Green procurement is one of the major topical issues that have become increasingly popular worldwide as the world embraces sustainability. Zimbabwe is one of the countries in the world that is struggling to adopt the use of green procurement in the health sector. Some identified factors affecting such adoption are lack of technology and infrastructure, training and awareness especially of the procurement officers and those in charge of the sector, policy and regulatory framework, limited supply chain, economic pressures and stakeholder engagement. The study’s objective was toidentify and analyse factors affecting the adaptation of green procurement practices in Zimbabwe’s health sector. The study used qualitative secondary data, and three key documents were analysed in the ATLAS. ti 24. Themes were created and results confirmed the challenges faced by adopting green procurement in the health sector in Zimbabwe. The study found that economic challenges, policy and regulatory framework shortfall, limited supply chain management, lack of stakeholder engagement, technology and infrastructure shortfalls and failure to have training and awareness regarding green procurement. Policymakers should encourage collaborations and partnerships between government and industry can facilitate the sharing of knowledge, best practices and resources. Zimbabwe as a signatory to the Abuja Declaration of 2001, the country can revert to this agreement and meet the suggested 15% of the total country budget set aside only for the health sector to support the adoption of green procurement. The study recommends that the government make use of the monitoring and evaluation systems that will influence policymakers in support of green procurement. The study recommended that the government should enact policies that support sustainable procurement and training should be carried out as Zimbabwe is one of the countries that signed the Sustainable Development Goals especially goal number 3.