Management and Implementation of Mukhyamantri Nishulk Dava Yojna in a District Hospital, Rajasthan

2018 ◽  
Vol 20 (3) ◽  
pp. 309-324
Author(s):  
Mukesh Kumar Vashistha ◽  
V.K. Tiwari ◽  
Sherin Raj T.P. ◽  
Ramesh Gandotra
Keyword(s):  
Public Health ◽  
Human Resources ◽  
Inventory Management ◽  
District Hospital ◽  
The State ◽  
Health Facilities ◽  
Government Hospital ◽  
Internet Connectivity ◽  
Public Health Facilities ◽  
The Government

The Mukhyamantri Nishulk Dava Yojna (MNDY) was started across the state since 02 October 2011 in order to distribute most commonly used drugs free of cost to all patients visiting the government hospital. To run the scheme, an advanced inventory management by the name of e-Aushadhi has been developed and implemented across all public health facilities (PHFs). Trained human resources and computers with printers and internet connectivity are provided. In this study, 183 patients and staff responsible for the implementation of the scheme and specialists were interviewed. The study revealed that patients and doctors were highly satisfied with the functioning of the scheme and they are getting the majority of the medicines prescribed by the doctor. The scheme has been able to reduce out-of-pocket (OOP) expenditure on medicines and increased hospital attendance manifold.

scholarly journals Inventory management performance for family planning, maternal and child health medicines in public health facilities of West Wollega zone, Ethiopia

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Oliyad Kebede ◽  
Gizachew Tilahun
Keyword(s):  
Public Health ◽  
Family Planning ◽  
Child Health ◽  
Inventory Management ◽  
Maternal And Child Health ◽  
Supply System ◽  
Health Facilities ◽  
Management Performance ◽  
Public Health Facilities ◽  
And Child Health

Abstract Background Inventory management is the heart of the supply system in improving availability of medicines, reducing the cost, and improving patient care quality. However, in the government facilities’ supply system, inventory management is poor. So, the purpose of this research is to assess inventory management performance for family planning, maternal and child health medicines in public health facilities of West Wollega zone, Oromia region, Ethiopia. Method Facility-based descriptive cross-sectional quantitative study was conducted using checklist, structured and semi-structured questionnaire, and triangulated with qualitative method. Quantitative data were coded and analyzed using SPSS Version 20 and Microsoft excel spreadsheet. Qualitative data were analyzed manually, using thematic analysis technique. Different indicators were used to measure variables. Results Among 23 health facilities assessed, availability of family planning/maternal and child health medicines ranged from 0 to 100%. Average availability of medicines was 14 (61.30%) with mean stock-out duration of 70.71 days. Bin cards were available for 559 (78.40%) of medicines, and 374 (52.45%) bin cards were accurate. Report submission rate was 116 (84.06%), with 47 (40.52%) report and resupply forms reported on time, 73 (62.93%) of them were complete and 69 (59.48%) were accurate. Supplier-related problem, lack of human resource, administrative problem, and lack of computer infrastructure were inventory management challenges identified. Conclusion Inventory management performance for Family planning/maternal and child health medicines was poor as indicated by low availability, high stock-out duration, and poor LMIS performance. Efforts should be undertaken by concerned bodies to improve it.

scholarly journals Evaluating Inventory Management Practice of Antiretroviral Drugs in Public Health Facilities of Addis Ababa, Ethiopia

2021 ◽  
Vol Volume 13 ◽  
pp. 1091-1099
Author(s):  
Fenet Gemechu ◽  
Mihret Ayalew ◽  
Bereket Bahiru Tefera ◽  
Temesgen Mulugeta ◽  
Azmeraw Bekele
Keyword(s):  
Public Health ◽  
Inventory Management ◽  
Management Practice ◽  
Addis Ababa ◽  
Antiretroviral Drugs ◽  
Health Facilities ◽  
Public Health Facilities

scholarly journals The cost of providing hypertension health care in public health facilities case study of the NCD clinic at Rwinkwavu district hospital

