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评估乌干达瓦基索区医疗机构中艾滋病毒追踪用品供应的决定因素。

Assessing determinants of the availability of HIV tracer commodities in health facilities in Wakiso District, Uganda.

作者信息

Lule Falisy, Rajab Kalid, Banzimana Stany, Asingizwe Domina

机构信息

EAC Regional Centre of Excellence for Vaccines, Immunization and Health Supply Chain Management, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.

School of Pharmacy, College of Health Science, Makerere University, Kampala, Uganda.

出版信息

J Pharm Policy Pract. 2024 Feb 7;17(1):2306846. doi: 10.1080/20523211.2024.2306846. eCollection 2024.

Abstract

BACKGROUND

HIV/AIDS commodity stock-outs are still rampant in most African Countries causing treatment interruption, antiretroviral resistance, treatment failure, morbidity and mortality. Therefore, this study aimed at assessing the determinants of the availability of HIV Tracer Commodities in Health Facilities in Wakiso District, Uganda.

METHODS

A descriptive cross-sectional design was conducted in 42 Health Facilities [HFs] offering HIV/AIDs services in Wakiso District, Uganda. Semi-structured questionnaire adapted from the Anti-Retroviral Therapy Supervision Performance and Recognition Strategy [ART SPARS] tool Version 2.0 | 2018111 was used to collect data.

RESULTS

The majority of the HFs 28 [67%] had all the seven tracer commodities on the day of the visit. The majority of the HFs 33 [78.6%] were using Manual stock management tools that were fully updated. The availability of HIV tracer commodities was high in facilities that made timely ordering [AOR: 2.538, 95% CI: 2.126-3.304, -value = 0.003] while the use of manual LMIS alone at the facility [AOR: 0.623, 95% CI: 0.131-0.958, -value = 0.002] was associated with low availability.

CONCLUSION

This study indicated that 67% of health facilities visited had all HIV Tracer commodities on the day of the visit. ART commodity management should be computerised and orders made on time to ensure the availability of commodities.

摘要

背景

在大多数非洲国家,艾滋病毒/艾滋病药品缺货现象仍然猖獗,导致治疗中断、抗逆转录病毒耐药性、治疗失败、发病率和死亡率上升。因此,本研究旨在评估乌干达瓦基索区卫生设施中艾滋病毒追踪药品供应的决定因素。

方法

在乌干达瓦基索区提供艾滋病毒/艾滋病服务的42家卫生设施中进行了描述性横断面设计。采用从抗逆转录病毒治疗监督绩效和认可战略[ART SPARS]工具版本2.0 | 2018111改编的半结构化问卷收集数据。

结果

在访问当天,大多数卫生设施28家[67%]拥有所有七种追踪药品。大多数卫生设施33家[78.6%]使用的是完全更新的手工库存管理工具。在及时订购的设施中,艾滋病毒追踪药品的供应率较高(调整后比值比:2.538,95%置信区间:2.126 - 3.304,P值 = 0.003),而仅在设施中使用手工库存管理信息系统(调整后比值比:0.623,95%置信区间:0.131 - 0.958,P值 = 0.002)与供应率低有关。

结论

本研究表明,在访问当天,67%的受访卫生设施拥有所有艾滋病毒追踪药品。抗逆转录病毒治疗药品管理应实现计算机化,并按时订购,以确保药品供应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a62c/10851790/a44614c5ef09/JPPP_A_2306846_F0001_OC.jpg

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