Supply Chain Factors Contributing to Medicines Wastage: In Case of Five Federal Hospitals in Addis Ababa
No Thumbnail Available
Date
2021-06
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Ababa University
Abstract
Background: One of the problem pharmaceutical supply chain faces isMedicine wastage. It is a global problem affecting both developed and developing countries although the nature of the problem differs. Medicine wastage cause logistics operation cost, environmental impact, service interruption, adverse drug reaction and patient death. Objective: The major objective of this study is to identify supply chain factors contributing to medicine wastage in five federal hospitals of Addis Ababa. Methodology: The study conducted at five federal hospitals of Addis Ababa, namely ALERT center, Amanuel mental specialized hospital, Black Lion, St.Paul hospitals and ,St.Peter TB specialized. Data was collected through administering structured questionnaire containing closed ended questions, which are scored on the 5 point-likert scale. The factors were categorized under thematic areas then qualitative analysis done to the collected data using Spss version 20.The study participants were 70 pharmacists, 5 druggist and 5 DTC members working in the sampled hospitals. Result: The relationship proposed in the hypothesis was tested using Pearson correlation and linear regression was used to test the influence of supply chain factors constructs on medicine wastage. The analysis show that Supply chain factors has positive and strong relationship with medicine wastage with pearson coefficient of 0.445 (r=0.445) and significant at p-value of <0.001.This study reveal supply chain factors have weak influence on medicine wastage with adjusted R2 value of 0.237 this is due to that narrow dimensionality of supply chain factors used. Guideline policy change, and hospital practice are statistically significant factor identified for contributing to medicine wastage. Conclusion: To avoid patient service interruption, shortage and unavailability of essential medicines, expensive medicine expiry and high health care cost knowing and following standard practice is crucial. In addition the hospitals should strengthen medicine supply chain management, information management, strengthening the DTC, and developing donation guidelines to minimize the wastage of medicines.
Description
Keywords
Drug and Therapeutic Committee (DTC), Essential Medicine, Federal hospitals, Medicine wastage, Supply chain management