Assessment on the Supply Chain Performance of Anti TB Drugs in Public Health Facilities under City Government of Addis Ababa Health Bureau
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Date
2017-07-10
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Addis Ababa University
Abstract
Supply chain performance is key for the success of health programs hence measuring
performance is essential to identify system inefficiency and away to improve. The aim of this
study was to assess the supply chain performance of Anti TB drugs in public health facilities
under city government of Addis Ababa health bureau. A cross-sectional descriptive study was
conducted at selected health facilities in Addis Ababa by using selected supply chain
indicators. A total of sixty four facilities were selected by using stratified random sampling
method. Structured questionnaires interviews, facility records and physical observation were
used to collect quantitative data. The research revealed that all the hospital and health center
studied had the necessary recording and reporting formats but the average percentage of
facilities utilized bin card were 75% and 80.7% at hospital and health center. Updated bin
card were 82.8% at hospital and 90.8% at health centers. Order entry accuracy in the RRF
were 86.9 % and 92.5% at hospital and health centers respectively. All the hospitals and 93%
of the health centers refilled in less than a month time. Percentage of facilities received based
on the requested quantity was more than 80% both at the hospitals and health center. Average
availability of Anti TB drugs on the day of visit were 72.5% and 68% at the hospital and health
center respectively. Availability of pediatric formulation were low, only 40% of hospital and
43.3% of health centers had RH (60+30) mg tablet in the day of visit. Similarly only 20% of
hospital and 17.5% of health center had pediatric tablet RHZ (60+30+150) on the day of visit.
Availability of recording and reporting format is encouraging. However, their utilization and
accuracy is relatively low. Order lead time is good but order fill rate needs improvement. Most
facilities storage condition meet acceptable criteria but average availability of anti TB drug is
low. Specially pediatric anti TB drugs are out of stock or not managed in majority of facilities
in the day of visit and during the six month prior to the survey. Even though majority of the
indicators shows supply chain improvement, huge gap observed in the availability of pediatric
anti TB drugs. Significant number of health facilities stock out or not managed the pediatric
formulation on the day of visit and during the six month prior to the survey. Efforts should be
made to narrow the observed performance gap and special attention should be given to avail
the pediatric anti TB drugs in the health facilities
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Keywords
Addis Ababa, Anti TB, Performance, Supply chain