“The number of clients is increasing but the supplies are reducing”: provider strategies for responding to chronic antiretroviral (ARV) medicines stock-outs in resource limited settings: a qualitative study from Uganda

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dc.contributor.authorZakumumpa, Henry
dc.contributor.authorMatovu Kiweewa, Flavia
dc.contributor.authorKhuluza, Felix
dc.contributor.authorKitutu, Freddy Eric
dc.date.accessioned2022-01-28T10:17:37Z
dc.date.available2022-01-28T10:17:37Z
dc.date.issued2019
dc.description.abstractDespite the increasing frequency of ARV medicines stock-outs in Sub-Saharan Africa, there is little research inquiring into the mitigation strategies devised by frontline health facilities. Many previous studies have focused on ‘upstream’ or national-level drivers of ARVs stock-outs with less empirical attention devoted ‘downstream’ or at the facility-level. The objective of this study was to examine the strategies devised by health facilities in Uganda to respond to the chronic stock-outs of ARVs. This was a qualitative research design nested within a larger mixed-methods study. We purposively selected 16 health facilities from across Uganda (to achieve diversity with regard to; level of care (primary/ tertiary), setting (rural/urban) and geographic sub-region (northern/ central/western). We conducted 76 Semi-structured interviews with ART clinic managers, clinicians and pharmacists in the selected health facilities supplemented by on-site observations and documentary reviews. Data were analyzed by coding and thematic analyses.en_US
dc.identifier.citationZakumumpa, H., Kiweewa, F. M., Khuluza, F., & Kitutu, F. E. (2019). “The number of clients is increasing but the supplies are reducing”: provider strategies for responding to chronic antiretroviral (ARV) medicines stock-outs in resource-limited settings: a qualitative study from Uganda. BMC health services research, 19(1), 1-11. https://doi.org/10.1186/s12913-019-4137-7en_US
dc.identifier.urihttps://doi.org/10.1186/s12913-019-4137-7
dc.identifier.urihttps://nru.uncst.go.ug/xmlui/handle/123456789/1587
dc.language.isoenen_US
dc.publisherBMC health services researchen_US
dc.subjectStock-outsen_US
dc.subjectARTen_US
dc.subjectHealth systemsen_US
dc.subjectHealth servicesen_US
dc.subjectResource-limited settingsen_US
dc.subjectSupply chain managementen_US
dc.title“The number of clients is increasing but the supplies are reducing”: provider strategies for responding to chronic antiretroviral (ARV) medicines stock-outs in resource limited settings: a qualitative study from Ugandaen_US
dc.typeArticleen_US
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