Browsing by Author "Zerihun, Meseret"

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    Analysis of Supply Chain management of Mother, Neonatal and Child Health Related Commodities in Public Health Facilities of Addis Ababa
    (Addis Ababa University, 2018-06-02) Zerihun, Meseret; Mitiku, Shiferaw (PhD)
    This study was aim to the Analysis of Mother, Neonates and Children Health commodities supply chain management in Addis Ababa City Administration Health Bureau facilities using descriptive study by utilizing both primary and secondary data. The quantitative data was collected using modified Logistics Indicator assessment tool from selected health facilities Pharmacy store. From total of 101 health facilities (95 Health centers and 6 hospitals) in Addis Ababa the study sample was selected considering 90% confidence level (z), 10% margin of error (e) and 0.5 estimated outcome of the interest or proportion (p) then by adjusting using finite population correction factor (FPC), 40 health facilities were found and selected using random sampling method by putting all the sites in alphabetic order. Finally, the result was analyzed using SPSS & Excel and presented in graphs and table form. Accordingly, even if 14 Mother, Neonates and Children Health commodities were selected to avail freely at facility level by Federal Ministry of Health, the study found an average of only 7.5 commodities were managed per facility which go as low as 4 and as high as 12. Despite low number of commodities were managed, their recording system was good enough as an average of 98.7% have bin cards in place and 93% were updating their bin cards. Reporting by using Internal Facility Report & Resupply form and schedule showed 75% of facilities were using Internal Facility Report & Resupply form and keeping schedule to resupply the dispensing unit from store. Also, the use of Report & Requisition Form for reporting and resupply found to be 85% of which 75% were sending to Pharmaceutical Fund Supply Agency. But the perceived refill rate was low, as 60% of facilities were perceived they were not refilled according to the request. Their storage condition showed with different criteria as high as 100% and the lowest was 80% of facilities fulfilling the necessary standard for storage. The inventory management was assessment for stock availability in previous 6 months prior to assessment showed an average, maximum and minimum stock out of 57.5%, 95% (Misoprostol Injection) and 12.5% (Amoxicillin 250mg DT) respectively. The same indicator at time of visit also showed an average, maximum and minimum stock out of 56%, 90% and 12.5% respectively. Other important indicator of inventory management was level of inventory (min-max), accordingly for basket of Mother, Neonates and Children Health commodities average number. Hence facilities are well practicing the of LMIS format for recording and reporting but there are high stock out of MNCH commodities in most assessed facilities. In contrast to stock out, for few products there are expiry and fear of expiry as they were over stocked in some facilities. Overall, it is important to integrate MNCH commodities supply chain into IPLS so as to address the issues of both stock out and overstock.