A 2-year assessment of the performance of the supply chain of antiretroviral medicines in supported health facilities in Osun State, south west Nigeria

Abstract

An effective, efficient and uninterrupted antiretroviral drug supply chain management system is not an option but a necessity in order to curb the menace of drug resistance and HIV/AIDS epidemic. This study aimed to assess the logistics and inventory of antiretroviral drugs in supported HIV treatment centres.Combined Report and Requisition Forms of antiretroviral medicines prepared and transmitted to the Osun State Logistics Management Coordinating Unit, between January 2017 and December 2018 from the HIV clinics of supported health facilities were reviewed using key indicators. The collated data were analyzed using 2020 Microsoft Excel. Evaluation of the supply chain management system revealed that 32% of the antiretroviral medicines investigated fell within the recommended inventory level of 2 to 4 months of stock. Cumulative average reporting rate of 85% logistics management information system, 89% Timeliness of report submission, lead time of 16.1±5.238 days and 9.7% stock-out rate were observed. The findings of the study revealed that the practice in PEPFAR supported facilities was better compared to the GFATM supported sites, although some indicators were similar for both centres. However, the average stock-out rate (20.8%) for PEPFAR supported sites is above the tolerance rate and need to be improved on.