Technical Deficiencies Research Articles

Using TOGAF for Migration of Monolith Systems to Microservices

Switching from monoliths to a microservices architecture is a significant turning point in today’s business world and helps to overcome issues in modern systems, including but not limited to scalability limitations, high rigidity, and system vulnerability. This research assesses how TOGAF’s ADM can help support this transition alongside employing Agile for step-by-step progress. Building on TOGAF’s phased approach, the research reveals systematic scalability by improving the system by 40% and decreasing downtime by 30% in a high-traffic period. Furthermore, using such a transition approach reduced business interruption by 25 % by employing hybrid migration strategies. Integrating through agile implies that changes can be done in cycles to enhance the framework's efficiency and minimize a program’s technical deficiencies. For example, implementing the containerization tool Kubernetes improved deployment and thus cut down the time to market by 20%. In addition, TOGAF’s governance framework manages risks effectively and has driven and aligned them with business objectives to maintain compliance standards, as discussed by a financial institution that achieved a 35% reduction of operation risks during migration. This paper also discusses the issue of organizational resistance and complications that come with distributed systems, and a recommendation is made whereby stakeholders' resistance is countered and feedback from users is considered to maintain strategic directions. The study's findings show real-case examples of how such modernization can be done while maintaining integrity and advantage for enterprises.

The impact of COVID-19 on international education: challenges, adaptations, cross-cultural experiences, and globalization

The COVID-19 pandemic remarkably impacted international education, creating countless challenges while also driving adaptation and growth. This paper explores the pandemic's effects on teaching and learning, particularly in higher education, focusing attention on challenges such as technical infrastructure deficiencies, inequalities in access to education, and the psychological impacts on students and educators. It also scrutinizes how institutions adapted through digital transformation, innovative pedagogies, and service learning. Additionally, the paper discusses the role of cross-cultural experiences and globalization in navigating these challenges, emphasizing the importance of cultural engagement and linguistic diversity in fostering a globally interconnected educational environment. By reflecting on these adaptations, this study contributes to understanding how crises can reshape education systems and promote innovation in the face of adversity.

The Role of Digital Training for Human Resources in the Relevance of Research Within the University

This article examines the role of digital human resources training in the mastery of digital research management (DRM) in universities. For they are primarily responsible for structural change and innovation in university research. Notwithstanding this, this paper aims to detect and identify the technical and digital deficiencies that mitigate the level of achievement in research. Method: Our approach is based on an empirical study via a sample of 135 research specialists who will be interviewed and organized as follows: 34 teachers and 34 PhD students from the université Chouaib Doukkali in El Jadida, and 33 teachers and 34 PhD students from the université d' Ain Chock in Casablanca. Nevertheless, we focused on the use of SPSS software. The chi-square test and Cramer's Phi V will form the basis of our analysis, in order to process and interpret the data. At the same time, we will assess the correlation and strength of the relationship between the dependent and independent variables Our study is based on a hypothetico-deductive approach that takes into consideration a mixed reflection based on qualitative and quantitative methods. The results of this study reveal that human resources are not being provided with specific training in MDR research, which is seen as a means of strengthening and modernizing research in higher education. Result: The results attest those human resources are not trained by digital management strategies to carry out research projects, however, cel impacts relevance, excellence and above all innovation in scientific research. Conclusion: In short, the aim of this article is to explore and determine the level of training of human resources for a digital transformation that positively impacts the world of creation, invention and innovation of new professional knowledge, reflexive and professionalizing, specific to scientific research on a national and international scale. Keywords: Digital management, research, university, challenges, prospect

Trustworthy Social Bias Measurement

How do we design measures of social bias that we trust? While prior work has introduced several measures, no measure has gained widespread trust: instead, mounting evidence argues we should distrust these measures. In this work, we design bias measures that warrant trust based on the cross-disciplinary theory of measurement modeling. To combat the frequently fuzzy treatment of social bias in natural language processing, we explicitly define social bias, grounded in principles drawn from social science research. We operationalize our definition by proposing a general bias measurement framework DivDist, which we use to instantiate 5 concrete bias measures. To validate our measures, we propose a rigorous testing protocol with 8 testing criteria (e.g. predictive validity: do measures predict biases in US employment?). Through our testing, we demonstrate considerable evidence to trust our measures, showing they overcome conceptual, technical, and empirical deficiencies present in prior measures.

Acute Effect of Video Feedback on Self-Regulation and Proprioceptive Control of Standing Back Tuck Somersault in the Absence of Vision.

