Abstract:
Background: Healthcare Supply chain resilience has become the main target of the health sector
due to the increasing number of supply chain disruptions and their unintended consequences on
healthcare delivery service operations. Therefore, resilient health care is important to optimizing
the supply chain, enhancing collaboration, improving sustainability, improving risk management,
improving visibility and control of inventory management, reducing stockouts, and improving
customer service.
Method: Cross-sectional study was conducted using a mixed quantitative and qualitative method
in public health facilities and health offices of the Benishangul-Gumuz regional state between May
and June 2024. A total of 201 staff in the 25 health facilities, regional health bureau, 3 zonal health
offices, and 19 woreda health offices in the Benishangul-Gumuz region were included in the
study. Analysis was conducted using SPSS version 25. Multinomial logistic regression was
conducted to compute the power of the correlation between the independent variables and
dependent variables. A multi- collinearity test was tested by examining tolerance and the variance
inflation factor. The analyzed quantitative data was presented using frequency, and percentage
tables. The qualitative data were collected through interviews with 17 key informants, and
inductive thematic analysis was employed, and data were presented using texts.
Result: This study assessed pharmaceutical supply chain resilience in public health facilities,
revealing poor performance across robustness, rapidity, resourcefulness, and redundancy (mean =
2.56). Key influencing factors were weak disaster management structure (p=0.002), Standard
Operating Procedure (0.032), lack of contingency (p=0.001), Financial Management (0.024),
budget planning, Monitoring & Evaluation (0.040 (p=0.001), political instability (p=0.000), and
Security (0.031). Qualitative findings highlight that poor planning, financial gaps, weak
infrastructure, and poor coordination critically undermine pharmaceutical supply chain resilience.
Conclusion: Pharmaceutical supply chain resilience in public health facilities is generally weak,
with average scores around 2.56. Robustness and rapidity were the most underperforming areas,
while resourcefulness showed moderate strength and redundancy remained low. Key factors
disaster management structures, contingency planning, and financial stability were strongly linked
to better resilience pharmaceutical supply chain management system at health facilities