Anti-tb Medicines Supply Chain Management Practices And Related Challenges In Gurage Zone Public Health Facilities Southern Ethiopia

Introduction: Gaps in managing the supply chain of anti-tuberculosis (TB) medicines result inrnsupply interruptions posing significant health-related and economic consequences.rnObjective: To assess anti-TB medicines supply chain management practices and related challengesrnin Gurage Zone public health facilities. rnMethods: A concurrent/parallel explanatory mixed methods design was followed in this study.rnInstitutional based cross-sectional study was conducted from August to September, 2020. Simplernrandom and purposive sampling was used to select study participants. A structured questionnairernand observational check list was used to collect quantitative data and analyzed using MicrosoftrnExcel 2013 and SPSS version 25. For the qualitative part, an interview guide was used to collectrndata from fifteen key informants and analyzed thematically. rnResults: Twenty public health facilities (HFs) in Gurage Zone providing TB management and carernwere included in the study. Majority of the HFs (18, 90%) were using only stock recording cardsrnto control the inventory of anti-TB medicines. The average physical stock count corresponding torninventory recorded count for a set of anti-TB medicines was 76.6%. For a set of anti-TB medicinesrnthe average availability was 82.6% and the average stock out duration was 11.23 ± 1.38 days per arnyear (Min=0, Max=115). The average wastage rate for a set of first-line anti-TB medicines wasrn4.78%. Qualitative interviews showed the absence of computerized drug management system tornmanage anti-TB drugs supply chain and the lack of healt h facilit ies’ involvement in drugrnquantification as major barriers for the effective management of anti-TB medicines supply. rnConclusions: The most current version of the national TB treatment guidelines and job aids werernnot available in the majorit y of public healt h facilities and it was also noted that quantificat ion ofrnant i-TB drugs was a major problem. In majorit y of the health facilit ies storage condit ion needsrnearly intervent ions and inventory control system was totally manual.

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