940
Views
0
CrossRef citations to date
0
Altmetric
Review

Health supply chain system in Uganda: current issues, structure, performance, and implications for systems strengthening

, ORCID Icon, , , &
Article: 14 | Received 08 Dec 2021, Accepted 20 Feb 2022, Published online: 04 Dec 2023

References

  • AbouZahrC,BoermaT.Health information systems: the foundations of public health. Bull World Health Organ.2005;83:578–583.
  • Allain L, Goentzel J, Bates J, Durgavich J. Reengineering Public Health Supply Chains for Improved Performance: Guide for Applying Supply Chain Segmentation Framework. . Arlington, Va, USAID DELIVER PROJECT; 2010.
  • Aramyan LH, Lansink AG, Van Der Vorst JG, Van Kooten O. Performance measurement in agri‐food supply chains: a case study. Supply Chain Manag; 2007.
  • Armstrong-HoughM,SharmaS,KishoreSP,AkitengAR,SchwartzJI.Variation in the availability and cost of essential medicines for non-communicable diseases in Uganda: a descriptive time series analysis. PLoS ONE.2020;15(12):e0241555.
  • AvortriGS,NabukaluJB,Nabyonga-OremJ.Supportive supervision to improve service delivery in low-income countries: is there a conceptual problem or a strategy problem?BMJ Global Health.2019;4(Suppl 9):e001151.
  • BadreldinHA,AtallahB.Global drug shortages due to COVID-19: impact on patient care and mitigation strategies. Res Social Adm Pharm.2021;17(1):1946–1949.
  • BatesI,JohnC,SeegobinP,BrunoA.An analysis of the global pharmacy workforce capacity trends from 2006 to 2012. Hum Resour Health.2018;16(1):3.
  • BeaulieuM,BentaharO.Digitalization of the healthcare supply chain: a roadmap to generate benefits and effectively support healthcare delivery. Technol Forecast Soc Change.2021;167:120717.
  • Bergum BI, Nielsen P, Sæbø JI. Patchworks of Logistics Management Information Systems: Challenges or Solutions for Developing Countries? International conference on social implications of computers in developing countries, Springer; 2017.
  • BigdeliM,JacobsB,TomsonG,LaingR,GhaffarA,DujardinB,Van DammeW.Access to medicines from a health system perspective. Health Policy Plan.2013;28(7):692–704.
  • BraunV,ClarkeV.Using thematic analysis in psychology. Qual Res Psychol.2006;3(2):77–101.
  • BuchnerDL,KitutuFE,CrossDE,NakamogaE,AworP.A cross-sectional study to identify the distribution and characteristics of licensed and unlicensed private drug shops in rural Eastern Uganda to inform an iCCM intervention to improve health outcomes for children under five years. PLoS ONE.2019;14(1):e0209641.
  • Buckley GJ, Gostin LO. Countering the problem of falsified and substandard drugs; 2013.
  • ChandaniY,AnderssonS,HeatonA,NoelM,ShieshiaM,MwirotsiA,KrudwigK,NsonaH,FellingB.Making products available among community health workers: evidence for improving community health supply chains from Ethiopia, Malawi, and Rwanda. J Global Health.2014;4:2.
  • ChandaniY,DuffyM,LamphereB,NoelM,HeatonA,AnderssonS.Quality improvement practices to institutionalize supply chain best practices for iCCM: evidence from Rwanda and Malawi. Res Social Adm Pharm.2017;13(6):1095–1109.
  • ChowCK,RamasundarahettigeC,HuW,AlHabibKF,AvezumAJrChengX,ChifambaJ,DagenaisG,DansA,EgbujieBA.Availability and affordability of essential medicines for diabetes across high-income, middle-income, and low-income countries: a prospective epidemiological study. Lancet Diabetes Endocrinol.2018;6(10):798–808.
  • ComettoG,BabarZ-U-D,BrownA,HedmanL,CampbellJ.Health supply chain personnel: an integral part of the health workforce. Springer.2014;7:1–3.
  • GHSC-PSM. Uganda National Supply Chain Assessment Report: Capability and Performance. Kampala, Uganda, The Global Health Supply ChainProcurement and Supply Management (GHSC-PSM) Project’; 2018.
  • GHSC-PSM. Uganda National Supply Chain Assessment Report: Capability and Performance. . Arlington, VA 22202, The Global Health Supply ChainProcurement and Supply Management (GHSC-PSM) Project, under USAID Contract Number: AID-OAAI-15- 00004; 2018.
  • GoU. The National Drug Policy and Authority Act. Kampala, Uganda; 1993.
