Evidence map›Paper›PMID 36855054›Full record

ArticleJournal of pharmaceutical policy and practice2023

Compliance of public health facilities with essential medicines and health supplies redistribution guidelines in Mbale district, Eastern Uganda: a mixed-methods study.

Immaculate Kyalisiima, Freddy Eric Kitutu, Linda Gibson, Immaculate Akaso, Amos Ndaabe, Herbert Bush Aguma, David Musoke, Richard Odoi Adome, Paul Kutyabami

Abstract read
In one paragraph

Article in Journal of pharmaceutical policy and practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 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

9 authors.

Immaculate KyalisiimaDepartment of Pharmacy, Makerere University School of Health Sciences, P.O Box 7062, Kampala, Uganda.
Freddy Eric KitutuDepartment of Pharmacy, Makerere University School of Health Sciences, P.O Box 7062, Kampala, Uganda.
Linda GibsonSchool of Social Sciences, Nottingham Trent University, Nottingham, UK.
Immaculate AkasoDepartment of Pharmacy, Makerere University School of Health Sciences, P.O Box 7062, Kampala, Uganda.
Amos NdaabeDepartment of Pharmacy, Makerere University School of Health Sciences, P.O Box 7062, Kampala, Uganda.
Herbert Bush AgumaDepartment of Pharmacy, Makerere University School of Health Sciences, P.O Box 7062, Kampala, Uganda. herbagum@gmail.com.ORCID http://orcid.org/0000-0002-5919-1484
David MusokeSchool of Public Health, Makerere University, P. O. Box 7072, Kampala, Uganda.
Richard Odoi AdomeDepartment of Pharmacy, Makerere University School of Health Sciences, P.O Box 7062, Kampala, Uganda.
Paul KutyabamiDepartment of Pharmacy, Makerere University School of Health Sciences, P.O Box 7062, Kampala, Uganda.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRedistribution of essential medicines and health supplies (EMHS) is a mechanism to address supply chain uncertainty by moving excess stock of health commodities from health facilities that are overstocked to health facilities with shortages, where it is most needed. It prevents the wastage of scarce resources and improves efficiency within a health supply chain system. Many public health facilities in Uganda experience stock-outs, overstocking, and expiry of essential medicines. This study assessed the compliance of public health facilities with the Uganda Ministry of Health redistribution strategy for EMHS in Mbale district, Eastern Uganda.

methodsA mixed-methods study was conducted among 55 respondents at public health facility level and five key informants at the district level. Audio-recorded data were transcribed and coded to develop themes. Thematic analysis was performed using ATLAS.ti Version 8.5. Quantitative data were analysed using IBM SPSS Version 24.0.

resultsAbout a third (33%) of the surveyed health facilities complied with EMHS redistribution guidelines. Respondents agreed that EMHS redistribution had helped reduce health commodity expiries and stock-outs in health facilities. Respondents who did not know about the timely release of funds for redistribution were 68% less likely to comply, and those who said the guidelines were never shared were 88% less likely to comply with the guidelines.

conclusionsCompliance with the EMHS redistribution guidelines was low and associated with failure to share the guidelines with staff and inadequate awareness about release funds for EMHS redistribution. The district local government should allocate more funds to the EMHS redistribution.

Indexed as

ComplianceEssential medicinesEssential medicines and health supplies guidelinesHealth commoditiesHealth facilitiesRedistributionUganda

Identifiers

PMID36855054
PMCPMC9976424

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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.