Factors Affecting Pharmaceutical Procurement Practices and Availability of Life Saving Pharmaceuticals in the Case of Public Hospitals of Ethiopia
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Date
2018-10-08
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Addis Ababa University
Abstract
Inefficient pharmaceutical procurement practices contribute for non-availability of pharmaceuticals in public hospitals of Ethiopia. The purpose of the study was to determine factors affecting public pharmaceutical procurement practice and availability of life saving pharmaceuticals in the case of public hospitals of Ethiopia. A Quantitative research using deductive approach that employed a descriptive correlational research design was conducted in August,2018. Stratified random sampling technique was applied to select a sample size of 95 hospital from the total population size of 258 public hospitals. Structured self-administered questioners were used to collect data from pharmacy professionals who were involved in the procurement of pharmaceuticals in the hospitals. Descriptive and inferential statistics were used to study factors affecting the public pharmaceutical procurement practice while simple linear regression model was used to determine the influence of public pharmaceutical procurement practice on availability of pharmaceuticals. The multiple regression analysis revealed that there is a positive association and a significant effect of procurement institutional organization, procurement staff competency and procurement internal controls on pharmaceutical procurement practice. The analysis also concludes public procurement regulations and nature of pharmaceuticals are found to have insignificant influence on public procurement practice. The simple linear regression model concludes that pharmaceutical procurement practice has a significant effect and a positive linear relationship with availability of pharmaceuticals in public hospitals of Ethiopia. In this study, the average availability of a basket of 20 tracer pharmaceuticals is found to be 90 percent and 76.16 percent on the day of data collection and within six months prior to the study time. The study recommends improving the availability of pharmaceuticals through strengthening the public pharmaceutical procurement practice with respect to organizational structure, capacity of procurement staff competency, internal control, revising the public procurement regulation, capacitating the public and private pharmaceutical suppliers
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Keywords
Pharmaceutical procurement practice, availability of pharmaceuticals, procurement