Abstract:
Back ground: Logistic management information system (LMIS) has been recognized as one of
major factor for sustainable flow of Family planning (FP) and maternal health products in the
logistic system.
Objective: To assess the status of LMIS for reproductive health products in health commodity
management information system (HCMIS) implementing public health facilities in north and
south Gondar zones.
Methods: A facility based cross sectional descriptive study was conducted in all HCMIS
implementing public health facilities. All HCMIS graduated health facilities were included in the
study. The association between selected categorical variables examined using chi-square test at P
< 0.05 statically significant level. The study was conducted from March 1 to 30, 2015 in north
and south Gondar zones.
Result: There exists a well-designed logistics system for FP and maternal health products with
LMIS trained pharmacy professionals, distributed standard LMIS formats and established forced
ordering maxi- mini inventory control procedures. Majority, 17 (81%) and 12 (57.1%) of health
facilities had stock outs in the past six months and at the time of visit respectively for at least one
FP and maternal health products. The most frequently stock out products were magnesium
sulfate 10(47.6%) and misoprostol 6(28.6%) in the past six months. 98.7% of health facilities
were using stock/bin cards for managing FP and maternal products, among these 82.8 % of
health facilities had updated stock/bin cards. An average 55.4% of health facilities had accurate
stock/bin card balances for FP and maternal products. Fifty six percent of health facilities had
complete and accurate RRF report for FP and maternal products. IPLS training and supervision
have significant association (p=0.041) with bin/stock card accuracy.
Conclusion: Even though there exists a well-designed LMIS of family planning and maternal
health products with trained pharmacy professional, record keeping quality of stock/bin cards
and LMIS reports were low. Key lifesaving maternal health products were stock out at health
facilities at the day of visit and during the past six months. Based on findings, regular
supervision across all health facilities with prepared standard check list and keeping accurate
records and report formats are recommended.
