TITLE: ATTACHMENT TRAINING REPORT AT TUDOR SUBCOUNTY HOSPITAL

TUDOR SUBCOUNTY HOSPITAL

INDUSTRIAL ATTACHMENT REPORT
P.O BOX 97424

NAIROBI TECHNICAL TRAINING INSTITUTE

DIPLOMA IN SUPPLY CHAIN MANAGEMENT

DEPARTMENT: SCHOOL OF BUSINESS

● PRESENTED BY: MBOYA GRACE MWIKALI

ADMISSION NO.: 40159

UNIT TITLE: INDUSTRIAL ATTACHMENT

SUPERVISED BY: MRS MAUA SHABAN

PERIOD: 2ND OCTOBER TO 5TH DECEMBER

PLACE OF ATTACHMENT:

TUDOR SUBCOUNTY HOSPITAL

A REPORT SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENT

FOR THE AWARD OF DIPLOMA IN SUPPLY CHAIN MANAGEMENT AT NAIROBI
TECHNICAL TRAINING INSTITUTE

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DECLARATION
I boldly declare that this is my own original work that has never been presented for examination
in any institution of higher learning and it is the outcome of my investigation.

NAME: MBOYA GRACE MWIKALI

ADM. NO.40159

SIGN………………… DATE…………

NAIROBI TECHNICAL TRAINING INSTITUTE

This attachment report has been submitted by my approval as the institute supervisor for
examination.

NAME………………………………………………………….

TITLE HELD………………………………………………….

SIGN………………………… DATE……………………… STAMP………………

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DEDICATION
I dedicate this work to Almighty God for being faithful to my health and abundance in my
day-to-day life, its upon my pleasure to dedicate this report to all staff who have been on my aid
in one way or another during the time spent in the industrial attachment field.

I dedicate this work to my my beloved parents who facilitated my upkeep when i was pursuing
this task and the moral support and financial support to fund my learning process.

I dedicate this work to all parties that have made the end meets and offered any positive kind of
support either materialistic support, moral support and professional support.

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ACKNOWLEDGEMENT
My sincere appreciation goes to the management and staff of Tudor Subcounty Hospital ,
Ministry of health Supply Chain Management for working together with me for the development
of a better organization. Special gratitude goes to the Mrs Hudaa Ali the Health Administrator
for the attachment opportunity. Furthermore, I wish to extend my special gratitude to the Supply
Chain Management Officer Mrs. Maua Shaban for her advisories.

My uttermost gratitude, respect and appreciation go to my industry supervisor Mrs. Maua

Shaban for all that he taught me while I was attached there to completion. What she impacted in
me will forever build my career paths and I will forever be grateful to her. She was a source of
inspiration to me and she taught me that in life we will meet a lot of people, some will appreciate
what we do and some will not.

I would be too mean failing to express my gratitude to lovely parents who offered me spiritually,
emotionally and financially during this period. They smoothened everything to me thereby
enabling conducive environment for learning.

Above all I thank the Almighty God for giving me the strength, good health and guidance
throughout the attachment period.

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EXECUTIVE SUMMARY
Industrial attachment creates the need for any discerning student to create a clear picture of what
has been done in the form of a report. In my stay at TSCH I was attached in the store department
which consists of three stores, namely, the equipment/non-pharmaceutical store which stores
non-pharmaceutical such as gloves, cleansing materials, surgical equipment; ration/food store
deals with food staff such as vegetable and the drug store which stores medicines. In the stores
department, I did, issuing of stock items, filing of stock control cards and filing of the counter
issue voucher. I also did documentation of store documents which include: invoices, delivery
notes, issuing voucher (s11), receipt voucher (s13), local purchase order (LPO), local service
order (LSO) and verification and inspection forms with each document serving its unique
purpose. Duties undertaken included, cleaning and ensuring neatness in the store and office,
sorting, stock arrangement, labeling, stock taking (physical stock count), verification of stock
items from the supplier, receiving and storing of stock items to their designated location. My
involvement in attachment was to make sure that I acquire new knowledge and practical skill
(which include; analytical skills, communication skills, inter-personal skill and listening skill.),
improving my confidence in problem solving to utilize the opportunity to relate with different
category of people likely to be met in real life situations. The report gives the activities I
undertook at TSCH, the experience gained such as monitoring and supervision, conflict
management and handling of guests or visitors. I was able to acquire skill of a store keeper such
as; maintain the store premise neat and clean, ensuring issues are signed by authorized personnel,
maintaining and updating stock control cards and checking on the shelve lives of stock items.
The benefits of my attachment include; exposure to demand and challenges at work and gaining
more confidence and building good relationship with both suppliers and employees. The
challenges experienced were, boredom as a result of monotony, and adopting to new working
environment. These challenges were overcome as a result of schedule of duties drafted by the
supervisor and supervisor’s guidance. In conclusion, the attachment program was helpful in
applying knowledge in real work environment as I was exposed to work method that were
theoretically taught in class. Hence, this training program should be maintained for students to
learn more practically as it is an excellent and rewarding experience. Therefore, I recommend
that institutions carry out job enlargement and enrichment and create such opportunities to
students who seek to acquire practical skills in their field of study.

