Gemechu Fenet, Ayalew Mihret, Tefera Bereket Bahiru, Mulugeta Temesgen, Bekele Azmeraw
Department of Pharmacy, Adama Hospital Medical College, Adama, Ethiopia.
Department of Pharmacology, Institute of Health Science, Jimma University, Jimma, Ethiopia.
HIV AIDS (Auckl). 2021 Dec 21;13:1091-1099. doi: 10.2147/HIV.S337479. eCollection 2021.
The right to safe and effective treatment is an exclusive right that depends on the robustness of the domestic health care system.
A facility-based cross-sectional study was conducted from January 01 to February 01, 2020. Ten eligible hospitals and 12 randomly selected health centers were parts of this study. A total of 66 RRFs and 308 bin cards were reviewed. Data were collected through observation, record and report review, and physical count using an observational checklist. In addition, 44 semi structured interviews were conducted. The collected data were entered to MS Excel sheet and analysed using SPSS (version 20) software. The correlation test result was determined statistically significant at p<0.05.
Twenty-two public health facilities were included in the study of which 16 (72.72%) health facilities had at least one stock out. Availability of ARVs had very strong positive correlation ship with bin card updating practice (=0.9 1, P<0.01), inventory accuracy rate (=0.912, P<0.015) and very strong negative correlation ship with wastage rate ( = -0.66, P<0.001). The wastage rate due to expiration and loss was 3.9%. The mean bin card accuracy was 90.6%. RRF reports were accurate 17 (77.3%), complete 7(32%) and reported on time 14 (63.64%). Only 8 (36.36%) health facilities met acceptable storage conditions.
The availability of bin cards and reports and resupply forms was promising, but the data quality remains low. The majority of health facilities did not meet acceptable storage conditions and had frequent stock-outs.
获得安全有效治疗的权利是一项专属权利，这取决于国内医疗保健系统的稳健程度。
于2020年1月1日至2月1日进行了一项基于机构的横断面研究。本研究纳入了10家符合条件的医院和12家随机选取的卫生中心。共审查了66份快速反应基金（RRF）和308张库存卡。通过观察、记录和报告审查以及使用观察清单进行实物盘点来收集数据。此外，还进行了44次半结构化访谈。收集到的数据录入到MS Excel工作表中，并使用SPSS（版本20）软件进行分析。相关性检验结果在p<0.05时具有统计学意义。
本研究纳入了22家公共卫生机构，其中16家（72.72%）卫生机构至少有一次缺货情况。抗逆转录病毒药物的可获得性与库存卡更新实践呈非常强的正相关（=0.91，P<0.01），与库存准确率呈非常强的正相关（=0.912，P<0.015），与损耗率呈非常强的负相关（=-0.66，P<0.001）。过期和损失导致的损耗率为3.9%。库存卡的平均准确率为90.6%。RRF报告准确的有17份（77.3%），完整的有7份（32%），按时报告的有14份（63.64%）。只有8家（36.36%）卫生机构符合可接受的储存条件。
库存卡、报告和补货单的可获得性情况良好，但数据质量仍然较低。大多数卫生机构不符合可接受的储存条件，且经常缺货。
