Determinants Of Stock-Outs Of First Line Anti-Tuberculosis Drugs: The Case Of Public Health Facilities Of Addis Ababa.
No Thumbnail Available
Date
2020-06
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Ababa University
Abstract
Reliable and affordable supplies of health commodities are critical for the success of the health
sector. This is particularly very important when it comes to infectious diseases such as
Tuberculosis (TB) where sustainable availability of drugs play an important role in halting the
disease progression and development of resistant strains of the causative agent. The objective of
the study was to identify determinants of stock outs of first line anti TB drugs at public health
facilities under Addis Ababa City Administration Health Bureau. Both descriptive and explanatory
research design with mixed approach involving both quantitative and qualitative data collection,
analysis and interpretation was employed. Quantitative data was collected from drug store
managers of health facilities providing TB treatment and qualitative data from Addis Ababa hubs
of the Ethiopian Pharmaceuticals Supply Agency (EPSA), Addis Ababa City Administration Health
Bureau and selected heads of pharmacy departments of health facilities. More than half of the
health facilities encountered stock out for at least one of first line anti TB drugs with the period of
previous one-year to the date of the visit. Significant level of stock out was observed in pediatrics
formulations with 39.8% of health facilities stocked out for RH 75/50 mg and 16.9% for RHZ
75/50 mg and the stock out level for Ethambutol 100 mg & Isoniazid 100 mg also calls for much
attention. Regression analysis showed poor performance of supplier (EPSA) is the significant
determinant for stock out of first line anti TB drugs at 95% level of confidence (p=0.00). The
problem with pediatrics formulation is persisting, the reason mainly being negligence by health
facilities in not placing early orders since pediatrics cases only arrive intermittently, hence
thought as these cases are not available. Poor performance by the supplying hub (delay in supply,
inadequate supply, and stock outs there) was found to be the main determinant for stock outs .This
calls for collaboration among stakeholders working especially on Tuberculosis and
pharmaceuticals supply in preventing stock outs for anti TB drugs and to strengthen the drug
supply system in general.
Keywords: Stock out, Anti TB Drugs, Information Communication Technologies, Health System
Support, Performance of the Supplying Hub, Public Health Facilities, Addis Ababa
Description
Keywords
Stock out, Anti TB Drugs, Information Communication Technologies, Health System Support, Performance of the Supplying Hub