David Anna, Swalehe Omary, Habagusenga Jean D' Amour, Banzimana Stany, Asingizwe Domina, Chacky Frank, Molteni Fabrizio
EAC Regional Centre of Excellence for Vaccines, Immunization, and Health Supply Chain Management, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
National Malaria Control Programme, Ministry of Health, Dodoma, Tanzania.
J Pharm Policy Pract. 2024 Feb 7;17(1):2308611. doi: 10.1080/20523211.2024.2308611. eCollection 2024.
Access to essential malaria commodities is a cornerstone in malaria control. However optimal availability and access to essential malaria commodities remain a challenge in Tanzania. Therefore, this study aimed to explore the factors affecting the accessibility of malaria commodities in Tanzania.
This was a mixed-method cross-sectional study using both quantitative and qualitative approaches. Data were collected between February and March 2023 from health facilities, health facility staff, and patients.
Availability of malaria commodities in government health facilities was 100% for all items while in the private and faith-based facilities, this ranged from 10% to 80%. The reasons for stockouts in Government facilities were related to delayed and inadequate quantity delivery while in private facilities the main reason was the lack of cash for procurement. Both private facilities' clients and healthcare providers concurred that most people do not access complete treatment due to the high costs of prescribed medicines and poor stocking levels.
The availability, hence the accessibility, of malaria commodities in private and faith-based health facilities is still sub-optimal. Logistic management needs to be improved to eliminate stockouts and malaria commodities high costs need a permanent solution.
获取基本疟疾用品是疟疾控制的基石。然而，在坦桑尼亚，基本疟疾用品的最佳供应和获取仍然是一项挑战。因此，本研究旨在探讨影响坦桑尼亚疟疾用品可及性的因素。
这是一项采用定量和定性方法的混合方法横断面研究。2023年2月至3月期间，从医疗机构、医疗机构工作人员和患者那里收集了数据。
政府医疗机构中所有疟疾用品的供应率均为100%，而在私立和宗教医疗机构中，这一比例在10%至80%之间。政府医疗机构缺货的原因与交货延迟和数量不足有关，而在私立医疗机构中，主要原因是缺乏采购资金。私立医疗机构的客户和医疗服务提供者都认为，由于处方药成本高昂且库存水平不佳，大多数人无法获得完整的治疗。
私立和宗教医疗机构中疟疾用品的供应情况，进而其可及性，仍然不理想。需要改进物流管理以消除缺货现象，并且疟疾用品的高成本需要一个永久性的解决方案。
