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评估埃塞俄比亚西北部巴赫达尔市公共卫生机构的物流管理信息系统和非程控追踪药物的供应情况。

Evaluation of logistics management information system and availability of non-program tracer drugs in public health facilities in Bahir Dar City, Northwest Ethiopia.

机构信息

Department of Pharmacy, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.

Department of Pharmaceutical Analysis, School of Pharmacy, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

出版信息

PLoS One. 2024 Apr 18;19(4):e0302319. doi: 10.1371/journal.pone.0302319. eCollection 2024.

DOI:10.1371/journal.pone.0302319
PMID:38635541
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11025845/
Abstract

The logistics management information system (LMIS) plays a crucial role in effective record-keeping and reporting, ensuring efficient management of stock status and consumption data. A proficient LMIS improves accountability and supports informed logistic decisions in healthcare. Conversely, a subpar LMIS negatively affects essential medicine availability, compromising overall healthcare service efficiency. This study aimed to evaluate the status of the logistics management information system and the availability of non-program tracer drugs (NPTDs) in public health facilities within Bahir Dar City. This study employed an institutional-based cross-sectional study. Data were collected from February 20 to April 30, 2022 in 12 public health facilities located in Bahir Dar City. Structured questionnaire and data abstraction formats were used to gather pertinent data. After checking for completeness, the data were analyzed using Microsoft Excel and SPSS version 23. The primary analytical outcomes involved descriptive statistics, encompassing frequencies, averages, and percentages, which were subsequently presented in tables and figures. Bin card and Internal Facility Report and Resupply Form were the only blank LMIS tools available in all health facilities, while stock-record card was the least available, present in only 2(16.7%) facilities. Nine health facilities (75%) used self-prepared forms to request NPTDs from the Ethiopian Pharmaceutical Supply Agency (EPSA) at the end of the review period, whereas 7(58.3%) used official letters for emergency orders. Additionally, seven health facilities (58.3%) used the Health Commodities Management Information System On the day of the visit, 78.68% of NPTDs were available. Tetracycline eye ointment 1% had the longest stock-out duration, lasting for a mean 69.64 days. Rather than using the RRF, most of facilities opted for their own forms to request NPTDs from EPSA. While it is advisable for all health facilities to maintain continuous availability of tracer drugs, this study revealed that the current state of non-program tracer drug availability falls short of meeting this expectation.

摘要

物流管理信息系统(LMIS)在有效记录和报告方面发挥着至关重要的作用,确保对库存状态和消耗数据的高效管理。一个熟练的 LMIS 可以提高问责制,并支持医疗保健中的明智物流决策。相反,一个较差的 LMIS 会对基本药物的供应产生负面影响,从而降低整体医疗服务效率。本研究旨在评估巴希尔达尔市公立医疗机构的物流管理信息系统状况和非规划追踪药物(NPTD)的供应情况。本研究采用基于机构的横断面研究。数据于 2022 年 2 月 20 日至 4 月 30 日在巴希尔达尔市的 12 个公立医疗机构中收集。使用结构化问卷和数据提取格式收集相关数据。在检查完整性后,使用 Microsoft Excel 和 SPSS 版本 23 分析数据。主要分析结果包括描述性统计数据,包括频率、平均值和百分比,随后以表格和图表的形式呈现。在所有医疗机构中,仅有的空白 LMIS 工具是条形卡和内部设施报告和供应表,而库存记录卡是最缺乏的,仅在 2(16.7%)个设施中存在。在审查期末,有 9 个卫生设施(75%)使用自制表格向埃塞俄比亚药品供应机构(EPSA)请求 NPTD,而 7 个卫生设施(58.3%)使用正式信函进行紧急订购。此外,在审查当天,有 7 个卫生设施(58.3%)使用卫生商品管理信息系统,有 78.68%的 NPTD 可用。1%四环素眼膏的缺货时间最长,平均为 69.64 天。大多数医疗机构选择使用自己的表格而不是 RRF 向 EPSA 请求 NPTD。尽管所有卫生设施都应保持追踪药物的持续供应,但本研究表明,目前非规划追踪药物的供应情况未能满足这一期望。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48bc/11025845/d6c49b7b40cc/pone.0302319.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48bc/11025845/68d7af1907d0/pone.0302319.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48bc/11025845/d6c49b7b40cc/pone.0302319.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48bc/11025845/68d7af1907d0/pone.0302319.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48bc/11025845/d6c49b7b40cc/pone.0302319.g002.jpg

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