Supply chain management of laboratory supportive services and its potential implications on the quality of HIV diagnostic services in Tanzania

  • Gibson B. Kagaruki National Institute for Medical Research, Tukuyu Research Centre, Tukuyu, Tanzania
  • Mathias L. Kamugisha National Institute for Medical Research, Tanga Research Centre, Tanga, Tanzania
  • Andrew M. Kilale National Institute for Medical Research, Muhimbili Research Centre, Dar es Salaam, Tanzania
  • Erasmus Kamugisha Catholic University of Health and Allied Sciences, Mwanza, Tanzania
  • Acleus S.M Rutta National Institute for Medical Research, Tanga Research Centre, Tanzania
  • Vito Baraka National Institute for Medical Research, Research Centre, Tanga, Tanzania
  • Celine I. Mandara National Institute for Medical Research, Tanga Research Centre, Tanzania
  • Stephen M. Magesa National Institute for Medical Research, Amani Research Centre, Muheza, Tanzania
  • Godlisten Materu National Institute for Medical Research, Tukuyu Research Centre, Tukuyu, Tanzania
  • Amos M. Kahwa National Institute for Medical Research, Muhimbili Research Centre, Dar es Salaam, Tanzania
  • Rashid Madebe National Institute for Medical Research, Tanga Research Centre, Tanzania
  • Julius J. Massaga National Institute for Medical Research, Headquarters, Dar es Salaam, Tanzania
  • Martha M. Lemnge National Institute for Medical Research, Tanga Research Centre, Tanzania
  • Leonard E.G. Mboera SACIDS-African Centre of Excellence in Infectious Diseases of Humans and Animals, College of Veterinary Medicine and Biomedical Sciences, Sokoine University of Agriculture, P.O. Box 3297, Morogoro, Tanzania
  • Deus I. Ishengoma National Institute for Medical Research, Tanga Research Centre, Tanzania
Keywords: laboratory services, supply chain, diagnosis, HIV/AIDS, Tanzania

Abstract

Background: Reliable supply of laboratory supportive services contributes significantly to the quality of HIV diagnostic services. This study assessed the status of supply chain management of laboratory supportive services and its potential implications on the quality of HIV diagnostic services in selected districts of Tanzania.

Methods: The study was conducted in 39 health facilities (HFs) from eight districts in four regions of Tanzania, namely Iringa, Mtwara, Tabora and Tanga. Facilities with care and treatment centres for HIV/AIDS patients were purposively selected for the study. The study utilized a quantitative method of data collection. A questionnaire was administered to heads of laboratories to obtain information on laboratory supply chain management.

Results:  A total of 39 health facilities (HF) were included in the study. This included 23 public and 16 private facilities. In 82% of the HFs, ordering of supplies was performed by the laboratory departments. The information commonly used to forecast requirements of the laboratories included the number of tests done (74.4%; n=29), current stock levels (69.2%; n=27), average monthly consumption (64.1%, n=25) and minimum and maximum stock levels (10.2%, n=4). Emergency orders were significantly common in public than private facilities (73.9% vs. 56.3%, p=0.004).  Delivery of ordered supplies took 1 to 180 days with a significantly longer period for public than private facilities (32.5 vs. 13.1 days, p=0.044). Most of the public HFs ordered supplies from diverse sources compared to private facilities (68.2% vs. 31.8%).

Conclusion: There was a weak inventory management system and delays in delivery of supplies in the majority of HFs, which are likely to impede quality of HIV care and treatment. Strengthening capacity for data management and ensure constant supply will potentially improve the quality of HIV diagnostic services.

Author Biographies

Gibson B. Kagaruki, National Institute for Medical Research, Tukuyu Research Centre, Tukuyu, Tanzania
Research Scientist
Mathias L. Kamugisha, National Institute for Medical Research, Tanga Research Centre, Tanga, Tanzania
Research Scientsist
Andrew M. Kilale, National Institute for Medical Research, Muhimbili Research Centre, Dar es Salaam, Tanzania
Principle Research Scientist
Erasmus Kamugisha, Catholic University of Health and Allied Sciences, Mwanza, Tanzania

Senior Lecturar

Acleus S.M Rutta, National Institute for Medical Research, Tanga Research Centre, Tanzania

Senior Research Scientist

Vito Baraka, National Institute for Medical Research, Research Centre, Tanga, Tanzania
Research Scientist
Celine I. Mandara, National Institute for Medical Research, Tanga Research Centre, Tanzania
Research Scientist
Stephen M. Magesa, National Institute for Medical Research, Amani Research Centre, Muheza, Tanzania
Principle Research Scientist
Godlisten Materu, National Institute for Medical Research, Tukuyu Research Centre, Tukuyu, Tanzania
Research Scientist
Amos M. Kahwa, National Institute for Medical Research, Muhimbili Research Centre, Dar es Salaam, Tanzania
Research Scientist
Rashid Madebe, National Institute for Medical Research, Tanga Research Centre, Tanzania
Laboratory Technologist
Julius J. Massaga, National Institute for Medical Research, Headquarters, Dar es Salaam, Tanzania
Principal Research Scientist
Martha M. Lemnge, National Institute for Medical Research, Tanga Research Centre, Tanzania
Chief Research Scientist
Leonard E.G. Mboera, SACIDS-African Centre of Excellence in Infectious Diseases of Humans and Animals, College of Veterinary Medicine and Biomedical Sciences, Sokoine University of Agriculture, P.O. Box 3297, Morogoro, Tanzania
Chief Research Scientist
Deus I. Ishengoma, National Institute for Medical Research, Tanga Research Centre, Tanzania
Principle Research Scientist
Published
2018-02-28
How to Cite
KagarukiG. B., KamugishaM. L., KilaleA. M., KamugishaE., RuttaA. S., BarakaV., MandaraC. I., MagesaS. M., MateruG., KahwaA. M., MadebeR., MassagaJ. J., LemngeM. M., MboeraL. E., & IshengomaD. I. (2018). Supply chain management of laboratory supportive services and its potential implications on the quality of HIV diagnostic services in Tanzania. Tanzania Journal of Health Research, 20(1). https://doi.org/10.4314/thrb.v20i1.1
Section
Articles

Journal Identifiers


eISSN: 1821-9241
print ISSN: 1821-6404