Table 4.9 Does Birim Central Municipal Hospital ART clinic best meet your ARV needs? Frequency Percent Yes 74 92.5 No 6 7.5 Total 80 Source: field data, 2017 The researcher wanted to find out from table 4.12 whether the ART Clinic at Birim Central best meet their clients ARV expectation; it was found out that respondents representing 92.5% said the ART Clinic meet their ARV expectation whiles 7.5% respondents’ also said the ARV services rendered by the ART Clinic do not meet Clients expectation. It can be deduced that clients are satisfied with ARV services rendered by the Birim Central Municipal Government Hospital ART Clinic. 4.2 THE NATURE OF THE ANTIRETROVIRAL DRUGS SUPPLY CHAIN The first objective of this research was to find out the nature of the antiretroviral supply chain. To know this, an interview was held with the medical officer in charge of the Birim Central Municipal Government Hospital. The researcher wanted to know about the process use to acquire ARV drugs, how they are procured, who procures them and whether they are procured on the open market. In response to these questions he stated that the antiretroviral drugs are procured by the Central Medical Stores through an international competitive bidding and the facility receives its supplies from the Regional Medical Stores.
Questions were also asked about who determines the facility’s resupply quantity and how the facility resupply quantities are determined. In response to that, the medical officer indicated that requisitions are placed monthly indicating the quantities that would be required by the facility but sometimes based on the stock level at the Regional Medical Stores, they would decide whether to supply all or not. But he said the facility mostly receives the quantities that it orders for. However in cases of stock out, of the commodity at the national level, ARVs are rationed and this affects the ARVs supplied to clients. He also stated that requisition is tired to monthly report. In other words requisition must be accompanied by monthly report of the hospital to help in knowing the consumption pattern and also to aid in decision making at the national level. Furthermore the researcher asked questions concerning the types of drugs that are supplied, their characteristics and the treatment they require in terms of storage and transportation. To mention a few he gave the following names of drugs and their line of treatment. Table 4.10 Names of drugs and their line of treatment First line treatment 1. Neviropine 2. Stavudine 3. lamivudine Second line treatment 1. Zidovudine 2. Didanosine 3. Indinavir The medical officer also indicated that these drugs have short shelve life and are sensitive to moisture therefore must be stored under a controlled temperature of 2-5 degrees Celsius or not more than 25 degrees Celsius. He also said that due to the nature of these drugs they need special handling and as a result they are transported to the hospital by the Regional Medical Store’s vehicle. From literature it was revealed that Antiretroviral Drugs (ARVs) are notable for their
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