Assessment Of Supply Chain Performance Of Anti-Retro-viral Drugs In Public And Private Health Facilities In Adama City, Oromia,Ethiopia
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Date
2018-05-07
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Addis Ababa University
Abstract
The goal of health commodities supply chain is to ensure that every customer gets products and services it needs in continuous and uninterrupted system. A poorly functioning supply chain leads to frequent stock outs and over stock which leads to wastage and service interruption. Thus, the objective of this study was assessed the supply chain performance of Anti- Retroviral drugs in public and private health facilities in Adama city. A descriptive cross-sectional study was conducted in all public and private health facilities which provide ART and PMTCT service. Both primary and secondary data was collected by semi- structured questionnaires, observation checklists and interview. The performance of Anti–Retroviral drugs were measured and analyzed using five selected indicators. The study revealed that inventory accuracy rate for ARV drugs in public and in private health facilities found to be 33.33% and 14.29 % respectively.16.67 % of the public and 10 % of the private health facilities were able to submit report and requisition of ARV drugs to Pharmaceutical Fund and Supply Agency always according to the schedule. All of the public and 60% of the private health facility store managers had trained how to fill the Report and Requisition form. None of both the public and the private health facilities received the exact amount of ordered ARV drugs always. Whereas, 50 % of the public and 30 % of the private health facilities received the exact amount of ordered quantity some times. Majority of the public and the private health facilities received ordered quantity in less than a month period after requesting. Regarding storage condition of the health facilities, none of both the public and the private health facilities met at least 80 % of the acceptable storage criteria’s according to the checklist. 83.33% of the public and 60% of the private health facilities met more than 50 % of the proper storage criteria’s. In terms of stock out rate 50 % of the public and 40 % of the private health facilities were stocked out of one or more of ARV drugs within six-month period. Finally, from the study it is concluded that the performance of ARV drugs supply chain according to the indicators was not satisfactory which might lead to stock outs and service interruption. Based on the findings, it is recommended for both the public and private health facilities to improve ARV drugs recording and reporting, improve storage condition and prevent stock outs. In addition, training and manpower gaps should be analyzed and filled to improve the availability of ARV drugs.
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public private, health facilities, drugs recording