Local causes of essential medicines shortages from the perspective of supply chain professionals in Saudi Arabia

AlRuthia, Yazed; Almutiri, Nouf Mohammed; Almutairi, Raghdah Musa; Almohammed, Omar A.; Alhamdan, Hani; El-Haddad, Sobhi Ali; Asiri, Yousif A.

doi:10.1016/j.jsps.2023.04.019

Cited by 5 publications

(3 citation statements)

References 31 publications

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“…Timeliness of ordering was significantly associated with the availability of HIV commodities at the facilities. The current findings are similar to a study conducted in Uganda and Saudi Arabia (AlRuthia et al, 2023 ; Lugada et al, 2022 ) which revealed that the main reasons for stock-outs in facilities were discrepancies in orders and deliveries. The current findings may be due to poor inventory management practices and wrong LMIS systems (AlRuthia et al, 2023 ; Berhanemeskel et al, 2016 ).…”

Section: Discussionsupporting

confidence: 91%

“…The current findings are similar to a study conducted in Uganda and Saudi Arabia (AlRuthia et al, 2023 ; Lugada et al, 2022 ) which revealed that the main reasons for stock-outs in facilities were discrepancies in orders and deliveries. The current findings may be due to poor inventory management practices and wrong LMIS systems (AlRuthia et al, 2023 ; Berhanemeskel et al, 2016 ). Discrepancies in the ordering of commodities as seen in this study affect commodity availability contributing to stock-outs a major parameter in limiting the accessibility of vital HIV commodities.…”

Section: Discussionsupporting

confidence: 91%

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Assessing determinants of the availability of HIV tracer commodities in health facilities in Wakiso District, Uganda

Lule,

Rajab,

Banzimana

et al. 2024

Journal of Pharmaceutical Policy and Practice

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Background: HIV/AIDS commodity stock-outs are still rampant in most African Countries causing treatment interruption, antiretroviral resistance, treatment failure, morbidity and mortality. Therefore, this study aimed at assessing the determinants of the availability of HIV Tracer Commodities in Health Facilities in Wakiso District, Uganda. Methods: A descriptive cross-sectional design was conducted in 42 Health Facilities [HFs] offering HIV/AIDs services in Wakiso District, Uganda. Semi-structured questionnaire adapted from the Anti-Retroviral Therapy Supervision Performance and Recognition Strategy [ART SPARS] tool Version 2.0 | 2018111 was used to collect data. Results: The majority of the HFs 28 [67%] had all the seven tracer commodities on the day of the visit. The majority of the HFs 33 [78.6%] were using Manual stock management tools that were fully updated. The availability of HIV tracer commodities was high in facilities that made timely ordering [AOR: 2.538, 95% CI: 2.126–3.304, p -value = 0.003] while the use of manual LMIS alone at the facility [AOR: 0.623, 95% CI: 0.131–0.958, p -value = 0.002] was associated with low availability. Conclusion: This study indicated that 67% of health facilities visited had all HIV Tracer commodities on the day of the visit. ART commodity management should be computerised and orders made on time to ensure the availability of commodities.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 91%

Assessing determinants of the availability of HIV tracer commodities in health facilities in Wakiso District, Uganda

Lule,

Rajab,

Banzimana

et al. 2024

Journal of Pharmaceutical Policy and Practice

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“…Challenges such as shortages of medicines, stock-outs of essential medicines, procurement processes, and inventory management systems (IMS) persist in delivering quality healthcare services globally, mainly in LMICs like Nepal [ 1 , 2 ]. While acknowledging the global prevalence of studies on stock-outs [ 3 , 4 ], barriers [ 5 – 7 ], and supply chain issues [ 8 , 9 ] related to essential medicines, it is necessary to highlight the unique circumstances faced by the health system of Nepal. Despite the abundance of worldwide research in this area, the focus on Nepal remains limited, creating a gap in understanding the specific challenges within its context.…”

Section: Introductionmentioning

confidence: 99%

Procurement process and shortages of essential medicines in public health facilities: A qualitative study from Nepal

Adhikari,

Ranabhat,

Khanal

et al. 2024

PLOS Glob Public Health

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Ensuring access to essential medicines remains a formidable challenge in Nepal. The specific reasons for the shortage of essential medicines within Nepal have not been extensively investigated. This study addresses challenges associated with access to essential medicines, procurement process difficulties, and functionality of inventory management systems at different levels of public health facilities. Fifty-nine semi-structured in-depth interviews were conducted with health managers and service providers at provincial and local levels in six randomly selected districts of Bagmati province, Nepal. Interviews were audiotaped and transcribed verbatim, and the results were analyzed using the inductive approach and were later mapped within the four domains of “Procurement of essential medicines”. The major barriers for the effective management of essential medicines included delays in the procurement process, primarily locally, leading to frequent stock-out of essential drugs, particularly at the health post level. Additionally, challenges arise from storage problems, mainly due to insufficient storage space and the need to manage additional comorbidities related to COVID-19. Other identified challenges encompass the absence of training on logistics management information systems, a lack of information technology resources in primary health facilities, inadequate qualified human resources to operate the IT system, and insufficient power backup. Moreover, unrealistic demand estimation from the service points, inadequate transportation costs, and manual inventory management systems further contributed to the complex landscape of challenges. This study identified procurement delays as the primary cause of essential medicine shortages in Bagmati Province, Nepal. We recommend implementing comprehensive procurement guidelines, collaborative training, and dedicated budgets to address this issue. Improving the procurement and inventory management process in low-resource settings requires a well-trained workforce, suitable storage spaces, and enhanced coordinated administrative tiers within health facilities at different levels to ensure the year-round availability of essential medicines in these settings.

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How innovative technologies shape the future of pharmaceutical supply chains

Nabli,

Ghannem,

Djemaa

et al. 2025

Computers & Industrial Engineering

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Local causes of essential medicines shortages from the perspective of supply chain professionals in Saudi Arabia

Cited by 5 publications

References 31 publications

Assessing determinants of the availability of HIV tracer commodities in health facilities in Wakiso District, Uganda

Assessing determinants of the availability of HIV tracer commodities in health facilities in Wakiso District, Uganda

Procurement process and shortages of essential medicines in public health facilities: A qualitative study from Nepal

How innovative technologies shape the future of pharmaceutical supply chains

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