Assessment of Pharmaceutical Store Management in Public Hospitals, Addis Ababa, Ethiopia
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Date
2020-09
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Addis Abeba University
Abstract
Assessment of Pharmaceutical Store Management in Public Hospitals, Addis Ababa, Ethiopia
Ayalew Tesfaye
Addis Ababa University, 2019
Background: Pharmaceutical store management plays an important role in the management
of health. Efficient practice in this area can reduce financial wastage, shortage, and
overstocking of pharmaceuticals thus, assessing pharmaceutical store management
performance is important.
Objective: The purpose of this research was to assess the existing pharmaceuticals store
management practices of public hospitals in Addis Ababa.
Method: A facility-based descriptive cross-sectional study using a sequential explanatory
mixed-method was employed in 11, public hospitals. Data was gathered using standard
observation checklists, document review, a physical count of tracer medicines, structured
questionnaires, and interviews with key informants from April 15 to June 30, 2019. The
quantitative data were entered and analyzed using Excel 2016 and SPSS version 20 and the
qualitative data were analyzed using a thematic analysis approach.
Result: The average adherence in storage conditions was 47.1%, 45.5% in security and safety
of stores, 40.3% in special storage requirements, 59.8% in storage procedures, 100% in
receiving supplies, 68.8% in stock management techniques, and 67.9% in technical stock
management preconditions. From tracer medicines, only 52.24% bin cards were accurately
filled. The average stockout rate of tracer medicines was 17%. The total wastage rate of
pharmaceuticals between July 1, 2018, to December 31, 2018, GC. was 6,644,899.24 ETB, it
was about 2.92% of the total receiving. From the in-depth interview, all key informants said
that none of them have disposed of pharmaceutical wastes in the last five years as well they
mentioned that the performance of the drug and therapeutic committee was weak and the
procurement handled by non-pharmacy professionals from private suppliers affect the
availability of medicines.
Conclusion: The adherence towards physical storage conditions and storage procedures of
the study hospitals was found to be less than 50% and the inventory management practice was
also found to be weak. There were high stockout rates of tracer medicines and the wastage rate
also beyond the acceptable amount. No disposal of pharmaceuticals in the last five years,
therefore hospitals should work with the concerned governmental bodies to improve the above
problems.
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Keywords
Pharmaceutical storage management, Drug storage, Inventory control, tracer medicines, Public hospitals, Addis Ababa.