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Inventory management practices: implications on the pharmaceuticals expenditure of rabies vaccine in public health facilities, Namibia
BACKGROUND: To achieve well-regulated distribution, storage, and utilization of the rabies vaccine, health facilities should adhere to standard operating procedures. In Namibia, information on inventory management, utilization, monitoring, and reporting of rabies vaccine adherence to standard operat...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10394911/ https://www.ncbi.nlm.nih.gov/pubmed/37533090 http://dx.doi.org/10.1186/s12913-023-09790-0 |
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author | Shibabaw, Alemnew Dessie Nakambale, Hilma N. Bangalee, Varsha |
author_facet | Shibabaw, Alemnew Dessie Nakambale, Hilma N. Bangalee, Varsha |
author_sort | Shibabaw, Alemnew Dessie |
collection | PubMed |
description | BACKGROUND: To achieve well-regulated distribution, storage, and utilization of the rabies vaccine, health facilities should adhere to standard operating procedures. In Namibia, information on inventory management, utilization, monitoring, and reporting of rabies vaccine adherence to standard operating procedures in public healthcare facilities is insufficient. The aim of this study was to assess adherence to rabies vaccine standard operating procedures and inventory management and to compare rabies vaccine expenditure to the number of patients who received rabies vaccination at the Ministry of Health and Social Services’ public healthcare facilities from 2018 to 2020. METHODS: A cross-sectional, web-based questionnaire consisting of closed-ended questions was sent to 147 pharmacy staff and warehouse managers working in the 14 regions of Namibia during the period of May 1, 2021, to June 2, 2021. The overall expenditure and the total number of patients vaccinated from 2018 to 2020 were obtained from national-level logistic and vaccination program coordinators. Data were coded and transcribed into Microsoft® Excel® 2013 and analyzed using SPSS® version 27. RESULTS: One hundred and thirty-three completed questionnaires were received from sixty-nine public health centers and hospitals. The group of respondents consisted of pharmacist assistants (50%), pharmacy technicians (12%), pharmacists (36.8%), senior pharmacists (0.8%), and chief pharmacists (1.5%). Overall, adherence to standard operating procedures was poor (27.1%). Rabies vaccine distributed to public health facilities from 2018 to 2020 was worth N$75,381,419.91 (~ US$4,074,671.46) and was expected to vaccinate 87,269 patients; however, only 95 cases of both rabies and rabid dog-bite patients were reported. The major inventory management challenges for public healthcare facilities include an inadequate number of pharmacy staff, poor adherence to standardized pharmaceutical warehousing, lack of regular supervision, and inadequate staff training. CONCLUSION: Inventory management practices in public healthcare facilities were not in compliance with standard operating procedures. There is a significant discrepancy between rabies vaccine expenditure and the number of patients that were vaccinated. Therefore, there is a need for adequate staff training on inventory management and regular facility supervision to enforce optimal rabies vaccine inventory management practices. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-023-09790-0. |
format | Online Article Text |
id | pubmed-10394911 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-103949112023-08-03 Inventory management practices: implications on the pharmaceuticals expenditure of rabies vaccine in public health facilities, Namibia Shibabaw, Alemnew Dessie Nakambale, Hilma N. Bangalee, Varsha BMC Health Serv Res Research BACKGROUND: To achieve well-regulated distribution, storage, and utilization of the rabies vaccine, health facilities should adhere to standard operating procedures. In Namibia, information on inventory management, utilization, monitoring, and reporting of rabies vaccine adherence to standard operating procedures in public healthcare facilities is insufficient. The aim of this study was to assess adherence to rabies vaccine standard operating procedures and inventory management and to compare rabies vaccine expenditure to the number of patients who received rabies vaccination at the Ministry of Health and Social Services’ public healthcare facilities from 2018 to 2020. METHODS: A cross-sectional, web-based questionnaire consisting of closed-ended questions was sent to 147 pharmacy staff and warehouse managers working in the 14 regions of Namibia during the period of May 1, 2021, to June 2, 2021. The overall expenditure and the total number of patients vaccinated from 2018 to 2020 were obtained from national-level logistic and vaccination program coordinators. Data were coded and transcribed into Microsoft® Excel® 2013 and analyzed using SPSS® version 27. RESULTS: One hundred and thirty-three completed questionnaires were received from sixty-nine public health centers and hospitals. The group of respondents consisted of pharmacist assistants (50%), pharmacy technicians (12%), pharmacists (36.8%), senior pharmacists (0.8%), and chief pharmacists (1.5%). Overall, adherence to standard operating procedures was poor (27.1%). Rabies vaccine distributed to public health facilities from 2018 to 2020 was worth N$75,381,419.91 (~ US$4,074,671.46) and was expected to vaccinate 87,269 patients; however, only 95 cases of both rabies and rabid dog-bite patients were reported. The major inventory management challenges for public healthcare facilities include an inadequate number of pharmacy staff, poor adherence to standardized pharmaceutical warehousing, lack of regular supervision, and inadequate staff training. CONCLUSION: Inventory management practices in public healthcare facilities were not in compliance with standard operating procedures. There is a significant discrepancy between rabies vaccine expenditure and the number of patients that were vaccinated. Therefore, there is a need for adequate staff training on inventory management and regular facility supervision to enforce optimal rabies vaccine inventory management practices. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12913-023-09790-0. BioMed Central 2023-08-02 /pmc/articles/PMC10394911/ /pubmed/37533090 http://dx.doi.org/10.1186/s12913-023-09790-0 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Shibabaw, Alemnew Dessie Nakambale, Hilma N. Bangalee, Varsha Inventory management practices: implications on the pharmaceuticals expenditure of rabies vaccine in public health facilities, Namibia |
title | Inventory management practices: implications on the pharmaceuticals expenditure of rabies vaccine in public health facilities, Namibia |
title_full | Inventory management practices: implications on the pharmaceuticals expenditure of rabies vaccine in public health facilities, Namibia |
title_fullStr | Inventory management practices: implications on the pharmaceuticals expenditure of rabies vaccine in public health facilities, Namibia |
title_full_unstemmed | Inventory management practices: implications on the pharmaceuticals expenditure of rabies vaccine in public health facilities, Namibia |
title_short | Inventory management practices: implications on the pharmaceuticals expenditure of rabies vaccine in public health facilities, Namibia |
title_sort | inventory management practices: implications on the pharmaceuticals expenditure of rabies vaccine in public health facilities, namibia |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10394911/ https://www.ncbi.nlm.nih.gov/pubmed/37533090 http://dx.doi.org/10.1186/s12913-023-09790-0 |
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