  • HenryR,NantongoL,WagnerAK,EmbreyM,TrapB.Competency in supportive supervision: a study of public sector medicines management supervisors in Uganda. J Pharma Pol Pract.2017;10(1):1–11.
  • ImranM,KangC,RamzanMB.Medicine supply chain model for an integrated healthcare system with uncertain product complaints. J Manuf Syst.2018;46:13–28.
  • KambaPF,MulangwaJ,KaggwaB,KitutuFE,SewankamboNK,KatabiraET,Byakika-KibwikaP,AdomeRO,BollingerRC.Compliance of private pharmacies in Uganda with controlled prescription drugs regulations: a mixed-methods study. Subst Abuse Treatm Prev Pol.2020;15(1):1–13.
  • KaulaH,BuyungoP,OpigoJ.Private sector role, readiness and performance for malaria case management in Uganda, 2015. Malar J.2017;16(1):1–15.
  • KiberuVM,MatovuJK,MakumbiF,KyoziraC,MukooyoE,WanyenzeRK.Strengthening district-based health reporting through the district health management information software system: the Ugandan experience. BMC Med Inform Decis Mak.2014;14(1):1–9.
  • KohlerJC,MackeyTK,OvtcharenkoN.Why the MDGs need good governance in pharmaceutical systems to promote global health. BMC Public Health.2014;14(1):63.
  • Konde-LuleJ,GittaSN,LindforsA,OkuonziS,OnamaVO,ForsbergBC.Private and public health care in rural areas of Uganda. BMC Int Health Hum Rights.2010;10(1):1–8.
  • KwesigaB,WagnerAK,SeruM,TrapB.Improving Access to High-Cost Medicines in Low Income Countries in Africa: Creating a Functioning Pharmaceutical System in Uganda. Equitable Access to High-Cost Pharmaceuticals. Z.-U.-D. Babar: Academic Press; 2018. p. 111–128.
  • LadwarDO,SembatyaMN,AmonyNM,SeruM,Ross-DegnanD,GarabedianL,TrapB.Article 4: Impact assessment of supervision performance assessment and recognition strategy (SPARS) to improve supply chain management in health facilities in Uganda: a national pre and post study. J Pharm Pol Pract.2021;14(1):1–15.
  • LiowE,KassamR,SekiwungaR.Understanding unlicensed drug vendor practices related to childhood malaria in one rural district of Uganda: an exploratory study. J Trop Med.2018. https://doi.org/10.1155/2018/6987435.
  • LuzzeH,BadianeO,NdiayeAS,AtuhaireB,AtuhebweP,GuinotP,SosneEF,GueyeA.Understanding the policy environment for immunization supply chains: Lessons learned from landscape analyses in Uganda and Senegal. Vaccine.2017;35(17):2141–2147.
  • MackeyTK,LiangBA.The global counterfeit drug trade: patient safety and public health risks. J Pharm Sci.2011;100(11):4571–4579.
  • Maheen M, Moses M. Tracking the financial flow and expenditures for select MNCH medicines in Uganda. Kampala, Uganda, US Agency for International Development (USAID); 2017.
  • MoFPED. National Budget Framework Paper FY 2020/21 - FY 2024/25. Kampala, Uganda, Ministry of Finance Planning and Economic Development; 2019.
  • MoH. National Medicines Policy. Kamapala, Uganda, Ministry of Health; 2015.
  • MoH. National Pharmaceutical Sector Strategic Plan 2015–2020. M. o. Health. Kampala, Uganda, Ministry of Health; 2016.
  • MoH. Annual Health Sector Performnace Report. Kampala, Uganda, Ministry of Health; 2019.
  • MoH. Uganda’s Electronic Health Information System Kampala, Uganda, Ministry of Health; 2020.
  • MoHa,.Health sector development plan 2015/16–2019/20. Kampala:Uganda, Ministry of Health The Republic of Uganda; 2016.
  • MoHb. Health Financing Strategy 2016/2017–2024/2025. M. o. Health. Kampala, Uganda, Ministry of Health; 2016.
  • Molly B, Tristan G, Marilyn K, Peter O, Matt W. Unlocking digital healthcare in lower- and middle-income countries; 2021.
  • Muyingo S, Etoori D, Lotay P, Malamba SS, Olweny J, Keesler K, Jjemba P, Settaala R. The procurement and supply chain strengthening project: Improving public health supply chains for better access to HIV medicines, Uganda 2011–2016; 2019.
  • MwenchaM,RosenJE,SpisakC,WatsonN,KisokaN,MbereseroH.Upgrading supply chain management systems to improve availability of medicines in Tanzania: evaluation of performance and cost effects. Global Health Sci Pract.2017;5(3):399–411.
