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Positive Aspects Emanating From The Survey |
Areas For Improvement Apparent From The Survey |
Accessibility to Medicines |
Availability of key medicines |
• 97% of the public health facilities had greater than 75% availability |
• 3% of the public health facilities had less than 75% availability
• 40% of the regional warehouses had less than 75% availability |
Stock-out duration |
• 50% of the public health facilities had a stock-out duration of less than 1 month.
• 60% of the regional warehouses had a stock-out duration of less than 1 month. |
• 13% of the public health facilities had a stock-out duration of more than 3 months.
• 20% of the regional warehouses had a stock-out duration of more than 3 months. |
Adequacy of stock records |
• 73% of the public facilities had more than 75% of the medicines with adequate records |
• 80% of the regional warehouses had less than 25% of medicines with adequate records |
% prescribed medicines actually dispensed |
• 30% of the public facilities were found to be dispensing more than 90% of the prescribed medicines. |
• 13% of the public facilities were dispensing less than half of the prescribed medicines |
Quality of medicines |
Presence of expired medicines |
• Extremely low incidence of expired medicines on shelves(median 0%) |
• 13.3% of the public health facilities and 6.7% of the regional warehouses had one or more expired medicines on the shelves |
Adequacy of storage in public health facilities and regional warehouses |
• 80% of the regional warehouses, 73% of the public facility dispensing area and 60% of the public facility storerooms met more than 50% of the minimum criteria for adequate conservation conditions. |
• 30% of the public health facility storerooms, 27% of the public health facility dispensing areas and 20% of the regional warehouses met less than half the minimum criteria for adequate conservation conditions |
Rational medicine use |
Adequacy of labelling |
• 6% of the public facilities had more than 50% of their medicines with adequate labels |
• 70% of the public facilities had less than 25% medicines with adequate labels |
Adequacy of patient knowledge |
• 47% of the public facilities had more than 75% of the patients with adequate knowledge on how to take their medicines |
• 27% facilities had less than half of their patients with adequate knowledge on how to take their medicines |
Number of medicines prescribed per patient |
• 63% of the public facilities had between 2 and 3 medicines prescribed per patient |
• 30% of the public facilities had more than 3 medicines prescribed per patient |
% patients receiving an antibiotic |
• 7% of public health facilities prescribed one or more antibiotics to less than half of their patients. |
• 93% of public facilities had more than half of their patients prescribed one or more antibiotics. |
% patients receiving an injection |
• 73% of the public facilities had less than 50% of patients prescribed one or more injections |
• 26% of the facilities had more than half of the patients prescribed one or more injections |
Prescribing according to the Kenya Essential Drug List (KEDL) |
• 81.3% of the medicines prescribed in the public health facilities were on the KEDL |
• 3% of public facilities had up to 25% of prescribed medicines not on the KEDL |
Availability of STGs and KEDL |
• Updated STGs and KEDL exist |
• STGs were found in 13% of the public health facilities whereas the KEDL was found in 17% of the facilities. |
Prescribing by INN/Generic name |
• 48% of medicines in public health facilities were prescribed by INN/generic name |
• 53% of public health facilities prescribed less than 50% of the medicines by INN/generic name |
Prescribing according to STG |
• 25% of the children under 5 years with diarrhoea were prescribed ORS
• 50% of the children under 5 years presenting with mild/moderate pneumonia were prescribed any one first line antibiotic
• 67% of the patients with malaria were prescribed SP |
• 50% of children under 5 years with diarrhoea were prescribed one or more antibiotics
• 87% of the facilities had at least half of the children with mild/moderate pneumonia prescribed one or more antibiotics
• 75% of the facilities had up to 25% of the patients with malaria prescribed more than one antimalarials |
