scholarly journals EVALUATION OF THE EFFECT OF CORONAVIRUS PANDEMIC ON SUPPLY CHAIN OF HIV TEST KITS ONDO STATE, SOUTHWEST NIGERIA

2021 ◽  
Vol 6 (9) ◽  
pp. 34-78
Author(s):  
Michael Olabode Tomori ◽  
Funmilayo Adenike Fadiji
Keyword(s):  
Supply Chain ◽  
Data Analysis ◽  
Communicable Disease ◽  
Primary Objective ◽  
Health Facilities ◽  
Least Square ◽  
National Guidelines ◽  
Cross Sectional ◽  
Hiv Test ◽  
Ondo State

COVID-19 pandemic has required swift revamping of health systems and public health measures at a scale never observed. The pandemic emergence has a direct effect on the health system, negatively affecting its capacity as depletion of resources are now channelled to curb the emergency of the communicable disease, especially among individuals living with HIV disease which drew our attention to how individuals suffering from HIV and people who needed to know their HIV status has not been able to visit the health facilities due to the effect of coronavirus pandemic on the supply of the test kits used in the health facilities. This study evaluated the effect of the coronavirus pandemic on the supply chain of HIV test kits in Ondo State, Nigeria. The primary objective was to determine the effect of the coronavirus pandemic on the supply of HIV test kits in Ondo State. The research was a sequential cross-sectional design using a quantitative method of analysis with a total sample size of 100 respondents with all samples drawn from 30 supported health facilities in the state. In addition, literature review was also used to know the effect of the coronavirus on reach of 95% of UNAIDS 2030 target. The study used both descriptive and inferential methods of data analysis where the descriptive statistics comprise of frequency distribution, percentage distribution, weighted mean score, and standard deviation while the inferential method of data analysis used ordinal least square (simple linear regression) to determine the effect of coronavirus pandemic on the supply chain test kits. Findings from the result concluded that pandemic and the methods of supply chain management indicated a significant effect. In addition, from the review the major impacts of COVID-19 were innovation, increased technology, research and development, depletion of supply chain personnel. Therefore, there is a need to develop national guidelines on supply chain strategy for emergencies in Nigeria as well as adhere strictly to some recommendations made in the study.

An integrated model of supply chain resilience and its impact on supply chain performance under disruption

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Shih-Jung Juan ◽  
Eldon Y. Li ◽  
Wei-Hsi Hung
Keyword(s):  
Supply Chain ◽  
Partial Least Square ◽  
Least Square ◽  
Equation Modeling ◽  
Manufacturing Companies ◽  
Cross Sectional ◽  
Content Type ◽  
Supply Chain Resilience ◽  
Structured Equation Modeling ◽  
Logistic Issue

PurposeThis study aims to explore the relationships among the five components of supply chain (SC) resilience (SCRES): visibility, velocity, flexibility, robustness and collaboration and their impacts on the SC performance under disruption (SCPUD).Design/methodology/approachFive SCRES components are identified from the literature review and data are collected using an web survey from 113 manufacturing companies in Taiwan. The data are analyzed by structured equation modeling with the partial least square solution. Two-stage least-squares (2SLS) regression was used to test the potential endogeneity of SC collaboration (SCC).FindingsThe results reveal that SCC is an exogenous driver of SCRES; it directly affects visibility, velocity, flexibility, robustness and SCPUD. Furthermore, SC flexibility is the only component of SC agility that directly affects SCPUD; it is influenced directly by SC velocity and indirectly by SC visibility through SC velocity. SC visibility is a vital agility component that positively influences SC velocity and SC robustness.Research limitations/implicationsThe data in this study are cross-sectional and the sample size of 113 is relatively small. The relationship between SC robustness and SCPUD needs a longer observation period to reveal. The logistic issue in the shortage of carriers caused by the pandemic has been overlooked.Practical implicationsA firm should enhance its collaboration and flexibility in the SC as they both are the critical antecedents of SC performance (SCP) during the disruption period.Originality/valueThis study integrates visibility, velocity, flexibility, robustness and collaboration into a complete framework of SCRES. The dependent variable, SCPUD, measures SC performance (SCP) under the disruption caused by the COVID-19 pandemic. It is the first study to investigate the associations of the six constructs in a research model.

