Background: Health facilities (HFs) need an extensive range of antiretroviral (ARV) drugs and related HIV/AIDS commodities for diagnosis, prevention, and treatment of HIV/AIDS. This study was aimed to assess supply chain management performance from the perspective of achieving 90-90-90 treatment strategy at HFs of Southern Nations, Nationalities and People's Regional State (SNNPRS), Ethiopia. Methods: Facilities based cross sectional study design in 30 HFs (9 hospitals and 21 health centers) and five pharmaceuticals fund and supply agencies (PFSAs) was conducted. The HFs were selected randomly. Semi-structured questionnaires and observation checklists with logistic indicators assessment tools (LIATs) were used to collect data for HIV/AIDS related services from November 2016 to May 2017. In addition, we used in-depth face to face interview and thematic approach. Quantitative data were entered into Epi-Data version 3.1 and transported to SPSS version 20 to analyze the result. Qualitative data were analyzed using thematic approach. Results: Only 9 (30%) HFs had received their orders from PFSA on time from date of report. Average lead time for ARV drugs was 46.4 days in hospitals and 59.2 days in health centers (HCs). Sixteen (60.7%) HFs reported their completed report and requisition format (RRF). From this, 53.3% HFs order was refilled correctly in quantity from that they need. Inventory accuracy rate was 77%. Major HFs, 20 (66.7%) faced at least one-time emergency order for ARV drugs, HIV test kits and viral load (VL) supplies. Whereas, 9 (30%) hospitals and 5 (16.67%) HCs were out of stock two and three times respectively. Sixteen (53.3%) commodities stocked out at least once in six months. Nevirapine (NVP) 10 mg/5 mL in 240 mL was the most stocked out (13 times) for an average 22 days. Uni gold was stocked out (16 times) with average of 34.5 days. Wastage rate was 2.5%. Twenty-five (83.3%) facilities had good storage conditions (>80% to the standard). Conclusion: Unsatisfactory data records, stock-outs, interrupted reports, inaccurate inventory and wastage rates were indicators for defective supply chain management of HIV/AIDS commodities. Respective organizations should improve their responsible activities to secure commodities availability.

AbstractÖz Purpose: Appropriate management of medicines at the different stages of supply chain is important. Failure to do so will result in stock-out, wastage of medicines and financial loss which in turn affects the health care services. The aim of this study was to assess the inventory management performance of key essential medicines. Material and Methods: Health facility based descriptive cross-sectional study using both quantitative and qualitative method was employed on 20 public health facilities. Data was gathered using checklists, structured and sem-structured questionnaires from March 29 to April 29, 2016. Result: The inventory management performance of key essential medicines in-terms of measuring indicators revealed that out of 400 bin-cards selected 162(40.50%) of them were not updated. Only 28.50% of bin-cards were accurately filled. The mean stock out rate of key essential medicines was around 27.25% with average stock out duration of 35.31 days. On average around 10.43% of medicines were wasted resulting in loss of 174,366.98 Ethiopian birr (ETB) of which the value of medroxy progestrone accounted around 65.74% of the loss. Concerning storage condition only 5(25%) of the health facility have full filled good storage condition criteria. Budget constraints, human resource inadequacy, & over supply of near expiry date medicines were identified as major in inventory management challenges. Conclusion:The inventory management practice of the study facilities was found to be weak which was confirmed by poor bin-card updating practice, storage condition below the standard and poor stock record accuracy. There were also high stock out rates, and medicines wastage with loss of money. Amaç:Tedarik zincirinin farklı evrelerinde ilaçların uygun yönetimi önemlidir. Bunun yapılmaması, stok kaybına, ilaçların israfına maddi kayıplara ve sonuçta sağlık hizmetlerinin olumsuz etkilenmesine neden olacaktır. Bu çalışmanın amacı ilaçların envanter yönetimi performansını değerlendirmektir. Gereç ve Yöntem: 20 sağlık ocağı üzerinde nicel ve nitel yöntem kullanılarak yapılan sağlık taramasına dayalı açıklayıcı kesitsel tipte çalışma yapılmıştır. Veriler, kontrol listeleri, yapılandırılmış ve yarı yapılandırılmış anketler kullanılarak 29 Mart -29 Nisan 2016 tarihleri arasında toplanmıştır. Bulgular: Göstergeleri ölçmek açısından önemli olan temel ilaçların envanter yönetimi performansı için seçilen 400 kutu kartından 162'sinin (% 40.50) güncel olmadığı gösterilmiştir. Depo kartlarının sadece% 28.50'i doğru bir şekilde doldurulmuştu. Temel ilaçların ortalama stok çıkarma oranı yaklaşık %27.25 ve ortalama stok süresi 35.31 gündü. Ortalama olarak ilaçların yaklaşık %10,43'ü harcanarak 174,366,98 Etiyopya bir (ETB) değerinde para kaybedildi ve medroks progesteronun değeri, kaybın %65,74'ünü oluşturuyordu. Depolama koşuluyla ilgili olarak, sağlık tesisinin sadece 5'i (% 25) tam doldurulmuş ve iyi saklama koşulları kriterlerine sahipti. Bütçe kısıtlamaları, insan kaynakları yetersizliği ve yakın bitiş tarihli ilaçların arz fa...