Interplay of Demographics and Healthcare Dynamics: An Analysis of Factors Influencing Service Access and Delivery

Purpose: This study investigates the interplay of demographics and healthcare dynamics on service access and delivery at Princess Marina Hospital (PMH) in Gaborone, Botswana. Access to quality healthcare services is vital for population health and well-being, particularly in low- and middle-income countries. Methodology: A cross-sectional survey was conducted among the PMH professionals, focusing on perceptions of the pharmacy inventory management system. Participants were categorized by gender, professional role, and years of service. Data were analyzed using descriptive statistics and chi-square tests to identify significant differences in perceptions. Findings: Among the 41 participants, 46.3% agreed that the current system for managing pharmacy inventory affects the supply of medicines, while 53.7% disagreed. Females (63.2%) were more likely than males (36.8%) to perceive the system as problematic. Pharmacy technicians, healthcare assistants, and less experienced staff showed higher concern about the system's impact on supply. In contrast, more experienced staff and pharmacists were less concerned, suggesting adaptation or acceptance over time. The study highlights significant demographic variations in perceptions of the current system managing pharmacy inventory at Princess Marina Hospital. To address supply challenges, targeted interventions are needed, including improved supply chain management, enhanced collaboration between healthcare facilities and regulatory bodies, optimized inventory systems, and rationalized medicine use. Originality/Value: The study emphasizes the need for efficient supply chains and continuous workforce training to ensure the availability and accessibility of essential medicines at the PMH.