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Public clients are generally expected to consider health and safety (H&amp;S) in the project procurement process. However, there is evidence that in many developing countries, public clients do not adequately consider H&amp;S in the procurement of public projects. This study therefore sought to understand this issue by exploring the constraints that hinder public clients from adequately promoting H&amp;S in public works procurement. Using both qualitative and quantitative methods, semi-structured interviews were conducted with public clients and contractors, and a survey was conducted with public clients, contractors, and consultants. The interview data was analysed using inductive thematic analysis, while the survey data was subjected to descriptive and inferential statistics. Nine themes of constraints including regulatory; budgetary; human resource constraints; lack of management commitment; lack of H&amp;S knowledge and education; unethical procurement practices; political influence; absence of guidance materials; and poor attitude towards H&amp;S were identified. Based on the findings, this study recommended strategic interventions to promote the consideration of H&amp;S in public procurement. This study contributes to the broader research on H&amp;S management by focusing specifically on public clients in developing countries and providing an in-depth understanding of the issues which have implications for both developing and developed countries.

Factors constraining the promotion of health and safety in public works procurement in developing countries