Factors Influencing Annual Procurement Planning of Medicines and Medical Supplies in Public Health Facilities in Kampala District

Martha Grace Ajulong, J. Okiria, Martin Owako
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Abstract

BackgroundDespite significant progress made by many countries towards meeting the millennium development goals and now sustainable development goals, there has been little improvement in access to essential medicines in developing countries.ObjectivesThe main aim of this study is to assess the factors influencing annual procurement planning of medicines and medical supplies in the public health facilities in Kampala district.MethodsThis study targeted respondents from government Health facilities in Kampala with a total population of 424 employees and applied simple random sampling to select 206 health workers. The researcher adopted mixed research approach with application of descriptive statistics, correlational and explanatory research designs that were used to maximize reliability and validity of findings. While the qualitative data was gathered through reviewing logistics tools, a physical count of the 30% purposively selected stock cards and interview of the staffs was carried out in health facilities in Kampala district, a Statistical Package for Social Science (SPSS) version 20 was used to analyze the quantitative data. Accordingly, a chi-square was used to determine the association between independent and dependent variables.ResultsThe findings indicated that 37.8% of the staff responded positively about the availability of annual procurement plan while the rest were from various health facilities. A significant association was observed between knowledge and availability of annual Procurement planning (X2 = 34.7; p value =.0001), as well as management support and Annual Procurement Planning (X2 = 9.87; P value = .008).ConclusionIn conclusion, the finding generated from analysis of quantitative and qualitative data revealed that a majority of the factors influencing annual procurement planning had a positive effect on medical supplies in public health facilities in Uganda although the capacity and capability of health workers, quality of logistics management information systems, and management support desires improvement. Rwanda J Med Health Sci 2021;4(2): 292-309
影响坎帕拉地区公共卫生设施药品和医疗用品年度采购计划的因素
尽管许多国家在实现千年发展目标和现在的可持续发展目标方面取得了重大进展,但发展中国家在获得基本药物方面几乎没有改善。目的本研究的主要目的是评估影响坎帕拉地区公共卫生机构药品和医疗用品年度采购计划的因素。方法本研究以坎帕拉市政府卫生机构424名员工为调查对象,采用简单随机抽样的方法抽取206名卫生工作者。研究人员采用混合研究方法,运用描述性统计、相关和解释研究设计,以最大限度地提高研究结果的信度和效度。通过审查物流工具收集定性数据,对坎帕拉地区卫生设施中有目的选择的30%库存卡进行实物统计并对工作人员进行访谈,使用社会科学统计软件包(SPSS)第20版对定量数据进行分析。因此,使用卡方来确定自变量和因变量之间的关联。结果37.8%的工作人员对年度采购计划的可获得性持肯定态度,其余的工作人员对各卫生机构年度采购计划的可获得性持肯定态度。知识与年度采购计划的可获得性之间存在显著相关性(X2 = 34.7;p值= 0.0001),管理支持和年度采购计划(X2 = 9.87;P值= 0.008)。总之,定量和定性数据分析得出的结论显示,尽管卫生工作者的能力和能力、后勤管理信息系统的质量和管理支持需要改进,但影响年度采购计划的大多数因素对乌干达公共卫生设施的医疗用品有积极影响。卢旺达医学卫生科学杂志2021;4(2):292-309
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