It is without doubt that there are many overviews of mixed
methods research in supply chain management. However, there is
relatively little research and representation on the application of
robust methodological approaches and techniques that take into
account the dynamic nature of a multi‑embedded and specialised
medicine supply chain coordination (SCC) problem. In Uganda, the
distribution of artemisinin‑based combination therapies (ACTs)
involves a multi‑embedded supply chain that runs across the macro,
market, and micro levels of stakeholders. The multi‑embedded levels
have created a coordination challenge tied to stock‑outs and
unavailability of ACTs to the detriment of the patients. This study
aimed to: 1) demonstrate how a mixed methods approach facilitated a
better understanding of a multi‑embedded and specialised supply
chain coordination problem, and 2) reveal the major factors for
coordinating a multi‑embedded supply chain that can improve the
availability of ACTs in the general hospitals of Uganda. An
exploratory sequential mixed method approach was employed to
disentangle the problem. In the first phase, focus group discussions
were predominantly used to collect qualitative data, the findings of
which acted as the foundation for the quantitative survey
questionnaire. A Confirmatory Factor Analysis was used to determine
and validate the market and macro supply chain dimensions that
emerged from the survey results. The results showed that the most
influential supply chain market environment dimensions that affect
the availability of ACTs include information sharing with external
stakeholders and supply chain interdependence. The results from the
macro‑environment showed that the socio‑cultural, economic,
technological, and legal dimensions influence the availability of
ACTs. The contribution of this paper advances the use of mixed
methods in deconstructing a complex embedded supply chain problem
with implications for supply chain academics and practitioners and
government bodies.