khairunnisa H. (2021). A Systematic Review of Medical Equipment Reliability Assessment in Improving the Quality of Healthcare Services. Frontiers in Public Health, 9(1), 753951. 10.3389/fpubh.2021.753951. DOI:




How to Cite

Mogere, K. M., Kwendo, E. S., & Fozia, N. (2023). Supply Chain Resilience and Service Delivery of Public Health Care Facilities in Western Region Kenya. African Journal of Empirical Research, 4(1), 207–218.