Analysis of pharmaceutical supply chain performance in public health facilities in Addis Ababa, Ethiopia
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Date
2018-05-11
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Addis Ababa University
Abstract
Back ground: pharmaceutical Supply chain management is the backbone of healthcare delivery. It arises from the fact that health care is dependent on the availability of drugs and other medical supplies at the right time and in the right quantities for the management of patients. Public health facilities are facing challenges in assuring uninterrupted pharmaceuticals that are efficacious and have good quality, physically and financially accessible and used rationally. Developing a framework for assessing the performance of the supply chain requires certain assumptions, including the ones related the areas of its measurement. Several types of indicators have been developed to measure many supply chain and logistics activities.
Objective: study aimed at analysis of the performance of pharmaceutical supply chain management practices and the strength and weakness at public health facilities in Addis Ababa
Methodology: a quantitative and qualitative study approaches were employed to analyze the pharmaceutical performance of public health facility. The data was collected by using performance indicator analysis check list from 41 health facilities (2 referral hospitals, 2 regional hospitals and 37 health centers) questionnaire was used to collect data from Medical director, Store Manager and Pharmacy and key personnel from PFSA were interviewed and data collection check list was used to collect past performance of the health facilities. The health facilities were classified into their sub cities and type of facility and each facility was selected by using lottery method. Each individual to be studied were selected purposely.
Result: A total of 41 Health facilities were observed and all the observed health facilities have their own facility specific drug list, low warehouse accident rate, most of the facilities have a supply planning but 58.54% of the surveyed health facilities encountered stock out of essential medicines. 64% of the pharmaceuticals price is below the average international price. Wastage rate range from 1.04-10.21% and the average inventory turnover rate was 0.82. The pharmaceutical supply chain performance of the public health facilities with respect to quality, responsiveness, cost and roductivity were found moderate.
Conclusion: From this study we can conclude that the public health facility supply chain performance using different measuring indicators showed that the performance was moderate and poor availability of essential medicines, poor order fill rate, long lead time, high rate of expiry and low inventory turnover rate was seen.
Recommendations: Public health facilities should revise their specific drug list, improve quantification, reduce rate of expiry in addition to this PFSA should consider the cost effectiveness of the producs, improve transportation and improve lead time.
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Keywords
Public health facility, Pharmaceutical, Pharmaceutical