2020 ◽  
Vol 9 (2) ◽  
pp. 35-40
Author(s):  
Deogratias Ndagijimana ◽  
Bethany Hedt Gauthier ◽  
Connie Mureithi ◽  
Alyse Kennedy
Keyword(s):  
Public Health ◽  
Health Care ◽  
District Hospital ◽  
Health Facilities ◽  
Public Health Facilities ◽  
The Cost

scholarly journals The Effect of Educational Intervention on Rational Prescribing in Public Health Facilities in Selected Local Government Areas of Rivers State: An Interventional Study

2021 ◽  
pp. 79-95
Author(s):  
Golden Owhonda ◽  
Felix Emeka Anyiam
Keyword(s):  
Public Health ◽  
Health Care ◽  
Local Government ◽  
Drug Use ◽  
Educational Intervention ◽  
The State ◽  
Health Facilities ◽  
Public Health Facilities ◽  
Rational Prescribing ◽  
Rivers State

Background: Despite progress made so far in identifying intervention models to improve drug use, irrational use of drugs has remained a serious global health problem. The study intends to determine the effectiveness of an educational intervention on rational prescribing among prescribers in selected local government areas of Rivers State. Methods: This was a quasi-experimental study that measured the effect of educational intervention on rational prescribing of drugs among prescribers in public health facilities in two selected Local Government Areas (LGA) of Rivers State: Ikwerre LGA (KELGA) which served as the control and Port Harcourt LGA (PHALGA) which served as the intervention by using cluster sampling with randomization. Paired data were analysed using McNemar’s Chi-square test and the paired t-test. The level of significance was set at P≤ 0.05. The EPI-INFO version 7.02 statistical software was used in the analysis. Results: Findings showed that the largest category of prescribers was nurse/midwives representing 48.61% and 44.4% in the intervention and control LGA respectively. There was an improvement in the knowledge and attitude of respondents in the facilities in the intervention LGA at one month and three months post-intervention (P<0.05). The average number of drugs per encounter (ANDPE), the percentage encounters with an antibiotic (PEA), the percentage encounters with an injection (PEI) were lower for the interventions group compared to the control (P<0.05). Percentage generic drug prescription (PGD) was higher in the intervention group compared to the control (P=0.001). Conclusion: Educational intervention was an effective and sustainable means of improving rational prescribing in the state. Update courses and continuing medical education on rational drug use should be held periodically for health care professionals by the State and National Primary Health Care Development Agency as well as other interested stakeholders.

scholarly journals Always, better control-vital, essential and non-essential matrix analysis of pharmaceuticals inventory management at selected public health facilities of Jimma zone southwest Ethiopia: facility based cross sectional study design

2020 ◽  
Vol 6 (3) ◽  
pp. 95
Author(s):  
Alem Endeshaw Woldeyohanins ◽  
Awol Jemal
Keyword(s):  
Public Health ◽  
Inventory Management ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Matrix Analysis ◽  
Cross Sectional ◽  
Southwest Ethiopia ◽  
Public Health Facilities ◽  
Class A ◽  
Jimma Zone

<p class="abstract"><strong>Background:</strong> Always, better control (ABC)-vital, essential and non-essential (VEN) matrix analysis has a key role in assisting decisions making in medicine selection, purchasing and inventory management and hence help in reducing cost, identifying medicine use problems and improve efficiency in the pharmaceutical supply system. Studies on analysis of pharmaceuticals expenditures throughout the country were very limited, in Jimma zone no studies found yet. The objective of the study was, therefore, to analyze pharmaceuticals based on cost and criticality aspects and identify those which require stringent managerial control at selected public health facilities of Jimma zone Southwest Ethiopia.   </p><p class="abstract"><strong>Methods:</strong> Health facility-based, cross-sectional, study design using a quantitative method in which ABC, VEN and ABC-VEN matrix analysis techniques were utilized to analyse pharmaceutical inventory management system at selected public health facilities of Jimma zone.    </p><p class="abstract"><strong>Results:</strong> The ABC analysis shows that class A items accounted for 53 (15.3%), whereas class B and C items accounted for 72 (20.8%) and 221 (63.8%) number of items at selected public health facilities of Jimma zone. VEN analysis showed that 132 items (59.7%) were categorized as vital and consumes 61.4% ($248,372) of the annual pharmaceuticals expenditures (APE). Whereas, 55 items (24.8%) and 34 items (15.3%) were categorized under essential and less/non-essential with a total APE of 31.1% ($126,020) and 7.4% ($30,008) respectively.  From ABC-VEN matrix analysis, the majority of items were category I pharmaceuticals.</p><p class="abstract"><strong>Conclusions:</strong> Majority of items at a selected public health facility were category I and most of the category I pharmaceuticals, in turn, were Class A and V items which require great attention for their control and availability.  </p>