scholarly journals Supply chain resilience and measurement dimensions: The case of halal pharmaceuticals in Malaysia

2018 ◽  
Vol 56 ◽  
pp. 05001
Author(s):  
Osaro Aigbogun ◽  
Zulkipli Ghazali ◽  
Radzuan Razali
Keyword(s):  
Supply Chain ◽  
Structural Equation ◽  
Empirical Studies ◽  
Partial Least Square ◽  
Least Square ◽  
Manufacturing Companies ◽  
Cross Sectional ◽  
Supply Chain Resilience ◽  
Manufacturing Supply Chain ◽  
Cross Sectional Design

Resilience is the vital feature of supply chains that confers the ability to withstand the adverse effects of disruptive events. Most of the previous studies have been conceptual, theoretical, normative, or at best qualitative in approach, concentrating on identifying the elements of resilience. In spite of the proliferation of studies, an empirically validated quantitative study on justifying the measurement dimensions of supply chain resilience is rare, thus the need for further quantitative empirical studies. The context of the present study is the manufacturing supply chain of halal pharmaceuticals in Malaysia. A quantitative cross-sectional design was applied by means of self-administered structured questionnaire survey, using the Supply Chain Resilience Assessment and Management instrument (SCRAM© 2.0). The survey yielded usable responses from 106 manufacturing companies engaged in the production of halal pharmaceuticals in Malaysia. Descriptive statistics as well as partial least square-based structural equation modelling was used to analyze the survey data. This was facilitated by IBM SPSS statistics software (version 21.0), and Smart PLS 3.2.4 respectively. The results suggest that the psychometric properties of the supply chain resilience dimensions (vulnerabilities and capabilities) in the context of the present study are reliable and valid.

scholarly journals Assesssment of Health Facilities for Implementation of Package of Essential Non-communicable Disease in Nepal: Baseline Study in Kailali and Ilam District

2018 ◽  
Vol 16 (2) ◽  
pp. 149-155 ◽  
Author(s):  
Binod Kumar Aryal ◽  
Mohammad Daud ◽  
Ambika Thapa ◽  
Anita Mahotra ◽  
Sudip Ale Magar ◽  
...  
Keyword(s):  
Health Workers ◽  
Communicable Disease ◽  
Action Plan ◽  
Descriptive Analysis ◽  
Health Facilities ◽  
Essential Medicines ◽  
World Health ◽  
Cross Sectional ◽  
Baseline Study ◽  
Non Communicable Disease

Background: Non-communicable Diseases are an alarming public health emergency in Nepal. Owing to the risk of NCD’s in Nepal, Government of Nepal has developed a Multisectoral Action Plan for Non-communicable Disease 2014-2020 and has adopted the World Health Organization Package of Essential Non-communicable Disease protocol. Prior for its implementation in Nepal, baseline study has been carried out to assess the status of health facilities in Nepal.Methods: A descriptive cross-sectional study was carried out in Kailali and Ilam district encompassing a total of 92 health facilities. A set of structured questionnaire and interview guideline was used to obtain the data. Collected data was transferred to Microsoft Excel, cleaned and analyzed in SPSS 16.0. Descriptive analysis was performed to express the frequencies and relative frequencies Results: Of the total health facilities, 49 and 43 health facilities of Ilam and Kailali were interviewed. The hospital of Ilam consisted all the procedure, equipment and medicine for the management of NCDs whilst, health posts lacked Oxygen services. Only 592 posts were fulfilled out of 704 sanctioned post in both the districts of which only 161 were trained in management of NCDs. Atotal of 231 patients were diagnosed with NCDs before the day of study in all the health facilities of both districts. Conclusions: Study reveals the gaps in capacity of health institution and system in terms of training, supply, equipments, and diagnostics. However, training of health workers, supply of essential medicines and improvising the service delivery would supplement the effective implementation of PEN in Nepal.

scholarly journals Recommendations On The Fight Against Nosocomial Infections Compliance In Health Facilities Of Yaounde (Cameroon)

