scholarly journals Access to Cancer Medicine Issues: Implication for Policy and Practice in Ethiopia

2018 ◽  
Vol 4 (Supplement 1) ◽  
pp. 21s-21s
Author(s):  
Henok Getachew Tegegn ◽  
Hailemariam Lemma Reda ◽  
Yared Tilahun
Keyword(s):  
Supply Chain ◽  
Supply Chain Management ◽  
University Hospital ◽  
Care Providers ◽  
Ministry Of Health ◽  
Chain Management ◽  
Key Informants ◽  
Chemotherapy Drugs ◽  
Cancer Medicine ◽  
Subsidy Programs

Abstract 55 Purpose Cancer currently is a major public health problem in developing countries. In Ethiopia, cancer is responsible for 5.8% of total national deaths. Patients often present with advanced stage cancer and have limited access to screening, diagnosis, and treatment. Access to affordable cytotoxic medicines is a major challenge in the care of patients with cancer, especially in resource-poor settings, such as Ethiopia. This aim of this study was to explore perceived challenges in the accessibility of cancer chemotherapy drugs among different stakeholders in Ethiopia. Methods A qualitative study was performed using face-to-face in-depth interviews with such key informants as health care providers, supply chain management experts, and decision makers working in the Ministry of Health. Results A total of six key informants participated in this case report, with two oncology pharmacists, two supply chain management experts, one expert from the Ministry of Health, and one private supplier. Challenges were explored and viewed from the perspectives of policy, supply chain management, and health service. The most frequently identified challenges were the presence of inconsistent services and few currently active cancer centers, such as Tikur Anbesa Specialized Hospital, Gondar University Hospital, and Jimma University Hospital; difficulties in cancer commodity management; implementation challenges with cancer medicine cost subsidy programs; lack of an efficient stock status reporting system; supplementary medicine requirements; an inefficient market (costly, few suppliers, and noneconomic quantities); the need for combinations of cancer medicines; and a lack of national treatment guidelines. Conclusion Respondents suggested ways forward that included the participation of relevant and specific stakeholders, such as government and private pharmaceutical suppliers, the Ministry of Health, nongovernmental organizations, and hospitals. Strengthening supply chain management at all levels and sustainable subsidy programs for cancer medicines should be sought to avoid frequent interruptions in the availability of chemotherapy drugs. AUTHORS' DISCLOSURES OF POTENTIAL CONFLICTS OF INTEREST No COIs from the authors.

Infection control practices in Jimma, Ethiopia

2019 ◽  
Vol 15 (3) ◽  
Author(s):  
Madeline Kenzie ◽  
Nasia Safdar ◽  
Alemseged Abdissa ◽  
Daniel Yilma ◽  
Shoba Ibrahim ◽  
...  
Keyword(s):  
Supply Chain ◽  
Supply Chain Management ◽  
Los Angeles ◽  
Infection Control ◽  
Systems Engineering ◽  
Adverse Outcomes ◽  
University Hospital ◽  
Infection Prevention And Control ◽  
Surveillance Program ◽  
Chain Management

Healthcare-associated infections (HAIs) are frequent adverse outcomes of medical care. The HAI burden in low- and middle-income countries is much higher and associated with more severe outcomes. The Systems Engineering Initiative for Patient Safety (SEIPS) model provides a framework that can be used to identify barriers and facilitators of infection control practices and evaluate interactions between structures, processes, and outcomes. A qualitative study was done to evaluate the implementation of effective infection control practices at Jimma University Hospital in Jimma, Ethiopia. Twenty-two semi-structured interviews of hospital employees, selected by convenience sampling, were conducted to assess the five components of SEIPS framework: person, physical environment, tasks, organization and tools. The interviews were transcribed, coded for themes, and analyzed using the software Dedoose (Version 8.0.42 SocioCultural Research Consultants, Los Angeles, CA). Staff overwhelmingly reported a shortage of personal protective equipment (PPE) as a barrier to adequate infection prevention and control (IPC) practices but cited poor supply chain management versus financial resources as the cause. Most interviewees also noted unreliable water availability as an impediment for hand hygiene. Prominent facilitators of effective IPC included a manageable workload, sufficient budget, and positive individual attitude towards improving IPC. The major barriers were identified as an inconsistent and incomplete training program for employees, a lack of IPC policies, and a nurse rotation program that increases unit staff turnover. Interventions designed to address the identified barriers include developing IPC policies and protocols, regularly scheduled IPC training, and establishing an HAI surveillance program to better identify IPC trends and track progress. Innovative interventions are needed to improve IPC practices, such as faculty training on supply chain management and utilization of simple local resources to increase hand washing practices.

scholarly journals Supply chain of some medicines in health facilities in Jos, Nigeria: post Federal Ministry of Health mapping survey

2021 ◽  
Vol 18 (2) ◽  
pp. 133-146
Author(s):  
Ndidi C. Ngwuluka ◽  
Ibironke M. Akindele ◽  
Nelson A. Ochekpe
Keyword(s):  
Supply Chain ◽  
Supply Chain Management ◽  
Inventory Management ◽  
Health Facilities ◽  
Supply Management ◽  
Ministry Of Health ◽  
Product Selection ◽  
Chain Management ◽  
Logistics Systems ◽  
Supply Interruptions