The purpose of this study was to assess the immediate effect of video feedback on the regulation and control of the standing back tuck somersault in the absence of vision. Two groups of male parkour athletes performed the standing back tuck somersault under both open and closed eyes conditions. The first group received video feedback, while the second group received verbal feedback. Concurrent analysis, including kinetic data from a force plate (Kistler Quattro-Jump) and kinematic data in two-dimensional by Kinovea freeware, was employed for motion and technical performance analysis. The results indicate that the loss of vision during the standing back tuck somersault affected only the take-off and ungrouping angle, as well as the vertical velocity and displacement. These effects were consistent regardless of the type of feedback provided (i.e.,video feedback or verbal feedback). Furthermore, a significant Vision × Feedback interaction was observed at the level of technical performance. This suggests that the use of video feedback enabled the parkour athletes to maintain a high level of technical performance both with and without vision (i.e.,13.56 vs. 13.00 points, respectively, p > .05 and d = 2.233). However, the verbal feedback group technical performance declined significantly under the no-vision condition compared with the vision condition (13.14 vs. 10.25 points, respectively, with and without vision, p < .001 and d = 2.382). We concluded that when the movement is proprioceptively controlled (i.e.,without vision), the video feedback enables the athletes to globally assess the technical deficiencies arising from the lack of vision and to correct them. These findings are discussed based on parkour athletes' ability to evaluate the kinematic parameters of the movement.

Uncovering the Potential for the Sustainable Commercialization of Non-Timber Forest Products: Palm Fruits in Pando, Bolivia

Palm fruits are important non-timber forest products for rural people's livelihoods in the Amazon region, as many are nutritious foods and have the potential to generate income. However, in Pando, Bolivia, their commercialization is in most cases still underdeveloped. This study aimed to assess the potential of four palm fruits for sustainable commercialization and to identify their related promoting and hindering conditions. The palm fruits studied were açaí (Euterpe precatoria Mart), majo (Oenocarpus bataua Mart), motacu (Attalea phalerata Mart. ex Spreng) and palma real (Mauritia flexuosa L.f.). We gathered data from 14 key informants using semi-structured online interviews, 10 community members using structured interviews, and literature. We analyzed the data with qualitative content analysis and a multi-criteria decision-making method. Açaí has the highest potential due to its high abundance, demand, and specialized institutional support, among others. Majo, with a medium potential, benefited from its similarities with açaí regarding harvesting and processing, but still has technical processing deficiencies. Palma real and motacu had low potential because of low demand and lack of knowledge regarding harvesting and processing. This study demonstrates the importance of considering multidisciplinary factors when assessing sustainable commercialization potentials.

Road Safety Challenges: Assessing Deficiencies and Preventive Culture in Peru

Purpose: The purpose of this research is profound and vital: to seek to understand the relationship between road safety management and preventive culture in the face of traffic accidents, focused on the city of Chachapoyas, Peru. Theoretical Framework: Sheds light on an alarming panorama worldwide. Deficiencies in road safety management, evidenced in areas such as infrastructure, vehicle condition, victim care and in institutional management itself, are an urgent call for attention. The current preventive culture leaves much to be desired, with measures that, although present, do not achieve the expected effectiveness. Drivers show negligent attitudes, vehicles have technical deficiencies and factors such as driving under the influence of substances aggravate the problem. Design / Methodology / Approach: applied research was chosen. The structure of this study was based on a non-experimental cross-sectional correlational design. The sample was carefully selected, composed of 61 workers of the transit regulatory agency. Results: The results were not encouraging. It was found that road safety management is rated at a worrying 71% at an inadequate level. At the same time, accident prevention culture reached 69% in the same category. Statistical indicators, such as Kendall's Tau-b and Spearman's Rho, support the relevance of these results. Research, practical and societal implications: Research is even more exciting when considering the impact of technology on road safety and driver psychology. How do safety systems adapt and evolve? What is the driver's reaction to these innovations? From a more human perspective, understanding driver motivations and attitudes is vital for future interventions. The practical and societal implications of this study are enormous. It highlights the imperative need to review our institutions and regulations. It is not enough to establish policies; their effective implementation must be ensured. At the same time, it shows the importance of educational campaigns, infrastructure improvement and a rigorous review of vehicle regulations. Originality / Value: The originality and value of this study lies in its focus on Chachapoyas, Peru, an analysis that, despite its geographic specificity, may offer valuable insights for other regions. The combination of technological and psychological aspects of road safety presents a rich and promising avenue of research.

