Desale Adino, Taye Bineyam, Belay Getachew, Nigatu Alemayehu
Ethiopian Health and Nutrition Research Institute, Ethopia.
Pan Afr Med J. 2013 Jun 8;15:46. doi: 10.11604/pamj.2013.15.46.1969. eCollection 2013.
Logistics management information system for health commodities remained poorly implemented in most of developing countries. To assess the status of laboratory logistics management information system for HIV/AIDS and tuberculosis laboratory commodities in public health facilities in Addis Ababa.
A cross-sectional descriptive study was conducted from September 2010-January 2011 at selected public health facilities. A stratified random sampling method was used to include a total of 43 facilities which, were investigated through quantitative methods using structured questionnaires interviews. Focus group discussion with the designated supply chain managers and key informant interviews were conducted for the qualitative method.
There exists a well-designed logistics system for laboratory commodities with trained pharmacy personnel, distributed standard LMIS formats and established inventory control procedures. However, majority of laboratory professionals were not trained in LMIS. Majority of the facilities (60.5%) were stocked out for at least one ART monitoring and TB laboratory reagents and the highest stock out rate was for chemistry reagents. Expired ART monitoring laboratory commodities were found in 25 (73.5%) of facilities. Fifty percent (50%) of the assessed hospitals and 54% of health centers were currently using stock/bin cards for all HIV/AIDS and TB laboratory commodities in main pharmacy store, among these only 25% and 20.8% of them were updated with accurate information matching with the physical count done at the time of visit for hospitals and health centers respectively.
Even though there exists a well designed laboratory LMIS, keeping quality stock/bin cards and LMIS reports were very low. Key ART monitoring laboratory commodities were stock out at many facilities at the day of visit and during the past six months. Based on findings, training of laboratory personnel's managing laboratory commodities and keeping accurate inventory control procedures were recommended.
卫生用品物流管理信息系统在大多数发展中国家的实施情况仍然很差。为评估亚的斯亚贝巴公共卫生设施中艾滋病毒/艾滋病和结核病实验室用品的实验室物流管理信息系统的状况。
2010年9月至2011年1月在选定的公共卫生设施进行了一项横断面描述性研究。采用分层随机抽样方法，共纳入43个设施，通过使用结构化问卷访谈的定量方法进行调查。对指定的供应链经理进行焦点小组讨论，并对关键信息提供者进行访谈，采用定性方法。
存在一个设计良好的实验室用品物流系统，有经过培训的药剂人员、分发标准的物流管理信息系统格式并建立了库存控制程序。然而，大多数实验室专业人员没有接受过物流管理信息系统方面的培训。大多数设施（60.5%）至少有一次抗逆转录病毒治疗监测和结核病实验室试剂缺货，缺货率最高的是化学试剂。在25个（73.5%）设施中发现了过期的抗逆转录病毒治疗监测实验室用品。在评估的医院中，50%以及在卫生中心中54%目前在主要药房为所有艾滋病毒/艾滋病和结核病实验室用品使用库存/货位卡，其中分别只有25%和20.8%的库存/货位卡根据医院和卫生中心在访问时进行的实际盘点更新了准确信息。
尽管存在设计良好的实验室物流管理信息系统，但保持高质量的库存/货位卡和物流管理信息系统报告的比例非常低。在访问当天以及过去六个月期间，许多设施的关键抗逆转录病毒治疗监测实验室用品缺货。根据研究结果，建议对管理实验室用品的实验室人员进行培训，并保持准确的库存控制程序。