The Nigerian health system is fraught with inadequate personnel, weak logistics systems and poor service delivery. The Federal Ministry of Health (FMoH) report on mapping of partners’ procurement and supply management systems for medical products with its recommendations was evaluated. An assessment of Supply Chain Management (SCM) of health facilities as well as the different categories of personnel that manage them was conducted. The study indicated 79.5% of the facilities received free antimalarials, 46.2% received free ARV and 23.1% received free antituberculosis. Facilities (94.9%) were not involved in the product selection as it was undertaken by providers. Also, 65.4% of the facilities received expiring drugs, 87.2% did not have well trained and efficient staff. In addition, 88.5% admitted that supplies were sometimes delayed and they (65.4%) are usually not intimated of the reasons, 66.2% do not calculate average monthly consumption, 59.5% submit LMIS report monthly while 60.0% do not have inventory control system. The study indicated that stock out and supply interruptions still exist several years after FMoH survey and recommendations. This study found that logistic challenges still exist at the SDPs implying that either FMoH recommendations were not implemented or implementation was ineffective in addressing the challenges. Keywords: inventory management, logistics, procurement and supply management, supply chain management

Medikamentenlogistik: Kooperation: Swisslog Healthcare und SPZ

2017 ◽  
Vol 22 (04) ◽  
pp. 78-78
Keyword(s):  
Supply Chain ◽  
Supply Chain Management ◽  
Chain Management

Swisslog, ein führender Anbieter von Lösungen für Medikamenten- und Supply-Chain-Management im Gesundheitswesen, hat vom angesehenen Schweizer Paraplegiker-Zentrum in Nottwil (SPZ) den Großauftrag für die Lieferung und Installation seiner modernsten Technologie zur stationären und ambulanten Medikamentenversorgung erhalten.

Theory of the firm, Supply Chain management, and relationship marketing

2014 ◽  
pp. 40-60
Author(s):  
M. Storchevoy
Keyword(s):  
Economic Theory ◽  
Supply Chain ◽  
Supply Chain Management ◽  
Relationship Marketing ◽  
Theory Of The Firm ◽  
Chain Management

The paper studies through the lens of the economic theory of the firm the development of two managerial disciplines: supply chain management and relationship marketing. The author demonstrates which ideas have been borrowed by these disciplines from the economic theory of the firm, and in what extent their implications may be useful for the latter.

Pengukuran Kinerja Supply Chain Menggunakan Supply Chain Operation Reference (Scor®) (Studi Kasus Koperasi Baitul Qiradh Baburrayyan)

2019 ◽  
Vol 2 (2) ◽  
Author(s):  
Raysa Aleyzia ◽  
Hasan Yudie Sastra
Keyword(s):  
Supply Chain ◽  
Supply Chain Management ◽  
Six Sigma ◽  
Green Beans ◽  
Chain Management ◽  
Total Cost ◽  
Target Value ◽  
Chain Operation ◽  
Cost To Serve ◽  
Supply Chain Operation

Manajemen supply chain yang tidak maksimal akan mempengaruhi kinerja suatu perusahaan. Di Aceh Tengah terdapat suatu koperasi yaitu Koperasi Baitul Qiradh (KBQ) Baburrayyan yang sudah menerapkan manajemen supply chain. Koperasi ini bergerak di bisnis perdagangan biji kopi (green bean). Penelitian ini bertujuan untuk mengukur kinerja supply chain dari KBQ Baburrayyan. Metode yang digunakan adalah SCOR® dengan praktik perbaikan Convergence of SCOR® with Lean and Six Sigma. Target kinerja yang diperoleh untuk total cost to serve adalah sebesar 94,71% dari nilai target 65,00% dan untuk return on supply chain fixed asset adalah sebesar 1,60 dari nilai target 2,50. Hasil yang diperoleh dari penggunaan praktik tersebut adalah terdapat 8 akar penyebab waste di antaranya kurangnya tenaga pengawas, training/briefing belum maksimal, kurangnya kepedulian tentang pentingnya K3, layout yang kurang efisien, belum adanya unit penyuluhan, alat yang masih sederhana, pekerjaan yang monoton, dan tidak dilarang secara tegas.   Supply chain management that is not optimal will affect the performance of a company. In Central Aceh there is a cooperative namely Koperasi Baitul Qiradh (KBQ) Baburrayyan which has implemented supply chain management. This cooperative is engaged in the business of trading in green beans. This study aims to measure the supply chain performance of KBQ Baburrayyan. The method used is SCOR® with the practice of improving Convergence of SCOR® with Lean and Six Sigma. The performance target for total cost to serve is 94.71% of the target value of 65.00% and the return on supply chain fixed assets is 1.60 of the target value of 2.50. The results obtained from the use of the practice are that there are 8 root causes of waste including lack of supervisors, training / briefing is not maximal, lack of concern about the importance of K3, inefficient layouts, absence of extension units, simple tools, monotonous work, and not strictly prohibited.

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