Supply Chain Management Performance of HIV/AIDS Commodities in Public Health Facilities; The case of Benishangul-Gumuz Region, Ethiopia.
Creators: name: Wegderes, Henok
Publisher: name: National Academic Digital Repository of Ethiopia
Year: 2018

description: Interrupted supplies and stockouts are the major challenges in the supply chain management of health commodity. Therefore, The aim of this study was to assess the supply chain management of Human Immunodeficiency Virus / Acquired Immune Deficiency Syndrome commodities in the perspective of achieving 90-90-90 strategy at hospital and health centers level in Benishangul-Gumuz, Ethiopia. A descriptive cross-sectional survey complemented by qualitative approach was conducted in 22 government owned health facilities (2 hospitals and 20 health centers) that provide Antiretroviral therapy, Laboratory and Prevention Maternal to Child Transmission service in Benishangul-Gumuz. The data was collected using semi structured questionnaires and observation check lists. The study revealed that 45% of people know their status,79% of people who know their status are accessing treatment and 87 % of people receiving treatment have suppressed viral load. Most of health facilities16(73%) were able to submit the requisition and report of Human Immuno-deficiency Virus/Acquired Immune Deficiency Syndrome commodities to Pharmaceutical Fund and Supply Agency according to the schedule, Therefore, More than three- fourth of the health facilities does not place an emergency order of Human Immunodeficiency Virus / Acquired Immune Deficiency Syndrome commodities at list once on the previous six month but it varies within product category , nearly half of the health facilities had an emergency order of Rapid Test Kits more than 2 times in the past 6 months. Stock out was high for AZT+3TC (60+30) which was 28%. Regarding the stock status of the three types of Rapid Test Kits on the day of visit 41% of facilities were stock out of one or more selected test kits, especially the stock out of VIKIA is high. Unlike Antiretroviral drugs, only 7(31%) of health facility had bin card for the selected test kits on the day of visit. In addition to product availability proper management and storage is crucial to ensuring the high quality of medicine on the hand of beneficiaries but study revealed that, only 7 health facilities fulfill 90% of storage criteria. And the overall data confidence on the three parameters; completeness, accuracy and timelines are 2.38 out 3, which is good regarding making logistic decision based on the data generated from the health facilities found in the region. The study concludes that there were frequent stock outs of Human Immunodeficiency Virus test kits and laboratory supplies, which are an indicator of weak supply chain and hindering factor on the achievement of the three 90'. The reporting and receiving system of Antiretroviral drugs were more organized compared to Human Immunodeficiency Virus test kits. It was also noted that in majority of the cases the professionals did not give emphases about the importance of Viral load testing for monitoring Antiretroviral due to capacity and distance barrier of testing sites