Organizational Breaches And Drugs Inventory Security Management In Health Institutions, Nyeri County - Kenya

Abstract

The study analyzed the effects of organization breaches on drug inventory security management for the health institutions in Nyeri County Kenya. The study was guided by four specific objectives; to analyze the effect of organizational regulation, storage infrastructure, skills of the staff and internal environmental factors on drug inventory security management in health institutions, Nyeri County. Drugs in health institutions are mismanaged by handlers for personal interest when there are no proper ways of securing them. In recent years, the theft of medicines from hospitals worldwide has emerged as a booming criminal phenomenon which represents a serious threat to people’s health. Descriptive design was adopted to cover the three general categories of Health Institutions. The target population was 357 permanent members of staff working in Public, Faith-Based and Private health institutions with bed capacity. A sample of 130 respondents was selected using stratified sampling method where close-ended questionnaires were used to collect the primary data. SPSS package Version21 was used to process and analyze the data where the output was presented in the form of frequency distributions, means and standard deviations. A regression model was developed to establish the relationship between the independent variables and the dependent variable. The coefficients of the independent variable were: organizational regulations (X1) 0.138, storage infrastructure (X2) 0.389, skills of staff(X3) 0.210 and internal environmental factors (X4) 0.468 which were all positive. The findings revealed that internal factors had the greatest influence on the drugs inventory security management in hospitals and organizational regulations had the least effects. The regression model generated R2 value of 0.616 meaning 61.6% of the drugs security management was significantly influenced by the four research variables. The P value from F-test statistics F (4,120) = 16.335 was significant at 05% level (sig.F<0.005), confirming the model’s fitness. The study variables had a positive relationship and all the P values were less than 5% hence statistically significant to make a conclusion on the population implying that the study variables had significant positive effect on the drugs security management. Further conclusion were that organizational regulation were not properly implemented due to corruption and inadequate resources while internal environmental factors was strongly affected by poor organizational culture. The study recommends that the management should be reviewing drugs related regulations annually, enhance storage facilities and eliminate the bad culture of diverting drugs through instituting tight procedures and systems.