scholarly journals Avability of Essential Medicines and Inventory Management Practice at Public Health Centers in Bahirdar Town West Gojjam Zone, Amhara Region, Ethiopia, 2020.

Author(s):  
Kalkidan Worku Mitiku ◽  
Daniel Simeneh Mekonnen ◽  
Temesgen Ashagrie Haile ◽  
Menichil Amsalu

Abstract Background Essential medicines are medicines that satisfy the priority health care needs of the population. These medicines are selected with due regard to disease prevalence and public health relevance, evidence of clinical efficacy and safety, and comparative costs and cost-effectiveness. Essential medicines are intended to be available within the context of functioning health systems at all times in adequate amounts, in the appropriate dosage forms, with assured quality, and at a price the individual and the community can afford. Objective To assess availability of essential medicine and inventory management practice at public health centers in Bahir Dar town. Method: Institutional based cross sectional study design conduct among six HCs in Bahir Dar town. Checklists were used according to Ems lists from the Amhara region health bureau to assess the availability of essential medicine. IMAT was used to review the essential drugs inventory records of tracer drugs and examine stock records and historical stock outs. An observational method was applied on physical stock of the inventory and the inventory record at the day of visit to check for stock availability, inventory accuracy, stock out durations and stock record variation. Results According to the study the average percent of time out of stock was 26.2%; the average percent of essential drugs available on the day of assessment was 74.7%. The average percentage of stock keeping records were accurate (56.7%), this study found that records were greater than physical counts (22.7%) and the average ratio of inventory variation to total stock was 33.7%. Discussion and recommendation: The availability of Ems in Bahirdar public health centers was poor. Inaccurate stock keeping record was observed irrespective of health centers level. For increasing inventory management: timely entries to logistic tool, updated records, updated stock status and when drugs are issued from the health facilities store room to different units, the date of issue and quantity issued being recorded on the available logistics tool were necessary.

2021 ◽  
Vol Volume 13 ◽  
pp. 1091-1099
Author(s):  
Fenet Gemechu ◽  
Mihret Ayalew ◽  
Bereket Bahiru Tefera ◽  
Temesgen Mulugeta ◽  
Azmeraw Bekele

IKESMA ◽  
2017 ◽  
Vol 13 (2) ◽  
Author(s):  
Agus Aan Adriansyah

Coverage of Fe tablets during antenatal care visit from 2011-2013 in Public Health Centers in Surabaya was still low with an average percentage of 9.29% and 16.27%. The study aim to analyze effect of midwife�s age and length of employment towards social awareness of midwife in Fe tablets administration for pregnant women in Public Health Centers in Surabaya.This research was an analytic observational study and a cross sectional approach. The research location was in all Public Health Centers in Surabaya. The samples as many as 65 midwives were taken using multistage random cluster sampling technique from 62 Public Health Centers representing every region in Surabaya. The data obtained were analyzed by using Ordinal Logistic Regression technique.The results showed that the older midwives (more than 36 years) have a better social awareness since they have had experience in interacting with the social world. Midwives who work longer (more than 10 years) tend to have better social awareness.The conclusion of this study is that the midwife�s age and length of employment are closely towards social awareness of midwife. Keyword: Social Awareness, Midwife, Fe tablets


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Teklehaimanot Fentie Wendie ◽  
Abdulmejid Ahmed ◽  
Solomon Ahmed Mohammed

Abstract Background Rational drug use requires that patients receive and take medication appropriately. Though the process of diagnosis and pharmaceutical care is complex, World Health Organization (WHO)/international network for rational use of drugs (INRUD) core drug use indicators investigate drug use to minimize the hazardous effect of the drug and enhance the wise use of scares resources. This study assessed drug use patterns in health centers of Dessie town using WHO/INRUD indicators. Methods A cross-sectional study was conducted in public health centers of Dessie town. Data were retrospectively collected from 1500 prescriptions dispensed from January 1, 2018, to December 31, 2018 using WHO data collection tool to assess prescribing indicators. For patient care and health facility indicators, 600 patients and 3 health centers were prospectively reviewed. Systematic random sampling was used to select samples. Data were analyzed using the Statistical Package for the Social Sciences version 20. Results The average number of drugs per encounter was 2.1. The percentage of encounters with antibiotics and injection was 44% and 13.9%, respectively. The percentage of drugs prescribed by generic name and from an essential drug list was 98% and 100%, respectively. On average, patients spent 4.7 min for consultation and 105 s for dispensing. From 1305 prescribed drugs, 92% were dispensed, while only 4% were labeled adequately. More than half (54.8%) of patients had adequate knowledge of their medication. None of the health centers had an essential drug list. The availability of key essential medicines was 64.10%. Conclusion This study demonstrated irrational drug use practices in all healthcare facilities. Polypharmacy, antibiotics over-prescribing, short consultation and dispensing times, inadequate labeling of medicines, inadequate level of patients' knowledge about prescribed medicines, and unavailability of key drugs in stock were found to be the major problems. Continuous refreshment trainings on rational use of drugs and WHO recommendations should be given for prescribers and pharmacists. Further, we recommend studies involving large number of facilities to estimate overall prescribing practices.


