PDF(Pubmed)
Abstract：
BACKGROUND: Delivery of quality healthcare is significantly based on the level of commitment among health facilities. This includes building a strong system with the continued availability of tracer commodities. Human resources, financing, health information provision, and technologies integrated into the care environment have been vital in defining improved care.
METHODS: This was a cross-sectional study conducted in health facilities in Tana River County. A census method was used where all 62 health facilities across different tiers of healthcare delivery were considered. Out of 62 facilities, 60 participated in the study. A structured questionnaire and a checklist were used to collect data. Data were analysed using both descriptive and inferential statistics at 0.05 level of significance. Statistical Package for Social Sciences version 26 was used for data analysis.
RESULTS: Majority of the participants were nurses (71.7%), male (68.3%), and diploma holders (78.3%). The mean availability of the tracer commodities was 68.73%. The human resource-related factors influencing availability were personnel training on commodity management (β = 4.56, 95%CI 2.29-11.21, p = 0.012) and presence of pharmaceutical technicians dispensing commodities (β = 2.85, 95%CI 1.29-5.21, p = 0.005) Financial factors investigated revealed that those who were in county hospitals (β = 19.11, 95%CI 7.39-30.83, p = 0.002) and facilities which has disbursement of budgetary allocation on time (β = 12.08, 95%CI 3.11-23.57, p = 0.002) had higher availability of tracer commodities.
CONCLUSIONS: There was moderate availability of tracer commodities which was influenced by training, personnel, level of the facility, and budget allocation on time.
METHODS: This was a cross-sectional study conducted in health facilities in Tana River County. A census method was used where all 62 health facilities across different tiers of healthcare delivery were considered. Out of 62 facilities, 60 participated in the study. A structured questionnaire and a checklist were used to collect data. Data were analysed using both descriptive and inferential statistics at 0.05 level of significance. Statistical Package for Social Sciences version 26 was used for data analysis.
RESULTS: Majority of the participants were nurses (71.7%), male (68.3%), and diploma holders (78.3%). The mean availability of the tracer commodities was 68.73%. The human resource-related factors influencing availability were personnel training on commodity management (β = 4.56, 95%CI 2.29-11.21, p = 0.012) and presence of pharmaceutical technicians dispensing commodities (β = 2.85, 95%CI 1.29-5.21, p = 0.005) Financial factors investigated revealed that those who were in county hospitals (β = 19.11, 95%CI 7.39-30.83, p = 0.002) and facilities which has disbursement of budgetary allocation on time (β = 12.08, 95%CI 3.11-23.57, p = 0.002) had higher availability of tracer commodities.
CONCLUSIONS: There was moderate availability of tracer commodities which was influenced by training, personnel, level of the facility, and budget allocation on time.
摘要：
背景：提供优质的医疗保健在很大程度上取决于医疗机构之间的承诺水平。这包括建立一个强大的系统，并持续提供示踪商品。人力资源,融资，健康信息提供，整合到护理环境中的技术对于定义改善的护理至关重要。
方法：这是一项在塔纳河县卫生机构中进行的横断面研究。使用了人口普查方法，其中考虑了不同医疗服务级别的所有62个医疗机构。在62个设施中，60人参加了这项研究。使用结构化问卷和清单收集数据。在0.05的显著性水平上使用描述性和推断性统计学对数据进行分析。社会科学统计软件包26版用于数据分析。
结果：大多数参与者是护士（71.7％），男性（68.3%），和文凭持有人(78.3%)。示踪剂商品的平均可用性为68.73％。影响可获得性的人力资源相关因素是商品管理人员培训（β=4.56，95CI2.29-11.21，p=0.012）和分配商品的制药技术人员的存在（β=2.85，95CI1.29-5.21，p=0.005）。调查的财务因素显示，那些在县医院（β=19.11，95CI7.39-30.83，p=0.0008）和设施中的可获得性较高（预算分配量为
结论：示踪剂商品的可获得性适中，受培训的影响，人员,设施的水平，并按时分配预算。
方法：这是一项在塔纳河县卫生机构中进行的横断面研究。使用了人口普查方法，其中考虑了不同医疗服务级别的所有62个医疗机构。在62个设施中，60人参加了这项研究。使用结构化问卷和清单收集数据。在0.05的显著性水平上使用描述性和推断性统计学对数据进行分析。社会科学统计软件包26版用于数据分析。
结果：大多数参与者是护士（71.7％），男性（68.3%），和文凭持有人(78.3%)。示踪剂商品的平均可用性为68.73％。影响可获得性的人力资源相关因素是商品管理人员培训（β=4.56，95CI2.29-11.21，p=0.012）和分配商品的制药技术人员的存在（β=2.85，95CI1.29-5.21，p=0.005）。调查的财务因素显示，那些在县医院（β=19.11，95CI7.39-30.83，p=0.0008）和设施中的可获得性较高（预算分配量为
结论：示踪剂商品的可获得性适中，受培训的影响，人员,设施的水平，并按时分配预算。
