Browsing by Author "Mesfin Mamuye"

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    The Effect of Drug Supply Shortages on Hospital Logistics Performance and Patient Care: A Case Study at Public Hospitals in Adama Town, Ethiopia
    (Addis Abeba Universty, 2026-09) Mesfin Mamuye; Zelalem Bayisa (PhD)
    Drug supply shortages are one of the most critical issues public health systems are facing in sub-Saharan Africa, with considerable impact on hospital logistics performance and quality of patient care. This study explores the effects of drug supply shortages on hospital logistics performance and patient care at three public hospitals in Adama town of Oromia Regional State: Adama Hospital and Medical College (AHMC), Musie General Hospital, and Bati Hospital.This mixed-method approach applied a structured questionnaire that was administered to 229 health professionals, pharmacists, procurement officers, and logistics professionals, plus key informant interviews with 15 senior administrators and observations. Secondary data was collected from the hospital stock ledger, dispensing records, and procurement reports for financial years 2024/25 to 2025/26.The findings from the study demonstrated that all three hospitals face continuous shortages in essential medicine stock and have an average stock-out rate of 34.7 percent during the study period. Regression analysis revealed that drug supply shortage severity (β=-0.512, p < 0.001), procurement inefficiency (β = -0.341, p < 0.001), and storage capacity inadequacy (β = -0.287, p = 0.003) were significant negative predictors of logistics performance (R² = 0.572). ANOVA indicated significant differences in perceived patient care quality across hospital levels (F = 18.34, p < 0.001). Pearson correlation showed a strong negative relationship between stockout frequency and patient satisfaction (r = -0.631, p < 0.001). Qualitative findings corroborated these results, with healthcare providers describing treatment delays, prescription substitutions, and patient distress as common consequences of supply shortages. The study recommended strengthening quantification and forecasting, decentralization of emergency procurement decision power, application of HMIS, improved supplier contract management, and wide use of buffer stock policy. These findings are contributing to the body of evidence in Ethiopia's pharmaceutical supply chain reform and would provide practical implications for hospitals, administrators, health professionals, and policymakers