Table 6 Reasons for EMHS stock-out at Health facility level
From: Health supply chain system in Uganda: assessment of status and of performance of health facilities
Reasons for stock-outs | Facility ownership | Level of care | Â | |||||
|---|---|---|---|---|---|---|---|---|
Public n = 91 | PNFP n = 37 | HC II n = 24 | HC III n = 35 | HC IV n = 31 | GH n = 23 | RRH n = 15 | Overall | |
Discrepancies in orders and deliveries | 22 (24.1%) | 9 (24.3%) | 4 (16.7%) | 7 (20.0%) | 11 (35.5%) | 6 (26.1%) | 3 (20.0%) | 31 (24.2%) |
EMHS shortages | 33 (36.3%) | 10 (27.0%) | 6 (25.0%) | 13 (37.1%) | 9 (29.0%) | 9 (39.1%) | 5 (33.3%) | 43 (33.6%) |
Errors in ordering/requesting EMHS | 6 (6.6%) | 3 (8.1%) | 0 (0.0%) | 1 (2.9%) | 3 (9.7%) | 2 (8.7%) | 2 (13.3%) | 8 (6.3%) |
Delivery gaps (delayed deliveries) | 30 (33.0%) | 13 (35.1%) | 5 (20.8%) | 9 (25.7%) | 13 (41.9%) | 9 (39.1%) | 5 (33.3%) | 43 (33.6%) |
Sudden increase in demand for some EMHS | 42 (46.2%) | 16 (43.2%) | 10 (41.7%) | 18 (51.4%) | 12 (38.7%) | 12 (52.2%) | 5 (33.3%) | 58 (45.3%) |
Ordering system failure | 5 (5.5%) | 4 (10.8%) | 1 (4.2%) | 4 (11.4%) | 0 (0.0%) | 3 (13.0%) | 1 (6.7%) | 9 (7.0%) |
Limited capacity in quantification, and forecasting | 12 (13.2%) | 2 (5.4%) | 3 (12.5%) | 4 (11.4%) | 3 (9.7%) | 1 (4.3%) | 3 (20.0%) | 14 (10.9%) |
Lack of incentive to maintain stock | 1 (11.0%) | 1 (2.7%) | 0 (0.0%) | 1 (2.9%) | 1 (3.2%) | 0 (0.0%) | 0 (0.0%) | 2 (1.6%) |