2019 ◽  
Author(s):  
Ewunetie Mekashaw Bayked ◽  
Mesfin Haile Kahissay ◽  
Birhanu Demeke Workneh

Abstract Background: Inventory management is the safe practice of proper storage, distribution of items and accurate record keeping. It is the pumping organ of the drug supply system without which the whole health care service will collapse. The purpose of this study was so to assess inventory and store management practices of pharmaceuticals in public health centers and hospitals of Dessie Town, Ethiopia. Method: The study was conducted from February 5 to 24, 2019. The study design was institution based cross sectional study. Data were collected by observation check lists. 10 health institutions (2 hospitals and 8 health centers) were studied. Result: Receipts, issues, losses and adjustments were correctly recorded in 7 stores but with calculation fallacies. Invoices and bin cards were available in all stores. Logistic management and information system, Internal Facility Report and Resupply, and Report and Requisition Form were available in 9 stores. 5 stores had stock cards but only 3 recorded prices correctly on it. The maximum, minimum, re-order and buffer stocks levels were not properly maintained and automated in all stores. All stores had freezers but wall thermometers and lockable cabinets were absent in 8 stores; most (n = 7) did not use First Expired, First out storage technique. Humidity and fire control mechanisms were absent in all and seven institutions respectively; however, 9 institutions lack fire proof areas for combustibles but 8 stores held them with drugs. Conclusion: The inventory and store management practices of the institutions were not satisfactory. The major problems in these institutions were calculation and recording errors; stock maintenance problem; lack of automation in recording; absence of wall thermometers, humidity and fire control systems and lockable cabinets; fail to use First Expired, First out storage technique and holding combustibles with drugs.


2018 ◽  
Vol 16 (2) ◽  
pp. 118-123 ◽  
Author(s):  
Amrit Devkota ◽  
Anubhav Paudel ◽  
Bhawesh Koirala ◽  
Dharanidhar Baral ◽  
Swotantra Gautam ◽  
...  

Background: Nepal is witnessing rise in non-communicable chronic diseases. Costs of the medicine, availability of the medicine for free in public health sectors and variation of price of medicines may play an important role in the management of chronic disease. The study was undertaken to find out the variation in price of drugs used for treating non communicable diseases among private pharmacies and availability of free essential medicines in public facilities.Methods: Randomly selected 33 public health centers and 13 pharmacies were included for the study. Availability of free essential medicines for treating selected chronic diseases was assessed in public health centers and percentage price variation in various branded drugs used for treating these diseases was assessed at the consumer level.Results: Out of 89 different formulations, variations between maximum and minimum priced brands of more than 100% were observed in 37 formulations and that of > 200% in 22 formulations. Thirty-seven formulations had more than 100% inter-pharmacy variation. The most commonly available free essential medicines was 4 mg salbutamol (88.57%) while the least available free essential drug was levothyroxine 5 mg (9.0%).Conclusions: Considerable variation in prices is seen among similar drugs and in prices of same drug in different pharmacies. These factors may have implications in the management of chronic disease in Nepal offsetting the government’s effort to control chronic diseases.


2011 ◽  
Vol 4 (7) ◽  
pp. 420-421 ◽  
Author(s):  
Anupama Dhiman ◽  
◽  
Naveen Krishan Goel ◽  
Dinesh Kumar Walia ◽  
Abhiruchi Galhotra ◽  
...  

2020 ◽  
Vol 15 (2) ◽  
pp. 105-110
Author(s):  
Haile Kassahun ◽  
Dugessa Tesfaye

Background: Disposal of pharmaceutical waste among patients is a global challenge especially in developing countries like Ethiopia. Improper medication disposal can lead to health problems and environmental contaminations. Therefore, the present study aimed to assess disposal practices of unused medications among patients in public health centers of Dessie town, Northeast Ethiopia. Methods: A descriptive cross-sectional study was conducted among 263 patients in four public health centers of Dessie town, Ethiopia from March to June, 2019. Face-to-face interviews using structured questionnaires were used to collect data from each study subject. Results: The majority of the respondents, 224 (85.17%) had unused medications at their home during the study period. The most commonly reported disposal method in the present study was flushing down into a toilet 66 (25.09%). None of the respondents practiced returning unused medications to Pharmacy. Moreover, 85 (32.31%) of the respondents reported never disposing their medications and believed that it is acceptable to store medications at home for future use. Conclusion: In the present study, there was a high practice of keeping medications at home and most of the disposal practices were not recommended methods. In addition, most of the respondents did not get advice from pharmacists and other health care professionals on how to dispose off unused medications. Hence, there is a need for proper education and guidance of patients regarding disposal practices of unused medications.


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