Drug Logistics Management Information System at Public Health Facilities in Addis Ababa
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Date
2010-07
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Addis Ababa University
Abstract
In most developing countries the research showed that the public health facilities do not
have sufficient health commodities prescribed by the physician. Hence the patients
required to buy medicines in the private pharmacies with high prices and others who
couldn't afford to buy forego the treatment. There are various reasons for unavailability
of drugs in a given country.
The study aims to assess how the drug management information system function in the
public health facilities administered by Addis Ababa City Administration Health Bureau.
The assessment was done between February and April, 2010 in the health facilities of
Addis Ababa City Administration . The performance of the logistics system was
measured using quantitative and qualitative research instruments at the Addis Ababa
City Administration Health Bureau, Sub City Health departments all the 5 hospitals and
10 health centers administered by Addis Ababa City Administration Health Bureau. The
management and distribution of essential drugs was also studied. The various
stakeholders for the programs were identified and interviewed using a semi structured
interview guide.
The result of the finding shows that there is no integrated LMIS for all essential drugs.
The current LMIS serves only two vertical programs that are ARV drugs and
Contraceptives. The essential logistics data is not collected for all essential drugs.
There is no logistics management unit responsible for all health products. 86.67 % of
the health facilities studied does not have a daily transaction records. Stock cards are
not used in 73.33 % of the health facilities. Supervision of the health facilities is not
adequately covered. All the store heads are not trained in basic store keeping
procedures.
The current LMIS design is not fully address all essential drugs, instead it is designed
for two vertical programs which are influenced by the donors and have been built
around the concerns of donors. The current LMIS practice focuses only on the above
stated drugs by neglecting the importance of addressing the basic and critical public
health concerns.
This study therefore, is intended to assess LMIS application and forward appropriate
recommendations particularly emphasizing on the development of logistics
management information system for all health commodities with stake holders
participation.
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Drug Logistics Management Information System At Public Health Facilities in Addis Ababa