Strengthening reproductive health service delivery through transparent digital supply chains in low and middle-income countries

This study examines the role of blockchain-based accounting mechanisms in improving the governance of reproductive health supply chains in low- and middle-income countries (LMICs). With a focus on countries in sub-Saharan Africa and South Asia, this research investigates how digital accountability can address common challenges in reproductive health programs, such as commodity leakage, inventory discrepancies, and weak transparency. Using structural equation modeling (SEM), the study analyzes data from stakeholders involved in reproductive health commodity supply chains, including supply chain managers, healthcare administrators, and program coordinators. The findings reveal that blockchain-based accounting significantly enhances supply chain transparency, reduces commodity leakage, and strengthens governance accountability. These improvements lead to better availability and continuity of reproductive health commodities, which are critical for maternal health and family planning services. The study highlights the potential of digital health governance tools to strengthen supply chain operations and foster institutional trust, ultimately improving service delivery outcomes in resource-constrained settings. By integrating blockchain technology, reproductive health supply chains can achieve greater efficiency, transparency, and sustainability, contributing to the achievement of global reproductive health goals.