Evidence map›Paper›PMID 36199111›Full record

ArticleJournal of pharmaceutical policy and practice2022

Health supply chain system in Uganda: assessment of status and of performance of health facilities.

Eric Lugada, Irene Ochola, Anthony Kirunda, Moses Sembatya, Sheila Mwebaze, Martin Olowo, Denis Okidi Ladwar, Henry Komakech

Abstract read
In one paragraph

Article in Journal of pharmaceutical policy and practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Eric LugadaUSAID/Strengthening Supply Chain Systems Activity, Uganda, Management Sciences for Health, Plot 15, Princess Anne Drive, Bugolobi, P. O. Box 71419, Kampala, Uganda.
Irene OcholaUSAID/Strengthening Supply Chain Systems Activity, Uganda, Management Sciences for Health, Plot 15, Princess Anne Drive, Bugolobi, P. O. Box 71419, Kampala, Uganda.
Anthony KirundaUSAID/Strengthening Supply Chain Systems Activity, Uganda, Management Sciences for Health, Plot 15, Princess Anne Drive, Bugolobi, P. O. Box 71419, Kampala, Uganda.
Moses SembatyaUSAID/Strengthening Supply Chain Systems Activity, Uganda, Management Sciences for Health, Plot 15, Princess Anne Drive, Bugolobi, P. O. Box 71419, Kampala, Uganda.
Sheila MwebazeUSAID/Strengthening Supply Chain Systems Activity, Uganda, Management Sciences for Health, Plot 15, Princess Anne Drive, Bugolobi, P. O. Box 71419, Kampala, Uganda.
Martin OlowoUSAID/Strengthening Supply Chain Systems Activity, Uganda, Management Sciences for Health, Plot 15, Princess Anne Drive, Bugolobi, P. O. Box 71419, Kampala, Uganda.
Denis Okidi LadwarUSAID/Strengthening Supply Chain Systems Activity, Uganda, Management Sciences for Health, Plot 15, Princess Anne Drive, Bugolobi, P. O. Box 71419, Kampala, Uganda.
Henry KomakechUSAID/Strengthening Supply Chain Systems Activity, Uganda, Management Sciences for Health, Plot 15, Princess Anne Drive, Bugolobi, P. O. Box 71419, Kampala, Uganda. hkomakech@ug-sscs.org.ORCID http://orcid.org/0000-0001-7137-5940

Funding

United States Agency for International Development 72061720CA00008
6 · The paper itself

Abstract

backgroundHealth supply chain systems are essential for effective and efficient healthcare system by ensuring availability of quality essential medicines and health supplies. While several interventions have been made to ensure the availability of quality essential medicines and health supplies, health facilities continue to report stockouts in Uganda.

objectivesThis study aimed to assess the status and performance of the supply chain system across all levels of care in health facilities in Uganda.

methodsThis was a cross-sectional study conducted in 128 public and private-not-for-profit health facilities across 48 districts in Uganda. These facilities included all levels of care from Health Centres II, III, IV, general and referral hospitals, and national referral hospitals. Data were collected using desk reviews, health facility surveys, and key informant interviews with key personnel. Stock registers were reviewed to assess the availability of a basket of essential medicines based on the essential medicines list of the Ministry of Health.

resultsLess than half (42%) of health facilities had computer hardware. Most (84%) of health facilities were using a form of Logistics Management Information System with only (6%) were using the Electronic Logistics Management Information System. Just under a third (33%) of health information officers and (51%) of public health officers' positions were filled in the health facilities. Nearly (66%) of health facilities used supply chain data to support decision-making. Most (84%) of health facilities reported stockouts of Essential Medicines and Health Supplies in the past 6 months. The main reasons for stockouts were (59%) a sudden increase in demand (40%) delivery gaps/delayed deliveries and (35%) discrepancies in orders and deliveries. Health facilities responded to stockouts through various means including (75%) redistribution (43%) purchased from a distributor, and (30%) placing emergency orders.

conclusionsThe findings from this study show that the performance of health facilities in different supply chain processes and functions was defective. To improve the supply chain performance of health facilities, it is important to invest in infrastructure development, provide computer hardware and internet connection and strengthen  the capacity key personnel. This is key for ensuring full functionality of the supply chain and availability of quality medicines and health supplies to the end-user.

Indexed as

Health supply chainPerformance driversStatusSupply chainUganda

Identifiers

PMID36199111
PMCPMC9533292

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.