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ABSTRACT
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.
Disclosure statement
No potential conflict of interest was reported by the author(s).
Data availability statement
The datasets used and/or analysed during the current study are available upon reasonable request.
Ethics approval and consent to participate
Approval was obtained from the Makerere University Institutional Review Board School of Health Sciences and Ethics Committee [MAKSHSREC-2022-403]. Further Administrative Clearance was obtained through the Wakiso District Health Officer.
Additional information
Funding
Notes on contributors
Falisy Lule
Falisy Lule is an experienced Hospital Pharmacist in Kiruddu National Referral Hospital, Uganda passionate about equitable medicines access to all, rational medicines use, innovation, capacity building and skills transfer. For more than four years as the Head of the Pharmacy Department in Kiruddu National Referral Hospital, Falisy has dedicated his career time to ensuring lifesaving medicines are available at all times and are rationally used. He has been able to mentor more than 50 Intern Pharmacists, built Antimicrobial Stewardship and Pharmacovigilance structures, served on a number of Quality improvement committees and most recently championing digitising of hospital processes across the spectrum for better accountability and efficiency. Above skill sets have been built on three years of supply chain experience and expertise attained from Medical access Uganda Limited were he served as the Supply Chain Technical Officer. He is educated from Mbarara University of Science and Technology, Uganda where he attained a Bachelor’s Degree in Pharmacy. University of Rwanda- EAC Regional Centre of Excellence for Vaccines, Immunization and Health Supply Chain Management attaining a Masters of Science in Health Supply Chain Management and most recently Makerere University, Uganda attaining a Master’s of Science in Public Health. Falisy enjoys spending time reading, exercising and visiting friends and family.
Kalid Rajab
Kalid Rajab holds a Bachelors’ Degree in Pharmacy from Makerere University, Uganda and Master of Science in Clinical Pharmacy from University College of Cork, Ireland. He has eight (8) years teaching experience at the level of lecturer and teaches clinical pharmacy and Medicines and Health supplies management in Department of Pharmacy, Makerere University. He is a Lecturer and coordinator of teaching and associate chair in the Department of Pharmacy, Makerere University. Rajab is an active member of Pharmaceutical Society of Uganda (PSU) and serves in the examination committee. Rajab is also acting chair of School of Health Sciences, Makerere University Research and Ethics committee and a member of Makerere University College of Health Sciences Quality Assurance and Gender Mainstreaming Committee. Rajab has broad research interests including research in both communicable and noncommunicable diseases, health supply chain management and environment health.
Stany Banzimana
Mr. Stany Banzimana holds a MSc in Public Procurement Management for Sustainable Development and currently doing research on Vaccine Supply Chain Management System Design for Rwanda and Kenya as part of his PhD trajectory. He is a permanent lecturer at the University of Rwanda (UR), College of Business and Economics (CBE) since 2013. From 2014 to date, he works with the East Africa Community Regional Centre of Excellence for Vaccines, Immunization and Health Supply Chain Management (EAC RCE-VIHSCM) hosted by the UR on behalf of the EAC Partner States. At the RCE-VIHSCM, he has served in different positions and is currently responsible for designing and delivering professional courses for health supply chain workforce development in the EAC Region and around 2,000 health professionals across the EAC region have been trained on various topics related to supply chain management and access to medicines. From 2020 to date, he is supporting the National Immunization Programme (EPI) of the Rwanda Biomedical Center as a member of the National Immunization Logistics Working Group (NILWG) and his support focuses on new and routine vaccine introduction, storage, distribution, cold-chain management, vaccination coverage and system re-design to improve the uptake. Mr. Stany is currently involved in research, training and teaching Procurement, Logistics and Supply Chain related topics at both College of Business and Economics (UR-CBE) and the Centre of Excellence for Vaccines, Immunization and Health Supply Chain Management (EAC RCE-VIHSCM) and is a co-author of six papers on access to medicines and supply chain management.
Domina Asingizwe
Dr. Domina Asingizwe is a Research, Innovation, and Technical Assistance Coordinator in the EAC RCE-VIHSCM since 2020. In her current position, she coordinates the selection and implementation of the RCE research grants, coordinate and lead the grants applications in the areas of VIHSCM, support the center’s staff and students to write manuscripts for publication in peer reviewed journals, and represent the centre at research forums at national, regional and international levels, among other activities. She is also a Senior Lecturer in the College of Medicine and Health Sciences (CMHS), University of Rwanda. She has a PhD in Public Health with interest in malaria prevention. She has over ten years of experience in Research. She is currently part of the Research team supporting the Directorate of Research and Innovation in CMHS. Since 2011, She has been participating in pre-award, award, and post wards grant management. Besides, she has also been consistently involved in organizing and coordinating research trainings to support the University of Rwanda staff and Partner Institutions to improve their research administration, grant management, and manuscript writing skills. She has published in multiple venues, and she has been involved in implementation research that feeds into evidence-based health care policy and practice as foundational to cost-effective targeted interventions for optimal population health outcomes.