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Table of Contents.
DECLARATION 2
DEDICATION 3
ACKNOWLEDGEMENT 4
EXECUTIVE SUMMARY 5
CHAPTER ONE 7
Introduction 7
7
1.1 Vision, Mission, Objectives and Core Values 7
1.2 .Main Business of TSCH 9
1.3 .Size of the Work-Force (Staffing) 9
1.4. Legal Structure of the Institution 12
1.5. Organizational Structure 13
CHAPTER TWO: ATTACHMENT EXPERIENCE 14
2.0. Introduction 14
2.1. Objectives 14
2.2. Department attached 14
2.2.1. Departments/ Areas Primarily Involved 14
2.3. General Activities Undertaken 16
2.4. Duties as a store-keeper 16
2.5. Level of accomplishment of duties and responsibilities assigned 17
2.6. New knowledge and skills gained in each of the duties and responsibilities. 17
2.7. Relatedness of college’s taught programs to the field of work. 19
2.8. Challenges faced and how managed 19
2.9. Benefits derived from attachment 20

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CHAPTER THREE: SUMMARY, CONCLUSION AND RECOMMENDATION 21
3.0. Introduction: 21
3.1. Summary 21
3.2. Conclusion 21
3.3. Recommendations 21
REFERENCES 22

CHAPTER ONE
Introduction.
This chapter covers the vision, mission, objectives and core values, main business undertaken,
size of work-force and Organization structure of TSCH.
1.1. Vision, Mission, Objectives and Core Values
Vision statement
To ensure there is efficient and cost-effective medical care System for a healthy nation.
Mission Statement
To promote and participate in the provision of integrated and high-quality curative and
Rehabilitative services to all Kenyans
Preamble
As the ministry responsible for promotion, regulation and provision of medical services to the
people of Kenya, we are committed to ensure that services are of high quality and are accessible
to every Kenyan.
Goal
To contribute towards the reduction of health inequalities and to improve the health impact and
outcome indicators.
Objectives.
● To provide medical services according to set standards and guidelines.
● To foster team work in provision of medical services.
● To provide timely medical services and ensure value for payment of services.
● To ensure competitive procurement of medical commodities and services.
● To provide efficient planning and administrative services.

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 ● To enable prompt response to enquiries and calls with courtesy and respect to
all our customers.
Core Values.
TSCH seeks to be guided by the following beliefs and values:
● Professionalism: Upholding the highest standards and professional ethics as a basis of
ensuring clients get the best possible quality services.
● Client centred: The clients remain to be the focus on all decision making.
● Quality: To ensure quality services to clients.
● Integrity: Upholding honesty and adhere to moral and ethical principles.
● Honesty
● Innovativeness: Developing new ideas and technology through promotion of creativity
and learning.
● Teamwork: TSCH endeavour to promote team spirit and at the same time seek to reward
individual effort.
● Courtesy and Excellence

Customer Obligation
● Engage in healthy lifestyle
● Seek information on illness and treatment
● Comply with treatment and medical instructions
● Be courteous and respectful to health care providers
● Participate responsibly in corruption prevention efforts in service delivery.
● Enquire about the related costs of treatment and/ or rehabilitation services.
● Respect the rights of other patients and health care providers.
● Fostering partnership in service delivery.
● Participate in the management of health care services.
● Provide health care providers with relevant and accurate information for planning,
diagnosis, treatment, and rehabilitation and / or counselling purposes.
1.2.Main Business of TSCH
The main mandate of TSCH is to provide curative, preventive, promotive and rehabilitative
health services. It serves as a center for research activities, training for medical students and
health workers.
The institution basically focuses on the sick. These are individuals with different health
problems. The agency therefore offers medical services to these individuals (patients)
The medical services offered include;
● Medical consultation
● Treatment of different ailments/ diseases
● Medical advice
● Medical counselling among others

