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      Connecting the dots: uncovering the relationships between challenges confronting Africa's organ transplant supply chain systems

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          Abstract

          Purpose

          This study aims to develop a hierarchical model that uncovers the relationships between challenges confronting Africa's organ transplant supply chain systems.

          Design/methodology/approach

          Eleven challenges (variables) were identified after a comprehensive review of the existing literature. The contextual interactions among these variables were analysed from the perspectives of health-care stakeholders in two sub-Saharan Africa (SSA) countries (Nigeria and Uganda), using Delphi-interpretive structural modelling-cross-impact matrix multiplication applied to classification (MICMAC) techniques.

          Findings

          The findings reveal that weak regulatory frameworks, insufficient information systems and a lack of necessary skills make it challenging for critical actors to perform the tasks effectively. The interaction effects of these challenges weaken organ supply chains and make it less efficient, giving rise to negative externalities such as black markets for donated organs and organ tourism/trafficking.

          Research limitations/implications

          This paper establishes a solid foundation for a critical topic that could significantly impact human health and life once the government or non-profit ecosystem matures. The MICMAC analysis in this paper provides a methodological approach for future studies wishing to further develop the organ supply chain structural models.

          Practical implications

          The study provides valuable insights for experts and policymakers on where to prioritise efforts in designing interventions to strengthen organ transplantation supply chains in developing countries.

          Originality/value

          This study is one of the first to empirically examine the challenges of organ transplant supply chains from an SSA perspective, including theoretically grounded explanations from data collected in two developing countries.

          Related collections

          Most cited references120

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          An Experimental Application of the DELPHI Method to the Use of Experts

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            The impact of digital technology and Industry 4.0 on the ripple effect and supply chain risk analytics

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              Internet of things and supply chain management: a literature review

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                Author and article information

                Journal
                Supply Chain Management: An International Journal
                SCM
                Emerald
                1359-8546
                1359-8546
                May 03 2023
                May 03 2023
                : 28
                : 7
                : 43-61
                Article
                10.1108/SCM-12-2022-0457
                b0d96c46-1673-4829-9e2a-3a159518699f
                © 2023

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