Tadesse Gudeta GURMU, Awol Jemal IBRAHİM

Oromia Bölgesel Devleti Doğu Shewa, Etiyopya’daki sağlık tesislerinde en önemli temel ilaçların envanter yönetimi performansı

Amaç: Tedarik zincirinin farklı evrelerinde ilaçların uygun yönetimi önemlidir. Bunun yapılmaması, stok kaybına, ilaçların israfına maddi kayıplara ve sonuçta sağlık hizmetlerinin olumsuz etkilenmesine neden olacaktır. Bu çalışmanın amacı ilaçların envanter yönetimi performansını değerlendirmektir.Gereç ve Yöntem: 20 sağlık ocağı üzerinde nicel ve nitel yöntem kullanılarak yapılan sağlık taramasına dayalı açıklayıcı kesitsel tipte çalışma yapılmıştır. Veriler, kontrol listeleri, yapılandırılmış ve yarı yapılandırılmış anketler kullanılarak 29 Mart - 29 Nisan 2016 tarihleri arasında toplanmıştır.Bulgular: Göstergeleri ölçmek açısından önemli olan temel ilaçların envanter yönetimi performansı için seçilen 400 kutu kartından 162'sinin (% 40.50) güncel olmadığı gösterilmiştir. Depo kartlarının sadece% 28.50'i doğru bir şekilde doldurulmuştu. Temel ilaçların ortalama stok çıkarma oranı yaklaşık %27.25 ve ortalama stok süresi 35.31 gündü. Ortalama olarak ilaçların yaklaşık %10,43'ü harcanarak 174,366,98 Etiyopya bir (ETB) değerinde para kaybedildi ve medroks progesteronun değeri, kaybın %65,74'ünü oluşturuyordu. Depolama koşuluyla ilgili olarak, sağlık tesisinin sadece 5'i (% 25) tam doldurulmuş ve iyi saklama koşulları kriterlerine sahipti. Bütçe kısıtlamaları, insan kaynakları yetersizliği ve yakın bitiş tarihli ilaçların arz fazlası, envanter yönetimi zorluklarında büyük sorunlar olarak tespit edildi.Sonuç: Çalışma tesislerinin envanter yönetimi uygulaması zayıf bin kart güncelleme uygulaması, standartların altında saklama koşulları ve zayıf stok kayıt doğruluğu ile doğrulanmıştır. Aynı zamanda yüksek stok kayıpları ve ilaç kaybına bağlı para kaybı olduğu görülmüştür.

Anahtar Kelimeler:

Envanter yönetimi, performans, önemli temel ilaçlar, sağlık tesisleri, Doğu Shewa Bölgesi

Inventory management performance of key essential medicines in health facilities of East Shewa Zone, Oromia Regional State, Ethiopia

Purpose: Appropriate management of medicines at the different stages of supply chain is important. Failure to do so will result in stock-out, wastage of medicines and financial loss which in turn affects the health care services. The aim of this study was to assess the inventory management performance of key essential medicines. Material and Methods: Health facility based descriptive cross- sectional study using both quantitative and qualitative method was employed on 20 public health facilities. Data was gathered using checklists, structured and sem-structured questionnaires from March 29 to April 29, 2016. Result: The inventory management performance of key essential medicines in-terms of measuring indicators revealed that out of 400 bin-cards selected 162(40.50%) of them were not updated. Only 28.50% of bin-cards were accurately filled. The mean stock out rate of key essential medicines was around 27.25% with average stock out duration of 35.31 days. On average around 10.43% of medicines were wasted resulting in loss of 174,366.98 Ethiopian birr (ETB) of which the value of medroxy progestrone accounted around 65.74% of the loss. Concerning storage condition only 5(25%) of the health facility have full filled good storage condition criteria. Budget constraints, human resource inadequacy, & over supply of near expiry date medicines were identified as major in inventory management challenges. Conclusion: The inventory management practice of the study facilities was found to be weak which was confirmed by poor bin-card updating practice, storage condition below the standard and poor stock record accuracy. There were also high stock out rates, and medicines wastage with loss of money.

Keywords:

Inventory management, performance, key essential medicines, health facilities, East Shewa Zone,

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