Capstone Project on Reducing High Stock out of Medication in Kuyu General Hospital ,Kuyu Woreda,Oromia Region, Ethiopia.
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Date
2020-03
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Addis Abeba University
Abstract
Background: Shortages and stock outs of essential medicines have been increasing and become a global problem. High stock out of medication in public hospital specially has high impacts on delivering health care services and reduces the community satisfaction on health services given by the public facilities. Drug stock outs cause unplanned treatmentinterruptions.
Further, repeated drug stock outs interrupt treatment which causes treatment
discontinuity, and if not controlled could lead to drug resistance and/or treatment failure.
Objective: To improve availability of essential medication in Kuyu General Hospital from 64% to 85% by the end of June 2020.
Methods: Pre-post intervention study was used to identify the percentage of essential medication available in Kuyu general hospital and factors contributing to stock out of medication in the hospital.
During pre-intervention the percentage of medication stock out in the last three months was assessed from the documents and intervention strategies were developed to improve the stock out of medication in the hospital. Strengthen DTC committee by onsite training, preparing bin card for medication and ABC-VEN reconciliation for pharmaceutical in the hospital are strategic intervention that was implemented. Pre intervention assessment was done from Dec 25 2019 to February 15 2020 and post intervention assessment was done from March 2020 to June 2020.Data were analysed using frequencies and percentages were estimated and the results were presented using tables and figures.
Result: Availability of medication in Kuyu General Hospital increased from 64% during pre-intervention to 80% after intervention. Bin cards were prepared for 83.33% of item and updated for 67% of item during pre-intervention and prepared for all item assessed and update for 93.33% of item after intervention. From ABC-VEN matrix analysis done 10.91% of items consumes 65.10% of hospital budget. Vital items took 46.20% of items procured.
Conclusion: Strengthening DTC committee activity by providing training and using stock management tools such as bin cards properly can reduce medication stock out in the hospital.
Recommendation: DTC committee, Hospital management and pharmacy staff should work closely to continuously improve availability of medication in the hospital.
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Keywords
Stock out, Medication, Kuyu General Hospital, Bin card