埃塞俄比亚国家艾滋病防治中心卫生机构艾滋病产品供应链管理绩效及影响因素研究从实现90-90-90战略的角度。

IF 2.1 Q3 PHARMACOLOGY & PHARMACY
Integrated Pharmacy Research and Practice Pub Date : 2020-01-10 eCollection Date: 2020-01-01 DOI:10.2147/IPRP.S228162
Teklewold Abiye Damtie, Awol Jemal Ibrahim, Berhan Begashaw Yikna
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引用次数: 15

摘要

背景:卫生设施(HFs)需要广泛的抗逆转录病毒(ARV)药物和相关的艾滋病毒/艾滋病商品来诊断、预防和治疗艾滋病毒/艾滋病。本研究旨在从实现90-90-90治疗策略的角度评估埃塞俄比亚南部民族、民族和人民地区州(SNNPRS)的供应链管理绩效。方法:采用基于设施的横断面研究设计,对30家医院(9家医院和21家保健中心)和5家药品基金供应机构(PFSAs)进行研究。HFs是随机选择的。2016年11月至2017年5月,采用半结构化问卷和观察清单,结合logistic指标评估工具(LIATs)收集艾滋病毒/艾滋病相关服务数据。此外,我们采用了深入的面对面访谈和专题方法。定量数据录入Epi-Data 3.1版本,传输至SPSS 20版本进行分析。采用专题方法对定性数据进行分析。结果:自报告之日起,只有9例(30%)的HFs按时收到了PFSA的订单。抗逆转录病毒药物的平均交货时间在医院为46.4天,在保健中心为59.2天。16名(60.7%)hf报告了他们完成的报告和申请单格式(RRF)。由此,53.3%的HFs订单按照他们需要的数量被正确地重新填充。库存准确率为77%。20个(66.7%)主要卫生保健机构面临至少一次性抗逆转录病毒药物、艾滋病毒检测试剂盒和病毒载量(VL)用品的紧急订单。9家(30%)医院和5家(16.67%)医院的hc缺货次数分别为2次和3次。16种(53.3%)商品在六个月内至少缺货一次。240ml中10 mg/ 5ml奈韦拉平(NVP)库存最多(13次),平均为22天。Uni gold的库存(16次)平均为34.5天。流失率为2.5%。25个(83.3%)设施的储存条件良好(≥80%符合标准)。结论:数据记录不理想、缺货、报告中断、库存不准确、流失率是HIV/AIDS商品供应链管理缺陷的指标。各组织应改进其负责任的活动,以确保商品的供应。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Supply Chain Management Performance of HIV/AIDS Commodities and Factors Affecting It at Health Facilities of SNNPRS of Ethiopia; from the Perspective of Achieving 90-90-90 Strategies.

Supply Chain Management Performance of HIV/AIDS Commodities and Factors Affecting It at Health Facilities of SNNPRS of Ethiopia; from the Perspective of Achieving 90-90-90 Strategies.

Supply Chain Management Performance of HIV/AIDS Commodities and Factors Affecting It at Health Facilities of SNNPRS of Ethiopia; from the Perspective of Achieving 90-90-90 Strategies.

Supply Chain Management Performance of HIV/AIDS Commodities and Factors Affecting It at Health Facilities of SNNPRS of Ethiopia; from the Perspective of Achieving 90-90-90 Strategies.

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.

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