Availability and Expiry of Essential Medicines and Supplies During the ‘Pull’ and ‘Push’ Drug Acquisition Systems in a Rural Ugandan Hospital

Tumwine, Yona; Kutyabami, Paul; Odoi, Richard A; Kalyango, Joan N.

doi:10.4314/tjpr.v9i6.63555

Cited by 25 publications

(34 citation statements)

References 3 publications

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“…The difference could possibly be attributed to the differences in the etiological differences in the locations from which theses studies were conducted. In this study ACT Artemether/ lumefantrine (20/120 mg) had the highest percentage stock-out followed by Cotrimoxazole 480mg, unlike what was noted by another study [8], which noted Quinine tablets had the highest percentage stock-out in the push system followed by ciprofloxacin and while diclofenac injection had the highest percentage stockout in the pull system followed by ferrous sulphate tablets. Since ACT Artemether/ lumefantrine (20/120 mg) tablets are used in the treatment of malaria, the stock-outs of this drug could have had a severe impact on the health of the population within the district.…”

Section: Discussioncontrasting

confidence: 87%

“…The average availability of key medicines in the public health facilities was lower than that observed in a study conducted in Malaysia, or in the study conducted in another part of Uganda [8,9]. The average stock-out duration was also notably higher as compared to that of the studies above.…”

Section: Discussioncontrasting

confidence: 73%

“…It has been recommended that investment should be made to strengthen the monitoring system of pharmaceutical procurement and more autonomy should be given to facilities to monitor their stock [7]. Availability of funds, transport, staff training and supervision have been identified as key issues which should be addressed for maximal benefits from the pull system of drugs availability [8]. The drug supply chain management in Uganda has been noted to be characterized by parallel processes and information systems…”

Section: Introductionmentioning

confidence: 99%

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Availability of Essential Medicines and Supplies during the Dual Pull-Push System of Drugs Acquisition in Kaliro District, Uganda

Albert¹

2015

J Pharma Care Health Sys

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The Ugandan government has experimented with various supply chain models for delivery of essential drugs and supplies. In 2010, the dual pull-push system was adopted; however drug stock outs are still a common occurrence in health facilities. This study on availability of essential medicines during the dual Pull-Push system in Kaliro District was undertaken, to be used as an indirect or direct indicator of effectiveness of the dual pull-push system of drugs acquisition in the district. The study combined quantitative and qualitative methods; the study mainly based on; document review (stock cards, delivery notes,) and key informant interviews. Results showed that average stock-out duration of essential medicines and supplies was 23.89% (20.47 % for essential medicines and 27.32% for medical supplies). ACT Artemether/lumefantrine 20/120 mg tablets had the highest percentage stock-out followed by Cotrimoxazole 480mg tablets (51.6 and 32.4 %, respectively). Among the short falls of the system were; drug requisitions based on neither morbidity nor consumption methods of quantification, delays during distribution, supplying medicines with short shelf life, rare condition drugs or low usage drugs.

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Section: Discussioncontrasting

confidence: 87%

Section: Discussioncontrasting

confidence: 73%

Section: Introductionmentioning

confidence: 99%

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Availability of Essential Medicines and Supplies during the Dual Pull-Push System of Drugs Acquisition in Kaliro District, Uganda

Albert¹

2015

J Pharma Care Health Sys

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“…Another study done in Uganda on medicine management and procurement practices revealed that there were frequent medicine stock outs and large quantities of expired medicine in the health units due to deficiencies in selection, quantification, procurement and storage of medicines [12].…”

Section: Introductionmentioning

confidence: 99%

Assessment of Medicine Supply Management and its Quality Assurance Practice in Health Centers in South West Shoa Zone, Oromia Regional State, Ethiopia

Et¹,

Tt²

2019

J Pharma Care Health Sys

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Background: Medicine supply management consist four basic functions of medicine management cycle which are selection, procurement, inventory management and serving customers/use. Poor medicine management practice results shortages of essential medicines, high prices, poor quality, theft, expiration, irrational prescribing, and incorrect use of medicines by patients. In Ethiopia although the medicine supply chain has several problems; studies dedicated to assess these medicine management problems are limited. Therefore, the aim of this study is to assess the medicine supply management and its quality assurance practice in selected health centers of South West Shoa zone, Oromia, Ethiopia. Methods: A facility based cross-sectional survey through quantitative data collection method was conducted in 10 health centers from March 1 to 12, 2018. Structured-questionnaires and observation check lists were used to collect data. The data was analyzed using SPSS version 23.0. Results: In most HCs (n=8) selection was not decided by drug and therapeutic committee with the use of essential medicine lists. All HCs reported that items and quantities were sent by suppliers without determining what the specific need. In all HCs there were no a supply planning used for procurement. 9 HCs didn't have facility vehicle/ Car for transportation of medicines. The median percent adequacy of storage conditions in all HC store rooms was found to be 50%. All the HCs reported to use bin cards in store. However, only one of the HC had stock cards and automated recoding systems. Conclusion: The practice of medicine supply management in health centers of South West Shoa Zone was found poor. Moreover in majority of the surveyed health centers there were deficiencies in medicines selection, quantification, procurement, storage and quality assurance practices. Health centers therefore should work in collaboration with other stakeholders to strengthen/develop a way to have strong medicine supply management and a monitoring and evaluation system.

