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Co-evolution, organizational capacity building, logistics capabilities and operational agility during health emergencies

Henry Mutebi (Department of Procurement and Supply Chain Management, Makerere University Business School, Kampala, Uganda)
Moses Muhwezi (Makerere University Business School, Kampala, Uganda)
Pontius Byarugaba (Makerere University Business School, Kampala, Uganda)
Ssekajja S. Mayanja (Department of Business Management and Entrepreneurship, Kyambogo University, Kampala, Uganda)
Wilbroad Aryatwijuka (Department of Procurement and Marketing, Mbarara University of Science and Technology, Mbarara, Uganda)
Sharon Brenda Munduru (Department of Accounting and Finance, Makerere University Business School, Kampala, Uganda)

International Journal of Emergency Services

ISSN: 2047-0894

Article publication date: 14 October 2024

Issue publication date: 29 November 2024

42

Abstract

Purpose

Globally, health care facilities often fail to respond quickly to health emergencies, resulting in significant deaths. Thus, the study examines the mediating effect of logistics capabilities in the relationship between co-evolution, organization capacity building and operational agility.

Design/methodology/approach

SmartPLS 4.0.8.3, variance-based structural equation models (VB-SEM) were used to test direct and indirect hypotheses across 45 health facilities. The respondents were 140 nurses and doctors. Disproportionate stratified simple random sampling was used based on government and private health facilities in Kampala City, Uganda.

Findings

A significant and positive relationship exists between logistics capability and operational agility. However, co-evolution and organizational capacity are intimately linked to operational agility via logistics capability.

Research limitations/implications

A quantitative cross-sectional survey was conducted using self-administered questionnaires. The results did not show any variation in the operational agility of health facilities during emergency management; thus, qualitative approaches are needed.

Practical implications

During emergency management, health facilities need to cooperate by sharing information, building capacity to increase their responsiveness and flexibility. This should be done by sharing equipment, tools, drugs and medical supplies, and we hope to encourage joint medical research.

Originality/value

A complex adaptive systems (CAS) framework is used in this study to examine how co-evolution, organizational capacity building and logistical capability relate to the operational agility of healthcare during times of emergency.

Keywords

Acknowledgements

The authors appreciate the Makerere University Business School, Mbarara Camps for providing funding for the study (RG-2023/2024-017).

Citation

Mutebi, H., Muhwezi, M., Byarugaba, P., Mayanja, S.S., Aryatwijuka, W. and Munduru, S.B. (2024), "Co-evolution, organizational capacity building, logistics capabilities and operational agility during health emergencies", International Journal of Emergency Services, Vol. 13 No. 3, pp. 232-258. https://doi.org/10.1108/IJES-02-2024-0014

Publisher

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Emerald Publishing Limited

Copyright © 2024, Emerald Publishing Limited

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