2019 ◽  
Vol 7 (08) ◽  
Author(s):  
Georgette Ndongo Ekanga ◽  
Hortense Gonsu Kamga ◽  
Albert Same Ekobo ◽  
William Baiye ◽  
Godswill Ntsomboh-Ntsefong ◽  
...  
Keyword(s):  
Infection Control ◽  
Health Facility ◽  
Assessment Tool ◽  
Control Program ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
National Guidelines ◽  
Cross Sectional ◽  
Infection Control Program ◽  
Recommended Practices

Background: Nosocomial infection’s (NIs) data are scarce in developing countries. In some of these countries, national guidelines for its prevention by health facilities have introduced surveillance recommendations including Infection Control Assessment Tool (ICAT). The aim of our study was to evaluate the compliance levels of NIs recommendations. Methodology: We conducted a cross-sectional study from September to December 2018 in 10 health facilities in Yaounde. A checklist with two modules from the ICAT (Health Facility information and Infection Control Program) was used to determine the degree of compliance towards the recommendations by performing interviews, observations and consultation of documents. Results: Sixty (60) % of health facilities are aware of the national guidelines and regulation on the fight against NIs but only 30% have adopted them.  Accreditation standards applicable to health facilities are not known by any of the health facilities. The recommendations concerning demographic characteristics, water supply and the general characteristics on rooms were generally respected (more than 50%) in 90% of the health facilities. 100% of health facilities had less than fifty (50)% compliance level for the fight against NIs recommendations with compliance levels below 15% for 50% of them. This worst compliance (less than 15%) was especially observed with recommended practices concerning responsibilities and authorities (40% of health facilities), functionality of infection and control committees (50% of health facilities), key personnel responsible for fight against NIs (30% of health facilities) and study of outbreaks and surveillance of NIs (100% of health facilities). Training programs on fight against NIs had better scores (30% of health facilities with more than 50% of compliance levels). The Fischer test shows that there is a significant relationship between the compliance with all these recommended practices and the health facility capacity (P= 0, 0476) . Conclusion: NIs control programs in Yaounde health facilities are insufficient. Awareness, training, promotion and follow-up actions are necessary for the understanding and adoption of recommendations on the monitoring of NIs.  

scholarly journals Stakeholders’ perspectives on the management of diabetic retinopathy for a district health system – South Africa

2017 ◽  
Vol 76 (1) ◽  
Author(s):  
Zaheera Abdool ◽  
Kovin S. Naidoo ◽  
Linda Visser
Keyword(s):  
Diabetic Retinopathy ◽  
General Practitioners ◽  
Primary Healthcare ◽  
Healthcare Workers ◽  
Primary Objective ◽  
Classification Systems ◽  
National Guidelines ◽  
District Health ◽  
Cross Sectional

Background: Clinical practice guidelines for the management of diabetic retinopathy (DR) adopted in various countries show variations in methods of examinations, screeners and classification systems. The South African National Guidelines for the frequency of referral of patients with diabetes mellitus (DM) for DR assessment were developed more than a decade ago. They do not specify the role of primary healthcare workers (PHCW) to manage DR at primary healthcare (PHC) level. The primary objective of this study was to establish the current role of PHCW in managing diabetic eye disease.Method: A cross-sectional study was conducted, and questionnaires were distributed to a total of 181 healthcare practitioners (HCPs) in public health institutions situated in the northern eThekwini district of KwaZulu-Natal. Clinics and community health centres (CHCs) were selected based on the assumption that PHC nurses, general practitioners or medical officers (MOs) and ophthalmic nurses practice at these institutions. The hospitals selected were the referral institutions for the selected clinics and CHCs. The questionnaires distributed included questions relating to the DR classification systems usage, HCP interaction and opinions on how HCPs could be valuable in managing DR.Results: Only two out of the five ophthalmic nurses were familiar with the grading classification systems for DR. Ophthalmic nurses had less interaction with general practitioners or MOs (40.0%) than the PHC nurses (60.0%). Only 2.4% of the PHC nurses interacted with ophthalmologists. Four of the five ophthalmic nurses indicated that PHC nurses would be valuable in the management of DR by taking visual acuity (VA) and conducting a pinhole test. More than 60% of the general practitioners or MOs (65.6%) suggested that ophthalmic nurses do a fundus examination. Ophthalmologists indicated that the PHC nurses were the least capable (17.7%) to screen for DR.Conclusion: Primary healthcare workers such as PHC nurses, ophthalmic nurses, general practitioners or MOs and optometrists have specific roles to play in DR management, which includes its prevention, detection, grading, referral and monitoring.

