Assessment of Supply Chain Management of HIV/AIDS Related Commodities in Selected Public Hospitals and Health Centers in Addis Ababa, Ethiopia

Berhanemeskel, Eyerusalem (2014) Assessment of Supply Chain Management of HIV/AIDS Related Commodities in Selected Public Hospitals and Health Centers in Addis Ababa, Ethiopia. Masters thesis, Addis Ababa University.

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A wide range of medicines and other pharmaceutical products are needed for diagnosis, treatment, care, and prevention of HIV/AIDS. However, interrupted supplies and stock outs are the major challenges in the supply chain of ARV drugs. Therefor the aim of this study was to assess the supply chain management of HIV/AIDS related commodities at hospital and HCs level in Addis Ababa, Ethiopia. A descriptive cross sectional survey complemented by qualitative approach was conducted in 24 government owned health facilities (4 hospitals and 20 health centers) that provide ART, VCT and PMTCT service in Addis Ababa. The sample of health facilities were calculated by using the Logistic Indicators Assessment Tool (LIAT) for ARV drugs and Test kits developed by USAID/DELIVER. The data was collected r using semistructured questionnaires and observation check lists. The study revealed that 16(80%) of Health Center and 1(25%) of hospital pharmacies properly report and have the record of patients by regimen data. Almost all facilities had Electronic Dispensing Tool and used it for recording patient information on daily bases. Only, 14(70%) of the Health Centers used paper based ARV drugs dispensing register as a backup. Six months prior to the study, 14(70%) of Health Centers and 2(50%) of the hospitals stopped VCT service due to lack of adequate supply. The majority of the hospitals 3(75%) and 18(94.7%) of Health Centers were able to submit the requisition and report of ARV drugs to Pharmaceutical Fund and Supply Agency according to the schedule. More than three- fourth of the Health Centers had one or more emergency order of ARV drugs, while all of hospitals had emergency order more than 3 times within 6 months prior to the study. All of the hospitals and nearly half of the Health Centers had an emergency order of test kits more than 3 times in the past 6 months. The mean percentage difference between quantity ordered and received was high for 3TC300/TDF300 (69.6% in hospitals and 51.7% in HCs). Over all 14(73.7 %) of the Health Centers and 3(75%) of the hospitals faced stock out of one or more ARV drugs on the day of visit. Stock out was high for nvp200 in hospital 2(50%) and it was high for tdf300/3tc300 in HCs 7(36.8%). Regarding the stock status of test kits on the day of visit; only 7(36.8%) of the HCs were fully stocked, while the rest of them were stock out of one or more selected test kits. Whereas, all of the hospitals were stock out one or more test kits on the day of visit. Unlike ARV drugs, only 10(52.6%) of HCs and 2(50%) of hospitals had bin card for the selected test kits on the day of visit. All of the health facilities used both computerized ii and paper based LMIS; they used computerized electronic dispensing tool at dispensary and Health Commodities Management Information System in the store. The study concludes that there was not adequate data on patient by regimen and stock status of ARV drugs and Test kits. There were frequent stock outs of ARV drugs and HIV test kits, which are an indicator of weak supply chain. The reporting and receiving system of ARV drugs were more organized compared to HIV test kits. It was also noted that in majority of the cases the professionals were unable to handle the computerized LMIS, as desired. It was recommended for the hospitals and health center handling HIV/AIDS related commodities to have adequate and reliable patient information and drug utilization data on hand and improve their storage conditions and prevent expiry and wastage of expensive ARV drugs and HIV test kits.

Item Type: Thesis (Masters)
Uncontrolled Keywords: HIV/AIDS, ARV drugs, HIV test kits, supply chain Management, pharmaceutical storage
Subjects: Q Science > Q Science (General)
R Medicine > R Medicine (General)
R Medicine > RS Pharmacy and materia medica
Divisions: Africana
Depositing User: Vincent Mpoza
Date Deposited: 30 Oct 2018 13:14
Last Modified: 30 Oct 2018 13:14

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