Assessment on Auditable Pharmaceutical Transaction and Service Implementation Outcomes on Pharmaceutical Services: The Case of Tikur Anbessa Specialized Hospital.
| dc.contributor.advisor | Ensermu, Matiwos (PhD) | |
| dc.contributor.author | Tessema, Takele | |
| dc.date.accessioned | 2022-03-08T07:26:17Z | |
| dc.date.accessioned | 2023-11-04T14:01:56Z | |
| dc.date.available | 2022-03-08T07:26:17Z | |
| dc.date.available | 2023-11-04T14:01:56Z | |
| dc.date.issued | 2021-08 | |
| dc.description.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. x 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. | en_US |
| dc.identifier.uri | http://etd.aau.edu.et/handle/123456789/30482 | |
| dc.language.iso | en_US | en_US |
| dc.publisher | Addis Ababa University | en_US |
| dc.subject | incentive mechanisms | en_US |
| dc.subject | interventions to establish responsible | en_US |
| dc.subject | Auditable pharmaceutical transaction | en_US |
| dc.subject | transparent, and accountable pharmacy practice | en_US |
| dc.title | Assessment on Auditable Pharmaceutical Transaction and Service Implementation Outcomes on Pharmaceutical Services: The Case of Tikur Anbessa Specialized Hospital. | en_US |
| dc.type | Thesis | en_US |