Factors Affecting The Hiv Rapid Test Kits Supply Chain Management Performance Of Selected Government Health Facilities In Addis Ababa Health Bureau
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Date
2020-06
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Addis Ababa University
Abstract
To end HIV/AIDS epidemics by 2030, the world is on a Fast-Track strategy. To achieve this, the
concept of three 90s (90-90-90) was developed where by 2020, 90% of people who are HIV
infected will be diagnosed, 90% of people who are diagnosed will be on Antiretroviral treatment
and 90% of those who received ART will be virally suppressed. Ethiopia has achieved exemplary
successes in terms of HIV service expansion and uptake, which impacted to 81% decline of new
HIV infection from 1995 to 2016, but only 73% of people know their HIV status. Interruption of
supplies and stock outs HIV rapid test kits decrease the HIV testing performance of health
facilities in the Addis Ababa and ultimately hinders the achievement of the first 90 target. The
aim of this study is to assess factors affecting the HIV rapid test kits Supply chain management
performance in selected public hospitals and health centers in Addis Ababa Health Bureau.
Health facility based descriptive and explanatory study design was used for quantitative and
qualitative data collection techniques to gather the required data from May 5-15, 2020.
Accordingly both parametric, specifically descriptive statistics like mean, frequency and
percentage, non-parametric tests Spearman’s Correlation test was used. And it was found that
only 50% of the health facilities testing units perform all test due to shortage of Abon (2nd test)
and SD Bioline (3rd test). And 71.4% of health facilities encountered HIV testing service
interruption at the laboratory unit in the last 6 months prior to data collection. The Non
parametric, Spearman’s Correlation shows there is a statistical significance positive correlation
between HIV rapid test kits supply chain management performance and Health Facility
Environment (N=48, sig (2-tailed) =0.002, P<0.05); Top Management Commitment (N=48, sig
(2-tailed) =0.002, P<0.05); Mutual Understand and Trust (N=48, sig (2-tailed) =0.009,
P<0.05); Information Sharing and Flow (N=48, sig (2-tailed) =0.030, P<0.05); Consumers
Demand (N=48, sig (2-tailed) =0.000, P<0.05). Increase the availability of the 2nd and 3rd test
by limiting the testing unit and or increase the supply so as to decrease HIV test interruption.
Health facilities should give due attention for factors affecting the HIV rapid test kits supply
chain performance negatively.
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Keywords
HIV, RTK, SCM Testing, SCM Performance