Browsing by Author "Sahile, Muluwork"

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    Knowledge, attitude and practice on generic medicine among community pharmacy clients’ and pharmacy personnel in Hawassa; a facility based cross sectional study
    (Addis Ababa University, 2014-01) Sahile, Muluwork; Gedif, Teferi(PhD)
    Rational use of generic medicines can provide substantial savings in health care cost of government, patients and insurance funds without affecting the therapeutic effect of the medicine. However, studies in different countries indicated that poor knowledge and negative attitude towards generic medicine among clients and pharmacy personnel is the most challenging barriers for the use of generic medicines. So this thesis assessed knowledge, attitude and practice on generic medicine and associated factors among community pharmacy clients’ and pharmacy personnel in Hawassa. A facility based cross sectional study was conducted from April 2012 to September 2012 at all community pharmacies of Hawassa. Six hundred sixty two study participants were selected from six community pharmacies based on the average number of prescription filled each day. In-depth interview was also conducted with pharmacy personnel working in community pharmacies, drug shops, hospital pharmacy, whole sale, FMHACA and health bureau. The result showed that only 22.4% of clients’ were knowledgeable about generic medicine while most pharmacy personnel had good knowledge of generic medicines. Barely 32 % of clients have positive attitude towards generic medicines and over one in three of clients and pharmacy personnel had distrust on generic medicine approval system of Ethiopia. Majority (72.4%) of the clients had ever used generic medicines. Age and educational status were shown to be significant predictors of knowledge on generic medicine. Age, educational status and experience with generic medicines had a strong and positive association with attitude. The use of generic medicine was found to be significantly associated with respondents’ education, knowledge, attitude and Therefore, concerned bodies should provide public education about generic medication to fill knowledge gap and to enable clients to undertake an informed decision in choosing either generic medicine or branded alternative. The generic policy implementation should be strengthened by introducing incentives for pharmacy personnel and prescribers to prescribe and dispense generics.
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    Pharmaceutical Procurement Performance of Public Hospitals in Addis Ababa, Ethiopia.
    (Addis Abeba University, 2020-05) Abdi, Demissu; Dr.Ensermu, Matiwos; Sahile, Muluwork; Dr. Kleineidam, Julia
    Introduction: Pharmaceuticals public procurement consists of the whole process of acquiring pharmaceuticals and services and it starts with identification of needs and preparing the procurement plan and the procurement method. It also includes risk assessment, identification, and evaluation of alternative solutions, contract award, and management, receiving the procured property or obtaining the services and settling of payments by the public Hospitals. The performance of procurement process is decreased due to different factors. This study analyzed the assessments of pharmaceutical public procurement performance based on identifying major Factors affecting pharmaceutical procurement performance in Hospital procurement processes, procedures, plans and administrative procedures related to procurement activities. Methods: A mixed methods sequential explanatory study design, with qualitative and quantitative study, was approached. To select the population of respondents used census with a sample size of sixty-two (62) respondents. Primary and secondary data sources were used and the questionnaires were closed-ended and open-ended. The data analysis is conducted through descriptive statistical techniques using SPSS. A total of 60 questionnaires were completed. Results: Most of the respondents indicated that 73.3% Procurement related administrative procedures explain the variations in procurement performance while, Procurement planning, utilization of ICT, procurement procedures and transparency explain 70%, 63.7%,60%, and 36.7% respectively and supplier supplying capacity and supplier performance are the major challenges of procurement performance in Hospitals. Conclusion: This study found that procurement related administrative procedures, procurement planning, procurement procedures and utilization of ICT have effect on procurement performance. Procurement plans prepared by end-users in due time to send to Pharmacy unit and Hospitals shall apply advanced technology, which may be E-procurement technology which is very useful to communicate easily with the user department, procurement unit, and suppliers.