scholarly journals Assessment of Knowledge, Practices, and Challenges of Pharmaceuticals Inventory Control Among Pharmacy Professionals Working in Selected Public Health Facilities of West Arsi Zone, Oromia, Ethiopia

2022 ◽  
Vol 15 ◽  
pp. 117863292110664
Author(s):  
Tadesse Jobira ◽  
Habtamu Abuye ◽  
Awol Jemal ◽  
Tadesse Gudeta
Keyword(s):  
Public Health ◽  
Inventory Control ◽  
Inventory Management ◽  
Goal Attainment ◽  
Health Facilities ◽  
Matrix Analysis ◽  
Related Factors ◽  
Public Health Facilities ◽  
Arsi Zone ◽  
Almost All

Background: Good pharmaceutical inventory control enables health facilities (HFs) to provide complete health care by ensuring the availability of safe, effective, and affordable pharmaceuticals and related supplies of the required quality, inadequate quantity, at the required place and at all times. It boosts patients’ trust in the HFs and motivates working staff. However, it needs well-trained and skilled professionals. The aim of the current study was, therefore, assessing knowledge, practice, and challenges of pharmacy professionals conducting inventory control in selected public health facilities of West Arsi Zone, Oromia regional state for the year 2016 to 2018. Method: A mixed-methods study design was used to assess pharmacy professionals’ knowledge, skills, and challenges in applying inventory management methods. A semi-structured questionnaire was implemented for quantitative, whereas an open-ended question was employed for key informants (KIs) to explore qualitative data. Result: Ninety percent of pharmacy professionals knew about VEN analysis concepts and 70% about ABC analysis. However, none of them had a concept of FSN and XYZ analysis. Among the respondents who knew the concept, 75% had gained knowledge through formal training and 10% of them learned from on-job training. When they asked about the methods of inventory control, 60% responded as they did not hear about it. Of those who said “Yes” on being asked to mention at least 1 method of it, 80% could not able to correctly mention the methods used in inventory control. However, 44%, 62.5%, and 75% of respondents had practiced ABC, VED, and ABC-VED matrix analysis respectively. The challenges that prevented these professionals from practicing pharmaceutical inventory control in their HFs were grouped into price-related, training-related, human resource-related, and managerial-related factors. Conclusion: Inventory control is the heart of the pharmaceutical supply system. Without its healthy action, HFs’ goal attainment will not be viable. Problems of sick pharmaceutical inventory control are directly related to a lack of knowledge and appreciation of it by the concerned bodies. The current finding revealed almost all pharmacy professionals included in the study had little knowledge about how to manage their inventories. Managers’ unwillingness to cooperate and facilitate necessary resources prevented the professionals from doing inventory control.

scholarly journals Linkage to primary-care public health facilities for cardiovascular disease prevention: a community-based cohort study from urban slums in India

BMJ Open ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. e045997
Author(s):  
Abhijit Pakhare ◽  
Ankur Joshi ◽  
Rasha Anwar ◽  
Khushbu Dubey ◽  
Sanjeev Kumar ◽  
...  
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Multivariate Analysis ◽  
Urban Slum ◽  
Primary Care Providers ◽  
Health Facilities ◽  
Care Providers ◽  
Community Based ◽  
Public Health Facilities ◽  
Care Facilities

