Assessment on Auditable Pharmaceutical Transaction and Service Implementation Outcomes on Pharmaceutical Services: The Case of Tikur Anbessa Specialized Hospital.
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Date
2021-08
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Addis Ababa University
Abstract
The Auditable pharmaceutical transaction and service (APTS) system is a set of datadriven
interventions to establish responsible, transparent, and accountable pharmacy practice.
It also optimizes utilization of medicine budget, improves access to medicine, workflow,
generates reliable information for decision making, and improves patient satisfaction.
Pharmaceutical transactions and facilities were particularly vulnerable to mismanagement
due to a lack of transparency and accountability due to a lack of transparency and
accountability, which resulted in poor planning, decision-making, prescribing and
dispensing, and reporting, risking both the availability and usage of medicines. The objective
of this study is to assess the outcomes of APTS implementation using the five APTS result
areas in Tikur Anbessa Specialized Hospital. A facility based cross-sectional descriptive
study design was employed by using a structured questionnaire on pharmacy professionals
and patients who received pharmacy service at TASH. Key informant interviews were
conducted with the hospital's pharmacy director, finance director, and internal auditor, and
direct observation of the availability of medications was also used. A systematic random
sampling technique was maintained to recruit the study population. Descriptive statistics
were computed using the statistical package for social sciences version 22.The vast majority
of pharmacists (68.5%, 72.6%, and 90.4%) believe that APTS provides employment
opportunities for pharmacists, and improves the transparency of drug transactions and
pharmacy record keeping practices respectively. 65.8% of them agreed that APTS is vital to
improving pharmacy services. But, 56.1% of them were dissatisfied with their jobs.
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Increased workload, attrition rates among pharmaceutical professionals, and delays in
creating an indemnity policy and the lack of a performance management and reward system
were the major challenges. Medicine availability is 63.3% at stores and 55% at dispensaries.
The findings were not comparable to the APTS-implemented public hospitals in Gamo Gofa
where 85 percent of patients were enrolled. [Carmichael JM et al, 2017], Dessie referral
hospital (84%) [Kasahun Bogale .., et al 2021], and Amanueal mental hospital (84%)
[Alemayehu Y, et al, 2017] of the patients reported that prescribed drugs were available.
65.5% of patients were dissatisfied with the availability of certain drugs. The labeling
information is lower than the WHO recommendation (100%). More than half of pharmacists
and 34.5% of patients said auditable pharmaceutical transactions and services satisfied them.
Several obstacles hampered the pharmacy service's smooth adoption. To improve
pharmaceutical service, it is recommended that workload be determined, indemnity and other
incentive mechanisms be implemented, management ownership be taken on, and follow up
be done.
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Keywords
incentive mechanisms, interventions to establish responsible, Auditable pharmaceutical transaction, transparent, and accountable pharmacy practice