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1.3 Size of the Work-Force (Staffing)
The company experiences a greater volume of the workforce, within the company, there are more
than 250 employees comprising of professionals and Casual workers. The employees have been
divided into various departments headed by their Heads respectively.
TSCH STAFF ESTABLISHMENT AS AT 5TH DECEMBER 2023

NO CADRE NO
. .
1. Consultant surgeon 2
2. Consultant Physician 1
3. Consultant Gynecologist 3
4. Consultant Pathologist 1
5. Medical Officers 19
6. Medical Officers Intern 12
7. Assistant Chief Pharmacist 1
8. Senior Pharmacist 2
9. Pharmacist 3
10. Pharmacist intern 5
11. Pharmaceutical Technologists 5
12. Dental Officer 1
13. Chief Clinical Officers 4
14. Senior Clinical Officers 3
15. Registered Clinical Officers 13
16. Registered Clinical Officers (INTERNS) 17
17. Registered Clinical Officers (COUNTY INTERNS) 3
18. Registered Clinical Officers (LOCUM) 2
19. Health Administrative Officer 1
20. Chief Assistant Officer Administrator 1
21. Principal Assistant Physiotherapist 1
22. Assistant Physiotherapist (COUNTY INTERN) 2
23. Principal Radiographer 1
24. Chief Radiographer 1
25. Radiographer (COUNTY LOCUM) 2
26. Chief Health Records Information Mgt. Officer 1
27. Health Records Information Officer 1
28. Principal Assistant Occupational Therapist 1
29. Assistant Occupational Therapists 4
30. Assistant Occupational Therapists (COUNTY 2
INERN)
31. Orthopedic Trauma Technicians 1
32. Senior Orthopedic Trauma Technician 1
33. Principal Community Oral Health Officer 1
34. Community Oral Health Officer (COUNTY INTERN) 1
35. Community Oral Health Officer (LOCUM) 1

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 36. Community Oral Health Officer (CONTRACT) 1
37. Principal Dental Technologist 1
38. Dental Technologist 1
39. Senior Supply Chain Management Officer 1
40. Senior Accountant 1
41. Chief Medical Engineering Technologists 3
42. Medical Engineering Technologists 2
43. Laboratory Technologists/Technicians 14
44. Laboratory Technologists (LOCUM) 1
45. Hospitality Officer 1
46. Social Medical Workers (COUNTY INTERN) 1
47. Telephone Operators 2
48. Clerical Officers 3
49. Drivers 2
50. Mortuary Attendant 1
51. Senior Chefs 2
52. Cooks 2
53. Support Staffs 7
54. Principal Nursing Officer 1
55. Principal Registered Nursing Officer 2
56. Chief Nursing Officer 2
57. Senior Nursing Officer 17
58. Chief Registered Nursing Officer 5
59. Assistant Chief Nursing Officer 8
60. Senior Enrolled Nurse 39
61. Nursing Officers 35
62. Nursing Officer (LOCUM) 4
63. Registered Nurse 4
64. Registered Nursing Officer (LOCUM) 4
65. Enrolled Nurse 6
66. Enrolled Nurse (COUNTY INTERN) 1
67. Nutritionist (COUNTY LOCUM) 1
68. Nutritionist (COUNTY INTERN)T 1

TOTAL……………………………………………………….296

1.4. Legal Structure of the Institution

Since the authority is legally operated through the county government, its legal structure is also
designed from the county government starting with the board of Directors from County
Headquarters. After this elaborate structure takes place within the company commencing from
the health administrative officer.

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The Hospital is operated financially in certain way through a followed procedure; it gets its funds
from The Department of Health Headquarters to the county government. The fund comes in
through AIE (Authority to incur Expenditure) who is the Administrator. The amount in figures is
recorded in the company (hospital) secretary’s office as another goes to the requesting to incur
expenditure through the list of what they want to spend on. Another source of finance is the
facility improvement funds collected within the hospital C. D. C and FACES are amongst the
partners which also contribute to the development of the institution and therefore, could be
termed as sources of fund. The company has large number of employees more than 250 from
professionals to casual workers.