scholarly journals Age-Related Haematological Variations in Patients with Asymptomatic Malaria in Akure, Ondo State, Nigeria

2021 ◽  
pp. 218-224
Author(s):  
Emmanuel Ifeanyi Obeagu ◽  
Ayomiposi Ibironke Busari ◽  
Immaculata Ogochukwu Uduchi ◽  
I. A. Ogomaka ◽  
Adaobi Maryann Ibekwe ◽  
...  
Keyword(s):  
Communicable Disease ◽  
Age Groups ◽  
Cross Sectional Study ◽  
Asymptomatic Malaria ◽  
Age Group ◽  
Cross Sectional ◽  
Age Related ◽  
Parametric Data ◽  
Significant Difference ◽  
Ondo State

Background: Malaria is a life-threatening infectious disease of widespread burden. Malaria remains a leading communicable disease in the developing countries of the world. It occurs mostly in the tropical and subtropical regions and accounts for considerable morbidity and death. Malaria which is liable for a major amount of mortalities in endemic countries has been revealed to have both direct and indirect impacts on the haematologicalparameters.The study was done to compare the levels of haematological parameters of asymptomatic malaria patients based on age groups. Methods: The study is a cross-sectional study among asymptomatic malaria patients based on age groups. This study was conducted in Oda Road area of Akure, Ondo State. Two hundred (200) subjects were recruited for this study with each group comprising of 100 subjects for patients with asymptomatic malaria for the 2 age groups (16-30 years and 31-65 years). The data were presented in tables and as mean ± standard deviation and analyzed using student-test for parametric data and chi-square for non parametric data by statistical packages for social sciences (SPSS, Version 20.0) and level of significance set at as p≤ 0.05. Results: The results showed that subjects on age group 16-30 years were 100(50%) comprising of 50 males (25%) and 50 females (25). Also age group 31-65 years has 100 subjects (50%) comprising of 50 males (25%) and 50 females (25).The results showed significant difference in MCV (p=0.008), MCH (p=0.024) and no significant difference in PCV (p=0.675), WBC (p= 0.224), LYM (p=0.109), GRAN (p=0.061), MID (p=0.066), RBC (p=0.119), Hb (p=0.546), MCHC (p=0.262), PLT (p=0.783), when compared between age groups in years (16-30 and 31-65). Conclusion: The study showed increase in MCV and MCH of asymptomatic malaria patients within the age group of 31-65 years compared to asymptomatic malaria patients on 16-30 years age group. This shows that microcytic hypochromic anaemia may be experienced in asymptomatic malaria patients within the age group of 16-30 years more than in 31-65 years age group.

scholarly journals Electronic Immunization Registry in Improving Vaccine Supply Chain Availability in Tanga City Council, Tanzania

2021 ◽  
Vol 4 (2) ◽  
pp. 223-236
Author(s):  
Emmanuel Yohana ◽  
Shiferaw Mitiku ◽  
P. Claver Kayumba ◽  
Omary Swalehe
Keyword(s):  
Supply Chain ◽  
Oral Polio Vaccine ◽  
City Council ◽  
Health Facilities ◽  
Human Papilloma Virus Vaccine ◽  
National Bureau ◽  
Supply Chain System ◽  
Cross Sectional ◽  
Immunization Registry ◽  
The Impact

