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Original research WHEN DOES PROCUREMENT INFORMATION LEVERAGING IMPROVE SERVICE DELIVERY? THE MODERATING ROLE OF HEALTHCARE FINANCING IN PUBLIC HOSPITALS IN KISII COUNTY, KENYAPages 77-86
Abstract
Public hospitals in Kisii County, Kenya face persistent service delivery challenges, including medicine stockouts, delayed procurement, and disrupted continuity of care. While procurement information leveraging can improve responsiveness through enhanced visibility and coordination, its effectiveness may depend on healthcare financing. This study examined the moderating role of healthcare financing on the relationship between procurement information leveraging and service delivery. A cross-sectional survey design was used, with structured questionnaires administered to clinical officers, pharmaceutical technologists, procurement staff, storekeepers, and accountants, yielding 276 usable responses. Data were analyzed using correlation and hierarchical regression with interaction terms. Findings indicate that procurement information leveraging has a positive and statistically significant effect on service delivery performance. Healthcare financing significantly moderates this relationship, strengthening the positive effect when funding is adequate, predictable, and timely. The study concludes that procurement information practices yield greater service delivery benefits when supported by responsive financing systems, underscoring the need to align information management with healthcare financing in devolved health systems.
Keywords: Procurement information leveraging, healthcare financing, moderation, service delivery, public hospitals, Kisii County; Kenya.
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Simon Mungai, 
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