Community Medicine, Darbhanga Medical College, Bihar.
Indian J Public Health. 2009 Jul-Sep;53(3):147-50.
To understand the logistics and supply management system of drugs at different levels within the district health care delivery system of Dharbanga in Bihar.
This was a cross-sectional study in 3 Primary Health Centres (PHCs), 3 Additional Primary Health Centres (APHCs) and 6 Subcentres (SCs) during September-December 2008. The study subjects were Civil Surgeon, Pharmacists, Medical Officers, ANMs. Data was collected using qualitative and quantitative techniques from different stakeholders.
The health centers were severely understaffed and drug stores are managed by unqualified/untrained pharmacists. Drug list available was not fully matching with the need/requirement of the population. The vital and essential drugs required for various health centers were of short supply or unavailable in medical stores. MOs were unaware of budget allocation/allotment for their centers. Demand estimation of the drug items were not done scientifically hence quantity of drugs supplied was not in consonance with community needs. The existing guidelines were not followed as a result drugs like Zinc, Misoprostol and Magsulf were not available at the PHCs or APHCs. The storage and transportation facilities of drugs were found to be poor. Community members were not satisfied with the availability of drugs.
The logistic and supply system of drugs in Darbhanga district is very weak, hence the needs of the catering population related to medicines was not fully met.
了解比哈尔邦达尔班加地区卫生保健提供系统内不同级别药物的后勤和供应管理系统。
这是 2008 年 9 月至 12 月期间在 3 个初级保健中心（PHC）、3 个附加初级保健中心（APHC）和 6 个基层医疗中心（SC）进行的横断面研究。研究对象为民政外科医生、药剂师、医疗官、ANM。从不同利益攸关方使用定性和定量技术收集数据。
卫生中心严重人手不足，药店由不合格/未经培训的药剂师管理。现有的药品清单不完全符合人口的需求/要求。各个医疗中心急需的基本药物供应短缺或药品供应不足。医疗官不知道其中心的预算分配/拨款。药物项目的需求估计没有进行科学的计算，因此供应的药物数量与社区的需求不一致。未遵循现有的指导方针，导致锌、米索前列醇和马格硫酸等药物在 PHC 或 APHC 无法获得。药物的储存和运输设施较差。社区成员对药物的供应不满意。
达尔班加地区的药物后勤和供应系统非常薄弱，因此无法完全满足所服务人群对药品的需求。