BackgroundDespite the advantages of the electronic registry which has been explained in other areas of health and other parts of the world, there has been no empirical research conducted with the aim of assessing the impact of the electronic immunization registry practices on the availability of immunization commodities.ObjectivesTo assess the effect of electronic immunization registry practices on the availability of immunization commodities.MethodsA cross-sectional study was carried out to health facilities providing vaccination services in Tanga City Council. A total of 27 health care workers in 27 health facilities were interviewed for availability of vaccines and their experience in using electronic immunization system in supply chain system functioning using structured questionnaires. The data from the vaccines manual ledger and electronic TImR system were also collected administered in April-June, 2019 specifically for Bacillus-Calmette Guerin (BCG), Diphtheria-Pertussis-Tetanus-Hepatis B-Haemophilus influenza type b (DPT-HepB-Hib), bi-oral polio vaccine (bOPV), Measles-Rubella and Human Papilloma Virus Vaccine (HPV). These data were analyzed by statistical software SPSS using one sample T test and 95% confidence interval.ResultsThe study affirmed that the mean numbers of children registered at the health facilities using electronic immunization registry was 1.5-3 times higher than the target population for the three months preceding the study given by the National Bureau of Statistics (NBS). The number of doses for the studied vaccines (DPT-HepB-Hib, measles rubella, HPV, BCG and bOPV) were found to be different in the manual and electronic TImR systems. Also, the number of doses available at the health facilities increased significantly with the number of the electronic system registered children.ConclusionThis study found that the adoption of Electronic immunization registry has improved the health supply chain in terms of improving the vaccines availability. Rwanda J Med Health Sci 2021;4(2): 223-236

scholarly journals Evaluation of Application of Effective Vaccine Management in Wassit Governorate, Iraq

2020 ◽  
Vol 11 (02) ◽  
pp. 242-246
Author(s):  
Jalal A R Zayer ◽  
Ishraq A Chiad
Keyword(s):  
Supply Chain ◽  
Management Practices ◽  
Storage Capacity ◽  
Storage Temperature ◽  
Health Facilities ◽  
Effective Vaccine ◽  
Stock Management ◽  
Cross Sectional ◽  
Average Percentage ◽  
Minimum Score

Background: Immunization helps save a life, protect serious illness, and improve quality of life. It is recognized as one of the most cost-effective public health interventions available around the globe. However, the success of this program is heavily dependent on strong immunization supply chain practices. Proper immunization supply chain management ensures availing potent and live vaccines to the community. Objective: To evaluate the application of effective vaccine management in health facilities of Wassit Governorate, Iraq. Subjects and Methods: It was a cross-sectional study involving a multistage sampling. A total of 45 health facilities sites were selected, as follows: one sub-national store (SN), six district store (LD), and thirty eight service point (SP) by using effective vaccine management (EVM) questionnaire, interview, reviewing the records, and observations for the agreed review period. Results: The overall scores of this assessment for all levels (SN, LD, and SP) of the supply chain 66.6% demonstrates a need for more improvement in most areas of the vaccine and supply management system as only two criteria (storage capacity E3 and vaccine management practices E8) exceeds the WHO recommended minimum score of 80%. Performance levels of one criteria (building, equipment E4) were about 72% storage temperature (E2), maintenance(E5) and stock management (E6) were between 61 and 68%, while the vaccine distribution (E7), and information management (E9) were notably very weak with performance in each category less than 60%. Conclusions: The national average percentage at all levels was below the WHO recommended minimum score of 80%. Recommendation: The future vaccine storage capacity must be recalculated and stored to enter any new vaccine, receive large quantities of the influenza vaccine, and replace vaccine refrigerators at the sector level with cold rooms to accommodate current and future increases.

scholarly journals Knowledge and Utilization Levels of Partograph in Management of Labour Amongst Midwives in Selected Health Facilities in Akure, Ondo State

2021 ◽  
Vol 4 (6) ◽  
pp. 101-118
Author(s):  
Adamolekun P.A. ◽  
Osaji T. ◽  
Adeyanju A.B.
Keyword(s):  
Work Experience ◽  
Survey Design ◽  
Skills Training ◽  
Health Care Facilities ◽  
Health Facilities ◽  
Sub Saharan Africa ◽  
Good Knowledge ◽  
Utilization Rate ◽  
Cross Sectional ◽  
Ondo State