  • NagittaOP,MkansiM.Exploring the supply chain coordination dimensions for artemisinin-based combination therapies in Uganda. Int J Supply Chain Manag.2019;8(4):134–151.
  • NDA. Liscenced Outlets Statistics as at 6th October 2020. Kampala, Uganda, National Drug Authority; 2021.
  • NMSb. FY2020/21 National Annual Needs Analysis & Quantification Report for Public Health Facilities in Uganda. N. M. Stores. Kampala, Uganda, Ministry of Health; 2020.
  • NMSc. NMS Smart Care. 2020. https://www.nms.go.ug/index.php/client-services/nms-smart-care.
  • OtebaM,WagnerAK,SeruM,EmbreyM,TrapB.Pharmaceutical system strengthening in Uganda: implementing a holistic, evidence-informed, long-term strategy. J Pharm Pol Pract.2018;11(1):1–7.
  • PyoneT,SmithH,van den BroekN.Frameworks to assess health systems governance: a systematic review. Health Policy Plan.2017;32(5):710–722.
  • ShieshiaM,NoelM,AnderssonS,FellingB,AlvaS,AgarwalS,LefevreA,MisomaliA,ChimphangaB,NsonaH.Strengthening community health supply chain performance through an integrated approach: using mHealth technology and multilevel teams in Malawi. J Global Health.2014;4:2.
  • StadlerH.Supply Chain Management: an overview. Supply Chain Management and Advanced Planning K. C. Stanler H., Meyr H. Berlin Heidelberg, Springer Texts in Buisness and Economics.2015;1:3–28.
  • TrapB,MusokeR,KirundaA,OtebaMO,EmbreyM,Ross-DegnanD.Article 2: longitudinal study assessing the one-year effects of supervision performance assessment and recognition strategy (SPARS) to improve medicines management in Uganda health facilities. J Pharm Pol Pract.2018;11(1):1–14.
  • TusubiraAK,AkitengAR,NakiryaBD,NalwogaR,SsinabulyaI,NalwaddaCK,SchwartzJI.Accessing medicines for non-communicable diseases: patients and health care workers’ experiences at public and private health facilities in Uganda. PLoS ONE.2020;15(7):e0235696.
  • UN General Assembly. Sustainable Development Goals. SDGs Transform Our World, United Nations General Assembly. 2030; 2015.
  • UNICEF. The National Budget Framework FY 2019/20 Budget Brief No 2019/3 (Source: NBFP FY 2019/20 - 2023/24). Kampala, Uganda, UNICEF; 2019.
  • USAID. The Logistics Handbook: A Practical Guide for the Supply Chain Management of Health Commoditie. Arlington, Virginia, The USAID | DELIVER PROJECT; 2011.
  • VledderM,FriedmanJ,SjöblomM,BrownT,YadavP.Improving supply chain for essential drugs in low-income countries: results from a large scale randomized experiment in Zambia. Health Syst Reform.2019;5(2):158–177.
  • Walkowiak H, Keene D. Expanding the role of pharmacy staff in antiretroviral therapy. LayinG a StronG Foundation: 249; 2009.
  • WHO. Global strategy on human resources for health: workforce 2030.Geneva: Switzerland, World Health Organization; 2016.
  • WHOa,.Everybody’s business–strengthening health systems to improve health outcomes: WHO’s framework for action.Geneva: Switzerland, World Health Organization; 2007.
  • WHOb,.Access to medicines: making market forces serve the poor.Geneva:Switzerland, World Health Organization; 2017.
  • WHOc. Ten years in public health, 2007–2017: report by Dr Margaret Chan, Director-General, World Health Organization, World Health Organization; 2017.
  • WHOd,.Towards Access 2030: WHO Essential Medicines and Health Products Strategic Framework 2016–2030.Geneva: Switzerland, World Health Organization; 2017.
  • WirtzVJ,HogerzeilHV,GrayAL,BigdeliM,de JoncheereCP,EwenMA,Gyansa-LutterodtM,JingS,LuizaVL,MbindyoRM.Essential medicines for universal health coverage. Lancet.2017;389(10067):403–476.
  • YadavP,SmithL.Pharmaceutical company strategies and distribution systems in emerging markets. Encyclopedia Health Econ.2014;3:1–8.
  • ZakumumpaH,KiweewaFM,KhuluzaF,KitutuFE.The number of clients is increasing but the supplies are reducing”: provider strategies for responding to chronic antiretroviral (ARV) medicines stock-outs in resource-limited settings: a qualitative study from Uganda. BMC Health Serv Res.2019;19(1):312.