Hiv Commodities Supply Chain Management in Resource Limited Settings: Strategies for Its Improvement

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HIV commodities supply chain management in Resource Limited Settings: Strategies for its improvement

Authors: William Mutabaazi, Rogers Sekabira, Herbert Kiberu, Julius Paalo, Joseph Ddamulira and Adeodata Kekitiinwa.

As countries scale up access to anti-retroviral therapy (ART), there is increasing demand for ARVs, Testkits and related supplies. However, challenges in supply of commodities have made it hard for PLHAs to have guaranteed access to optimal care. Baylor-Uganda has supported improvement of the supply chain management (SCM) of HIV commodities in facilities in three regions of Uganda. We evaluate the effectiveness of implemented SCM strategies in supported facilities.

Method: Three Medical logistics officers for Rwenzori, West Nile and Eastern regions wee recruited to provide technical support to health workers to forecast, quantify and order for supplies. A 3-day didactic training followed by mentorships with (3 rounds; each a minimum of 24 contact hours) Laboratory & Pharmacy staff to transfer logistics/inventory management knowledge and skills were conducted. An SMS system to report SCM issues was instituted. Regional stores stocked with HIV commodities were established to reduce emergency order lead times.

Results: Evaluation done between April and October 2011 in 29 health facilities in Eastern Uganda, 26 in Rwenzori, 3 in Kampala and 21 in West-Nile showed strengthened capacity of health workers to make accurate orders for ARVs/Test kits was strengthened. Proportion of HFs submitting accurate end of cycle order reports (on bimonthly basis) increased from 40% (28/70) to 82% (65/79). ARV stock outs reduced from 60% to 5% in over 90% of the HFs after intervention and those with < 5% expired inventory of ARVs increased from 30% to 80%. The number of HF with at least 2 month of stock increased from 10% (7/70) to 95% (75/79).…...

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