Process Evaluation of Drug Supply Management in Public Health Centres of Gondar City, Northwest Ethiopia: A Case Study Evaluation Design

IF 2.1 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of evaluation in clinical practice Pub Date : 2025-08-19 DOI:10.1111/jep.70246

Kaleb Assegid Demissie, Tadele Biresaw Belachew, Melak Jejaw, Getachew Teshale, Misganaw Guadie Tiruneh, Ayal Debie

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引用次数: 0

Abstract

Background

Drug supply management is the cornerstone of any meaningful health service. There are, however, serious problems with pharmaceutical supply systems in many developing countries. Therefore, this study aimed to evaluate the process of drug supply management of health centres in Gondar town, northwest Ethiopia.

Methods

A case study evaluation design with a mixed method was employed from 1 May to 31, 2022. A total of 414 clients were interviewed. Six hundred prescriptions were reviewed, and nine KII were conducted. The quantitative data were entered into EpiData version 4.6 and exported to STATA version 14.0 for analysis. In the multivariable logistic regression analysis, variables with p < 0.05 and adjusted odds ratio (AOR) with 95% confidence interval (CI) were used to declare factors associated with client satisfaction. The qualitative data were transcribed, translated, coded and analysed using a thematic analysis approach.

Results

The overall implementation status of the DSM programme was 66.3%, with client acceptability, availability, accommodation and compliance contributing 67.85%, 68.9%, 63.15% and 65%, respectively. Procaine and paracetamol were out of stock. Visiting the health centres twice (AOR 4.10, 95% CI: 1.61−10.45), more than twice (AOR 4.12, 95% CI: 1.64−10.34) and living in rural areas (AOR 2.32, 95% CI: 1.26−4.03) were factors associated with client acceptability.

Conclusion

The overall implementation status of the DSM programme was judged fair. Visiting health centres twice or more than twice, and living in rural areas were factors associated with patients' satisfaction. Therefore, the programme needs great improvement to enhance the implementation of the DSM programme by giving attention.

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埃塞俄比亚西北部贡达尔市公共卫生中心药品供应管理过程评价：一个案例研究评价设计

药物供应管理是任何有意义的卫生服务的基石。然而，许多发展中国家的药品供应系统存在严重问题。因此，本研究旨在评估埃塞俄比亚西北部贡达尔镇卫生中心的药品供应管理过程。方法于2022年5月1日至31日采用混合方法的案例研究评价设计。共采访了414名客户。审查了600张处方，并进行了9次KII。定量数据输入EpiData 4.6版本，导出到STATA 14.0版本进行分析。在多变量logistic回归分析中，使用p <； 0.05和校正优势比（AOR）为95%置信区间（CI）的变量来声明与客户满意度相关的因素。使用专题分析方法对定性数据进行转录、翻译、编码和分析。结果DSM方案的总体实施情况为66.3%，其中患者可接受度、可获得性、便利度和依从性分别占67.85%、68.9%、63.15%和65%。普鲁卡因和扑热息痛缺货。两次（AOR 4.10, 95% CI: 1.61 ~ 10.45）、两次以上（AOR 4.12, 95% CI: 1.64 ~ 10.34）和居住在农村地区（AOR 2.32, 95% CI: 1.26 ~ 4.03）是影响患者接受程度的因素。结论DSM方案的总体实施情况尚可。两次或两次以上访问保健中心以及居住在农村地区是与患者满意度相关的因素。因此，该计划需要很大的改进，以加强实施需求侧管理计划，给予重视。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of evaluation in clinical practice 医学-卫生保健

CiteScore

4.80

自引率

4.20%

发文量

143

审稿时长

3-8 weeks

期刊介绍： The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.