Authors : Mohammed Ali; Abubakari Abdul Ganiu Konla; Rashid Bawumia Ali; Mashud Mohammed Alhassan; Adam Haliq

Volume/Issue : Volume 10 - 2025, Issue 12 - December

Google Scholar : https://tinyurl.com/45p9udf5

Scribd : https://tinyurl.com/29s7x564

DOI : https://doi.org/10.38124/ijisrt/25dec1487

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Abstract : In this study, a technology-enabled medicine delivery system was evaluated to assess its effectiveness on performance, service utilization, and service reliability in the context in rural healthcare facilities in the Northern Region of Ghana. Data were collected were at baseline and at six, 12, 24, and 36 months through structured observation checklists and interviews with health workers and community-based drivers. Quantitative indicators included delivery timeliness, medicine availability, stock-out cases, patient service utilization, and volume of urgent medicines distributed, whereas qualitative interviews examined operational realities such as terrain obstacles, cold- chain maintenance, and community perception. Results indicated significant improvements within intervention districts versus comparison arms. Delivery intervals declined from 21 days at baseline to 10–12 days at 24 months, and 92% of facilities reported timely deliveries at 36 months (p < 0.01). Stock-outs of oxytocin and magnesium sulfate decreased from 48 percent to less than 10 percent (p < 0.001), and average monthly maternal health visits rose 69 percent (p < 0.01). Volumes of oxytocin, magnesium sulfate, oral rehydration salts, zinc, antimalarials, antibiotics, and EPI vaccines were more than doubled throughout the study period. The real-time reporting adoption was increased to 95 percent, meaning more accountability (p < 0.001). Technology-enabled delivery systems can fill persistent gaps in the rural supply chain, contribute to service utilization, and promote accountability, concludes the study. The findings present empirical evidence to promote scaling of novel health systems models in Ghana’s health system with limits of reliance on facility records and district-specific contexts and recommendations.

Keywords : Supply Chain Performance, Medicine Availability, Maternal Health Utilization, Accountability and Technology‐Enabled Delivery.

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