Indicator Based Assessment of Medicine Storage and Inventory Management Practices in various Public Sector Hospitals of District Srinagar
DOI:
https://doi.org/10.21276/4sgdp877Keywords:
Indicator Assessment, Storage Inventory, Stock-outAbstract
Introduction: The role and relevance of medicines, vaccines and other health supplies are critical, as they are considered important building blocks of the health care system. Well-located, well-built and secured storage facilities are an essential component of a pharmaceutical supply system.
Methodology: This study was carried out at various public sector hospitals of District Srinagar using a set of 138 assessment indicators to study the drug storage and inventory management practices in terms of storage facilities and procedures, inventory and stock management practices and daily, monthly, yearly storage and inventory related activities.
Results: Indicator based assessment for drug storage and inventory management practices revealed highest percentage adherence of 80% in managing expired drugs followed by 55.4% in daily, monthly, yearly storage and inventory control activities, 48% adherence in storage procedures, 46.1% in receiving supplies, 42.5% in stock positioning, 40.9% in storage space, 38% in stock management, 26% in stock-outs and the lowest percentage adherence of 22.9% was observed in inventory management. Facility-wise assessment revealed highest overall percentage adherence of 64.1% at Children’s Hospital (CH) followed by 54.3% at District Hospital (DH), 49.3% at Medical College (MC), 29.6 % at Sub-District Hospital (SDH) and 24.4% at Primary Health Centre (PHC).
Overall percentage availability of indicator medicines was found to be 32.5% (CH=56.2% & DH=18.6%). Stock cards were not found in any of the health care facility and no expired products were found stocked in CH, MC and DH. Average indenting frequency was found to be 31 days (PHC=60; MC=10) whereas average numbers of medicines indented in one go were found to be 24. Average lead time was found to be 15 days (CH=15; MC=60) whereas average no of stock out days was found to be 66.6 days (CH=10 & PHC=115).
Conclusion: Overall adherence towards various storage conditions was found to be less than 50% and lack of adherence to the basic inventory management principles was found to be common
Downloads
References
Developing pharmacy practice – a focus on patient care. World Health Organization Department of Medicines Policy and Standards Geneva, Switzerland in collaboration with International Pharmaceutical Federation. The Hague, the Netherlands WHO/PSM/PAR/2006.5
AEM. Equitable access to essential medicines: A framework for collective action. Geneva, World Health Organization, 2004.
Evaluating Hospital Pharmacy Inventory Management and Revenue Cycle Processes White Paper Guidance for Healthcare Internal Auditors 2012.
Lindsay O’Brien, Improving Supply Chain Efficiencies in the Safety Net: An Inventory Management Pilot Program for Free and Charitable Clinics. Accessed on 02.06.2015http://www.safetynetcenter.org/sites/default/files/images/Vecna%20Cares%20Overview%203%2015.pdf
Scott M. Mark, Understanding and Managing Challenges posed by Drug Shortages, Accessed on 12.08.2015 from http://www.ashp.org/DocLibrary/Policy/DrugShortages/DShort-abbott-drug.
American Society of Health- System Pharmacists Guidelines, Minimum Standard for Pharmacies in Hospitals, http://www.ashp.org/DocLibrary/BestPractices/SettingsGdlMinHosp.aspx
American Society of Health- System Pharmacists Guidelines, Medication Cost Management Strategies for Hospitals and Health Systems, Accessed on 14.11.2015https://www.ashp.org/DocLibrary/BestPractices/MgmtGdlCostManag.aspx
Shamima Tayob. Challenges in the management of drug supply in public health care centres. Pharmacy dissertation shamima b200818356, 71Ch2011.
Afshan A, Munazza R, Khawaja TM. Drug Storage Conditions in Different Hospitals in Lahore. Journal of Pharmaceutical Science and Technology 2011:3(1);543-547.
Sakthivel S, Indranil M, Pallav B, Preeti K, etal. Universal Access to Essential Medicines: An Evaluation of the Rajasthan, India Experience 2014.
Downloads
Published
Issue
Section
License
Copyright (c) 2024 International Archives of BioMedical and Clinical Research
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors are required to sign and submit the completed “Copyright transfer Form” upon acceptance of publication of the paper. This is determined by a publishing agreement between the author and International Archives of Biomedical and Clinical Research. These rights might include the right to publish, communicate and distribute online. Author(s) retain the copyright of their work. International Archives of Biomedical and Clinical Research supports the need for authors to share, disseminate and maximize the impact of their research.
