Tilahun, Alemwork (2014) Assessment of Integrated Pharmaceutical Logistics System for Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome (HIV/ AIDS) and Tuberculosis (TB) Laboratory Diagnostic Commodities Management in Public Health Facilities, Addis Ababa, Ethiopia. Masters thesis, Addis Ababa University.
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Abstract
Background: - Managing HIV/ADIS & TB laboratory commodities through IPLS is crucial, to enhance smooth commodities flow and prevent frequent stock out of critical items which might hindering continuous and quality testing. Objective: - To assess implementation status of Integrated Pharmaceutical Logistics System (IPLS) for managing HIV/ AIDS & TB laboratory diagnostics commodities Methods: - A cross-sectional descriptive study was conducted on 33 public health facilities in Addis Ababa. Information on characteristics of the selected facilities and indicators of IPLS implementation (measured using availabilities and utilization of IPLS tools) were collected using structured questionnaires customized form Logistics Indicator Assessment Tool (LIAT). In addition, in-depth interviews with key informant were done to extract information which was difficult to obtain using quantitative method. Data obtained through structured questionnaires were entered to Excel spread sheet and transported and analyzed using the Statistical Package for the Social Sciences version 20 (SPSS). Results from the in-depth interview were summarized in narrative format. Result:-A total of 33 public health facilities were involved in this survey. Of these 6(18.1%) were hospitals and 17(51.5%) health center. Availabilities of IPLS recording and reporting formats (bincards, and IFRR and RRF) were reported in 92.6% of facilities. Of these 16(61.5%) of the facilities updated bincard, 22(84.6%) completed IFRR and 24(92.6%) reported RRF for HIV/AIDS and TB laboratory commodities. Majority of the facilities (88.5%) facilities reported RRF report was submitted to PFSA every two month. 24(96%) of facilities were reported one or more reagents stocked out during the last six months. Of these (33.3%) of Clinical chemistry reagents were the most frequent stocked out reagents. 10(41.6%), 12(54.5%) and 11(46.7%) of facilities were stock out on day of visits for SGPT, BD vacationer EDTA test tube and 1% Carbol Fuchsin respectively while 7(43.8%), 9(64.7%) and 9(69.8%) of facilities were stock out for SGOT, SGPT and 3% Acid alcohol during the last six months respectively. Furthermore, management supports on IPLS implementation were significantly associated with acceptable data quality (X2= 22.2, p< 0.00) and utilization of IFRR (X2 = 5.71, p<0.042). Conclusion:- Majority of the facilities reported the availability and utilization of IPLS implementation tools for managing HIV/AIDS and TB laboratory commodities, though 24(96%) of facilities experienced stocked out for HIV/AIDs and TB laboratory commodities in the last six months, which provide in part an indication of failure to implement IPLS in full scales.
| Item Type: | Thesis (Masters) |
|---|---|
| Uncontrolled Keywords: | IPLS implementation, stock out, management support |
| Subjects: | Q Science > Q Science (General) |
| Divisions: | Africana |
| Depositing User: | Vincent Mpoza |
| Date Deposited: | 28 Jun 2018 10:01 |
| Last Modified: | 28 Jun 2018 10:01 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/6138 |
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