Increase of stock outs reported. ⢠A chronic and systemic problem. ⢠Often remains hidden without active surveillance. ⢠Good stock levels vital to: ⢠Prevent poor ...
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Bella Hwang, Amir Shroufi Tom Ellman, Gilles Van Cutsem, Monique Lines, Mwenya Mubanga,
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Presenter: Marc Biot
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South Africa: National Baseline Survey (ARV/TB)
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Photo: MSF/TAC Eastern Cape Depot Intervention – December 2012
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surveillance • Good stock levels vital to: • Prevent poor adherence & resistance • Retain patients in care • Prevent unnecessary morbidity and mortality
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• Often remains hidden without active
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• A chronic and systemic problem
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• Increase of stock outs reported
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Rationale
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and $1060 USD for phone calls
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• $2120 USD in salary costs • 11 Questions
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• Total Cost: $3180 USD
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• 371 person hours to complete
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• ART/TB Sister or Pharmacist
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• 5 follow-up attempts
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• 2.5 trained survey assistants
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• September & October 2013 (8 weeks)
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Methods
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Commonly Reported Drugs (Top 7)
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• (2139 [91%] agreed to survey)
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• 2342 (61%) contactable
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• ARV/TB: attempted to contact 3827 facilities
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Results
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Results - geographic distribution
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Borrowed supply
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Change dose/regimen given
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20%
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Shortened supply given
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Patient Impact
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Sent home w/no drugs OR Referred elsewhere w/no drugs
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Results
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• December 2013: public rebuttals
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• April 2014: CSO stakeholders meeting
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• Press pick-up (local and international)
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• 26 November 2013 (World AIDS Day):
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• October 2013: survey complete
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• August 2013: NDOH informed
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Advocacy
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• Original reporter informed & cases mapped
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Stock out Resolution
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pharmacist)
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Stock out verification
• Case management (lay cadre & 3.
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www.stockouts.co.za
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• Web and Mobi survey -
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Stock out Report
• SMS, Please Call Me - 084 855 7867
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Stop Stockouts Project Ongoing Response
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Conclusion
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• Telephone survey allowed for rapid and cheap assessment of
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stock outs • Stock outs in SA were more widespread than previously thought • Important to ensure assessment followed by action – link with government • CSO initiatives should act in parallel to national systems to monitor service delivery & hold government to account
