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BMC Health Services Research

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Open Access 01-12-2019 | Research article

Availability of essential medicines and pharmaceutical inventory management practice at health centers of Adama town, Ethiopia

Authors: Adane Teshome Kefale, Hafiza Hayredin Shebo

Published in: BMC Health Services Research | Issue 1/2019

Abstract

Background

Good inventory management practices in the health facilities are one of the critical aspects that influence the availability of essential medicines (EMs). This study aimed to assess EMs availability and inventory management practices at health centers (HCs) of Adama town, Ethiopia.

Method

Institution based cross sectional survey was conducted among six HCs in Adama Town from March 19 to April 12, 2017. Self-administered questionnaire and observational checklists were used to collect quantitative information. Eleven tracer drugs (TDs) that were selected by the Federal ministry of health and included in the TD list of the HCs were used to assess the availability of EMs at the time of the survey; and during the past 12 months. The data were entered and analyzed using SPSS version 21. The accuracy of record keeping was assessed using inventory management assessment tool (IMAT) indicators.

Result

Five HCs had Essential drug list and the procurement was made as per the list. Out of six HCs, four of them procured EMs from both pharmaceutical fund and supply agency (PFSA) of Ethiopia and private suppliers. Stock status of PFSA and transportation were the major challenges during the procurement process. The overall average availability of TDs on the day of the survey was 76.3%. Average length of stock out days for TDs during the past 12 months from each HC was 40.6 days. Among the TDs assessed at HCs, oral rehydrating salt was stock outed for 144 days while paracetamol was stock outed only for 1.4 days. The discrepancy of TDs between physical count and on bincard for which physical inventory less than the balance on bincard ranges from 0 to 33.3%.

Conclusion

The availability of EMs was low and there was also poor inventory management practice in some of the HCs during the study period.

World Health organization. The world health report: reducing risks, promotin healthy life. Geneva; 2002. Available from http://www.who.int/whr/2002/en/whr02_en.pdf. Accessed 11 Aug 2017

Federal democratic republic of Ethiopia. National drug policy of the transitional government of Ethiopia. Addis Ababa; 1993. http://apps.who.int/medicinedocs/documents/s22351en/s22351en.pdf.

Food, Medicine and Health care administration and control authority of Ethiopia. National essential medicine list. 5th ed. Addis Ababa; 2014. http://apps.who.int/medicinedocs/documents/s17823en/s17823en.pdf.

Management Science for Health. MDS-3: managing access to medicines and health technologies. Arlington: MSH; 2012. Available from https://www.msh.org/sites/msh.org/files/mds3-jan2014.pdf. Accessed 11 Aug 2017

Management Science for Health. Rapid pharmaceutical management assessment: an indicator-based approach. Arlington: MSH; 1995. Available from https://www.msh.org/sites/msh.org/files/rapid-pharmaceutical-management-assessment-indicator-based-approach.pdf. Accessed 11 Aug 2017

Federal democratic republic of Ethiopia ministry of Health. Ethiopian hospital reform implementation guideline. Addis Ababa: FMOH; 2010.

Mudzteba M. Assessment of pharmaceutical logistics system in health centers of Addis Ababa, Ethiopia: Addis Ababa University; 2014. Available from http://etd.aau.edu.et/handle/123456789/1862. Accessed 11 Aug 2017

USAID/DELIVER PROJECT. The logistics handbook: a practical guide for the supply chain management of health commodities. 2011. Available from http://apps.who.int/medicinedocs/documents/s20211en/s20211en.pdf. Accessed 11 Aug 2017.

USAID| DELIVER PROJECT, Task Order 1. The Logistics Handbook: A Practical Guide for Supply Chain Managers in Family Planning and Health Programs. Arlington: USAID | DELIVER PROJECT; 2007.

10.

Shewarega A, Dowling P, Necho W, Tewfik S, Yiegezu Y. Ethiopia: national survey of the integrated pharmaceutical logistics system. Arlington: USAID/DELIVER PROJECT, Task Order 4, and Pharmaceuticals Fund and Supply Agency (PFSA); 2015.

11.

Narkotey AM. Inventory management in the Ghana health service and its role in healthcare delivery: a case study of health facilities in ho municipality, MBA thesis. Kwame Nkrumah University of Science and Technology; 2012. http://ir.knust.edu.gh/bitstream/123456789/4823/1/Annor%20Michael%20Narkotey.pdf.

12.

Aronovich GD, Kinzett S. Kenya: assessment of the health commodity supply chains and the role of KEMSA. Arlington; Va.:DELIVER/John snow, Inc., for the U.S. Agency for International development (USAID); 2001. Accessed online from https://www.who.int/hiv/amds/countries/ken_AssessHealthcommodSup.pdf.

13.

Kagashe GAB, Massawe T. Medicine stockout and inventory management problems in public hospitals in Tanzania: A case of Dar Es Salaam region hospitals. Int J Pharm. 2012;2(2):252–9.

