Assessment of Laboratory Logistics Management Information System Practice for HIV/AIDS and Tuberculosis (TB) Laboratory Commodities in Selected Public Health Facilities in Addis Ababa
No Thumbnail Available
Date
2011-05
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Abstract
Background: - Logistics management information system for health commodities remained
poorly implemented in most of developing countries. These days; however since poor
commodity management for HIV/AIDS and TB laboratory commodities is leading to stock
outs and overstocks of these commodities, the need of robust logistics system have gained
attention.
Objectives: - To assess the status of laboratory logistics management information system for
HIV/AIDS and tuberculosis laboratory commodities in selected public health facilities in
Addis Ababa.
Methods: - A cross-sectional descriptive study was conducted to assess the status of
laboratory LMIS used for managing HIV/AIDS and TB laboratory commodities at selected
public health facilities run by the Addis Ababa Regional Health Bureau (AARHB) and
Federal Ministry of Health (FMOH) which either distribute HIV/AIDS and TB laboratory
commodities to other facilities or provide services such as ART, VCT, PMTCT or TB
laboratory services. A stratified random sampling method was used to include a total 43
facilities which, were investigated through quantitative methods using structured
questionnaires interviews. The principal person responsible for managing laboratory
commodities was interviewed by well trained interviewers using pre-tested questionaries in
each facility. Focus group discussion with the designated supply chain managers and key
informant interviews, using questions adapted from logistics system assessment tool (LSAT),
were conducted with central level staff from PFSA, EHNRI and RHB for the qualitative
method
Results: - There exists a well-designed logistics system for laboratory commodities with
trained pharmacy personnel, distributed standard LMIS formats and established inventory
control procedures. However, majority of laboratory professionals were not trained in LMIS.
Majority of the facilities (60.5%) were stocked out for at least one ART monitoring and TB
laboratory reagents and the highest stock out rate was for chemistry reagents (direct and total
bilirubin reagents). Sixteen facilities (37.2%) had stock outs at the time of visit for at least
one ART monitoring and TB laboratory commodity. Expired ART monitoring laboratory
commodities were found in 25 (73.5%) of facilities. Fifty percent (50%) of the assessed
hospitals and 54% of health centers were currently using stock/bin cards for all HIV/AIDS
x
and TB laboratory commodities in main pharmacy store, among these only 25% and 20.8%
of them were updated with accurate information matching with the physical count done at the
time of visit for hospitals and health centers respectively. In hospitals laboratory mini-stores
37.5% of them uses stock/bin cards for HIV/AIDS and TB laboratory commodities and 25%
of health centers laboratories starts to use bin cards that were not updated.
Conclusion: - Even though there exists a well designed laboratory LMIS, keeping quality
stock/bin cards and LMIS reports were very low. Key ART monitoring laboratory
commodities were stock out at many facilities at the day of visit and during the past six
months. Based on findings, training of laboratory personnels managing laboratory
commodities and keeping accurate inventory control procedures were recommended.
Key words: Logistics management information system, stock outs, laboratory commodities
Description
Keywords
Assessment of Laboratory Logistics Management Information System