The Nexus between Price Negotiation and Performance of Public Health Facilities in Homa Bay County, Kenya.

Abstract

This study investigates the relationship between price negotiation and the per formance of public health facilities in Homa Bay County, Kenya. Price negoti ation plays a pivotal role in the pharmaceutical supply chain, yet its contribu tion to procurement performance remains underexplored. Data were collected from 286 participants, including healthcare workers, suppliers, policymakers, and patients, using structured questionnaires. A multivariable linear regression model revealed that price negotiation accounts for 25.0% of the variance in health facility performance (R2 = 0.250, F = 20.118, p < 0.001). High transpar ency and fair negotiation practices correlated with lower supply costs and im proved medical services (B = 0.292, p < 0.001), and increased accountability (B = 0.152, p = 0.019). Budgetary constraints showed no significant effect (p > 0.05), indicating negotiation strategy’s greater influence over financial resources. The study recommends enhancing transparent negotiation procedures to im prove procurement outcomes. These findings provide valuable insights for health managers and policymakers operating in resource-limited settings to strengthen procurement systems.