Browsing by Author "Mary Josephine Namugerwa"

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    Waste Management Practices in Pharmaceutical Supply Chain and Their Impact on Sustainability Performance: A Case Study of Diocese of Jinja Medical Store
    (Uganda Christian University, 2026-02-24) Mary Josephine Namugerwa
    This study examined the waste management practices in the pharmaceutical supply chain and their impact on sustainability performance: A case study of the diocese of Jinja medical store. The study was guided by the following objectives; To assess the effect of coercive pressures on sustainability performance, mediated by waste management practices at the Diocese of Jinja Medical Store, to examine how normative pressures, influence sustainability performance, through waste management practices and to determine the effect of mimetic pressures on sustainability performance, via waste management practices. The study was Grounded on Institutional Theory (DiMaggio & Powell, 1983), the research adopted a mixed-methods cross-sectional design, collecting data from 72 staff members (90% response rate) using questionnaires and key informant interviews. Quantitative findings revealed strong positive correlations between institutional pressures and waste management practices (r = 0.78 for coercive, 0.71 for normative, 0.69 for mimetic; p < 0.01), with coercive pressures (e.g., NDA regulations and donor requirements) exerting the strongest influence (β= 0.78, R² = 0.61). Waste management practices were rated highly (mean = 4.21/5), featuring effective segregation, PPE use, and NDA-compliant disposal, though reverse logistics for expired drugs remained a challenge. These practices strongly predicted sustainability performance (β = 0.85, R² = 0.72; mean = 4.27/5), enhancing environmental protection, worker safety, community well-being, and institutional reputation. Qualitative insights highlighted that coercive pressures drove inspection-dependent compliance, while normative (professional ethics, religious values) and mimetic (imitation of Joint Medical Store) pressures fostered intrinsic motivation and practical adoption. Resource shortages, such as inadequate bins and delayed collections, undermined consistency and forced unsafe shortcuts. The study concludes that while coercive pressures ensure short-term gains, normative and mimetic pressures promote lasting sustainability. Persistent infrastructural limitations hinder full alignment with national guidelines. Recommendations include enhanced training emphasizing intrinsic motivation, dedicated budgets for supplies, and policy support for reliable reverse logistics. This case contributes to understanding sustainable pharmaceutical waste management in resource-constrained, faith-based settings in Uganda, offering insights for policymakers and similar institution.