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“…fasilitas, perlengkapan, biaya/harga, administrasi dan sistem informasi.Ketersediaan obat dalam jumlah dan jenis yang tepat bukan hanya akan meningkatkan akses terhadap obat tetapi juga akan mempengaruhi persepsi masyarakat tentang mutu pelayanan kesehatan yang diterimanya 2 . Adanya sistem suplaidengan penyerahan obat berdasarkan kebutuhan fasilitas kesehatan akan meningkatkan ketersediaan obat di puskesmas, yang harus didukung oleh sumber daya manusia yang terlatih untuk quantifikasi obat dalam melakukan permintaan obat 19 . Sistem distribusi yang efektif terutama penentuan jadwal distribusi yang konsisten dari pusat penyimpanan obat ke puskesmas dapat mengurangi keterlambatan pengiriman obat ke puskesmas.…”

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Evaluation Medicine Availability Before and After NHI Implementation at Health Centers in Keerom District, Papua Province

Carolien

Fudholi

Endarti

2017

J. Manaj. dan Pelayanan Farm.

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ABSTRAKKetersediaan obat di puskesmas sangat terkait dengan sistem pengelolaan obat yang harus didukung oleh sumber daya yang cukup dan berkesinambungan. Apalagi dengan pelaksanaan program JKN yang berpotensi meningkatkan kebutuhan obat di fasilitas kesehatan. Mengetahui gambaran ketersediaan obat pada puskesmas di Kabupaten Keerom sebelum dan sesudah JKN, mengidentifikasi faktor-faktor yang mempengaruhi ketersediaan obat pada puskesmas, merumuskan solusi untuk meningkatkan ketersediaan obat pada puskesmas di Kabupaten Keerom. Metode penelitian adalah deskriptif. Data diperoleh melalui observasi dokumen obat puskesmas tahun 2012-2015, terhadap 35 jenis obat indikator, serta wawancara dengan pengelola obat dan kepala puskesmas, pengelola obat IFK dan kepala dinas kesehatan Kabupaten Keerom. Analisis data dilengkapi dengan gambar dan tabel. Serta uraian secara naratif. Ketersediaan obat pada puskesmas di Kabupaten Keerom sebelum dan sesudah JKN, adalah sama yaitu dalam kategori aman, tetapi belum mencukupi kebutuhan puskesmas. Ketersediaan obat dengan DOEN/Fornas dan pola penyakit belum sesuai standar, masih ditemukan obat rusak dan kadaluarsa di puskesmas, serta adanya peningkatan waktu kekosongan obat sesudah JKN, faktor-faktor yang mempengaruhi ketersediaan obat selama periode tersebut, antara lain, permintaan belum optimal, distribusi yang tidak cukup dan merata dari IFK, kurangnya SDM kefarmasian dan dukungan biaya distribusi obat, solusi yang diusulkan adalah peningkatan pengetahuan dan ketrampilan bagi pengelola obat puskesmas, perencanaan kebutuhan SDM kefarmasian, pengadaan SIM persediaan obat, perencanaan obat terpadu dan penyediaan biaya distribusi yang cukup. Kata kunci: ketersediaan obat, puskesmas, Keerom ABSTRACTThe availability of medicine in health center is associated with medicine management system and should be supported by adequate and sustainable resource. The Implementation of National Health Insurance (NHI) program will increase the need for medicine, to describe the medicine availability at primary health center before and after NHI, to identify the factors affect the availability, to compile solutions to increase the medicine availability at health centers in Keerom District. This research method was a descriptive. The data has been gathered based on observations to primary health center's document of 2012 to 2015, for 35 indicator medicine, and interview with the medicine manager and the chief of health center, the manager of pharmacy district and the chief of health office at Keerom District. The data analysis was presented by charts, tables, and in narrative description. The results were the availability of medicine at the health centers in Keerom District, before and after NHI program was same, by category of supply was safe, but insufficient as health center's need. The medicine availability was not appropriate with essential medicine list and illness, the expired and defected medicine still be found, and stock out time increased after NHI. In that period, the factors affect were, th...

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Availability and Expiry of Essential Medicines and Supplies During the ‘Pull’ and ‘Push’ Drug Acquisition Systems in a Rural Ugandan Hospital

Cited by 25 publications

References 3 publications

Availability of Essential Medicines and Supplies during the Dual Pull-Push System of Drugs Acquisition in Kaliro District, Uganda

Availability of Essential Medicines and Supplies during the Dual Pull-Push System of Drugs Acquisition in Kaliro District, Uganda

Assessment of Medicine Supply Management and its Quality Assurance Practice in Health Centers in South West Shoa Zone, Oromia Regional State, Ethiopia

Evaluation Medicine Availability Before and After NHI Implementation at Health Centers in Keerom District, Papua Province

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