An Assessment of Organisational Support and Challenges in Digital Health Procurement and Cybersecurity Implementation in Health Institutions in Bayelsa State

Abstract

The growing use of digital technologies in healthcare has increased the need for effective procurement systems and strong cybersecurity measures to protect patient information and support quality service delivery. This study examined the challenges affecting digital health procurement and cybersecurity practices in health institutions in Bayelsa State, with emphasis on organisational support and possible strategies for improvement. A descriptive cross-sectional survey design was used, and data were collected from 196 health personnel through a structured questionnaire. The study covered key areas such as procurement processes, cybersecurity policies, staff training, funding, availability of skilled personnel, management enforcement, incident response planning, and system audits. Data were analyzed using descriptive statistics, including mean scores and standard deviation. The findings revealed that organisational support for both procurement and cybersecurity is generally low. Procurement systems are affected by inadequate funding, bureaucratic delays, lack of transparency, weak monitoring, and corruption. Similarly, cybersecurity practices are weakened by poor training, low awareness of cyber risks, weak policy enforcement, shortage of skilled personnel, and lack of regular system audits and response plans. Despite these challenges, respondents strongly supported practical strategies such as increased funding, regular staff training, adoption of digital procurement systems, enforcement of cybersecurity policies, and continuous monitoring. The study concludes that although awareness is high, implementation remains weak due to insufficient institutional support. It recommends stronger management commitment, improved funding, clear policies, and continuous capacity building to enhance data security and strengthen digital health systems.