Assessment Of Contraceptive Logistics Management Information System In Addis Ababa City Administration

Background: In order to attain contraceptive security in the country which is the guarantee that allrnpeople have continuous access to the quality contraceptives they need for family planning requiresrnthe presence of efficient contraceptive logistics system. The existence of a successful LMISrnproduces current information on quantities of contraceptives dispensed to users which enables tornaccurately estimate requirements for contraceptives – an essential precondition towards achievingrncontraceptive security. Logistics data are collected, processed, and reported through a logisticsrnmanagement information system (LMIS) which increases the likelihood of an adequate supply of allrncontraceptives for all clients. Since a contraceptive supply chain cannot function effectively withoutrntimely, accurate LMIS data, the LMIS is an essential tool for supply chain managers, clients, andrnpolicy makers. A poorly functioning LMIS can either lead tornrunning out of contraceptives or overstock. The former leads to unwanted pregnancies and the latterrncan lead to wastage of contraceptives, congestion of the stores, and incurs additional cost inrninventory control and disposal of the expired contraceptives.rnObjectives: It is to describe how well the contraceptive logistics management information systemrnfunctions in the public health sector of Addis Ababa city administration and make recommendationsrnto all parties concerned, concerning what changes should be made, and how, to improve thernutilization of LMIS. It will assess and identify the nature and extent of the LMIS problems.rnMethods: The list of facilities run by the RHB which either distribute to other facilities or providerncontraceptives to clients was made first and then stratified to sub cities, hospitals, health centers,rnclinics and health posts. Sample size was calculated using the formula for cross-sectional studies.rnRandomly selected facilities from each stratum proportionate to their size- 8 sub-city HDs, 3rnhospitals, 21 health centers, 6 clinics and 28 health posts - were investigated through quantitativernvirnmethods using structured questionnaires interviews. The principal person responsible for managingrncontraceptives was interviewed by well trained interviewers using pretested questionnaires in eachrnfacility. The results of the quantitative study were used for the design of the qualitative method –rnthe focus group discussion guide.rnResults: There exists a well-designed contraceptive logistics system with trained personnel,rndistributed standard LMIS formats and established inventory control procedures through support forrnthose activities from JSI/DELIVER. Although it was designed to operate in a pull system it wasrnactually found operating predominantly as a push system. Majority of the facilities (56.72%) werernstocked out for at least one contraceptive they manage in their facilities and the highest stock outrnrate was for minipills. Expired contraceptives were found in six of the sub cities and the RHB in bigrnquantities. Only 24 facilities (35.82%) had stock cards or bin cards for at least one contraceptivernmanaged in their facilities. Keeping quality records and reports are very low mainly due to lack ofrnsupervision and follow up from higher levels. Availability of separate stores for sub cities, trainingrnof personnels managing contraceptives and supportive supervision are among the majorrnrecommendations.

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