Pooled procurement program in the quality improvement of medicines of the National Catholic Health Service in Ghana: using the Donabedian model

Abstract

Objectives This study evaluates structures that determine the quality of medicines procured through the pooled procurement program (PPP) in the National Catholic Health Service (NHS) using the Donabedian model. The challenges faced in the PPP are also revealed. Method A qualitative multiple case study was used to collect information from twenty top and middle-level administrators in the NCHS through in-depth interviews. After the data transcription, it was then analyzed using the thematic content analysis approach. Key findings The study found that the structures for quality of services in the health facilities are moderately satisfactory. The structures of the NCHS included experienced healthcare workers, adequate physical infrastructures, functional Drug and Therapeutic Committees (DTCs), and a rapid-testing laboratory facility to ensure that medicines procured were of high quality. This paper established that suppliers of medicines to the health facilities in the NCHS had to register with the NCHS subject to annual renewal. Suppliers are also required to have the Pharmacy Council (PC) and the Food and Drug Authority (FDA), certification to supply medicines to health facilities. However, the predominant challenges that confronted the health facilities were delays in health insurance claims processing and payments and lack of management commitment in implementing the PPP. Conclusion The study contributes to the pharmaceutical health services literature in the context of the pooled procurement approach in the sourcing of medical goods in the health sector. Significant implications for research and management are also presented.