Mekonen Zelalem Tilahun, Cho Denny J, Fenta Teferi Gedif
Department of Social and Administrative Pharmacy, School of Pharmacy, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Logistics Department, Kyrgyz State Technical University, Bishkek, Kyrgyzstan.
Front Public Health. 2025 Mar 24;13:1545429. doi: 10.3389/fpubh.2025.1545429. eCollection 2025.
Ensuring equitable access to essential medicines is a major global health challenge, particularly in low- and middle-income countries. Effective supply chain management and Logistics Management Information Systems (LMIS) are crucial for addressing these challenges. Despite substantial efforts, significant LMIS implementation issues continue, especially in Ethiopia.
The study aimed to evaluate the performance of health commodities logistics management information systems at public health facilities in the Amhara Region, Ethiopia.
The study conducted in public health facilities of the Amhara region in Ethiopia used a quantitative methods approach. The region is supplied by four Ethiopian Pharmaceutical Supply Service hubs. A total of 102 facilities, selected through stratified random sampling, were included in the study. Data were collected through record review and and observation using data abstraction checklists to evaluate the LMIS forms availability, utilization, supply, and report timeliness.
Infrastructure challenges were noted, including inconsistent power supply and limited internet access, with only 42.2% having internet connectivity. LMIS performance varied, with high availability and utilization of forms like the IFRR and RRF but lower rates for some forms and digital systems. Reporting and feedback mechanisms were generally adequate, though only 37.3% of facilities received periodic written feedback from higher levels of the healthcare system.
The evaluation of the LMIS in Amhara Region's public health facilities shows notable achievements in the widespread use of LMIS forms and reporting systems. However, ongoing challenges such as unreliable infrastructure, poor internet connectivity, and insufficient human resources impede effective LMIS performance. Addressing these issues, digitalization of the LMIS, strengthening feedback mechanisms, and supervisory support will enhance LMIS performance and improve health outcomes.
确保基本药物的公平可及性是一项重大的全球卫生挑战，在低收入和中等收入国家尤为如此。有效的供应链管理和物流管理信息系统（LMIS）对于应对这些挑战至关重要。尽管付出了巨大努力，但LMIS实施方面的重大问题仍然存在，尤其是在埃塞俄比亚。
本研究旨在评估埃塞俄比亚阿姆哈拉地区公共卫生设施中卫生用品物流管理信息系统的绩效。
在埃塞俄比亚阿姆哈拉地区的公共卫生设施中进行的这项研究采用了定量方法。该地区由四个埃塞俄比亚药品供应服务中心提供物资。通过分层随机抽样选取了总共102个设施纳入研究。通过记录审查和使用数据提取清单进行观察来收集数据，以评估LMIS表格的可用性、利用率、供应情况和报告及时性。
注意到存在基础设施方面的挑战，包括电力供应不稳定和互联网接入有限，只有42.2%的设施具备互联网连接。LMIS的绩效各不相同，IFRR和RRF等表格的可用性和利用率较高，但某些表格和数字系统的使用率较低。报告和反馈机制总体上是充分的，不过只有37.3%的设施收到了医疗系统上级定期的书面反馈。
对阿姆哈拉地区公共卫生设施中LMIS的评估显示，在LMIS表格和报告系统的广泛使用方面取得了显著成就。然而，诸如基础设施不可靠、互联网连接不佳和人力资源不足等持续存在的挑战阻碍了LMIS的有效运行。解决这些问题、实现LMIS数字化、加强反馈机制以及提供监督支持将提高LMIS的绩效并改善卫生成果。
