Compliance of public health facilities with essential medicines and health supplies redistribution guidelines in Mbale district, Eastern Uganda: a mixed-methods study

Southern Med Review

article

Kyalisiima, Immaculate¹  Kitutu, Freddy Eric¹  Gibson, Linda²  Akaso, Immaculate¹  Ndaabe, Amos¹  Aguma, Herbert Bush¹  Musoke, David³  Adome, Richard Odoi¹  Kutyabami, Paul¹ 

[1] Department of Pharmacy, Makerere University School of Health Sciences;School of Social Sciences, Nottingham Trent University;School of Public Health, Makerere University

关键词: Compliance;    Essential medicines;    Essential medicines and health supplies guidelines;    Health facilities;    Health commodities;    Redistribution;    Uganda;   

DOI  :  10.1186/s40545-023-00545-0

学科分类：药理学

来源: BioMed Central

【 摘 要 】

Redistribution of essential medicines and health supplies (EMHS) is a mechanism to address supply chain uncertainty by moving excess stock of health commodities from health facilities that are overstocked to health facilities with shortages, where it is most needed. It prevents the wastage of scarce resources and improves efficiency within a health supply chain system. Many public health facilities in Uganda experience stock-outs, overstocking, and expiry of essential medicines. This study assessed the compliance of public health facilities with the Uganda Ministry of Health redistribution strategy for EMHS in Mbale district, Eastern Uganda. A mixed-methods study was conducted among 55 respondents at public health facility level and five key informants at the district level. Audio-recorded data were transcribed and coded to develop themes. Thematic analysis was performed using ATLAS.ti Version 8.5. Quantitative data were analysed using IBM SPSS Version 24.0. About a third (33%) of the surveyed health facilities complied with EMHS redistribution guidelines. Respondents agreed that EMHS redistribution had helped reduce health commodity expiries and stock-outs in health facilities. Respondents who did not know about the timely release of funds for redistribution were 68% less likely to comply, and those who said the guidelines were never shared were 88% less likely to comply with the guidelines. Compliance with the EMHS redistribution guidelines was low and associated with failure to share the guidelines with staff and inadequate awareness about release funds for EMHS redistribution. The district local government should allocate more funds to the EMHS redistribution.

【 授权许可】

Unknown