Availability of Emergency Drugs and Essential Resuscitation Equipment and Barriers to Availability at the Emergency Room of Health centers in Addis Ababa, Ethiopia- Explanatory Sequential mixed method design
| dc.contributor.advisor | Yohannes Feleke | |
| dc.contributor.author | Dagne Lidia | |
| dc.date.accessioned | 2025-08-13T07:46:04Z | |
| dc.date.available | 2025-08-13T07:46:04Z | |
| dc.date.issued | 2024-10 | |
| dc.description.abstract | Background- Essential medications, supplies, and functional equipment are needed for emergency care. But in lower middle-income countries (LMICs), there are major obstacles that prevent the provision of safe emergency care, such as a shortage of physical resources (supply and equipment) or medications. Several studies have suggested that the PHC level should establish and implement emergency services in order to reduce the burden on hospital emergency departments. Even though research regarding emergency capacity analysis has been done at hospital level, data are lacking at the health center level. Therefore, it’s important to assess these facilities. Objective- The main aim is to assess the availability of emergency equipment and drugs and barriers to availability in health centers in Addis Ababa, Ethiopia. Methods- An explanatory sequential mixed method design study was conducted. A total of 6 health centers were included in the quantitative study where convenience sampling was used to select 3 from the 11 sub cities in Addis Ababa followed by simple random sampling to choose 2 health centers from each sub city. Data was inserted and analyzed by using SPSS version 27. Non-probability purposive sampling was used to choose samples for the qualitative data. Thematic content analysis was done to develop items that emerged from transcribed qualitative information. Results- This study involved 6 health centers in Addis Ababa, Ethiopia. The survey revealed that there is a significant gap in terms of readiness of these facilities in handling emergency cases especially in terms of availability of emergency equipment and drugs. Equipments for infection prevention and control were available in all health centers. The interviews identified the barriers for availability of essential emergency equipment and drugs as: management, logistics and health system, human resource and patient related factors. The frequently raised management related issues include: Lack of priority and focus on ED, absence of electronic system and poor forecasting of equipment and drug needs. Logistic and health system related barriers include Budget constraints, long Procurement time issue, limited local market availability, guidelines and policies not aligned with health center needs. The absence of emergency-focused training and the 1 scarcity of qualified emergency health care providers were raised as human resource-related barriers. Patient related issues were secondary to patients’ financial constraint. Conclusion and recommendation- The study identifies emergency equipment and drugs at health centers were not maintained as per protocol of the health centers’ emergency service leveling guideline. Lack of attention from health center leadership, budget constraints and long procurement process were identified as significant challenges. Based on this finding, there is an urgent need to increase attention to these facilities and provide a designated crash cart with the required emergency drugs and equipments | |
| dc.identifier.uri | https://etd.aau.edu.et/handle/123456789/6655 | |
| dc.language.iso | en_US | |
| dc.publisher | Addis Ababa University | |
| dc.subject | Drugs and Essential Resuscitation Equipment | |
| dc.title | Availability of Emergency Drugs and Essential Resuscitation Equipment and Barriers to Availability at the Emergency Room of Health centers in Addis Ababa, Ethiopia- Explanatory Sequential mixed method design | |
| dc.type | Thesis |