Refissa, Abera (2006) Assessment of the Management and Contribution of Special Pharmacies to Health Care Financing in West Shoa Zone of Oromia National Regional State. Masters thesis, Addis Ababa University.
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Abstract
Low income developing countries have started reforming their health care deliveries and health care financing systems. One of the components of health care financing reforms is cost – recovery mechanism. A Bamako Initiative Revolving Drug Fund system is a cost-recovery mechanism which has been adopted by many developing countries. Ethiopia is one of the low income Sub-Saharan African countries which have adopted BI RDF system of cost-recovery mechanism to improve its health care financing which is crucial in improving health service delivery. In West Shoa Zone five special pharmacies were established in five health facilities to generate more revenue to finance health care service deliveries. A cross-sectional health facility based assessment was conducted from January 2006 to March 2006 in West Shoa to assess the organizational management of the special pharmacy schemes, the drugs and supplies management in the special pharmacies, the financial contribution of the revenue of the special pharmacies to the other health programs in the health facilities and the perceptions of the health professional about the contribution of the special pharmacies to the health facilities. What was found out from the assessment was poor organizational management system with no comprehensive activity, planning, organizing, executing and controlling. There were poor financial managements in all facilities and there were no financial statements, proper auditing and documentations. There were also very poor drugs and supplies management system and except in one health facility (Holota health center) there were no impressive contributions in health care financing. Community participations which are very determinant factors were not there and the involvement and participation of the health professionals in the health facilities were very limited. Therefore, based on the results of the assessments it is concluded that in all facilities the management of the special pharmacies must be well structured to act according to the guideline to attain the goals of the SPs, timely supportive supervisions from concerned bodies, community participation should prevail and sound participation of the health professionals in the activities of the special pharmacies is necessary.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Divisions: | Africana |
| Depositing User: | Vincent Mpoza |
| Date Deposited: | 01 Oct 2018 11:46 |
| Last Modified: | 01 Oct 2018 11:46 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/5840 |
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