Implementation challenges of the public procurement ACT 663 (ACT 2003) in Public Hospitals in Kumasi

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November, 2014
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The Public Procurement Act 663 (2003) has many objectives such as ensuring transparency, creating competition and ensuring effective and efficient delivery of health care in public hospitals in the country. However, ten years down the line, the objectives of the Act are yet to be realized for effective health care due to some challenges with its implementation. Therefore, a cross sectional survey was conducted on a non-probabilistic sample of 60 respondents using structured questionnaire to elicit the implementation challenges of the Act and to suggest measures that can mitigate such challenges. The data were analyzed using descriptive statistics involving frequencies, percentages and mean score rankings. The analysis revealed that the major implementation challenge of the Act was delay in payment of contractors and suppliers of drug and non-drug consumables leading to inefficiencies in health care delivery. Apart from this, several other challenges were identified which include high advertisement cost, lack of qualified staff, inadequate monitoring and evaluation and political interference. Among the measures which were identified to mitigate these challenges the major one was the employment of qualified trained procurement professionals. Other supporting measures also included the establishment of a national procurement fund, refresher courses for procurement practitioners, internal auditing and donor support funding among others. Based on the results of the study the researcher recommends regular and periodic in-service training for members of the procurement co mmittees, the use of the mass media to sensitize the public to contribute towards the establishment of a national procurement fund and political non-interference in the procurement process
A thesis submitted to the Department of Building Technology in partial fulfillment of the requirements for the award of Master of Science (MSc) in Procurement in Management