BibTex format
@article{Mohan:2024:10.1016/S2214-109X(24)00095-0,
author = {Mohan, S and Mangal, TD and Colbourn, T and Chalkley, M and Chimwaza, C and Collins, JH and Graham, MM and Janouková, E and Jewell, B and Kadewere, G and Li, Lin I and Manthalu, G and Mfutso-Bengo, J and Mnjowe, E and Molaro, M and Nkhoma, D and Revill, P and She, B and Manning, Smith R and Tafesse, W and Tamuri, AU and Twea, P and Phillips, AN and Hallett, TB},
doi = {10.1016/S2214-109X(24)00095-0},
journal = {The Lancet Global Health},
pages = {e1027--e1037},
title = {Factors associated with medical consumable availability in level 1 facilities in Malawi: a secondary analysis of a facility census},
url = {http://dx.doi.org/10.1016/S2214-109X(24)00095-0},
volume = {12},
year = {2024}
}
RIS format (EndNote, RefMan)
TY - JOUR
AB - BACKGROUND: Medical consumable stock-outs negatively affect health outcomes not only by impeding or delaying the effective delivery of services but also by discouraging patients from seeking care. Consequently, supply chain strengthening is being adopted as a key component of national health strategies. However, evidence on the factors associated with increased consumable availability is limited. METHODS: In this study, we used the 2018-19 Harmonised Health Facility Assessment data from Malawi to identify the factors associated with the availability of consumables in level 1 facilities, ie, rural hospitals or health centres with a small number of beds and a sparsely equipped operating room for minor procedures. We estimate a multilevel logistic regression model with a binary outcome variable representing consumable availability (of 130 consumables across 940 facilities) and explanatory variables chosen based on current evidence. Further subgroup analyses are carried out to assess the presence of effect modification by level of care, facility ownership, and a categorisation of consumables by public health or disease programme, Malawi's Essential Medicine List classification, whether the consumable is a drug or not, and level of average national availability. FINDINGS: Our results suggest that the following characteristics had a positive association with consumable availability-level 1b facilities or community hospitals had 64% (odds ratio [OR] 1·64, 95% CI 1·37-1·97) higher odds of consumable availability than level 1a facilities or health centres, Christian Health Association of Malawi and private-for-profit ownership had 63% (1·63, 1·40-1·89) and 49% (1·49, 1·24-1·80) higher odds respectively than government-owned facilities, the availability of a computer had 46% (1·46, 1·32-1·62) higher odds than in its absence, pharmacists managing drug orders had 85% (1·85, 1·40-2&
AU - Mohan,S
AU - Mangal,TD
AU - Colbourn,T
AU - Chalkley,M
AU - Chimwaza,C
AU - Collins,JH
AU - Graham,MM
AU - Janouková,E
AU - Jewell,B
AU - Kadewere,G
AU - Li,Lin I
AU - Manthalu,G
AU - Mfutso-Bengo,J
AU - Mnjowe,E
AU - Molaro,M
AU - Nkhoma,D
AU - Revill,P
AU - She,B
AU - Manning,Smith R
AU - Tafesse,W
AU - Tamuri,AU
AU - Twea,P
AU - Phillips,AN
AU - Hallett,TB
DO - 10.1016/S2214-109X(24)00095-0
EP - 1037
PY - 2024///
SN - 2214-109X
SP - 1027
TI - Factors associated with medical consumable availability in level 1 facilities in Malawi: a secondary analysis of a facility census
T2 - The Lancet Global Health
UR - http://dx.doi.org/10.1016/S2214-109X(24)00095-0
UR - https://www.ncbi.nlm.nih.gov/pubmed/38762283
UR - https://www.sciencedirect.com/science/article/pii/S2214109X24000950?via%3Dihub
UR - http://hdl.handle.net/10044/1/111853
VL - 12
ER -