14.

Whitney BE. Indicators of pharmaceutical supply chain assessment in low and middle-income countries: a systematic review of the literature: Emory University; 2010. https://etd.library.emory.edu/concern/etds/7d278t56f?locale=zh.

15.

Ministry of health and Social Welfare of Tanzania. In-depth assessment of the medicines supply system in Tanzania. Dar es salaam; 2008. http://apps.who.int/medicinedocs/documents/s16503e/s16503e.pdf.

16.

Tumwine Y, Kutyabami P, Odoi RA, Kalyango N. Availability and expiry of essential medicines and supplies during the “ pull ” and “ push ” drug acquisition systems in a rural Ugandan hospital. Trop J Pharm Res. 2010;9(December):557–64.

17.

Ventola CL. The drug shortage crisis in the United States causes , impact , and management strategies. P T. 2011;36(11):741–57.

18.

World Health organization. WHO policy perspectives on mediciines: equitable access to essential medicines: a framework for collective action. Geneva; 2004. Available from http://apps.who.int/medicinedocs/pdf/s4962e/s4962e.pdf. Accessed 11 Aug 2017

19.

World Health organization. How to investigate drug use in health facilities: selected drug use indicators. Geneva; 1993. Available from http://apps.who.int/medicinedocs/pdf/s2289e/s2289e.pdf. Accessed 11 Aug 2017

20.

Cameron A, Ewen M, Auton M. The world medicines situation 2011 medicines prices, availablity and affordabilty. Geneva; 2011. Available from http://www.who.int/medicines/areas/policy/world_medicines_situation/WMS_ch6_wPricing_v6.pdf. Acceesed on 11 Aug 2017

21.

Nigussie WD. Assessment of the degree of adherence to health facility indicators related to rational drug use in selected health facilities of Amhara region , Northwest Ethiopia. Int J Pharma Sci Res. 2014;5(04):171–8.

22.

Fentie M, Fenta A, Moges F, Oumer H, Belay S, Sebhat Y. Availability of essential medicines and inventory management practice in primary public health facilities of Gondar town , north West Ethiopia. J PharmaSciTech. 2015;4(2):54–6.

23.

Carasso BS, Lagarde M, Tesfaye A, Palmer N. Availability of essential medicines in Ethiopia : an efficiency-equity trade-off ? Trop Med Int Heal. 2009;14(11):1394–400.CrossRef

24.

Abiye Z, Tesfaye A, Hawaze S. Barriers to access : availability and affordability of essential drugs in a retail outlet of a public health center in south western Ethiopia. J Appl Pharm Sci. 2013;3(10):101–5.

25.

Sado E, Sufa A. Availability and affordability of essential medicines for children in the Western part of Ethiopia : implication for access. BMC Pediatr. 2016;16(40). https://doi.org/10.1186/s12887-016-0572-3.

26.

Ewen M, Kaplan W, Gedif T. Prices and availability of locally produced and imported medicines in Ethiopia report of a survey conducted in August 2013. 2016. Available from http://apps.who.int/medicinedocs/documents/s23207en/s23207en.pdf. Accessed 21 Nov 2017.

27.

Ethiopian Public health Institute. Ethiopia service availability and readiness assessment 2016 summary report. Available from https://www.ephi.gov.et/images/pictures/download2009/v6%20Final%20SARA%20Report%20Jan%202017.pdf. Accessed 21 Nov 2017.

28.

Gurmu TG, Ibrahim AJ. Inventory management performance of key essential medicines in health facilities of east Shewa zone, Oromia regional state , Ethiopia. Cukurovs Med J. 2017;42(2):277–91.CrossRef

29.

USAID/DELIVER PROJECT. Logistics indicators assessment tool (LIAT). 2008. Available from https://pdf.usaid.gov/pdf_docs/Pnade735.pdf. Accessed 11 Aug 2017.

30.

Management Science for Health. Inventory management assessment tool (IMAT). Available from https://www.msh.org/sites/msh.org/files/IMAT-Tool-English.xls. Accessed 11 Aug 2017.

31.

Uganda Mininstry of Health. Pharmaceutical situation-level-II: health facilies survey in Uganda. 2008.

32.

Uganda Ministry of health. Assessment of the essential medicines kit-based supply system in Uganda. 2011.

Title: Availability of essential medicines and pharmaceutical inventory management practice at health centers of Adama town, Ethiopia
Authors: Adane Teshome Kefale
Hafiza Hayredin Shebo
Publication date: 01-12-2019
Publisher: BioMed Central
Published in: BMC Health Services Research / Issue 1/2019
Electronic ISSN: 1472-6963
DOI: https://doi.org/10.1186/s12913-019-4087-0

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Availability of essential medicines and pharmaceutical inventory management practice at health centers of Adama town, Ethiopia

Abstract

Background

Method

Result

Conclusion

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Abstract

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