Determinants Of Stock-Outs Of First Line Anti-Tuberculosis Drugs: The Case Of Public Health Facilities Of Addis Ababa.
| dc.contributor.advisor | Temesgen, Busha (PhD) | |
| dc.contributor.author | Sintayehu, Kassech | |
| dc.date.accessioned | 2020-12-15T08:55:13Z | |
| dc.date.accessioned | 2023-11-04T14:01:14Z | |
| dc.date.available | 2020-12-15T08:55:13Z | |
| dc.date.available | 2023-11-04T14:01:14Z | |
| dc.date.issued | 2020-06 | |
| dc.description.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 | en_US |
| dc.identifier.uri | http://etd.aau.edu.et/handle/123456789/24072 | |
| dc.language.iso | en_US | en_US |
| dc.publisher | Addis Ababa University | en_US |
| dc.subject | Stock out, Anti TB Drugs | en_US |
| dc.subject | Information Communication Technologies | en_US |
| dc.subject | Health System Support | en_US |
| dc.subject | Performance of the Supplying Hub | en_US |
| dc.title | Determinants Of Stock-Outs Of First Line Anti-Tuberculosis Drugs: The Case Of Public Health Facilities Of Addis Ababa. | en_US |
| dc.type | Thesis | en_US |