ASSESSMENT OF LOGISTICS MANAGEMENT IN GHANA HEALTH SERVICE
Keywords:Regional Medical Stores, Health commodities, logistics system, finance, supervision, evaluation and evenly distribution.
AbstractGhana Public Health Sector runs a three-tier system of managing health commodities. Suppliers, the Central Medical Store, The Regional Medical Store, Service Delivery Points and the transportation system form the supply chain. Ghana Health Service logistics system is centralized and the health care delivery system is decentralized. Logistics management in the health system is crucial. This is because there are instances where medicines and health commodities are not available at the Central Medical Stores and the Regional Medical Stores. Consequently, there is no commodity security at the service delivery points. Upon this backdrop the study seeks to assess the logistics management system in order to bring efficiency in the system. The study adopts a multi-case study approach to assess the practices of logistics management, the causes of inadequacy of logistics and the strengths and weaknesses in Ghana Health Service logistics system. Two categories of participants that is, the key players of health logistics management and end-users were involved in the study. Four variables; finance for procurement of health commodities, evenly distribution of health commodities, effective supervision and constant monitoring and evaluation were found crucial in effective and efficient logistics management. Moreover, it was found that poor procurement planning and budgeting, lack of financial resources for procurement, poor quantification and forecasting, delay in procurement process and order processing, and delay in receiving insurance claims are some of the causes of inadequacy of logistics in the health systems. It is recommended that Ghana Health Service logistics or supply system must receive constant monitoring and evaluation. Further, Ghana Health Service must ensure that there is effective top-down supervision in the system to bring up efficiency. Again, Ghana Health Service and Ministry of Health must ensure enough funds are secured from the government to procure health commodities.
Adegoke C., Egbert B., Jaya C., Kwesi E., Tetteh G., and Dragana V. 2008, Ghana: PMI Assessment of the Supply Chain and Pharmaceutical Management for Antimalarials and ITNs. Arlington, Va.: USAID/DELIVER PROJECT, Task Order 3, and MSH/SPS Program
Bates, J., Y. Chandani, K. Crowley, J. Durgavich, and S. Rao. 2000. Implications of Health Sector Reform for Contraceptive Logistics: A Preliminary Assessment for Sub-Saharan Africa. Arlington, Va.: Family Planning Logistics Management/John Snow, Inc., for the U.S. Agency for International Development (USAID).
Bossert T., Bowser D., Amenyah J. and Copeland B., 2004. Ghana: Decentralization and Health
Logistics Systems: Arlington, Va.: John Snow, Inc./DELIVER for USAID for the U.S. Agency for Interna¬tional Development. Available on: http://pdf.usaid.gov/pdf_docs/PNADM531.pdf (Accessed 6th May, 2012).
Ghanaian Chronicle (2010) ‘Healthcare Management in Ghana: A perspective’ Ghanaian Chronicle, (online) 12th November. Available on:
http://www.modernghana.com/news/304128/1/healthcare-management-in-ghana-a-perspective.html (Assessed 11th February, 2013)
Gyimah E. P., Yellu D. F., Andrews-Annan E., Gyansa-Lutterodt M. and Koduah A., 2009. Ghana: Assessment of Medicine Procurement and Supply Management Systems in the Public Health Sector: Ministry of Health (MoH), Ghana National Drug Programme (GNDP) Ghana. Available on: http://apps.who.int/medicinedocs/documents/s18017en/s18017en.pdf (Accessed, 25th May 2012).
Hai Lu & Yirong Su, (2002), An Approach Towards Overall Supply Chain Efficiency- A Future Oriented Solution and Analysis in Inbound Process, Master’s Thesis No. 2002:29, Goteborg: Goteborg University
Hai Lu & Yirong Su, 2002, An Approach Towards Overall Supply Chain Efficiency- A Future Oriented Solution and Analysis in Inbound Process, Master’s Thesis No. 2002:29, Goteborg: Goteborg University
Heyen-Perschon J. 2005, Report on current situation in the health sector of Ghana and possible roles for appropriate transport technology and transport related communication interventions, Institute for Transportation & Development Policy, USAID, Mission: 22th March to 2th April
Jonson G., Gustafsson K., Smith D. and Sparks L. 2000, Packaging Logistics and Retailer’s Profitability: an IKEA Case Study, pp.1-15
Msimangira K. A. B. 2010, Supply Chain Integration in New Zealand Public Hospitals: Impact on Supplier Commercial Relationships and Order Fulfilment, PhD. Thesis, Auckland University of Technology, Auckland
Public Procurement Act 2003 (Act 663). Ghana
Poulin E. 2007, Benchmarking the Hospital Logistics Process: A potential cure for the ailing health care sector, Business Logistics & SCM. Available on:
http://logisticsmanagementandsupplychainmanagement.wordpress.com/category/healthcare-logistics/ (Assessed, 11th February, 2013)
Rossetti, M.D., 2008. Inventory Management Issues in Health Care Supply Chains http://www.uark.edu/~rossetti/reports/healthcare_supply_chain_rep.pdf accessed 10 September, 2012.
Sangeeta R. and Nadeem M. 2004, A Handbook on Supply Chain Management for HIV/AIDS Medical Commodities: National HIV/AIDS Programs: Available on:
http://siteresources.worldbank.org/INTAFRREGTOPHIVAIDS/Resources/Supply_Chain_Mgmt_04-english.pdf (Accessed, 21 June, 2012)
Silve, B. 2009 ‘Health logistics is a profession: improving the performance of health in developing countries’ Field Actions Science Reports, Vol. 1, 19 Feb., PP 19-21.
Schneller, Eugene S. and Smeltzer, Larry R. 2006 Strategic Management of the Health Care
Supply Chain. San Francisco, CA: Josey-Bass
USAID/DELIVER PROJECT,Task Order 1. 2011. The Logistics Handbook: A Practical Guide for the Supply Chain Management of Health Commodities. Arlington, Va.: USAID / DELIVER PROJECT, Task Order 1.
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