Assessment of Integrated Pharmaceutical Logistics System for Human Immunodeficiency V irus/Acquired I mmunodeficiency S yndrome ( HIV/ A IDS) and Tuberculosis (TB) Laboratory Diagnostic Commodities management in Public Health Facilities, Addis Ababa, Ethiopia
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Date
2014-06
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Addis Ababa University
Abstract
Background: - Managing HI V/ADIS & TB l aboratory c ommodities t hrough IPLS i s c rucial, t o
enhance s mooth c ommodities f low a nd pr event f requent s tock out of c ritical i tems w hich m ight
hindering continuous and quality testing.
Objective: - To assess implementation status of Integrated Pharmaceutical
Logistics System (IPLS) for
Conclusion:- Majority o f th e f acilities r eported th e a vailability and u tilization o f
IPLS
implementation t ools for m anaging HIV/AIDS and TB l aboratory commodities, t hough 24( 96%) of
facilities experienced stocked out for HIV/AIDs and TB laboratory commodities in the last six months,
which provide in part an indication of failure to implement IPLS in full scales.
Key words: - IPLS implementation, stock out, management support
managing HIV/ AIDS & TB laboratory diagnostics commodities
Methods: - A cross-sectional descriptive study was conducted on 33 public health facilities in Addis
Ababa. Information on characteristics of the selected facilities and indicators of IPLS implementation
(measured u sing a vailabilities a nd u tilization o f IPLS to ols) w ere co llected u sing s tructured
questionnaires c ustomized f orm Logistics Indicator A ssessment T ool ( LIAT). In a ddition, i n-depth
interviews w ith k ey in formant w ere d one to e xtract in formation w hich was d ifficult to o btain u sing
quantitative m ethod. D ata obt ained t hrough s tructured q uestionnaires were en tered t o Excel s pread
sheet an d t ransported a nd an alyzed u sing t he Statistical P ackage f or t he S ocial S ciences v ersion 2 0
(SPSS). Results from the in-depth interview were summarized in narrative format.
Result:-A t otal of 33 p ublic he alth f acilities w ere i nvolved i n t his s urvey. Of t hese 6( 18.1%) were
hospitals a nd 17( 51.5%) he alth center. A vailabilities of
IPLS recording and r eporting f ormats
(bincards, and IFRR and RRF) were reported in 92.6% of facilities. Of these 16(61.5%) of the facilities
updated bi ncard, 22( 84.6%) c ompleted IFRR a nd 24( 92.6%) r eported RRF f or H IV/AIDS and T B
laboratory commodities. Majority of the facilities (88.5%) facilities reported RRF report was submitted
to PFSA every two month. 24(96%) of facilities were reported one or more reagents stocked out during
the last six months. Of these (33.3%) of Clinical chemistry reagents were the most frequent stocked out
reagents. 10(41.6%), 12(54.5%) and 11(46.7%) of facilities were stock out on day of visits for SGPT,
BD va cationer E DTA t est t ube a nd 1% C arbol F uchsin r espectively w hile 7( 43.8%), 9( 64.7%) a nd
9(69.8%) of facilities were stock out for SGOT, SGPT and 3% Acid alcohol during the last six months
respectively. Furthermore, management supports on IPLS implementation were significantly associated
with acceptable data quality (X2= 22.2, p< 0.00) and utilization of IFRR (X2 = 5.71, p<0.042).
Description
Keywords
IPLS implementation; Stock out; Management support