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Availability, price, and affordability of WHO priority maternal and child health medicine in public health facilities of Dessie, north-East Ethiopia.
BMC Med Inform Decis Mak. 2020 09 11; 20(1):221.BM

Abstract

BACKGROUND

Access to health care is a fundamental human right, and the provision of affordable, high-quality, and appropriate medicines for maternal and child health is a vital component of a well-functioning health system. The study assessed the availability, price, and affordability of WHO priority maternal and child medicines in public health facilities, Dessie, North-East Ethiopia.

METHODS

A retrospective cross-sectional study design was conducted in Dessie town from November 2018 to February 2019. A standard checklist adapted from the Logistics Indicator Assessment Tool and WHO/HAI was used to collecting data on the availability, affordability, and price of 45 priority life-saving medicines from eight public health centers and two public hospitals. Descriptive statistics (percent and median) were computed for availability and prices. Affordability was reported in terms of the daily wage of the lowest-paid unskilled government worker.

RESULTS

Twenty-two medicines were not found at all in public health facilities. The overall availability of WHO priority maternal and child medicines was 34.02%. The mean number of stock-outs was 3.9, and the mean number was 128.9 days. The mean average point availability was 33.5%, and 7 medicines stock out on the days of assessment. From WHO priority maternal and child medicines, 4 (40%) of the products were unaffordable and 5 (55.5%) had higher prices than international prices. Ceftriaxone 1 g, ceftriaxone 500 mg, and hydralazine 20 mg injection required wages of 6.58, 8.01, and 5.02 to cover specific maternal health problems respectively. The median price ratio of priority lifesaving maternal and child medicines in public health facilities ranged from 0.65 to 3.19.

CONCLUSIONS

The average mean period and point mean availability was very low. The available products were encountered with a high number of stock-outs and unaffordable. The strict control of inventory is recommended to have a steady supply of these essential medicines and improve the quality of health services.

Authors+Show Affiliations

Department of Pharmacy, Dessie Health Science College, Dessie, Ethiopia. Demerewabel@yahoo.com.Department of Pharmacy, College of Health Science, Wollo University, Dessie, Ethiopia.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32917201

Citation

Hailu, Abel Demerew, and Solomon Ahmed Mohammed. "Availability, Price, and Affordability of WHO Priority Maternal and Child Health Medicine in Public Health Facilities of Dessie, north-East Ethiopia." BMC Medical Informatics and Decision Making, vol. 20, no. 1, 2020, p. 221.
Hailu AD, Mohammed SA. Availability, price, and affordability of WHO priority maternal and child health medicine in public health facilities of Dessie, north-East Ethiopia. BMC Med Inform Decis Mak. 2020;20(1):221.
Hailu, A. D., & Mohammed, S. A. (2020). Availability, price, and affordability of WHO priority maternal and child health medicine in public health facilities of Dessie, north-East Ethiopia. BMC Medical Informatics and Decision Making, 20(1), 221. https://doi.org/10.1186/s12911-020-01247-2
Hailu AD, Mohammed SA. Availability, Price, and Affordability of WHO Priority Maternal and Child Health Medicine in Public Health Facilities of Dessie, north-East Ethiopia. BMC Med Inform Decis Mak. 2020 09 11;20(1):221. PubMed PMID: 32917201.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Availability, price, and affordability of WHO priority maternal and child health medicine in public health facilities of Dessie, north-East Ethiopia. AU - Hailu,Abel Demerew, AU - Mohammed,Solomon Ahmed, Y1 - 2020/09/11/ PY - 2020/04/06/received PY - 2020/09/06/accepted PY - 2020/9/12/entrez PY - 2020/9/13/pubmed PY - 2020/9/13/medline KW - Affordability KW - And child KW - Availability KW - Maternal KW - Medicines KW - Price SP - 221 EP - 221 JF - BMC medical informatics and decision making JO - BMC Med Inform Decis Mak VL - 20 IS - 1 N2 - BACKGROUND: Access to health care is a fundamental human right, and the provision of affordable, high-quality, and appropriate medicines for maternal and child health is a vital component of a well-functioning health system. The study assessed the availability, price, and affordability of WHO priority maternal and child medicines in public health facilities, Dessie, North-East Ethiopia. METHODS: A retrospective cross-sectional study design was conducted in Dessie town from November 2018 to February 2019. A standard checklist adapted from the Logistics Indicator Assessment Tool and WHO/HAI was used to collecting data on the availability, affordability, and price of 45 priority life-saving medicines from eight public health centers and two public hospitals. Descriptive statistics (percent and median) were computed for availability and prices. Affordability was reported in terms of the daily wage of the lowest-paid unskilled government worker. RESULTS: Twenty-two medicines were not found at all in public health facilities. The overall availability of WHO priority maternal and child medicines was 34.02%. The mean number of stock-outs was 3.9, and the mean number was 128.9 days. The mean average point availability was 33.5%, and 7 medicines stock out on the days of assessment. From WHO priority maternal and child medicines, 4 (40%) of the products were unaffordable and 5 (55.5%) had higher prices than international prices. Ceftriaxone 1 g, ceftriaxone 500 mg, and hydralazine 20 mg injection required wages of 6.58, 8.01, and 5.02 to cover specific maternal health problems respectively. The median price ratio of priority lifesaving maternal and child medicines in public health facilities ranged from 0.65 to 3.19. CONCLUSIONS: The average mean period and point mean availability was very low. The available products were encountered with a high number of stock-outs and unaffordable. The strict control of inventory is recommended to have a steady supply of these essential medicines and improve the quality of health services. SN - 1472-6947 UR - http://www.nlm.medscape.idmu.unboundmedicine.unboundmedicine.com/medline/citation/32917201/Availability_price_and_affordability_of_WHO_priority_maternal_and_child_health_medicine_in_public_health_facilities_of_Dessie_north_East_Ethiopia_ L2 - https://bmcmedinformdecismak.biomedcentral.com/articles/10.1186/s12911-020-01247-2 DB - PRIME DP - Unbound Medicine ER -