The Assessment of e-LMIS Implementation and User Satisfaction for Pharmaceutical Management in Public Health Facilities of the Addis Ababa Regional Health Bureau
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Date
2018-09-15
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Addis Ababa University
Abstract
The Federal Ministry of Health and Pharmaceutical Fund and Supply Agency (PFSA) in collaboration with
development partners have been implementing electronic Logistic Management Information System
(eLMIS) – Health Commodity Management Information System (HCMIS), Facility Edition (FE) in more
than 800 public health hospitals and health centers. The system is designed to support inventory control,
and logistics management information system. The need for continuous improvement to fulfill evolving
needs and the system’s ability to match the growth in increased commodity through puts will continue to
be a challenge. In addition, data contained within eLMIS HCMIS is occasionally unreliable, inconsistent,
or incomplete; and data are not used routinely enough for decisionmaking. Last but not least, the system is
not linked in real-time to the HCMIS Warehouse (Warehouse Management System at PFSA), so real-time
data visibility at the facility level is still a challenge due to internet access and reliability. The purpose of
this study is to assess effectiveness of the e-LMIS implementation to optimize pharmaceutical management
practices and enhance efficiency at hospitals and health centers under Addis Ababa Regional Health
Bureau. Data was collected from sample of 39 users out of 49 mature e-LMIS HCMIS implementing public
health facilities in Addis Ababa. Generally, system’s ability to give easy access to relevant, customized, and
complete logistics information in timely manner (visibility) was good even though the use of system
generated data for decision making needs improvement. The study also found that three of the factors:
Information quality (β =0.554), perceived usefulness (β=0.377), and system support (β =0.398) had
statistically significant and information quality have the strongest predictor for user satisfaction. The
eLMIS – HCMIS system requires significant upgrade to fulfill its purpose in the supply chain
context but good level of LMIS data visibility for all stakeholders was observed and PFSA stood
first. In addition to building the logistics information management systems, creating a data use
culture is equally important. Creating and improving data use culture by empowering and training
staff to analyze and use data for decision making will be key to improving supply chain
performance. Identify the hook or factors that forces data use and quality to enhance use is also
equally important. Given that the model only explains 58.1% of the factors that contributed to
users satisfaction then in the future studies should focus on adding other factors that will explain
more (60% and above) of the factors that contributed to users satisfaction
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Keywords
eLMIS user, satisfaction, health, commodities