Bayat, Mohamed S.Kudai, Takesure2026-07-072026-07-072026Kudai, T. and Bayat, M.S., 2026. Institutional and user perspectives on digital supply chain transformation in Zimbabwe’s public health sector: Barriers to enhanced visibility. Journal of Transport and Supply Chain Management, 20, p.1329.https://doi.org/10.4102/jtscm.v20i0.1329https://hdl.handle.net/10566/24857Background: This study examines how digital supply chain transformation can enhance public health logistics in Zimbabwe, a country facing systemic infrastructure and resource limitations. While digitalisation promises increased transparency, better inventory management and timely delivery of medical supplies, widespread adoption remains challenging. Barriers such as poor infrastructure, financial constraints and low technological literacy limit progress. Objectives: To identify the key systemic and human factors influencing digital health supply chain adoption in Zimbabwe and to propose strategies for leveraging digital transformation to strengthen public health logistics. Method: Employing a qualitative desk review, the study draws on Institutional Theory and the Technology Acceptance Model (TAM). It analyses literature, policy documents and reports to identify both systemic and human barriers to the adoption of digital health technologies. Results: The findings reveal that reliance on manual processes and limited digital literacy perpetuate inefficiencies and stockouts, hampering health service delivery. Main obstacles include weak policy enforcement, fragmented systems, infrastructure gaps and low acceptance of technology. Adoption of innovations like blockchain and e-procurement could improve transparency if accompanied by institutional reforms.enchallengesdigitalisationhealthcareinfrastructuresupply chainArticle