Storage conditions in public health facilities and district warehouses
• Storage conditions in public health facilities and district warehouses were scored as 7.7 and 8 respectively out of a maximum of 11 points7
• Over half (56%) the facilities surveyed were judged as having adequate or more than adequate storage facilities
• More than 1 in 3 of facilities surveyed were judged to have not adequate or poor storage facilities, which could lead to drugs of ‘poor or doubtful quality’
7 Refer to Survey form 3b in Annex 4 for the detailed factors assessed and the rating of the scoring.

% Facilities by Level of Adequacy of Storage
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Recommendation
Identify storage deficiencies and design interventions for implementation to address the poor or not adequate storage conditions in public health facilities
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Presence of expired drugs in public health facilities and private dispensing drug outlets
• The median percentage of expired drugs was found to be 0 in both public health facilities and private dispensing drug outlets and the average % expired drugs was found to be 1.6% and 0.6% respectively
• 21% of public facilities and 10.5% of private dispensing drug outlets were found to have one or more expired drugs on their shelves
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Recommendation
The Ministry of Health and National Drug Authority should strengthen mechanisms to ensure that no expired drugs are found on the shelves in both the public and private sectors
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