Availability of key drugs in public health facilities, private drug outlets and public sector warehouses
• the median availability in public health facilities private drug outlets and public sector warehouses was found to be 78.6%, 85.7% and 82.2% respectively
• 1 in 20 public health facilities had less than 50% availability
• 60% public health facilities had greater than 75% availability
• all public sector warehouses had greater than 78% availability
Availability of key drugs in public health facilities - distribution by facilities
Recommendation: Investigate the reasons for the variations in availability in public health facilities - especially the minority of facilities that had less than 50% availability
Stock-out duration in public health facilities and public sector warehouses
• the median stock-out duration of the basket of key drugs in public health facilities and public sector warehouses was found to be 78.0 days (2.5 months) and 50.7 days (1.5 months) respectively
• Almost 1 in 3 public health facilities (29.4%) had a stock-out duration of greater than 3 months; 1 in 10 (11.8%) had a stock-out duration of greater than 6 months
Stock-out duration in public health facilities - distribution by facilities
Recommendation: Investigate the reasons for the large variations in stock out duration in public health facilities - especially the almost one third with a stock out duration of greater than 3 months
Percentage of prescribed drugs actually dispensed to patients in public health facilities
• The median percentage of drugs actually dispensed or administered at public health facilities was found to be 89.2%
• More than 80% of drugs prescribed were actually dispensed or administered in 94.8% of facilities
• More than 90% of the drugs prescribed were actually dispensed or administered in 47.4% of facilities
% prescribed medicines dispensed or administered - distribution of facilities
Affordability of key drugs in public health facilities and private drug outlets
• Based on this the lowest Government workers salary5, the number of hours of work needed to pay for a course of treatment for a child with pneumonia without hospitalisation is on average 25% more in a private drug outlet than a public health facility
5 7200 Cedis
Treatment of pneumonia for: |
Median number of days work necessary for the lowest paid Government worker for a full course of treatment 6 |
| |
Public health facility |
Private drug outlet |
Adult |
1.17 |
1.17 |
Child |
1.11 |
1.39 |
6 See Annex 3 for details of treatment regimens