ObjectivesHypertension and diabetes mellitus are important risk factors for cardiovascular diseases (CVDs). Once identified with these conditions, individuals need to be linked to primary healthcare system for initiation of lifestyle modifications, pharmacotherapy and maintenance of therapies to achieve optimal blood pressure and glycaemic control. In the current study, we evaluated predictors and barriers for non-linkage to primary-care public health facilities for CVD risk reduction.MethodsWe conducted a community-based longitudinal study in 16 urban slum clusters in central India. Community health workers (CHWs) in each urban slum cluster screened all adults, aged 30 years or more for hypertension and diabetes, and those positively screened were sought to be linked to urban primary health centres (UPHCs). We performed univariate and multivariate analysis to identify independent predictors for non-linkage to primary-care providers. We conducted in-depth assessment in 10% of all positively screened, to identify key barriers that potentially prevented linkages to primary-care facilities.ResultsOf 6174 individuals screened, 1451 (23.5%; 95% CI 22.5 to 24.6) were identified as high risk and required linkage to primary-care facilities. Out of these, 544 (37.5%) were linked to public primary-care facilities and 259 (17.8%) to private providers. Of the remaining, 506 (34.9%) did not get linked to any provider and 142 (9.8%) defaulted after initial linkages (treatment interrupters). On multivariate analysis, as compared with those linked to public primary-care facilities, those who were not linked had age less than 45 years (OR 2.2 (95% CI 1.3 to 3.5)), were in lowest wealth quintile (OR 1.8 (95% CI 1.1 to 2.9), resided beyond a kilometre from UPHC (OR 1.7 (95% CI 1.2 to 2.4) and were engaged late by CHWs (OR 2.6 (95% CI 1.8 to 3.7)). Despite having comparable knowledge level, denial about their risk status and lack of family support were key barriers in this group.ConclusionsThis study demonstrates feasibility of CHW-based strategy in promoting linkages to primary-care facilities.

scholarly journals Health facility capacity to provide postabortion care in Afghanistan: a cross-sectional study

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Farzana Maruf ◽  
Hannah Tappis ◽  
Enriquito Lu ◽  
Ghutai Sadeq Yaqubi ◽  
Jelle Stekelenburg ◽  
...  
Keyword(s):  
Public Health ◽  
Family Planning ◽  
High Volume ◽  
Health Facilities ◽  
Public Health Facilities ◽  
Care Services ◽  
Vacuum Aspiration ◽  
Postabortion Care ◽  
Products Of Conception ◽  
Family Planning Counseling

Abstract Background Afghanistan has one of the highest burdens of maternal mortality in the world, estimated at 638 deaths per 100,000 live births in 2017. Infections, obstetric hemorrhage, and unsafe abortion are the three leading causes of maternal death. Contraceptive prevalence rate has fluctuated between 10 and 20% since 2006. The 2016 Afghanistan National Maternal and Newborn Health Quality of Care Assessment evaluated facility readiness to provide quality routine and emergency obstetric and newborn care, including postabortion care services. Methods Accessible public health facilities with at least five births per day (n = 77), a nationally representative sample of public health facilities with fewer than five births per day (n = 149), and 20 purposively selected private health facilities were assessed. Assessment components examining postabortion care included a facility inventory and record review tool to verify drug, supply, equipment, and facility record availability, and an interview tool to collect information on skilled birth attendants’ knowledge and perceptions. Results Most facilities had supplies, equipment, and drugs to manage postabortion care, including family planning counseling and services provision. At public facilities, 36% of skilled birth attendants asked to name essential actions to address abortion complications mentioned manual vacuum aspiration (23% at private facilities); fewer than one-quarter mentioned counseling. When asked what information should be given to postabortion clients, 73% described family planning counseling need (70% at private facilities). Nearly all high-volume public health facilities with an average of five or more births per day and less than 5% of low volume public health facilities with an average of 0–4 deliveries per day reported removal of retained products of conception in the past 3 months. Among the 77 high volume facilities assessed, 58 (75%) reported using misoprostol for removal of retained products of conception, 59 (77%) reported using manual vacuum aspiration, and 67 (87%) reported using dilation and curettage. Conclusions This study provides evidence that there is room for improvement in postabortion care services provision in Afghanistan health facilities including post abortion family planning. Access to high-quality postabortion care needs additional investments to improve providers’ knowledge and practice, availability of supplies and equipment.

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