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close this bookAn Assessment of the Pharmaceutical Sector in Ghana (WHO/EDM; 2003; 65 pages)
View the documentFOREWORD
View the documentACKNOWLEDGEMENTS
View the documentABBREVIATIONS
View the documentEXECUTIVE SUMMARY
Open this folder and view contentsINTRODUCTION
Open this folder and view contentsSTUDY DESIGN AND METHODOLOGY
close this folderFINDINGS
View the documentNote on the use of medians and averages
View the documentComparisons with previous surveys indicators
Open this folder and view contentsIndex of findings section
View the documentLevel I: Structures and processes of country pharmaceutical situation
close this folderLevel II: Core indicator results
View the documenta) Summary of the Level II core indicator results
View the documentb) Accessibility to drugs
View the documentc) Quality of drugs
View the documentd) Rational drug use
Open this folder and view contentsHousehold survey results
Open this folder and view contentsINTERPRETATION OF RESULTS
Open this folder and view contentsCONCLUSIONS AND RECOMMENDATIONS
Open this folder and view contentsANNEXES
 

c) Quality of drugs

Storage conditions in public health facilities and public sector warehouses

• The median percentage adequacy of storage conditions from a checklist of minimum storage criteria in public health facilities and public sector warehouses was found to be 70.3% and 50% respectively

• Of the criteria not met, the majority of public health facilities did not have satisfactorily clean shelves (55%), stored drugs on the floor (62.5%), did not store drugs in a systematic way (72.5%) and did not maintain and monitor cold storage with a temperature chart (70%)

% dispensaries/stores rooms in the facilities meeting each criteria 7

Working locks

90%

Storage clean shelves

45%

Pest free

70%

Secured ceiling

95%

Windows have good air vents

92.5%

No direct sunlight access

65%

Moisture free

95%

Drugs not stored on floor

37.5%

Storeroom separate from dispensing room

82.5%

Drugs sorted in a systematic way

27.5%

Stock record system

80%

Cold storage and temperature chart.

30%

7 results for dispensary and store areas combined


Recommendation: Identify storage deficiencies and design interventions for implementation to address these poor or not adequate storage conditions in public health facilities

Presence of expired drugs in public health facilities, private drug outlets and public sector warehouses

• The median percentage of expired drugs was found to be 0 in public health facilities, public sector warehouses and private drug outlets; however the average % expired drugs was found to be 3.7%, 0% and 1.8% respectively

• 20% of public health facilities and 10% of private drug outlets were found to have some expired drugs on their shelves

Recommendation: The Ministry of Health 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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