Process evaluation of the logistics management system for tuberculosis introduced in 2004: a case study of North-Western Uganda.

Abstract

BACKGROUND: In 2004, Uganda started implementing the current logistics management system with the aim of harmonizing TB drug supply with that of the other commodities in an integrated manner for efficient and effective utilization of resources. This system has not yet been evaluated, therefore the level of its performance is not known. OBJECTIVES: The objective of this study was to evaluate the current logistics management system for tuberculosis commodities, especially the focus was on stock levels, logistics information management system and inventory control of TB drugs. METHODS: A Cross sectional study using qualitative and quantitative methods of data collection was conducted in north-western Uganda. The study population comprised of TB focal persons, districts and health sub-districts tuberculosis and leprosy (TBL) supervisors, district store managers. Quantitative data was collected using semi-structured questionnaires and observation checklists while qualitative data was collected using a key informant guide. RESULTS: Most (68%) health units had adequate stocks of TB drugs. Although majority (74%) of the health units had dispensing logs in place, less than half (31.6%) were using stock cards as required and some (21%) were still not submitting their reports in time and this affects timely replenishment of stocks. Most personnel were trained in logistics management. CONCLUSION: Based on the findings of this study, we can generally conclude that the implementation of the current logistics system is poor as it had not resulted in timely preparations of drug orders and periodic in all the health units.