Introduction: Pharmaceuticals public procurement consists of the whole process of acquiringrnpharmaceuticals and services and it starts with identification of needs and preparing thernprocurement plan and the procurement method. It also includes risk assessment, identification,rnand evaluation of alternative solutions, contract award, and management, receiving the procuredrnproperty or obtaining the services and settling of payments by the public Hospitals. Thernperformance of procurement process is decreased due to different factors. This study analyzedrnthe assessments of pharmaceutical public procurement performance based on identifying majorrnFactors affecting pharmaceutical procurement performance in Hospital procurement processes,rnprocedures, plans and administrative procedures related to procurement activities. rnMethods: A mixed methods sequential explanatory study design, with qualitative andrnquantitative study, was approached. To select the population of respondents used census with arnsample size of sixty-two (62) respondents. Primary and secondary data sources were used andrnthe questionnaires were closed-ended and open-ended. The data analysis is conducted throughrndescriptive statistical techniques using SPSS. A total of 60 questionnaires were completed. rnResults: Most of the respondents indicated that 73.3% Procurement related administrativernprocedures explain the variations in procurement performance while, Procurement planning,rnutilization of ICT, procurement procedures and transparency explain 70%, 63.7%,60%, andrn36.7% respectively and supplier supplying capacity and supplier performance are the majorrnchallenges of procurement performance in Hospitals. rnConclusion: This study found that procurement related administrative procedures, procurementrnplanning, procurement procedures and utilization of ICT have effect on procurementrnperformance. Procurement plans prepared by end-users in due time to send to Pharmacy unit andrnHospitals shall apply advanced technology, which may be E-procurement technology which isrnvery useful to communicate easily with the user department, procurement unit, and suppliers.