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Table 3 Papua New Guinea medical supply chain issues mapped against the Potter and Brough health system categories [15]

From: The Papua New Guinea medical supply system - documenting opportunities and challenges to meet the Millennium Development Goals

Health systems category [15]

PNG medical supply chain issues

Tools

Absence of stock cards and stock records

Skills

SOPs not followed

Large variations in worker motivation

 

Supply chain management a low priority

Staff and infrastructure

Facilities in poor physical condition

Storage space not managed effectively

Temperature control issues

Staff retention and movement problems

 

Poor performance of private couriers

Structures systems and roles

Limited budget for SOP training

Limited budget for supervisory program

Limited budget for transport of medical supplies

Use of the cold chain for non-EPI items prohibited

Lack of transparency in order screening

Suspect quality of oxytocin and ergometrine

 

Use of kits leading to oversupply and wastage