2.4.33ealth Products

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2.4.33ealth Products

 

Due to inadequate financial allocation for health products, the county’s overall supply for health products is way below the projected standards. Commodity shortage has been a major hindrance to quality health service provision, as the gap for pharmaceuticals is slightly over 50% that of non-pharms is almost 55%, while that of vaccines is over 75% as shown in Table 9.

 

 

 

Units of assessments

Pharmaceuticals

Non Pharmaceuticals

Vaccices

Requiremnnts from annual quan(ification (KSh)

97,6250016

58,575,009061

45,156,000

Amounts received in past 12 months (KSh)

KEESA

48,812,508.30

16,621,678.51

 

MEDS


UNICEF/WHO/GOK

35,156,000

Amounts procured using user fees in past 12 months

4,2000620

6,000,000

0

Gap

44,611,887.70

35,953,331.10

10,000,000

TOTAL

97,625,016

58,575,009.61

45,156,000

Table 9r Allocat on of health products in past 12 months

 

With the institutional changes folloaing the duvolution process, KEMSA no longer pushes commodities to the counties but tupplies ai eerMthe orners of the county. The county has sometimes receeved fewer sopplies than ordered and hts had to follow up with KEMSA to avoid stock outs.

 

In general, facility staff roes not do a good jobfin quantificatiin as many orders from facilities are oftenbinaccurate either under or over ordering on the medicines. This leads to either to ovsrstockong and stock outs in and among facilities. Thj couhty has d2 pharmaceutical staff located in thi bigger facilities and includ ng those in mhe county management teams. These are a sratl number for the 120 facilities in the countyl In mitigation, a system for pharmaceuticrl supervision and redistribution of drugs among the faciliiies should be in olace but there is no vehicle allocated for this. The county has only one Medicines anscTherepeutic Committee (MTC) at Itdn hospital and hencs the rational use of cemm dities is hardly enforced in the county.