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A high-performing procurement and supply chain function is vital to the success of running a safe, productive, and efficient healthcare organization, and can make a significant contribution to both financial and operational performance. This study was to describe the Strengths and weakness of procurement processes and practices in the National Institutes of Infectious Diseases. This Cross-sectional descriptive study was done to study the entire procurement system was studied, and Key informant interviews focus group discussions, the self-administered questioner was used to collect qualitative data. Quantitative data was collected using a checklist. Knowledge attitude and practices of procurement unit staff were studied. Secondary data of all the procurement activities done in 2018 was assessed. Focus group discussion and key informant interviews revealed that procurement limits, capable Head of the institution and accountant, having CECB branch inside the hospital, having clinical consultants and not having any audit query for the last year were strengths. Knowledge among the employee was around 55% and attitudes were towards negative. Procurement activities on the goods, services, construction, and pharmaceutical were wellperforming but needed further interventions, according to the secondary data review. As a national institution, the NIID has a big responsibility to manage the need of the patient, needs of the staff and society, even though to achieve procurement needs on time and urgently. Some of the time they had to have deviations to run the patient care smoothly. NIID had many strengths which had not been recognized to develop the system properly and planning of procurement may be helpful to run the process more successful. There were many strengths of the procurement process of NIID and weakness that can be developed with appropriate interventions such as close monitoring and evaluation on the process while increasing the procurement knowledge among members.

Analysis of strengths and weakness of procurement processes and practices in a Specialized Hospital of Sri Lanka