Availability and Expiry of Essential Medicines and Supplies During the ‘Pull’ and ‘Push’ Drug Acquisition Systems in a Rural Ugandan Hospital

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dc.contributor.authorTumwine, Yona
dc.contributor.authorKutyabami, Paul
dc.contributor.authorOdoi, Richard A.
dc.contributor.authorKalyango, Joan N.
dc.date.accessioned2022-02-02T15:29:05Z
dc.date.available2022-02-02T15:29:05Z
dc.date.issued2010
dc.description.abstractTo assess the impact of the ‘Pull’ system on the availability and reduction of expiry of essential medicines and medical supplies and to determine factors affecting their availability in Kilembe Hospital, Uganda. Methods: Records of 27 essential medicines and 11 medical supplies were reviewed over two-year periods in the Push (2000 - 2001) and Pull system (2004 - 2005). Key informant interviews were conducted. The data were analyzed using STATA version 8. Comparison of availability was effected using Wilcoxon signed rank tests. Results: The median number of days out-of-stock for drugs and medical supplies was 94 versus 24 (p < 0.001) and 8 versus 0 (p < 0.39) for the Push and Pull systems, respectively. The mean percentage days out-of-stock in the two periods was 15.3 % versus 3.5 % (p < 0.001) and 1.8 % versus 1.3 % (p = 0.34) for drugs and medical supplies, respectively. Expired drugs were worth USD 1584 (25 items) in 2000/2001 and USD 1307 (13 items) in 2004/2005. Factors contributing to availability of supplies were inadequate training, lack of transport and inadequate funding. Conclusion: The Pull system improved availability of essential medicines and reduced the volume of expiries. Availability of funds, transport, staff training and supervision should be addressed for maximal benefits.en_US
dc.identifier.citationTumwine, Y., Kutyabami, P., Odoi, R. A., & Kalyango, J. N. (2010). Availability and expiry of essential medicines and supplies during the ‘pull’and ‘push’drug acquisition systems in a rural Ugandan hospital. Tropical Journal of Pharmaceutical Research, 9(6).en_US
dc.identifier.urihttps://www.ajol.info/index.php/tjpr/article/view/63555
dc.identifier.urihttps://nru.uncst.go.ug/xmlui/handle/123456789/1767
dc.language.isoenen_US
dc.publisherTropical Journal of Pharmaceutical Researchen_US
dc.subjectPush systemen_US
dc.subjectPull systemen_US
dc.subjectAvailability of medicinesen_US
dc.subjectMedicines expiryen_US
dc.titleAvailability and Expiry of Essential Medicines and Supplies During the ‘Pull’ and ‘Push’ Drug Acquisition Systems in a Rural Ugandan Hospitalen_US
dc.typeArticleen_US
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