Article 4: Impact assessment of supervision performance assessment and recognition strategy (SPARS) to improve supply chain management in health facilities in Uganda: a national pre and post study

Autor: Denis Okidi Ladwar, Moses Nixon Sembatya, Nancy Miriam Amony, Morries Seru, Dennis Ross-Degnan, Laura Garabedian, Birna Trap
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Journal of Pharmaceutical Policy and Practice, Vol 14, Iss 1 (2021)
Druh dokumentu: article
ISSN: 2052-3211
25942808
DOI: 10.1186/s40545-020-00290-8
Popis: Background To strengthen medicines management capacity, including supply chain management, at public sector health facilities in Uganda, the Ministry of Health introduced a multipronged supervision, performance assessment, and recognition strategy (SPARS). The aim of this study was to assess the impact of SPARS on improving supply chain management. A series of four papers on SPARS described the SPARS concept, its impact on overall and domain practices and appropriate medicines use, and now in the fourth paper describing the effect on supply chain management. Methods District-based health workers trained as supervisors build facility-level capacity in medicines management using an indicator-based performance assessment followed by targeted supervisory visits. From 2010 to 2013, 1222 SPARS visits were implemented, and the SPARS performance indicator scores determined. This article assesses impact on 13 indicators in three of the five SPARS domains—stock management, storage management, and ordering and reporting quality—using a pre–post design. We also explored factors that may have influenced these outcomes. Results Between the first and last visit within one year of SPARS implementation, we found an average improvement of 16 percentage points (p
Databáze: Directory of Open Access Journals
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje