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公共卫生设施的采购过程和基本药物的短缺:尼泊尔的一项定性研究
Basant Adhikari1,2,3, Kamal Ranabhat4,5, Pratik Khanal2,6
1Ministry of Health, Bagmati Province, Hetauda, Nepal.
PLOS global public health
|May 2, 2024
概括
采购延迟是尼泊尔基本药品短缺的主要原因. 改善供应链需要更好的培训,储存和协调,以确保药物获得一致.
科学领域:
- 公共卫生 公共卫生
- 卫生系统研究 卫生系统研究
- 供应链管理 供应链管理
背景情况:
- 获得必需药品是一个关键的全球卫生挑战.
- 尼泊尔在确保重要药品的持续供应方面面临重大障碍.
- 之前的研究还没有充分探索尼泊尔药品短缺的具体驱动因素.
研究的目的:
- 调查尼泊尔获得必需药物的挑战.
- 分析基本药品采购过程中的困难.
- 评估公共卫生设施库存管理系统的功能.
主要方法:
- 与卫生管理人员和服务提供者进行了59次半结构化的深度访谈.
- 在尼泊尔巴格马提省随机选择的六个地区.
- 利用一种诱导方法进行分析,将研究结果映射到采购领域.
主要成果:
- 采购的延迟,特别是在地方层面,是主要的障碍,导致经常缺货,特别是在卫生站.
- 储存问题,包括空间不足和管理COVID-19相关的并发症,加剧了短缺.
- 缺乏对物流管理信息系统 (LMIS) 的培训,不足的IT资源,不足的熟练人员和不可靠的电源阻碍了有效的管理.
结论:
- 采购延迟是尼泊尔巴格马提省基本药品短缺的主要原因.
- 建议包括实施强有力的采购指南,协作培训计划和专门的财政资源.
- 提高药品的可用性需要熟练的劳动力,适当的储存和改善卫生设施各级的行政协调.
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