Browsing by Author "Adafir Tadesse"

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    Assessment of Pharmaceutical Supply Chain Performance: The Case of Tikur Anbessa Specialized Hospital
    (Addis Ababa University, 2024-06) Adafir Tadesse; Matiwos Ensermu (PhD)
    PSC is a critical component of healthcare institutions that diagnose, treat, and prevent disease. Health institutions that lack a pharmaceutical supply chain and effective supply management fail to promote societal well-being and health. This study aims to examine Tikur Anbessa Specialized Hospital's pharmaceutical supply chain performance in terms of responsiveness, reliability, flexibility, cost, and management efficiency. From April 20 to May 20, 2024, 55 pharmacy personnel at Tikur Anbessa Specialized Hospital participated in the study, which used a cross-sectional descriptive design. The study employed a mixed research strategy. Because of the hospital's small target population, it was chosen to adopt a census method to gather insight into pharmaceutical supply chain performance. To maintain the confidentiality of the respondents' data, the subjects were assured that their responses would be used only for the research study and would be treated strictly confidentially by an institutional cooperative letter from the School of Commerce to the Tikur Anbessa specialized hospital. The data were gathered using self-administered questionnaires distributed to pharmacy personnel and interviews with key informants. The observation was along with data collection. The data was analyzed using SPSS version 21. Based on findings on documentation practice, the hospital had properly documented, reported and requested pharmaceutical supply chain rather than trained the employees before giving service about the documentation format. However, the study showed an overblowing gap in that the hospital didn’t evaluate its customers' (patients) satisfaction and saw complain. On the other side, the hospital couldn’t properly manage the pharmaceutical asset and optimize assets. Results also revealed that the hospital supply chain performance average mean values were 2.96 with respect to responsiveness, 2.43 in cost, 2.55 in reliability, and 3.60 in asset management, and the hospital didn’t allow private procurement to compensate for the shortage of pharmaceutical products. From the findings, we can conclude that the performance of the pharmaceutical supply chain was good in terms of reliability and cost, moderate in terms of responsiveness, low in terms of asset management, and not agile in the procurement of pharmaceutical products. It recommended that the hospital will work the weakness side its performance and gaps. Keywords: pharmaceutical supply chain, health SC, supply chain performance
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    Clients’ Satisfaction with Community-Based Health Insurance Scheme and Associated Factors: The Case of Black Lion Specialized Hospital.
    (Addis Abeba Universty, 2025-10-01) Adafir Tadesse; Mesele Mengsteab
    Ethiopia has been implemented CBHI scheme since 2011 for informal sectors for the purpose of financial protection, enhance healthcare and equity health services. The objectives of this study was to assess clients’ satisfaction with CBHI and associated factors in the case of BLSH. The study employed a mixed approach, cross-sectional descriptive and phenomenological design. The data were collected from 364 respondents (49.7% male and 50.3% female) using structured questionnaires for quantitative data and interviews with FGDs and IDIs for qualitative data from April 23 to May 23, 2025. Systematic and purposive data sampling techniques used to collect the quantitative and qualitative data respectively. The quantitative data were analyzed using SPSS 21 and the qualitative data were analyzed thematically. The result of this study revealed that the overall clients’ satisfaction with CBHI scheme was 57.7 % and Satisfaction of clients was significantly associated with the clients’ age between 40-50 (AOR=3.1, 95% CI: (1.35-6.8)(p<0.007), residency lived in rural areas (AOR=2.4, 95% CI(1.4-4.2)(P<0.001), monthly income from 2001-5000 birr (AOR=2.84, 95% CI:(1.45-5.58)(P<0.002) and knowledge on cosmetic surgery (AOR=0.02,95% CI:(0.003-0.0098)(P<0.000) were more satisfied than the counter parts. On clients experience, factors associated with clients’ satisfaction were clients with some health problems (AOR=3.52, 95% CI: (1.92-6.46) (P<0.000), clients registered before their illness (AOR= 1.84, 95% CI: (1.06-3.12) (P<0.029), clients say CBHI enrollment and renewal period were comfortable (AOR=2.77, 95% CI: (1.56-4.92) (P<0.001) and clients voluntarily enrollment for CBHI (AOR=0.278, 95% CI: (0.13-0.58) (P<0.001).The study also revealed that clients were challenged by a shortage of medications and pharmaceutical supplies, inadequate services in the laboratory and imaging, insufficient hospital facilities, difficult setup of the hospital, and indirect costs. Clients were satisfied with health providers’ services and unsatisfied with the hospital’s healthcare service provision. The overall satisfaction of clients with CBHI was suboptimal concerning both health providers and hospital services. The study gave insight for different actors, such as the hospital itself, policy makers, social workers and researchers, to identify the gaps and improve the service provision related to prescribing drugs, laboratory services, imaging services and fulfilling the hospital infrastructures for clients’ quality services and satisfactory healthcare services.