Assessment of Integrated Pharmaceutical Logistics System for Human Immunodeficiency V irus/Acquired I mmunodeficiency S yndrome ( HIV/ A IDS) and Tuberculosis (TB) Laboratory Diagnostic Commodities management in Public Health Facilities, Addis Ababa, Ethiopia
Creators: name: Tilahun, Alemwork
Publisher: name: National Academic Digital Repository of Ethiopia
Year: 2014

description: Background: - Managing HI V/ADIS &amp; TB l aboratory c ommodities t hrough IPLS i s c rucial, t o enhance s mooth c ommodities f low a nd pr event f requent s tock out of c ritical i tems w hich m ight hindering continuous and quality testing. Objective: - To assess implementation status of Integrated Pharmaceutical Logistics System (IPLS) for Conclusion:- Majority o f th e f acilities r eported th e a vailability and u tilization o f IPLS implementation t ools for m anaging HIV/AIDS and TB l aboratory commodities, t hough 24( 96%) of facilities experienced stocked out for HIV/AIDs and TB laboratory commodities in the last six months, which provide in part an indication of failure to implement IPLS in full scales. Key words: - IPLS implementation, stock out, management support managing HIV/ AIDS &amp; TB laboratory diagnostics commodities Methods: - A cross-sectional descriptive study was conducted on 33 public health facilities in Addis Ababa. Information on characteristics of the selected facilities and indicators of IPLS implementation (measured u sing a vailabilities a nd u tilization o f IPLS to ols) w ere co llected u sing s tructured questionnaires c ustomized f orm Logistics Indicator A ssessment T ool ( LIAT). In a ddition, i n-depth interviews w ith k ey in formant w ere d one to e xtract in formation w hich was d ifficult to o btain u sing quantitative m ethod. D ata obt ained t hrough s tructured q uestionnaires were en tered t o Excel s pread sheet an d t ransported a nd an alyzed u sing t he Statistical P ackage f or t he S ocial S ciences v ersion 2 0 (SPSS). Results from the in-depth interview were summarized in narrative format. Result:-A t otal of 33 p ublic he alth f acilities w ere i nvolved i n t his s urvey. Of t hese 6( 18.1%) were hospitals a nd 17( 51.5%) he alth center. A vailabilities of IPLS recording and r eporting f ormats (bincards, and IFRR and RRF) were reported in 92.6% of facilities. Of these 16(61.5%) of the facilities updated bi ncard, 22( 84.6%) c ompleted IFRR a nd 24( 92.6%) r eported RRF f or H IV/AIDS and T B laboratory commodities. Majority of the facilities (88.5%) facilities reported RRF report was submitted to PFSA every two month. 24(96%) of facilities were reported one or more reagents stocked out during the last six months. Of these (33.3%) of Clinical chemistry reagents were the most frequent stocked out reagents. 10(41.6%), 12(54.5%) and 11(46.7%) of facilities were stock out on day of visits for SGPT, BD va cationer E DTA t est t ube a nd 1% C arbol F uchsin r espectively w hile 7( 43.8%), 9( 64.7%) a nd 9(69.8%) of facilities were stock out for SGOT, SGPT and 3% Acid alcohol during the last six months respectively. Furthermore, management supports on IPLS implementation were significantly associated with acceptable data quality (X2= 22.2, p&lt; 0.00) and utilization of IFRR (X2 = 5.71, p&lt;0.042).