Bekele Azmeraw, Gemechu Feneti, Ayalew Mihret
Social and Administrative Pharmacy Unit, Institute of Health, Jimma University, Jimma, Ethiopia.
School of Pharmacy, Jimma University, Jimma, Ethiopia.
Integr Pharm Res Pract. 2022 Mar 25;11:85-94. doi: 10.2147/IPRP.S356134. eCollection 2022.
Many people with undiagnosed HIV live in sub-Saharan Africa and vulnerable laboratory systems undermine testing services.
A facility-based mixed-approach cross-sectional study was conducted from January 1 to February 1, 2020. A total of 23 health facilities were included in the study which stratified into hospitals and health centers. Six months of bin card records and request and resupply forms (RRFs) were reviewed. Data were collected through physical inventory, observation, and document review. After the data was imported into the MS Excel 2016 spreadsheet, it was analyzed using SPSS | Version 20 | Software. In addition, 12 semi-structured in-depth interviews were conducted and responses were analysed using a thematic approach.
The entire health facility had RRF reports and bin card records while the availability of HIV rapid test kits was 75%. More than half, 38 (55.1%) of the bin card records were updated and the average data accuracy of bin cards was 84.1%. The data quality of the RRF reports was determined accurate 18 (78.3%), complete 15 (65.22%), and on-time 7 (30.3%). Sixteen (69.6%) health facilities experienced at least one stock out with an average daily stock out of 4%. The wastage rate was 0.0083%. Only 9 (39.1%) health facilities have fulfilled acceptable storage conditions.
Most of the health facilities did no longer fulfilled acceptable storage conditions. Similarly, the data quality of most bin card records and RRF reports was poor. This deprived inventory management practice was likely related to supply, staff, and documentation challenges.
许多未被诊断出感染艾滋病毒的人生活在撒哈拉以南非洲，脆弱的实验室系统削弱了检测服务。
于2020年1月1日至2月1日进行了一项基于设施的混合方法横断面研究。该研究共纳入23个卫生设施，分为医院和卫生中心两类。审查了六个月的库存卡记录以及申请和再供应表格（RRF）。通过实物盘点、观察和文件审查收集数据。数据导入MS Excel 2016电子表格后，使用SPSS | 版本20 | 软件进行分析。此外，还进行了12次半结构化深度访谈，并采用主题分析法对访谈结果进行分析。
所有卫生设施都有RRF报告和库存卡记录，艾滋病毒快速检测试剂盒的可获得率为75%。超过一半（38份，占55.1%）的库存卡记录得到更新，库存卡的平均数据准确率为84.1%。RRF报告的数据质量经判定准确的有18份（占78.3%）、完整的有15份（占65.22%）、按时的有7份（占30.3%）。16个（占69.6%）卫生设施经历过至少一次缺货，平均每日缺货率为4%。损耗率为0.0083%。只有9个（占39.1%）卫生设施满足可接受的储存条件。
大多数卫生设施不再满足可接受的储存条件。同样，大多数库存卡记录和RRF报告的数据质量较差。这种不良的库存管理做法可能与供应、人员和文件方面的挑战有关。