1.5. Organizational Structure

Radiographer i/c
Registered clinical officer’s Nursing services
Health Records
Out patients (OPD) Nursing
Public Health Operational theatre
Nursing training Laundry
Lab technicians catering
Pharmacists
Occupational therapists
Dentists
Physiotherapists

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CHAPTER TWO: ATTACHMENT EXPERIENCE
2.0. Introduction.
This section lays down the attachment objectives, department attached and involved with,
general activities done, duties as a store keeper, level of accomplishment of duties and
responsibilities assigned, the lessons learnt, most interesting experiences and also skills gained
while at Tudor Subcounty Hospital.

2.1. Objectives
The main objectives for the attachment exercise were as follows;
i. To gain more knowledge about Supply Chain Management as a course that am
undertaking(procurement).
Other objectives
a. To enable and strengthen linkages between Kenya Institute of Management and
various Organizations.
b. To make transition from school to the world of work smoothly and to enhance
students contacts for job placement.
c. To acquire practical skill that may not have been taught in school e.g., efficient on
task and problem management.
d. To develop my understanding of work ethics, employment demands,
responsibilities and opportunities.
e. To be acquainted with the expectations of a working environment in a highly
competitive world.
2.2. Department attached.
As an attaché at Tudor Subcounty Hospital I was attached in the Stores Department where
I worked for the entire two months. The Hospital has a total of THREE Stores namely;
Equipment store, Ration Store and Drug Store. I was mainly in the Non pharmaceuticals
store which is the main store in the facility. However, I interacted with the ration store and
Drug store.

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2.2.1. Departments/ Areas Primarily Involved
Personnel /Registry.

❖ This office keeps all vital data in summary form fit for management use.

❖ Reporting arrival of officers on transfer/ new posting.

❖ Writing of release letters to officers transferred from the institution.

❖ Reception and dispatch of letters.

Accounts Department.
This is where all the accounting work is done. It involves the accounting procedures of
both medical and non-medical services.

❖ Reception of AIES (Authority to Incur Expense)

❖ Voucher preparations

❖ Making entries in the vote book where all transactions must be entered.

❖ Making payment to casual workers and other cash payments.

❖ Final payment of suppliers through cheques.

❖ Collection of funds from the district treasury by the authority of the AIE holder
(medical superintendent)
Stores Department
This is the department that does the receiving of supplies, storing and issuing of materials
to all the other departments. The main activities include:
● Physical counting and confirmation of items by use of delivery note.
● The filling of the ledger cards for control commodities.
● Writing of counter requisition and issue voucher for issue of commodities.
● Items are entered in a receipt voucher/ counter receipt voucher
The stores department is divided into THREE categories:
i. Equipment/ Non-pharmaceutical Store:
Consists of non-pharmaceuticals e.g. surgical items, linens, stationery, cleansing,
Engineering and maintenance, hardware, computing materials and pesticides.
ii. Ration/Food Store:
It involves Raw materials like vegetables, fruits, tinned item, and dry rations are dietary
stores items. This store only issues items to the kitchen department.

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 iii. Drug/Pharmaceutical Store:
These consist of emergency drugs, general drugs, special drugs, medical gases, chemicals
and so on.
Administration and Human Resource Department
Responsible for coordinating the development, welfare and retention of human resources.
Procurement and supplies department
Mandated to procure quality goods and services at competitive prices and operates through
a procurement committee which manages the whole process of procurement. It deals with
the purchase of goods and services.

Information and communication technology department

To render computer-based and telephone services in an efficient and cost-effective manner.

Security department
Provides the safety of all the staffs, visitors and all the facilities within the institute.

2.3. General Activities Undertaken.

i. Issuing of stocks: Issuing involves movement of stocks from the store to the
user departments. For a successful issuing, the stock items had to be ordered by
the user department through the in charge using counter issuing voucher (S11)
which must be duly signed by the in-charge stores departments. (Issues and
dispatch is the process of receiving demand from consumers and issuing the
demanded materials without loss of time)
ii. Updating of Stock Control Cards: Once issuing is done, the items issued are
recorded in the stock control cards. This helps in tracking down the current
quantities of stock items in the store. Stock items received from the suppliers
are also updated in the stock cards. (Showing day to day position of receipt
issues and stock balances.
iii. Filing of Documents: Some of the documents filed include: Invoices, Delivery
notes, Counter Issue Vouchers, Stock Control Cards, Local purchase order,
Local Service Orders, Request to procure documents.
iv. Stock taking: verifying physically the quantities of materials and their
condition in the stock at specified intervals to see if they tally with quantities
shown in stock records.
v. Receipt: Accepting after inspection all materials required for use in the
organization.
vi. Inspection: Checking of all incoming materials if they meet specifications i.e.
quality, quantity and the shelve life.
vii. Identification: Describing all items required to be stocked.

