Browsing by Author "Wana,Yitbarek"
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Item Assessment of Inventory Management Practices of Essential Medicines for Mental Health in Public Hospitals of Addis Ababa, Ethiopia(Addis Ababa University, 2023) Wana,Yitbarek; Dejene,Michael (MD, MPH, MSc)Introduction: Mental health is a state of well-being in which an individual realizes his or her own abilities, can cope with the normal stresses of life, can work productively, and is able to make a contribution to his or her community. Even in settings like low- and middle-income countries where the burden from infectious and nutritional conditions remains overwhelming, at least 9% of the overall burden of disease is attributable to mental disorders. Global mental health has documented that effective interventions exist for the large majority of mental health disorders. However About two-thirds of people with diagnosable mental health disorders do not receive treatment. Objective: To assess inventory management practices of essential medicines for mental health at public health facilities in Addis Ababa, Ethiopia. Methods: A sequential mixed study was employed. A facility based quantitative method was conducted using checklist, structured and semi structured questionnaire followed by qualitative method to explain the challenges and opportunities. Microsoft Excel Spreadsheet and SPSS version 20 was used to encode and analyze the data. Spearman’s rho was used to determine the association between inventory management practice and performance. The critical value (p<0.05) was considered significant. Results: Of twenty six medicines of mental health included under this study 28% were considered vital by public hospitals and 42.5% available on the day of visit. The mean stock out and frequency of stock out was found to be 0.73 and 0.86 respectively with average stock out duration of 95 days within six months of study period. Chlorpromazine, olanzapine, sertraline, clonazepam, Lithium carbonate, Lamotrigine, Phenobarbitone and promethazine tablets were out of stock at least once at each facility. The mean wastage rate of medicine for mental health was 4.5% with a value of 494,231.40 birr within six months of review, irregular consumption was the major reason for expiry. Conclusion: Essential medicines of mental health were routinely not available in public hospitals and the practice was found poor and different between categories of medicines and from one public hospital to the other. Antipsychotics were found to be most available and anticholinergics were not found in any of the facilities under study on the day visit. Second generation antipsychotics and antidepressants were most frequently stocked out items. The responsiveness by the supplier was poor as it was not able to refill those items whenever the facilities requested nevertheless of frequent stock outs, hence stock out at the source was the major reason for stock out.