Assessment of Supply chains of Pharmaceutical and Medical Commodities for anti TB and HIV/AIDS: in the Case of Public and Private Hospitals in Addis Ababa
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Date
2018-06-07
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Addis Ababa University
Abstract
Managing Anti-Retroviral & Anti-Tuberclosis pharmaceuticals and related commodities properly is crucial, to enhance smooth commodities flow and prevent frequent stock out of critical items which might hindering the program impact on the public. Anti-Retroviral &Anti-Tuberclosis drugs has been a unique challenge given that HIV treatment requires lifelong therapy and few or no substitution can be made if stock out occurs or if drug resistance happens due to treatment failure or missed opportunities for diagnosis as result of sock outs Hence, poor supply chain and logistics management of these items implies loss of significant resources. The general objective of this study is to assess the supply chain of pharmaceuticals and related commodities for HIV/AIDS and AntiāTB drugs in public and private hospitals of Addis Ababa.A facility based descriptive Survey design was used by using both quantitative and qualitative data collection techniques. A stratified random sampling method was inplace to create different strata according to their type of facility. The quantitative data was entered and analyzed by using SPSS version 20 and excel 2016. The qualitative data was analyzed thematically.Descriptive statistics was used to compute ferequencies and cross tabulation results .the finding of the study shows on average a normal order takes less than two weeks in 75% of the facilities.75 % of the assessed hospitals have placed emergency order 1 or more time and 50% of them are through RRF.Stock out rate is high for cotrimoxazole 240mg/5 ml suspension followed by Lamiuvidine +Tenofovir (300 mg+300mg) tablet. It is also observed that stock out is high for Nevirapine 10mg/5ml suspension and INH pediatric dose. Expiry is high among ARV drugs handled by the Hospital, three types namely Efavirenz 600 mg caps, Lamivudine + Tenofovir 300mg + 300mg and Nevirapine 10mg/ml oral suspn. Availability of bincards and RRF was confirmed in all hospitals but 87.5% of hospitals reported availability of IFRR. All of the facilities have engaged in inter facility overstocked item transfer, redistribution of near expiry pharmaceuticals and related health commodities. Most storage guidelines are fulfilled, among 17 storage guidelines assessed 12 guidelines are fulfilled by 75% and above of the hospitals
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Keywords
Pharmaceuticals, medical supplies, Supply chain