Pooled procurement programme: efficiency and challenges in medicinal health care -perspectives from National Catholic Health Service in Ghana

摘要

Objective This article explores the efficiency and the challenges of the pooled procurement programme (PPP) among National Catholic Health Service (NCHS) members using the stakeholder theory. Method This article used the qualitative research approach relying on a multiple case study design to conduct 20 in-depth interviews with respondents working within the health facilities and the secretariat of the NCHS. Key findings This article established that the PPP improved accessibility, quality, availability and ensured solidarity between the health facilities within the NCHS. This ensured efficient PPP management in the health facilities. Although a 30% reduction in the average cost of medicines was achieved in the first 3 years of the programme's inception, prompt payment of the National Health Insurance Scheme (NHIS) could further drive down costs of medicines. Notwithstanding, there were other teething challenges such as inadequate consultation between the health facilities and the secretariat, inadequate physical structures, poor internet accessibility and inadequate coverage of the PPP Conclusion The article contributes to medicine health services research literature in the context of using the PPP in Ghana in procuring medicines. This article suggests that monitoring and evaluation of the procurement procedures in the health facilities are critical in guaranteeing compliance with the pooled procurement guidelines by participating healthcare providers.