Ensermu, Matiwos (PhD)Mohammed, Jemal2019-11-082023-11-042019-11-082023-11-042019-05http://etd.aau.edu.et/handle/123456789/20051Access and availability of essential pharmaceutical services play significant role in ensuring better health for the population. Implementation of integrated pharmaceutical logistics systems (IPLS) requires use of LMIS forms and records. The study aims at assessing challenges in IPLS implementation at ALERT hospital. The study used eight research questions that are answered as a result the study. In this study descriptive type of research was used with mixed method approaches where qualitative and quantitative data were collected in relation with challenges of implementing IPLS at hospital level using structured questionnaires and different secondary records and documents. The collected data were analyzed using descriptive statistics and secondary documents and records were also reviewed and analyzed. Detailed results presented in this paper on key IPLS implementation indicators. This study assessed challenges about the availability and use of quality LMIS formats and records. The study explored barriers in human resources management including improving staff capacity, on how to complete the forms and records and use technology. This study assessed the challenges related with infrastructure, finance, and application of regulatory policies and procedures in IPLS implementation. The study looked in to challenges associated with stock availability and storage conditions of pharmaceutical commodities and supplies at ALERT hospital. Human resources found to be one of the critical challenge in the IPLS implementation that include shortage of staff, lack of training on pharmaceutical logistics, and there is no mechanism in place to address attrition and enhance motivation. More efforts and resources should be geared towards addressing financial, infrastructural and technology related challenges that affect IPLS implementation. ALERT hospital still using paper based LMIS and pharmaceutical logistics efforts are not yet linked with health information management system that captures and reports services data. More attention should be given to improve LIMS data use and its quality. It was also found that the management of the hospital should address infrastructural issues around the store rooms including renovations and expansionen-USpharmaceutical logisticsimplementation, challenges,technology, infrastructureThesis