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2.4. Duties as a store-keeper.
The items on stores should be placed in such a way that these can be easily located to
ensure the availability of products. Some of the duties delegated include:

⮚ Maintaining the stores premises neat and clean. Adequate storage and preservation
should be provided.
⮚ Ensuring that materials are issued against authorized requisitions only.

⮚ To keep up-to-date record of materials issued, received and balance in stock.

⮚ Store keeper is the custodian of stores and is responsible for its safety and security

⮚ Planning and execution of stock checking activities.

⮚ Communicate the purchase department about requirements.

⮚ Help in standardization and variety reduction.

⮚ Minimize obsolescence, surplus, scrap through proper preservation and handling.

⮚ Co-ordination with other departments for various stores function activities

including demand forecasting

2.5. Level of accomplishment of duties and responsibilities assigned.

I managed to accomplish all tasks and duties assigned to by the host supervisor during the
attachment period and this included the following:
i. Processing of payment vouchers which involved debiting different personnel and
giving detailed description of what was required by each person.
ii. Maintaining and updating of the stock cards which aided in keeping trach of the
stocks available in the store.
iii. I was able to maintain a good relationship with the hospital stakeholders
(employees, supplier) which enabled me to have a friendly working experience.
iv. Practically involved in the entire procurement process.
v. Verification of stock items delivered by supplier.

2.6. New knowledge and skills gained in each of the duties and responsibilities.
Lessons:
These include areas of wisdom out of field involvement, better understanding, corrections
from misinterpretations, discoveries, insights among others. These include:
i. Paying attention at work
Several instructions were usually given like separating and sorting. A lesson of
paying good attention and being a good listener made me a perfect performer
because I could easily note down what I was told and after put in action.

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 ii. Exposure to the working environment
In the field of attachment I learnt how the working environment is and what is required in
order to have your set goals accomplished. This boosted my understanding which was
mainly theoretical to be practical.
iii. Time keeping
Good time keeping was paramount especially Stores which were always floated with
duties and assignments that had to be performed fully and accurately. I had to be early for
work so as to accomplish the assigned duties in time.
iv. Working in teams.
Working individually would take long time to accomplish duties and would be sole
decision making. Therefore, I learnt the benefits of working in teams for effective
performance of the assigned duties. This was in line with the principles of management
learnt in class.
v. Apologizing
The art of apologizing for any wrong done before the supervisor learns of it effectively
practiced in the field. The supervisor should know of your mistake from yourself rather
than hearing it from another person. I got to learn that if one apologizes, he will not be
able to make the same mistake again.
vi. Being hardworking
Most employers do not wish to employ people who are not hardworking and since
hardworking is a source of admiration and effective performance, I had to work hard so
as to improve on the wellbeing in order to establish a good and stable relationship with
the other students in the office.
vii. How to be welcoming to people
Due to the fact that I was welcomed in a very hospitable way, taught me how to treat
people equally and nicely during the field attachment, many people used to come for
different reasons and hence I had to learn and cope with employees and employers on
how they handle people therefore copy a leaf from them.

Experience:
These are areas of knowledge accumulated, ability to do work better. Include:
i. Monitoring and supervision: The monitoring and supervision of activities was
done from other departments. I learnt more from how unit supervisors do work and
make it easier to perform their duties in time and perfectly.
ii. Conflict Management: This was done in a way that is sensible, in this case, the
rebels were handled by the KCRH and I got to know the procedure required when
managing conflict as studied in Organization Theory.
iii. Handling guests: I could make sure the guests/visitors received what they want
like giving precise information and good hospitality. I happened to be the first
students in the office and therefore when other students came, I welcomed them
and hence given an opportunity of handling different kind of people.

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Skills:
i. Communication Skills: Different communication skills helped me to be positive
and interact more with other workmates at the Organization. Lessons learned from
Business Communication and Communication skills helped in handling and
communicating to people in a diplomatic and firm way.
ii. Listening Skills: A chance in TSCH gave me an opportunity to put into practice
what was Business Communication Skills. This greatly improved my ability to
listen carefully and understand what was communicated.
iii. Analytical Skills: Gained analytical skills which involved the ability to attempt
some tasks with a keen note, this was more with posting in the abstract of
expenditure book. I had to carefully analyse the codes of different expenses in the
vouchers very well.

