Gutesa Alemayehu, Jebena Tariku, Kebede Oliyad
Tikur Anbessa Specialized Hospital, College of Health Science, Addis Ababa University, Addis Ababa, Ethiopia.
School of Commerce, College of Business and Economics, Addis Ababa University, Addis Ababa, Ethiopia.
SAGE Open Med. 2024 Sep 9;12:20503121241274041. doi: 10.1177/20503121241274041. eCollection 2024.
Tracer medicines are medicines that must be available in sufficient quantities at all times to satisfy the priority health care needs of the population. Inventory mismanagement of these medicines poses significant challenges to public health systems, especially in countries like Ethiopia, where access to healthcare services is already limited.
This study aims to assess inventory management performance for tracer medicines at public health facilities of the southwest Shewa zone, Oromia region, Ethiopia.
Concurrent triangulation mixed-method study was conducted from 1 to 30 June 2022. The quantitative data were collected using interviewer-administered semistructured questionnaires and observational checklists. The qualitative data were gathered through in-depth interviews with key informants. The quantitative data were analyzed using the SPSS version 26 and Excel spreadsheet version 16. We calculated the stock-out rate, inventory accuracy rate, percentage of facilities that fulfill appropriate storage conditions, percentage of facilities that submitted reports on time, and received the exact quantity of drugs they ordered. Qualitative data were analyzed manually using the thematic content analysis technique.
The inventory accuracy rate for tracer medicines was 76% for hospitals and 72.5% for health centers. The overall mean stock-out rate was 24.99%. Bin card updating practice was 93.3%, and only 25% health facilities met the acceptable storage conditions criteria. Among submitted reports, 88.8% were timely reported, 72.2% were accurate, and 75% were complete. Inventory management challenges include a shortage of supplies from the supplier and in the market, price inflation, inadequate training, lack of supportive supervision, insufficient IT and storage infrastructures, lack of communication, and budget constraints.
From this finding, we concluded that facilities' report quality, inventory record accuracy, storage conditions, and logistics management information system needs improvements. Therefore, Ministry of Health, assessed facilities and Ethiopian pharmaceuticals Supply Services should take measures to improve them.
示踪药品是必须随时有足够数量供应以满足民众优先医疗保健需求的药品。这些药品的库存管理不善给公共卫生系统带来了重大挑战，尤其是在像埃塞俄比亚这样医疗服务获取本就有限的国家。
本研究旨在评估埃塞俄比亚奥罗米亚地区西南谢瓦区公共卫生设施中示踪药品的库存管理绩效。
于2022年6月1日至30日进行了同步三角混合方法研究。定量数据通过访员管理的半结构化问卷和观察清单收集。定性数据通过对关键信息提供者的深入访谈收集。定量数据使用SPSS 26版和Excel电子表格16版进行分析。我们计算了缺货率、库存准确率、符合适当储存条件的设施百分比、按时提交报告的设施百分比以及收到所订购药品准确数量的设施百分比。定性数据使用主题内容分析技术进行人工分析。
医院示踪药品的库存准确率为76%，卫生中心为72.5%。总体平均缺货率为24.99%。货卡更新率为93.3%，只有25%的卫生设施符合可接受的储存条件标准。在提交的报告中，88.8%及时报告，72.2%准确，75%完整。库存管理挑战包括供应商和市场供应短缺、价格上涨、培训不足、缺乏支持性监督、信息技术和储存基础设施不足、缺乏沟通以及预算限制。
根据这一研究结果，我们得出结论，设施的报告质量、库存记录准确性、储存条件和物流管理信息系统需要改进。因此，卫生部、被评估设施和埃塞俄比亚药品供应服务部门应采取措施加以改进。