ScCAN: Clustering With Adaptive Neighbor-Based Imputation Method for Single-Cell RNA-Seq Data.

Single-cell RNA sequencing (scRNA-seq) is widely used to study cellular heterogeneity in different samples. However, due to technical deficiencies, dropout events often result in zero gene expression values in the gene expression matrix. In this paper, we propose a new imputation method called scCAN, based on adaptive neighborhood clustering, to estimate the zero value of dropouts. Our method continuously updates cell-cell similarity information by simultaneously learning similarity relationships, clustering structures, and imposing new rank constraints on the Laplacian matrix of the similarity matrix, improving the imputation of dropout zero values. To evaluate the performance of this method, we used four simulated and eight real scRNA-seq data for downstream analyses, including cell clustering, recovered gene expression, and reconstructed cell trajectories. Our method improves the performance of the downstream analysis and is better than other imputation methods.

Petumbuhan Ekonomi Provinsi Daerah Khusus Ibukota (DKI) Jakarta Dalam Pengaruh Teknologi Informasi

The presence of technology is able to overcome technical deficiencies in producing more output with the same amount of input or producing output of high quality and quantity. We can see the influence of technology very clearly in various fields, namely by increasing capital productivity, labor productivity and total productivity. Thus, one way to continue increasing economic growth in DKI Province is by improving technology. The aim of this research is to analyze the influence of technology on the economic growth of DKI Province. This research uses secondary data for the period 1990-2000 obtained from government institutions. With the independent variable, namely technology which is measured through capital per workforce. This data was analyzed using the Ak model of Solow growth and estimated using the Ordinary Least Square Adjusted (OLS) method. The research results show that technology has a positive and significant effect on economic growth at a confidence level of 96.3 percent with a significance level of α=0.04. The determinant coefficient of this model is 0.9629, this means that 96 percent of the independent variable, namely technology (k), can explain the dependent variable, the remaining 4.82 percent can be explained by other variables outside this model. By knowing the benefits of technology which is very influential in economic growth, it is very important for the DKI Provincial government to take the best policies in maintaining and improving continuous technological progress through science by continuing to improve compulsory school programs and improving the quality of education, providing educational scholarships to finance schools and improving health.

Based on stakeholder questionnaires of ship-derived waste, waste management re-planning in Ports and determining the need for inspection

The implementation and standardization of sustainable waste management in ports by MARPOL is significant to prevent marine pollution from ships with increased maritime trade. In this study, a questionnaire was applied to the ship personnel and port personnel using the ports to determine the need for the sustainable management of ship waste. For the first time in the literature, 123 people using different ports of the world participated in the survey, and the surveys were analyzed using the IBM SPSS®️25 program. As a result of the survey, it was determined that the fee tariffs applied for the collection of ship wastes vary between countries and even in the ports within the country. Besides, the waste collection time of the ports differs due to technical deficiencies, and the information of the personnel on waste management is insufficient. It is considered that marine pollution caused by shipborne wastes can be prevented mainly through standardizing both the technical capacity and pricing of waste reception facilities that receive waste from ships and training all personnel in charge of waste collection from ships on the collection and separation of wastes according to the standards specified in MARPOL.

Adaptive energy harvesting from low-level ambient vibrations

Harvesting energy from ambient mechanical vibrations is an enabling technology with profound societal impacts. However, existing methods suffer from two major technical deficiencies: the weak coupling between the harvester and the vibrating source and the low energy transduction efficiency. Here we show an adaptive approach can overcome these challenges, leading to improvements by orders of magnitude. Using a piezoelectric device, we demonstrate that a conservative actuation force can block energy from flowing back to the vibrating source, thereby increasing the coupling strength and increasing the transduction efficiency significantly. Using low actuation forces, the adaptive approach can extract almost two orders of magnitude more power than the traditional approach from a multi-frequency vibration. The improvement can increase to three orders of magnitude when moderate actuation force is used. If materials that can withstand a high actuation voltage are available, the adaptive approach has the potential to surpass the theoretical performance ceiling of the traditional approach, improving the upper-bound performance by over 100 times and creating a significant opportunity for the technology to advance.