2.7. Relatedness of Institute’s taught programs to the field of work.

i. According to procurement and purchasing principles as a course unit at the
institute, it elaborated about the different documents which included the vouchers,
requisition forms, invoices local service order and local purchase order which are
used in the procurement process. During an attachment period, I got an opportunity
to fill in the various documents.
ii. According to Sustainable Supply Chain Management as a course unit in the
institute, it denotes that, a procurement entity should involve itself in a sustainable
procurement by conducting their activities to minimize negative impacts on the
communities in which they operate and on the environment. During my attachment
period, I got an opportunity to ensure sustainable undertaking e.g. proper disposal
of expiries.
iii. According to strategic procurement, which elaborates strategic procurement
management which involves planning, implementing, evaluating and controlling
strategic and operating purchasing decisions for directing all activities of the
purchasing function toward opportunities consistent with the firm’s capabilities to
achieve its long-term goals.

2.8. Challenges faced and how managed.

These challenges were personal, organizational, work group, community and others and
they include:
i. Adopting to the new working environment.
Due to the fact that I was new in the Organization, it took me some time to get used and
cope with the working environment.
This was solved by the supervisor who provided a schedule of duties.
ii. Transferring information from different documents to the voucher.

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This posed a challenge since I had never come across some documents like Counter
Receipt Vouchers (s13). I had no ideas on which documents were involved in vouchers.
This was solved by the supervisor who gave me an opportunity to ask anything that was
not clear. The guidance helped me to know what to do.
iii. Boredom.
During the field attachment, I had to endure boredom especially towards the end of the
period. This was due to the monotony of the work being carried out as a result of Doctors
and Nurses strike and there was little to learn for the fact was an expectation for the work
load to increase at a later date.

2.9. Benefits derived from attachment.

I was able to meet and work with potential employers and other staff members like social
workers and welfare officers thus socialization. Below are the benefits to the student from
the attachment opportunity.
• Exposure to the demands and challenges of the work place like giving feedback in the
appropriate time, reporting early enough at work, and relating with different categories of
people as well as performing the daily activities.
• The attachment program helped in gaining more confidence since I had to do different
activities which at times had to be addressed to the different stakeholders at TSCH e.g.
Health Administrator.
• New knowledge and practical experience were acquired in fields of communication,
human rights, and interpersonal skills among others that would help me in the future
employment fields.
• I got an opportunity to relate with different categories of people that are most likely to be
met in real life situation for example staff and suppliers who had different backgrounds and
behavior as well as regions.

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CHAPTER THREE: SUMMARY, CONCLUSION AND RECOMMENDATION
3.0. Introduction:
This part covers the summary, conclusion and the recommendations.

3.1. Summary.
The industrial attachment gives students the opportunity to apply and put what has been
learned in class into practice. It also provides an opportunity to the student of working in a
highly competitive environment. The training has been a success and has enabled me to
gain much practical knowledge and experience in my field of study as well as enriching me
with the interaction with the business world.

3.2. Conclusion.
In conclusion, the supervised industrial attachments give student the opportunity to apply
knowledge in the real work, exposing the students to work method not taught in the class
and provide access to products equipment not available in the institutions well as assessing
student’s interests in the occupation he/she undertakes.
This training program should therefore be maintained for students to learn more practically
as this has been an excellent and rewarding experience. I was able to grow my interest in
my career and make good transition from what I have been learning from school to the
corporate world.

3.3. Recommendations.
The attachment is very beneficial to students as it assists them to blend academic work
with that of the industry therefore much emphasis and importance should be given to
attachment exercise by the students. Since the experience for the 10 weeks was enormous,
the following should be put in place to better future benefits of students and the institution
at large.

To Tudor Subcounty Hospital.

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 I. The facility should introduce Inventory Management Software which will help in
knowing the detailed information about the stock items.
II. The management of TSCH should buy more facilities such as computers so as to
adapt and respond quickly to the dynamic competitive environment.
III. The management should carry out job enlargement and enrichment such that it
mitigates the conflict amongst employees for roles and tasks. This will ensure good
industrial relationship between the supervisors and the subordinates in the facility.
To the institute.
I. The institute should help students in securing an attachment opportunity
according to their respective programs.
II. The institute should carry out constant supervision and monitoring of students
during the attachment program so as to encourage students to perform duties
fully and also accurately.

REFERENCES
i. Medical Superintendent Dr. Bruba Mercy.
ii. Supply Chain Head Mrs. Maua.
iii. Stores Manager Mrs.Maua Shaban.

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