Assessment of HIV/AIDS Commodities Supply Chain Management Performance in Achieving 95-95-95 Targets and Challenges in Public Health Care Facilities of Sheger City, Oromia, Ethiopia.

Abstract

Background: Healthcare facilities need an extensive range of HIV/AIDS commodities for the diagnosis, prevention and treatment of HIV/AIDS which are critical for achieving the 95 95-95 targets; however the SCM of HIV/AIDS commodities were not adequately studied. Existing studies shows considerable variation in performance. Therefore, this study was aimed to assess HIV/AIDS commodities supply chain management performance in achieving 95-95-95 targets and challenges in public health facilities of Sheger city, Oromia, Ethiopia. Methods: Facilities based mixed quantitative and qualitative cross sectional concurrent study design was employed in 14 public healthcare facilities from 2, January 2025 to 12, February 2025. All ART providing public healthcare facilities of Sheger City were included. Semi structured questionnaires and observation checklists based on logistic indicators assessment tools (LIATs) were used to collect data for HIV/AIDS commodities SCM. Key informant interviews were conducted face-to-face with selected stakeholders. Quantitative data were entered into Epi-Data version 4.6 and exported to SPSS version 21 to analyze the result and one sample t-test statistic was employed to compare the study result to the national standard. Qualitative data collected from 17 key informants were analysed thematically using Excel. Results: A total of 83 respondents were participated in the study with response rate of 98.8%. Bin card availability averaged 90.1% and utilization 81.7% significantly below the national standard of 100% (p=0.004), with proper documentation seen in 81.1% of facilities. Order fill rates for HIV/AIDS commodities were 80.5% (p=0.002) and HIV test kits fill rates 74.28% (p = 0.003). The average re-supply lead time was 21 days, exceeding the 15-day standard (p=0.000), which increases the risk of re-supply delays. Although overall commodity availability was 90.26%, statistically comparable to the 90% benchmark (p=0.93), 92.9% of facilities reported at least one stockout in the past six months (p=0.001), particularly of test kits and Dolutegravir 50mg due to national level shortages. Wastage was low at 1.11%, within the acceptable threshold (p = 0.001) and 85.7% of facilities met storage standards, with overall compliance of 84.7% (p = 0.001). Adaption of Dagu 2.0 (78.6%) and combined electronic/manual APTS (64.3%). Qualitative finding shows that HIV/AIDS commodities SCM were challenged by frequent and widespread stock out and poor order resupply. Conclusion: Despite improvements in storage and inventory systems, gaps persist in, order fill rates and long viral load test might hinder progress toward 95-95-95 targets. Stakeholders must strengthen their efforts to improve fill rates and ensure availability of HIV commodities.