The absence of quality assurance procedures in healthcare facilities and warehouses is shown in results obtained in the survey, Lack of supervision and the presence of staff who unmotivated is realised in the fact that shelves were found to be dirty and drugs stored on the bare floor. Anybody who works in a store has knowledge of the fact that drugs should not be stored directly on the bare floor. This situation needs to be investigated if the quality of drugs is to be maintained for the end user.
The problem of expired drugs can be attributed to poor inventory management. The presence of expired drugs on the shelves of both public and private facilities is of grave concern. What if expired drugs are being given to unsuspecting patients and such drugs causing other undesired effects in the population. Irrational prescribing could also lead to the presence of expired drugs. If public sector facilities were made to operate in a businesslike manner such situations would scarcely arrive.