背景:迄今为止,全球医疗支出成为首要问题,和药品成本是主要驱动因素。在埃塞俄比亚等发展中国家,这个问题更加紧迫。然而,关于卫生设施库存控制实践的全面数据很少。这项研究,因此,旨在评估关键程度,财务价值,使用库存矩阵分析和探索相关挑战的药品消费模式。
方法:从2020年12月至2021年1月,在公共卫生设施中进行了一项横断面研究,并进行了定性评估。使用简单的随机抽样技术按比例选择了三家医院和14个卫生中心。使用自我管理的问卷以及对Dagu-Facility等物流文件和数据库的审查来获取定量数据。使用Excel电子表格和SPSS版本23分析数据。我们通过面对面的深入访谈收集了定性数据。
结果:这些设施在2017年至2019年期间花费了66,312,277.0埃塞俄比亚比尔购买了518种药品。在全部产品中,68(13.1%)属于A类,353(68.1%)属于C类。在VEN分析确定的427个项目中,202(47.3%)是生命体征,201种(47.1%)是比例最高的必需产品。ABC和VEN的交叉表格显示,230个(53.9%)项目构成了第一类,占总支出的84.3%。无菌手术手套#7.5,阿莫西林胶囊,检查手套,40%葡萄糖注射液是十大高价值期末存货之一,占X类物品的21%。快速移动的物品是所有年份中最普遍的,占45%以上,并分担了最大的支出,高达90%。缺乏基础设施和熟练的人力资源,药品短缺和供应商的问题,和管理问题是卫生设施的主要挑战。
结论:ABC-VEN和FSN-XYZ确定的大多数项目都是第一类,即,主要是重要的昂贵产品和一些具有高期末库存值的快速移动项目,分别,建议密切监督。然而,一些问题成为障碍。因此,设施应缓解瓶颈,并监控库存状况,以防止盗窃和缺货。
BACKGROUND: To date, global healthcare spending becomes a primary concern, and pharmaceutical costs are the main drivers. The issue is more pressing in developing countries like Ethiopia. However, there is a scantiness of comprehensive data on inventory control practices in health facilities. This
study, therefore, aimed to assess the criticality, financial value, and consumption patterns of pharmaceuticals using inventory matrix analyses and explore the related challenges.
METHODS: A cross-sectional
study supplemented with qualitative assessments was carried out from December 2020 to January 2021 in public health facilities. Three hospitals and 14 health centers were proportionally selected using a simple random sampling technique. Self-administered questionnaires and review of logistics documents and databases like Dagu-Facility were used to obtain the quantitative data. The data were analyzed using excel spreadsheets and SPSS version 23. We gathered the qualitative data through face-to-face in-depth interviews.
RESULTS: The facilities spent 66,312,277.0 Ethiopian birrs to procure 518 pharmaceuticals between 2017 and 2019. Of the total products, 68 (13.1%) belonged to class A and 353 (68.1%) belonged to class C. Among 427 items identified by VEN analysis, 202 (47.3%) were vitals, and 201 (47.1%) were essential products making the highest proportions. Cross-tabulations of ABC and VEN showed that 230 (53.9%) items formed category I, representing 84.3% of total expenditures. Sterile surgical gloves #7.5, amoxicillin capsules, examination gloves, and 40% dextrose injection were among the top-ten high-value closing inventories, accounting for 21% of class X items. The fast-moving items were the most prevalent in all years, accounting for more than 45%, and shared the maximum expenditure, up to 90%. Scarcity of infrastructure and skilled human resources, shortage of pharmaceuticals and problems with suppliers, and management issues were the major challenges in the health facilities.
CONCLUSIONS: Most of the items identified by ABC-VEN and FSN-XYZ were Category one, i.e., mainly vital costly products and a few fast-moving items with high closing inventory values, respectively, suggesting close supervision. However, several issues became impediments. Hence, facilities should alleviate the bottlenecks and monitor the stock status to prevent theft and stock out.