Routine use of Partograph prevents labour related deaths which contributes hugely to maternal mortality in Sub-Saharan Africa (WHO, 2015).The study assessed knowledge and utilization levels of partograph in management of labour amongst midwives in selected health facilities in Akure, Ondo State. A cross-sectional descriptive survey design was adopted. Two hundred respondents were selected using a multistage sampling method. A validated self-structured questionnaire was used for data collection after a test retest for reliability. Data were analyzed using descriptive statistics of frequency, means and percentages while inferential statistics of Chi-square ANOVA was used to test hypothesis at significance of P ≤ 0.05. The result showed that the majority of the midwives 119 (59.5%) had good knowledge of partograph. Also, on levels of utilization, 62(62%) of respondents from UNIMEDTH and 46 (59%) in MCHA had good utilization of partograph, while all the 22(100%) respondents in CHCA had poor utilization. There was a significant relationship between years of work experience and midwives’ level of knowledge of partograph (p = 0.01). Annual partograph utilization rate was highest in the tertiary facility (UNIMEDTH (63%), followed by secondary (MCHA 51.8%) and primary (CHCA 41.3%). In conclusion, although the respondents had good knowledge of partograph, its utilization level was low at CHCA, therefore practical skills, training and retraining programs for midwives should be instituted to enhance the level of utilization of partograph in the primary health care facilities. Further study for midwife-led intervention on the utilization of partograph among midwives in the PHC should be done at a wider scope.

scholarly journals Same-day antiretroviral treatment (ART) initiation and associated factors among HIV positive people in Northwest Ethiopia: baseline characteristics of prospective cohort

2020 ◽  
Vol 78 (1) ◽  
Author(s):  
Nurilign Abebe Moges ◽  
Olubukola Adeponle Adesina ◽  
Micheal A. Okunlola ◽  
Yemane Berhane
Keyword(s):  
Logistic Regression ◽  
Opportunistic Infections ◽  
Northwest Ethiopia ◽  
Health Facilities ◽  
Hiv Positive ◽  
P Value ◽  
Bahir Dar ◽  
Cross Sectional ◽  
Art Initiation ◽  
Hiv Test

Abstract Background Despite a well-established fact that same-day or rapid ART initiation after a positive HIV test result is vital for faster viral suppression and for prevention of further sexual transmissions of HIV, there is a paucity of evidence on the uptake of same-day ART initiation among newly HIV diagnosed people in Northwest, Ethiopia. Methods A cross-sectional study was conducted between December 1st, 2018 and July 30, 2019. About 759 newly HIV diagnosed adults were recruited from 24 health facilities. Data were collected using interviewer-administered questionnaire. Data were entered using EPI-Data and exported to SPSS and STATA software for further analysis. Bivariate logistic regression was used to select candidate variables at p-value less than 0.25 for multivariate logistic regression. Then adjusted odds ratio with 95% Confidence Interval (CI) at p-value of less than 0.05 was used to declare the statistical associations between the dependent and independent variables. Result Magnitude of same-day ART initiation was 318 (41.90%) [(95% CI, 38.2–45.20%)]. Factors associated with same-day ART initiation were: Patients resided in West Gojjam Zone were 2.04 times more likely to initiate same-day ART compared to those in Bahir Dar city administration [AOR = 2.04 (1.04–3.97)], patients in the health centers were 3.06 times more likely to initiate same-day ART initiation compared to those in the hospitals [AOR = 3.06 (1.90–4.92)] and Patients who were diagnosed their HIV status at the same health facility where they linked for ART were 2.16 times more likely to initiate ART at the same-day of diagnosis [AOR = 2.16 (91.24–3.74)]. Moreover, patients with no opportunistic infection [AOR = 2.08 (1.04–4.19)] and pregnant women [AOR = 3.97 (1.78–8.87)] were more likely to initiate ART same-day of diagnosis. Conclusions Same-day ART initiation was low among HIV patients in Ethiopia. Patients attending their treatment at hospitals and those from big city (Bahir Dar) were less likely to initiate same-day ART. Clinical factors such as having opportunistic infections and non-pregnancy status affected the immediate initiation of treatment. HIV positive people who seek care in hospitals and those tested HIV positive from another health facilities in which they did not intend to continue their ART follow-up care need special attention.

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