Connecting the dots: uncovering the relationships between challenges confronting Africa's organ transplant supply chain systems

Purpose This study aims to develop a hierarchical model that uncovers the relationships between challenges confronting Africa's organ transplant supply chain systems. Design/methodology/approach Eleven (variables) were identified after comprehensive review of existing literature. The contextual interactions among these variables analysed from perspectives health-care stakeholders in two sub-Saharan Africa (SSA) countries (Nigeria and Uganda), using Delphi-interpretive structural modelling-cross-impact matrix multiplication applied classification (MICMAC) techniques. Findings findings reveal weak regulatory frameworks, insufficient information systems lack necessary skills make it challenging for critical actors perform tasks effectively. interaction effects weaken chains less efficient, giving rise negative externalities such as black markets donated organs tourism/trafficking. Research limitations/implications paper establishes solid foundation topic could significantly impact human health life once government or non-profit ecosystem matures. MICMAC analysis this provides methodological approach future studies wishing further models. Practical implications valuable insights experts policymakers on where prioritise efforts designing interventions strengthen transplantation developing countries. Originality/value is one first empirically examine an SSA perspective, including theoretically grounded explanations data collected