Management Information Systems for Drug Supplies in Public Health Facilities of Ethiopia: A Case Study of Addis Ababa Assessment and Recommendations
Ano de publicação: 2007
Teses e dissertações em Inglês apresentado à Univesidade Eduardo Mondlane para obtenção do título de Mestre. Orientador:
This thesis presents a set of recommendationsarising fromassessment of the Management
Information Systems for Drug Supplies in PublicHealth Facilities of Ethiopia through a case
studyfromAddis Ababa.
Healthcare is one of the crucial components of basic social services that have a direct linkage
to the growthand development of a countryas well as to the welfare of a society.Given the
overwhelming povertyand the resultant scarcityof resources for the health sector in most
developing countries, proper allocation and utilization of resources is crucial for realizing
effective health service delivery. Drugs are among the most important resources in the health
system. Their availability, accessibility, and rational use, however is questionable in most
settings in the developing world due to variousreasons, where amongst other reasons, the lack
of information based management decision making is the key one. Thus addressing such
managerial problems surrounding information systems requires assessing the existing situation
and suggesting recommendations that can strengthen the system.
Hence, this studyassessed the Drug Logistics Management Information Systems (DLMIS) in
public health facilities of Ethiopia in terms ofdata management and information use for
action. Moreover, the studyexplored factors associated withthe functionalityof the
information system. This assessment isbased on a case studyfollowed byaction research
interventions aimed at strengthening the DLMIS. Empirically, the research applied qualitative
research methods such as interviews, document analysis and observation within the
framework of interpretative approach informed by structuration theory to analyze and
understand the existing contextual situation. The analysis identified that currentlythe DLMIS
was grosslyineffective due to various reasons such as the absence of standardized data
collection tools, absence of standardoperational procedures or clearly defined job
descriptions, lack of information system resources support,lack of monitoring and evaluation
tools, lack of information use culture and feedback, sub standardized manpower allocation,
inconvenient working atmosphere and lack of relevant training, and poor inter departmental
communication
Understanding the presence of these issues helpedto develop somerecommendations and
implement some of themthrough an action researchapproach, which led to both theoretical
and practical contributions. Theoretically, the studycontributed through developinga
conceptual model that help explore the relation between the following three sub systems
identified tobe fundamental in shaping the drugs system: DLMIS, Drug Supplies
Managementand Health Service Delivery. Furthermore, the model describes analytically
how the current DLMIS and Drug Supplies Management are mutuallyrelated, and how this
shapes Health Service Delivery. Practically, the studycontributesas a baseline for further
studies and interventions towards strengthening a given DLMIS through developingstandard
formats, standard operational procedure, introducing simple computerized data collection tools
and providingsome additional recommendations. Moreover, the studyemphasized theneed
for well-organized and institutionalized pharmaceutical management along all health
administration levels to guide and follow the performance of the system