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A strong supply chain management in healthcare institutions improves the healthcare service quality at the micro level and contributes to the national economy at the macro level. The healthcare service includes various producers, suppliers and their activities within the supply chain. Thereby, the performance of these organizations as well as their intra-chain activities affects the healthcare service. On the other hand, to provide a qualified and efficient healthcare service, it is necessary but difficult to manage this versatile chain effectively. The current study aims to provide an overview of supply chain management of Turkish health sector in terms of theoretical and practical aspects. Firstly, the study examines healthcare supply chain management and its components. The following sections discuss drug and medical device manufacturers, wholesale distributors and retailers in the Turkish health sector supply chain. Finally, the problems encountered in the health sector supply chain applications and their possible solutions are discussed. Therefore by providing a better understanding of the supply chain management applications in the healthcare sector, it is intended to provide guidance to both managers and researchers for their future work.

This research objective is to determine the effect of the Supply Chain Integration dimensions on the operational performance of the of Kenya’s public health sector level five hospitals. The results are based on close-ended questionnaires from one hundred and sixty-four respondents working in the level five health facilities supply chain selected using simple random sampling. The data collected was subjected to completeness checks, before it was cleaned, coded, and analyzed using Statistical Package for Social Scientists (SPSS) for the generation of both descriptive and inferential statistics. The results show that Supplier integration (?1, = 0.276; p value=0.000), customer integration (?2, = 0.119; p value=0.016) and internal integration (?3, = 0.232; p value=0.000) have a significant effect on operational performance. The R2was 0.429, indicating that 42.9% of the variation in operational performance is explicated by the variation of Supply chain integration dimensions.  This implies that all three supply chain integration dimensions significantly influence operational performance. The study concludes that the government needs to internally integrate and embrace forward and backward integration with the customers and suppliers to leap the full benefits of an integrated health sector to accomplish the universal health care goals.