Experiences in assessment, replacement and repair of external tendons

AbstractThe paper presents experiences with damages that occurred when using external tendons. Reason for these damages could be both technical deficiencies of a tendon system (system = components, design, corrosion protection, installation, stressing etc.) or simply human mistakes. Damages often could occur at deviators and anchorages, since forces are transferred to the structure there and the tendon is loaded in transverse direction. Damages will be presented, explained (why it is a damage), which measure had been taken and of course also advice for the future (lessons learned). The damages occurred on site or during testing of external tendon systems. Hence, the paper shall help the reader/attendant to understand sensitivity of external tendons. Furthermore, to these damages experiences with replacement (mainly cutting of the old tendon) of external tendons with flexible filler mass are shared. “Experience” focusses mainly on the de‐installation, re‐installation, grouting and stressing process. Topics that will be covered are:‐ Improper design and/or installation of deviators and subsequent damages to the tendon sheath‐ Torsional strand failure due to improper deviation at stressing anchor‐ Limitations of the tendon path‐ Deficient encapsulation of the prestressing steel‐ Tendon force measurement options

Telehealth during COVID-19: Perspectives on Usability by US Physicians

Objective To understand the usability of telehealth among physicians caring for older adults during the COVID-19 pandemic. Methods We interviewed US-based physicians specializing in emergency medicine, geriatrics, and primary care who provided care during the COVID-19 pandemic. The interview guide was grounded in the unified theory of acceptance and use of technology (UTAUT). After conducting interviews probing their experiences delivering care using telehealth, we performed framework analysis to reveal major themes in telehealth usability. Results Forty-eight physicians (15 emergency physicians, 18 geriatricians, 15 primary care physicians) participated in interviews from September 2, 2020 to November 20, 2020. Lack of prior use of telehealth, quick adoption of telehealth, technical deficiencies in platforms, and frequent visits with older adults made using telehealth more difficult. Physicians shared low self-efficacy when using telehealth for diagnosis in certain patient populations, like older patients, new patients, and patients with atypical presentations or non-specific symptoms. By contrast, they had high self-efficacy if they received training, had existing technical proficiency, or were meeting established patients. Key facilitating conditions include easy-to-use telehealth platforms, the inclusion of third parties—like patients’ children or nurses—in virtual visits, and at-home medical devices like blood pressure cuffs or pulse oximeters. Conclusions While physicians largely found that telehealth platforms were usable to deliver care to patients remotely, there were several technical and training-related barriers that impeded telehealth’s usability at the onset of the pandemic. Simpler telehealth platforms with easy-to-use features, involvement of caregivers, telehealth training, and remote diagnostic devices increased the usability of telehealth.

Can a Single Glomerulus Morphology Implicate Successful Therapy?

Recurrent gross hematuria of glomerular origin is frequently encountered in clinical practice, and in absence of specific serological marker, renal biopsy is mandatory to address the definitive diagnosis, and set out an appropriate therapeutic protocol. Technical deficiencies associated with practice of renal biopsy are frequently encountered, as inadequate number of glomeruli or poor immunofluorescence staining of kidney biopsy specimen; however, these deficiencies can be offset by detailed electron microscopy analysis of a single abnormal glom.We present a single middle-aged Libyan woman, with a rare glomerular disease, related to abnormal activation of alternative complement pathway, where renal biopsy report was initially not adequate and lacking immunohistochemistry workup. However, electron microscopy reports a characteristic abnormal glomerular deposit, coupled with clinical and biochemical data that guided our therapeutic protocol.In a middle-aged female who presented with recurrent gross hematuria and nephrotic range proteinuria, we should suspect a glomerular pathology. Further to immunoglobulin A nephropathy or lupus nephritis, particularly in presence of complement abnormalities and negative serology for glomerulopathy-related autoantibodies, dense deposit disease and C3 glomerulonephritis that are rare complement mediated glomerulopathy should be considered as a seronegative lupus nephritis-equivalent, in terms of their membranoproliferative features on light microscopy, and when setting out appropriate therapeutic protocol. Patient and family counseling for C3 glomerulopathy is essential because this type of glomerulopathy has a recurrence rate after kidney transplant.

Analysis of Technical Repeat Studies in Screening Mammography.

