The Assessment Of E-lmis Implementation And User Satisfaction For Pharmaceutical Management In Public Health Facilities Of The Addis Ababa Regional Health Bureau
Logistics And Supply Chain Management Project Topics
The Federal Ministry of Health and Pharmaceutical Fund and Supply Agency (PFSA) in collaboration withrndevelopment partners have been implementing electronic Logistic Management Information Systemrn(eLMIS) – Health Commodity Management Information System (HCMIS), Facility Edition (FE) in morernthan 800 public health hospitals and health centers. The system is designed to support inventory control,rnand logistics management information system. The need for continuous improvement to fulfill evolvingrnneeds and the system’s ability to match the growth in increased commodity through puts will continue tornbe a challenge. In addition, data contained within eLMIS HCMIS is occasionally unreliable, inconsistent,rnor incomplete; and data are not used routinely enough for decisionmaking. Last but not least, the system isrnnot linked in real-time to the HCMIS Warehouse (Warehouse Management System at PFSA), so real-timerndata visibility at the facility level is still a challenge due to internet access and reliability. The purpose ofrnthis study is to assess effectiveness of the e-LMIS implementation to optimize pharmaceutical managementrnpractices and enhance efficiency at hospitals and health centers under Addis Ababa Regional HealthrnBureau. Data was collected from sample of 39 users out of 49 mature e-LMIS HCMIS implementing publicrnhealth facilities in Addis Ababa. Generally, system’s ability to give easy access to relevant, customized, andrncomplete logistics information in timely manner (visibility) was good even though the use of systemrngenerated data for decision making needs improvement. The study also found that three of the factors:rnInformation quality (β =0.554), perceived usefulness (β=0.377), and system support (β =0.398) hadrnstatistically significant and information quality have the strongest predictor for user satisfaction. TherneLMIS – HCMIS system requires significant upgrade to fulfill its purpose in the supply chainrncontext but good level of LMIS data visibility for all stakeholders was observed and PFSA stoodrnfirst. In addition to building the logistics information management systems, creating a data usernculture is equally important. Creating and improving data use culture by empowering and trainingrnstaff to analyze and use data for decision making will be key to improving supply chainrnperformance. Identify the hook or factors that forces data use and quality to enhance use is alsornequally important. Given that the model only explains 58.1% of the factors that contributed tornusers satisfaction then in the future studies should focus on adding other factors that will explainrnmore (60% and above) of the factors that contributed to users satisfaction