Mbonyinshuti F, Takarinda K C, Ade S, Manzi M, Iradukunda P G, Kabatende J, Habiyaremye T, Kayumba P C
Human Resource for Health Secretariat, Ministry of Health, Kigali, Rwanda.
College of Business and Economics, African Centre of Excellence in Data Science, University of Rwanda, Kigali, Rwanda.
Public Health Action. 2021 Mar 21;11(1):5-11. doi: 10.5588/pha.20.0033.
Hypertension, diabetes mellitus and asthma are on the rise in developing countries, including Rwanda; there is thus a need to ensure uninterrupted drug availability.
To assess 1) the frequency and duration of drug stock-outs; 2) lead time duration 3) monthly stock levels; and 4) drug quantities requested vs. quantity delivered for captopril, metformin and inhaled salbutamol between January and December 2018 Kirehe District, Rwanda.
This was a cross-sectional study using secondary programme data.
The median annual stock-outs for captopril, metformin and inhaled salbutamol were respectively 4 (IQR 3-4), 3 (IQR 2-3) and 4 (IQR 4-5) at rural health facilities (RHCs); no stock-outs occurred at the district hospital. For all three drugs, the median lead time was 7.5 days (IQR 5.5-11.5) at the hospital vs. 5 days (IQR 3-6) in RHCs. Stock status for captopril was below the 4-week minimum stock level for 2/12 months at the hospital vs. 7/12 months at the RHCs, while metformin and inhaled salbutamol were below the 4-week minimum stock levels for respectively 1/12 and 4/12 months at both hospital and RHCs. Total drug quantities delivered were less than the combined total quantities requested in respectively 8/12, 5/12 and 8/12 months for captopril, metformin and inhaled salbutamol.
There is a need to regularly and effectively monitor drug stock levels and ensure timely and sufficient stock replenishment to avert stock-outs.
包括卢旺达在内的发展中国家，高血压、糖尿病和哮喘的发病率正在上升；因此，有必要确保药品的持续供应。
评估1）药品缺货的频率和持续时间；2）前置期；3）每月库存水平；4）2018年1月至12月卢旺达基雷赫区卡托普利、二甲双胍和吸入用沙丁胺醇的申请数量与交付数量。
这是一项使用二级项目数据的横断面研究。
农村卫生设施（RHCs）中，卡托普利、二甲双胍和吸入用沙丁胺醇的年缺货中位数分别为4次（四分位间距3 - 4）、3次（四分位间距2 - 3）和4次（四分位间距4 - 5）；地区医院未出现缺货情况。对于这三种药物，医院的前置期中位数为7.5天（四分位间距5.5 - 11.5），而农村卫生设施为5天（四分位间距3 - 6）。卡托普利的库存状况在医院有2/12个月低于4周最低库存水平，在农村卫生设施有7/12个月低于该水平；而二甲双胍和吸入用沙丁胺醇在医院和农村卫生设施分别有1/12和4/12个月低于4周最低库存水平。卡托普利、二甲双胍和吸入用沙丁胺醇的交付药品总量分别在8/12、5/12和8/12个月少于申请总量。
有必要定期有效地监测药品库存水平，并确保及时充足的库存补充以避免缺货。