To identify causes of technical repeats, determine whether differences exist between mobile and fixed mammography units, and evaluate the rate of improvement on repeat imaging. IRB approval was obtained for retrospective review of Enhancing Quality Using the Inspection Program (EQUIP) logs of screening mammography technical repeats performed from March 2017 to December 2018 at a hospital breast imaging center and from April 2017 to December 2018 on mobile mammography units. Frequency tables and Fisher's exact tests were used for statistical analysis. Technical deficiencies were reported in 483 cases and reviewed by two or three auditors. Auditors identified no technical deficiencies in 31 cases, which were excluded. The remaining 452 cases were assigned a technical recall category: motion, positioning/excluded tissue, skin folds, artifacts, undercompression, or contrast (under/overexposure). Motion was the most common technical recall category (253/452, 56.0%). Positioning/excluded tissue was the second most common reason (150/452, 33.2%). Statistically significant differences in technical deficiencies were identified between mammograms performed on mobile versus fixed mammography units for motion (94/143, 65.7% vs 159/309, 51.5%, respectively, P = 0.0058), skin folds (16/143, 11.2% vs 15/309, 4.8%, respectively, P = 0.02), and positioning/excluded tissue (30/143, 21% vs 120/309, 38.8%, respectively, P = 0.00016). Most recalls improved with repeat imaging (auditor 1: 451/483, 93% and auditor 2: 387/483, 80%). Motion and positioning/excluded tissue are the most common reasons for screening mammography technical recalls. The reasons for technical recall differ between patients imaged on mobile and fixed mammography units, likely because of differences in each location's patient population.

The Action Point Angle of Sight: A Traffic Generation Method for Driving Simulation, as a Small Step to Safe, Sustainable and Smart Cities

Computer simulations of traffic and driving provide essential solutions to reduce risk and cost in traffic-related studies and research. Through nearly 90 years of simulation development, many research projects have attempted to improve the various aspects of realism through the use of traffic theory, cameras, eye-tracking devices, sensors, etc. However, the previous studies still present limitations, such as not being able to simulate mixed and chaotic traffic flows, as well as limited integration/interoperability with 3D driving simulators. Thus, instead of reusing previous traffic simulators, in this paper, we define relevant concepts and describe the development and testing of a novel traffic generator. First, we introduce realistic aspects to improve traffic generation, including interactive physics (i.e., interactions based on physics among the vehicles, infrastructure, and weather) and natural traffic behaviors (e.g., road user behaviors and traffic rules), allowing the self-driving vehicle behaviors to mimic human behaviors under stochastic factors such as random vehicles and speed. Second, we gain experiences from the technical deficiencies of existing systems. Third, we propose methods for traffic generation based on the action point angle of sight (APAS) formula, which adheres to these constraints and is interoperable with modern driving simulators. We also conducted quantitative evaluations in two experiments (comprising 250 trials), in order to prove that the proposed solution can effectively simulate mixed traffic flows. Moreover, the approaches presented in this study can help self-driving cars to find their way at an intersection/T-junction, as well as allowing them to steer automatically after an accident occurs. The results indicate that traffic generation algorithms based on these new traffic theories can be effectively implemented and used in modern driving simulators and multi-driving simulators, outperforming previous traffic generators based on repurposed technologies.

Acute effect of foot strike patterns on in vivo tibiotalar and subtalar joint kinematics during barefoot running

BackgroundFoot kinematics, such as excessive eversion and malalignment of the hindfoot, are believed to be associated with running-related injuries. The majority of studies to date show that different foot strike patterns influence these specific foot and ankle kinematics. However, technical deficiencies in traditional motion capture approaches limit knowledge of in vivo joint kinematics with respect to rearfoot and forefoot strike patterns (RFS and FFS, respectively). This study uses a high-speed dual fluoroscopic imaging system (DFIS) to determine the effects of different foot strike patterns on 3D in vivo tibiotalar and subtalar joints kinematics. MethodsFifteen healthy male recreational runners underwent foot computed tomography scanning for the construction of 3-dimensional models. A high-speed DFIS (100 Hz) was used to collect 6 degrees of freedom kinematics for participants’ tibiotalar and subtalar joints when they adopted RFS and FFS in barefoot condition. ResultsCompared with RFS, FFS exhibited greater internal rotation at 0%–20% of the stance phase in the tibiotalar joint. The peak internal rotation angle of the tibiotalar joint under FFS was greater than under RFS (p < 0.001, Cohen's d = 0.92). RFS showed more dorsiflexion at 0%–20% of the stance phase in the tibiotalar joint than FFS. RFS also presented a larger anterior translation (p < 0.001, Cohen's d = 1.28) in the subtalar joint at initial contact than FFS. ConclusionRunning with acute barefoot FFS increases the internal rotation of the tibiotalar joint in the early stance. The use of high-speed DFIS to quantify the movement of the tibiotalar and subtalar joint was critical to revealing the effects of RFS and FFS during running.

