世界卫生组织非洲地区结核商品供应链绩效:范围审查
Alison T Mhazo1, Stanford Miyango1, Lifton Palani1
1Ministry of Health Malawi, Community Health Sciences Unit, National TB & Leprosy Elimination Program [NTLEP], Lilongwe, Malawi.
PLOS global public health
|May 16, 2024
概括
结核病药物经常缺货,特别是用于儿童和预防,阻碍了到2030年结束结核病的努力. 改善采购和供应链管理,特别是对弱势群体来说,至关重要.
科学领域:
- 公共卫生 公共卫生
- 供应链管理 供应链管理
- 加强卫生系统 加强卫生系统
背景情况:
- 采购和供应链管理 (PSM) 系统对于诸如直接观察治疗 (DOTS) 等结核病 (TB) 控制计划至关重要.
- 实现到2030年全球消除结核病的目标在很大程度上依赖于有效的PSM系统,用于必需的药物和商品.
研究的目的:
- 在世卫组织非洲地区对结核病商品供应链绩效进行文献范围审查.
- 确定影响结核病控制工作的PSM系统的优势和挑战.
主要方法:
- 使用Arksey和O'Malley (2005) 框架进行了范围审查.
- 搜索了三个电子数据库和谷歌,确定了1586个来源;25项研究 (2009-2023) 符合资格标准.
主要成果:
- 优势包括聚合采购机制 (PPM),外部资金,物流管理信息系统 (LMIS) 和整合到初级医疗保健中.
- 结核病药物 (治疗和预防) 经常缺货是一个主要挑战,不成比例地影响弱势群体.
- 由于融资和供应商管理问题,国内采购机制更容易缺货.
结论:
- 库存不足仍然是消除到2030年结核病的主要障碍.
- 建议利用PPM并设计以人为中心,公平的供应链.
- 需要进行特定背景的研究,以加强针对结核病控制的PSM策略.
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