ADMINISTRATIVE MANAGEMENT IN THE TECHNICAL EVALUATION AT THE EXPERTISE OFFICE IN THE REGION OF PASCO

The aim of the study was the systematic search of information to develop the comparative analysis of several research articles through information sources, journal databases and indexed papers whose authors have experience and are related to the subject, such as Scopus, Scielo, Latindex and described with a qualitative approach. A review of 30 national and international authors was conducted to identify the technical factors necessary to apply them in technical evaluations of governmental entities and to obtain favorable results in good administration within public management. The deductive method was used to obtain results of positive impact with the elaboration of the article in order to prioritize elementary knowledge of a technical nature that allows technical evaluations with the use of standards, elaboration of projects and executions with professional experts in the field and to avoid constructive technical deficiencies. The results during the evaluation determined that all scientific articles related to technical evaluations are necessary and significant for the knowledge of all public officials to achieve good management within the administration, hiring professionals with ethics, responsibility and efficiency. The indexed article will be submitted to the indexed journal.

Performing Quality Control on Magnetic Resonance Imaging Liver Fat/Iron Quantification Studies: A Critical Requirement.

Nonalcoholic fatty liver and iron overload can lead to cirrhosis requiring early detection. Magnetic resonance (MR) imaging utilizing chemical shift-encoded sequences and multi-Time of Echo single-voxel spectroscopy (SVS) are frequently used for assessment. The purpose of this study was to assess various quality factors of technical acceptability and any deficiencies in technologist performance in these fat/iron MR quantification studies. Institutional review board waived retrospective quality improvement review of 87 fat/iron MR studies performed over a 6-month period was evaluated. Technical acceptability/unacceptability for chemical shift-encoded sequences (q-Dixon and IDEAL-IQ) included data handling errors (missing maps), liver field coverage, fat/water swap, motion, or other artifacts. Similarly, data handling (missing table/spectroscopy), curve-fit, fat- and water-peak separation, and water-peak sharpness were evaluated for SVS technical acceptability. Data handling errors were found in 11% (10/87) of studies with missing maps or entire sequence (SVS or q-Dixon). Twenty-seven percent (23/86) of the q-Dixon/IDEAL-IQ were technically unacceptable (incomplete liver-field [39%], other artifacts [35%], significant/severe motion [18%], global fat/water swap [4%], and multiple reasons [4%]). Twenty-eight percent (21/75) of SVS sequences were unacceptable (water-peak broadness [67%], poor curve-fit [19%] overlapping fat and water peaks [5%], and multiple reasons [9%]). A high rate of preventable errors in fat/iron MR quantification studies indicates the need for routine quality control and evaluation of technologist performance and technical deficiencies that may exist within a radiology practice. Potential solutions such as instituting a checklist for technologists during each acquisition procedure and routine auditing may be required.

Mediating effect of integrated health commodities procurement system on the relationship between responsiveness and health service delivery

PurposeThe problems that face health service delivery across different countries are compounded by financial, political, institutional and technical deficiencies. Yet, the role of technological aspects in the procurement of health commodities and health service delivery system requires in-depth exploration. This study bridges this gap by examining the mediating effect of an integrated health commodities procurement system on the relationship between responsiveness and health service delivery.Design/methodology/approachData for this study were collected from 274 respondents, comprising procurement staff and pharmacists using a cross-sectional questionnaire survey. A total of 28 government-owned hospitals from 6 regions in the Southern Highland of Tanzania were sampled for observation. Confirmatory factor analysis (CFA) and structural equation modelling (SEM) were used for data analysis.FindingsThe results of the study revealed a positive and significant relationship between responsiveness and integrated health commodities procurement system (β = 0.572, p < 0.001). Responsiveness positively and significantly affects health service delivery (β = 0.175, p = 0.004). The results also show that integrated health commodities procurement system is positive and significantly related to health service delivery (β = 0.264, p < 0.001). Lastly, the bootstrapping confidence intervals revealed that an integrated health commodities procurement system significantly mediates the relationship between responsiveness and health service delivery.Practical implicationsTo strengthen the health service delivery system, the study recommends enforcing internal control mechanisms and supporting policies that will monitor and evaluate the effectiveness of the integrated health commodities procurement system and service practitioners' responsiveness. Moreover, health service managers should ensure that the planning, procurement and distribution of health commodities are fully and effectively integrated at each node of the health supply chain.Originality/valueThe study contributes to the body of knowledge which examines the efficacy of health service delivery from procurement perspective. To the best of the author's knowledge, this is the first study that offers empirical evidence for the mediating effect of integrated health commodities procurement system on the link between responsiveness and health service delivery.